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