March 03, 2004
The Travis County Hospital District

[Updates below.]

Hospital district issue on May ballot

Whether or not Austin will have a hospital district is now up to Travis County voters. On Tuesday, the county commissioners voted unanimously to put the controversial issue on the May 15 ballot.

Austin is the largest city in Texas that doesn't have a hospital district. Close to 25 percent of Central Texans are uninsured.

So, who foots the majority of the bill when an indigent patient from outside the city of Austin is transported to Brackenridge? Austin taxpayers.


Yuck! Well, that's not cool at all. My instant reaction? Decouple the taxpayer from the Austin hospital system. Let everyone pay for their own health problems! Instant utopia!

Perhaps not, but it would be a better idea than taxing an even greater portion of Central Texas to cover the healthcare costs of others.

"We have a city asset, that being Brackenridge Hospital, that is a regional asset. So, it's disproportionately being paid for by city of Austin residents. One of the intentions of a health district would cure that," Travis County Commissioner Karen Sonleitner said.

Brackenridge Hospital is part of the SETON Healthcare Network non-for-profit healthcare service provider and is the fourth-largest private employer in the region. It, in turn, is part of Ascension Health, the largest not-for-profit healthcare system in the US.

The terminology Ms. Sonleitner uses here is enlightening. It shows at least some respect for the idea of fiscal responsibility: those who use services should be the ones paying for it. Of course, the blanket effect of taxation doesn't quite match the principle.

Last spring, Texas legislators passed a bill enabling the creation of a hospital district. No district tax rate has been approved yet.

City of Austin taxpayers currently pay more than seven cents per $100 valuation for health care. While Travis County residents outside of the city limits pay just more than one cent.

Travis County is already the highest-taxed county in the state and opponents said a district will not save taxpayers money.


Those opponents, if they were truely concerned about saving taxpayer money, wouldn't limit their criticism to the hospital district. They'd attack the fundamental nature of the system already in place.

I wasn't aware Travis County took honors in high taxation, but it doesn't surprise me that much.

"It doesn't guarantee that our health insurance rates are going to go down, it doesn't guarantee that we're going to get better care and it does nothing about the surrounding counties sending in patients who get medical care on the Travis taxpayer's ticket," Don Zimmerman, with Save Our Taxpayers, said.

He is, of course, correct. However, all the things he mentions are acheivable under a freer system of healthcare markets.
Supporters of a hospital district said the need is overwhelming.

"We have overcrowded emergency rooms that threaten our ability to deliver good, quality, trauma and emergency care to people who need it and we have problems with access as a result of the high, uninsured rate that we have in Central Texas," Clarke Heidrick said.


That's primarily because emergency care is open to all, regardless of the ability to pay. It's an open-ended invitation that can only be handled justly in one way: increase the costs of using the medical facilities. For example, my insurance carrier has increased the fees associated with emergency room visits to try to remind people the emergency room is for true emergencies. To those who believe doing so is unjust, then they have to look at the alternative: taking from others to provide for others.
The creation of a hospital district will not change the way indigent patients are treated, but it will change the way health care is funded.

Copyright ©2004TWEAN News Channel of Austin, L.P. d.b.a. News 8 Austin


And that is the real problem, not the inevitable economic downfalls of a system where it is considered anathema to turn away a customer because that customer cannot pay for his service.

UPDATE(3/12/2004 4:25pm)
From the, "No Shit!" Department:

Hospital district would increase property taxes

If approved, Travis County residents will pay more in property taxes, matching the level of funding that Austin residents pay.

"If you live in the city of Austin, you are paying far more for the infrastructure that we need in terms of health care than if you live outside the city of Austin," County Commissioner Karen Sonleitner said.

Sonleitner said it's only fair that county residents pay their share. The average county resident property tax bill would increase by $92.

Copyright ©2004TWEAN News Channel of Austin, L.P. d.b.a. News 8 Austin


UPDATE(3/15/2004 9:25am)
Added the copyright attributions to News8Austin.

UPDATE(4/12/2004 4:45pm)
Save Our Taxpayers has a one-page PDF available summarizing its opposition to the plan.

Here is a list of upcoming events relating to this issue the SOT will be participating in:

  • April 13th, 12:00 PM - Green Pastures Rest. (on Live Oak), Tax Debate
  • April 13th, 11:45 PM - 708 San Antonio, Austin Association of Health Underwriters, Tax Debate
  • April 14th - Radio Ads begin, 590 AM KLBJ, 1370 AM, 970 AM KIXL
  • April 20th, 6:30 PM - 5315 Ed Bluestein, Men With a Purpose, Tax Debate
  • April 21st, 12:00 PM - Green Pastures Rest. (on Live Oak), South Austin Rotary, Tax Debate
  • April 22nd, 6:30 PM - Lakeway Activity Center, Townhall Meeting, Tax Debate
  • April 28th, 7:00 AM - 590 AM KLBJ, Morning Show with Mark, Ed, Sam --- EARLY VOTING STARTS
  • May 15th - ELECTION

UPDATE(5/17/2004 1:04pm)
The measure passed and I'm not happy. I may write more later.



Posted by Drizzten at March 03, 2004 05:23 PM

ATTENTION: Comments are closed. You are viewing my old blog, archived for search engine purposes.
To view the new blog, please go to the homepage. To find the current version of this entry, search here.

Comments

What about the tax comparisons in this article:

http://www.austinchronicle.com/issues/dispatch/2003-08-08/pols_feature5.html

The price of an "average home" in Austin is about twice as expensive as other cities.

Posted by: omit on May 7, 2004 03:47 PM

One more note from this article:
http://www.austinchronicle.com/issues/dispatch/2002-08-09/pols_atlarge.html

"We spend more per capita on public safety than any other Texas city, largely because our police have the highest salaries in the state, but you may have heard from the powerful citizens who think we don't spend nearly enough. Compared to other cities, on a per capita basis, we have an absurd amount of parkland and twice as many branch libraries, and that's exactly how many in the community want it. And so on and so forth. Even Smart Growth incentives -- everyone's favorite fish to shoot in the budget barrel -- are attempts to compensate for the ornate and expensive development process born of citizen desire and outrage."

So our police department has the highest salaries in the state?
From this page:

Salary range, low-end: $37,746
Salary range, high-end: $60,139
(Source: ACC and Local Law Enforcement Agencies, Interviews, August 2002)

And check this out: http://www.policepay.net/austin/summary.pdf

San Antonio pays their police far less:
http://www.policepay.net/sanantonio/summary.pdf

And they don't have that many more police officers:
http://www.policepay.net/sanantonio/count.pdf
http://www.policepay.net/austin/count.pdf

Posted by: omit on May 7, 2004 04:04 PM

I'm not certain what you're trying to say here. There is a legitimate point to be made that differentiates between the county that taxes the most in raw dollars and the county with the highest total tax rate. However, both points don't really make much of a different to my opinion since the taxes themselves - regardless of their magnitude - are the problem.

Posted by: Drizz on May 8, 2004 12:05 PM

The Hospital District is a secret label for "tax increases for county residents." Another Republican way of packaging the dog meat and name it the Wonder Food.

Posted by: Patrick Wu on May 8, 2004 02:16 PM

Mr. Wu, who cares who proposes the tax? It's a bad idea if Democrats push it and it's a bad idea if Republicans push it. It certainly makes hypocrites out of conservative supporters, considering their alleged committment to a freer society.

I do like your dog meat-Wonder Food analogy, though. :)

Posted by: Drizz on May 9, 2004 02:36 PM

I am outraged over the hospital district tax. One of the main reasons is that the city GAVE Seton the money maker, Childrens Hospital and are now letting us PAY for Brackenridge, the money loser. Before, these 2 helped balance each other out. Health insurance companies HAVE to use Childrens Hosp because they are the only childrens hosp in town and all of the pediatric specialists practice there. Because of that, insurance companies have always had to pay whatever rates Childrens Hosp wanted where the other hospitals were always more negotiable. (At every insurance company I know of, CHildrens ALWAYS had higher rates or was paid as billed or within 90% of what was billed!!!!! THat is unheard of at the other hospitals in town.) Now that THE CITY GAVE CHILDRENS HOSP TO SETON, it gives them an unfair advantage over the one other hospital network in town, Columbia. They will be able to get higher rates than the other group simply because of now owning CHildrens!!!! (They can say, that if you want to get lower than billed rates at childrens, you have to give them higher rates at all of their hospitals, etc.) Additionally, they are the most aggressive and meanest group of people to deal with at Seton when negotiating, whereas the Columbia group treats you like a client rather than an enemy. It is so bad, that people in the health insurance industry in Austin, refer to SETON HOSP as SATAN HOSPITAL AND THE DAUGHTERS OF CURRENCY!! If you look at all of the hospitals in town and who gives the most charity medical care, I would bet you would find that Brack and ST DAVids give more than Seton. OF COURSE SETON DIDN"T WANT THE MONEY LOSER< BRACKENRIDGE-----they want us to pay for that in taxes and I guess the city just wants to give Seton the money maker!!!In fact, I feel like SETON IS THE REPUBLICAN HOSP AND ST DAVIDS IS THE DEMOCRATICS HOSP!! (Even the volunteers at Seton wear RED and the volunteers at ST Davids wear BLUE! Seton doesn't do abortions/ st davids does. Seton wouldn't have a gay person in the administration and st davids has several...need I go on???) Let's give ST DAvids & COlumbia Hospitals our business!!!! OUR CITY IS GIVING SETON (SATAN) HOSPITALS< CONTRACTING ADVANTAGES< AND LAND IN CENTRAL AUSTIN TO BUILD A NEW HOSP ON!!!! I have lived here for almost 20 years and I love Austin the way it was, but NOW I WANT TO MOVE OUT!!!! THis hospital district tax has put me over the edge!! (Then add the toll road thing in.........I"m getting out!!!!)

Posted by: sick of being taxed to death on September 17, 2004 08:33 AM
Post a comment
Name:


Email Address:


URL:


Comments:


ATTENTION: Comments are closed. You are viewing my old blog, archived for search engine purposes.
To view the new blog, please go to the homepage. To find the current version of this entry, search here.

HTML formatting is disabled. However, you may post a raw URL as it will show up as a clickable link.

Comments are the property and responsibilty of the commenter.

I reserve the right to delete any comment I wish as this is my property you are commenting upon, but I'm pretty laid-back so it isn't likely to happen unless you are some psycho idiot jerk. Oh, and unless you have my permission to promote your good or service, you are wasting your time: unsolicited advertisements will result in comment deletion and URL banning. This blog ain't for you spammers or the crap you want to sell.


Dislike the format, layout, color, or having a hard time reading the text? Comment here and let me know what you think.

Remember info?



Back to the top