Time for a checkup

New study rates Texas among the 10 worst states for health care

Texas ranks worst in the nation for access to health care. Getty Images/fstop123

Health care is already one of the hottest topics in the country, and a new study comparing systems at the state level offers even more to talk about — especially in Texas, which is rated one of the worst in the country.

Personal finance website WalletHub compared all 50 states and the District of Columbia in terms of access, outcomes, and costs to determine the best and worst states for health care. Texas ranks 43rd, the ninth-worst in the nation, for 2019.

The Lone Star State lands in the bottom half of the rankings for all of the aforementioned categories, coming in dead last, No. 51, for access to health care.

Texas has the lowest rates of insured children and adults in the nation, according to the study, as well as consistently low numbers of physicians, physician's assistants, and nurse practitioners per capita, all of which fall in the lowest quadrant of states studied. Alarmingly, Texas also has one of the worst EMS response times, 8.37 minutes, but it ranks surprisingly well for retaining medical residents, No. 5 overall.

Texas does slightly better, 38th, in outcomes, which considers such factors as infant mortality rate, life expectancy, and the share of patients readmitted to hospitals after being discharged. For all of those factors, the state receives middle-of-the-road rankings.

When it comes to costs, however, Texas has a couple of redeeming rankings. The Lone Star State is No. 28 overall, but it boasts the country's eighth-lowest cost of a medical visit ($97.99) and the 16th lowest average monthly insurance premium ($544). Offsetting those are its No. 32 ranking for share of out-of-pocket medical spending (11 percent) and No. 43 ranking for share of adults who haven't seen a doctor because of the cost (19 percent).

The best health care in the country, says WalletHub, is available in Minnesota. At the very bottom of the list is Alaska, the worst state for health care in 2019.

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This story originally appeared on CultureMap.com.

In order to stay competitive, Texas needs to stay innovative. Photo by gguy44/Getty Images

It's no accident that Texas has one of the strongest economies in the world. Generations of leaders have built and sustained a business climate that welcomes investment and innovation without allowing burdensome regulations and high taxes to get in the way.

Because Texas welcomes job creation and offers families a great quality of life, our population is projected to grow rapidly in the coming years. Experts say the Texas population will increase by 10 million people by the state we celebrate the Texas bicentennial in 2036. There is no doubt that this is a place where people want to live and businesses want to create jobs.

But we cannot assume that our past record of success is destined to repeat itself. When it comes to creating an economy that offers opportunity for our fellow Texans, we have a lot of advantages. But it is up to all of us to make the most of those advantages and also identify ways that we can do better.

That's why I founded an organization called Texas 2036. We are here to support the long-term strategies and investments that will help Texas remain an economic juggernaut for decades to come — a place where great ideas thrive and the brightest minds want to work.

Texas 2036 is intentionally and unapologetically nonpartisan. While we will engage closely with elected leaders, our work is far different from the short-term urgency of politics. We aren't just thinking about the headlines of the day or the whims of the electorate. We believe what Texas needs is someone taking the longer view and focusing on the demands we know are coming down the road, no matter who is holding public office.

This long-term focus requires actionable, credible data. The Texas 2036 team has spent significant time over the last couple of years building the data sets that will help Texas leaders and the people they represent make the best decisions for our future. This data will provide a foundation upon which we can build consensus around solutions that will support continued growth.

For example, there is no better magnet for job creation than a well-educated workforce with diverse skills. Yet there is plenty of work to do to ensure Texas has the robust workforce needed to attract high-quality jobs. Soon, more than 77 percent of jobs will require a college degree or certificate, but only 28 percent of Texas 8th graders complete a postsecondary degree or certificate within six years of high school graduation. We cannot continue our economic success without significant improvements in educational performance and attainment. But if we make those improvements — and I have no doubt that we can — then we will not only sustain our prosperity, but allow more Texans to partake in it.

Our mission is ambitious, but so are Texans. That's why we want as many people as possible engaging with Texas 2036. I hope you will become part of this conversation by texting JOINTX to 52886 and visiting our website. Over the course of the next year, we will be developing and releasing strategies and recommendations for how Texas can meet the demands of the future, and we need as many Texans as possible engaged in this critical effort.

Texas is a place of big dreams and endless possibilities. We have a storied past and a proud present. It's up to all of us to make sure the future is even better.

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Tom Luce is the founder of Texas 2036, an organization focused on bringing attention to issues that are going to affect the Lone Star State in the long term.