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Let’s Talk about Health Care … For Texas’ Sake
Let’s Talk about Health Care … For Texas’ Sake
Let’s Talk about Health Care … For Texas’ Sake

For years, millions of Texans have known, through difficult personal experience, that health care in Texas has challenges. Over the last six COVID-scarred months, those issues have hit home for millions more. Famously, or rather infamously, Texas leads the nation in the number of uninsured residents. Unfortunately, for well over a decade, the health care conversation in Texas has circled around this single statistic. Is health insurance coverage important? Of course. But as this pandemic has shown - an affordable, sustainable, effective health care system requires far more than insurance coverage. Texas badly needs such a system, and future generations of Texans need leaders to get to work — today — creating it. Doing so requires setting aside politics, preconceptions, and past battles. It also means creating policy not only for the nearly 30 million people in this state right now, but also for the roughly 10 million more who will be here when we celebrate our bicentennial in 2036. Texas 2036 was created to focus attention and energy on long-term, data-driven planning efforts and ensure Texas remains the best place to live and work a generation from now. That effort is rooted in health, which influences so much about Texans’ lives and the state’s economy. By ensuring that our population is healthy, we are also ensuring that each Texan is able to participate fully in the economy and reach their potential. Texas has not fared well on this front. According to America’s Health Rankings, we rank poorly on measures such as the prevalence of diabetes (41st out of 50), cardiovascular deaths (34th), and maternal mortality (43rd). Texans can do better, as we have in reducing COVID cases recently and cancer deaths over time (we rank 11th in the latter). To achieve more systemic, and systematic success, Texas needs a data-driven, comprehensive approach to health that increases Texans’ access to the care when and where they need it. Besides coverage, that means looking at prevention, providers and prices as well. It’s critical to look not only the plight of uninsured Texans, but also the roughly 80 percent of Texans who have coverage but can’t always access care. Even for insured Texans, costs have become a significant barrier to health. Texas health care spending jumped 13.8 percent between 2014 and 2018. Soaring costs leave more than a quarter of people with employer-sponsored health insurance “underinsured,” according to the Commonwealth Fund, with out-of-pocket costs and deductibles eating up big ...

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