Charity care rendered by Texas hospitals rose 24-percent in the three years following the passage of Prop. 12. But for the 2003 reforms, this $594 million increase in charity care expenses would have left many Texas hospitals with the stark choice of turning away charity care patients or closing their doors altogether. The state’s non-profit hospitals saw their charity care costs increase 36-percent in this same time frame.
HB 4 (the 2003 medical liability reforms) has a track record of improving access to medical care.
The physician growth rate in El Paso is 76-percent greater than pre-reform.
The physician growth rate in San Antonio is 55-percent greater than pre-reform.
The physician growth rate in Houston is 32-percent greater than pre-reform.
After years of decline, the ranks of medical specialists are growing.
(DR comment: I don't actually know how that correlation to Prop 12 is established.)
Seventy-six Texas counties have seen a net gain in emergency physicians (PDF) since the passage of reforms five years ago, including 39 medically underserved counties and 30 counties that are partially medically underserved.
In all, 43 metropolitan counties and 33 rural counties (PDF) have seen a net gain in ER docs.
Twenty-four counties (PDF) that did not have an emergency medicine physician at the passage of Proposition 12 now do.
Texas saw a net loss of 14 obstetricians in the two years preceding reform. Since then the state has experienced a net gain of 192 obstetricians.
Twenty-four rural Texas counties have added at least one obstetrician since the passage of Proposition 12, including twelve counties that previously had none.
Since Prop. 12, 52 counties have seen a net gain in obstetricians, including 23 medically underserved counties and 21 partially medically underserved counties.
Texas experienced a net loss of 9 orthopedic surgeons from 2000 to 2003. Since tort reform, the state has added 220 orthopedic surgeons. This represents a 12.2-percent growth in the number of orthopedists in the past five years.
Forty-six Texas counties have seen a net gain in orthopedists since the passage of reforms including seven—Blanco, Cherokee, DeWitt, Hopkins, Lavaca, Somervell and Starr—that previously had none.
Eleven of the counties that have added an orthopedist are rural and eleven are medically underserved.
Twenty-six counties that have added an orthopedic surgeon are partially medically underserved.