Improving Access to Care  
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Doctors Move into Texas
New Physician Applications Received 
Newly-Licensed Texas Physicians     
Physician Growth by County

Physician Growth by Specialty
Pediatric Sub-Specialists
Neurosurgeons
Obstetricians
Orthopedic Surgeons
Emergency Medicine Physicians
Geriatricians
Pediatric Hematology/ Oncology
Child and Adolescent Psychiatrists
Pediatric Cardiologists

 


Maps

Eighty-two Texas counties see Gains
in ER Docs

Twenty-six Texas counties add obstetrician

These Texas counties previously lacked an obstetrician

Gains in rural orthopedic surgeons

Thirty-three Rural Texas Counties See Gains in ER Docs


Related Articles

Doctors rushing to practice in Texas after tort reform

Legislation caused influx of doctors to Texas


 
  REFORMS PRODUCE DRAMATIC GAINS IN
ACCESS TO CARE
 
Because of lawsuit reforms passed six years ago, doctors are flocking to Texas in record number, returning to the emergency rooms and again taking complex cases. According to an October 5, 2007 New York Times article (“More Doctors in Texas After Malpractice Caps”) “doctors are arriving from all parts of the country to swell the ranks of specialists at Texas hospitals and bring professional health care to some long underserved rural areas.”

 
 
TAPA chair Dr. Howard Marcus and TMA CEO Lou Goodman review the healthy gains in the number of new Texas doctors since the passage of tort reform. The 28% increase in newly-licensed physicians represents the opportunity for 17.2 million more patient visits annually and a $2.68 billion economic impact.
 

For the first time in memory, the Catholic-owned CHRISTUS Health System with hospitals, long-term care facilities, and clinics in more than Texas 60 cities has no openings system wide for obstetricians. In recent months, doctors with mature practices from Illinois, Maryland, Utah, Alabama, and Beverly Hills, California have relocated to Corpus Christi. These newbies aren’t flunkies and they aren’t doctors with a history of liability problems. To the contrary, they are the best and brightest, including a Duke-trained trauma center director from New York City who just moved to Corpus Christi because of the state’s more reasonable medical liability climate.

Unlike most states, Texas is adding high-risk and primary care doctors faster than the rate of population growth, which is an incredible accomplishment when one considers that Texas has one of the fastest growing populations in the nation and is the most populous of the fast growth states.

Since the passage of reforms, eighteen rural Texas counties have added their first ER doctor. The ranks of rural obstetricians have grown by 27 percent. Eleven counties have added their first cardiologist or cardiovascular surgeon or general surgeon. Because of tort reform, more Texas patients can now get the timely and specialized care they need closer to home.

Hospitals have re-invested their liability savings into new technology, patient care, patient safety and have increased charity care by more than a half billion dollars annually. Without reforms and the attendant liability savings, these achievements would have impossible.

The influx of more than 17,000 new doctors and hospital expansions have increased employment and tax revenues throughout our state. Liability costs have been saved, easing funding demands for community hospitals, county health systems, women’s, charity, and inner city clinics.

Those 220 doctors new to the Rio Grande Valley equate to 220 new small businesses, providing jobs to Valley residents and needed care to a growing population.

Texas tort reform has kept doctors in practice, in the emergency room and in the examination room treating sick and injured patients. And for all their misdirection and hyperbole, the trial lawyer can’t explain that away.

Because of medical lawsuit reform Dr. David Cantu has re-instituted his obstetrical practice in Fredericksburg and Dr. Javier Cardenas has returned to his home town of McAllen to deliver babies.

Pediatric neurosurgeon Timothy George relocated his practice from North Carolina and credits tort reform with attracting him and his sought-after-specialty to Austin. Says Dr. George, “Texas made it easier to practice and easier to take care of complex patients.”

George Rodriguez walks today thanks to tort reform. Newly established Corpus Christi neurosurgeon Matthew Alexander urgently operated on Rodriguez’ spinal abscess, relieving the paralysis in his legs, and, in so doing, spared him life in a wheel chair. Without the state’s lawsuit limits, Dr. Alexander says he wouldn’t have relocated to Texas thus depriving Mr. Rodriguez access to emergency neurosurgery in Corpus Christi.

Cancer survivor Ruby Collins credits newly-minted Brownwood urologist Daniel Alstatt with saving her life. Dr. Alstatt says he wouldn’t have moved to Brownwood, population 19,000, if it weren’t for tort reform.

Thanks to the passage of lawsuits reforms, critical care services are now more readily available in many Texas communities. A few years ago a Central Texas man, George Kuempel, fell from an oak tree and broke his back. Nine hours later in a city 65 miles away, Kuempel finally got the specialized care he needed. One would have thought that a city of Austin’s size would have a spine surgeon readily available when urgently needed. Truth is there were too few neurosurgeons caring for a growing population in Travis and the surrounding counties. So, Kuempel was flown to Scott & White Hospital in temple for surgery.

That unfortunate event occurred prior to passage of the state’s medical lawsuit reforms. Since then, Austin has added two neurosurgeons and several of the remaining neurosurgeons are again taking emergency calls.