Archives for May 13, 2007

Scott of Polite Dissent in Hospital

Polite Dissent » Scott in Hospital: comics, medicine, and medical comics

Scott in Hospital

Hi everyone. This is Scott’s wife and I am posting on his behalf.

For the next few days Polite Dissent will not be updated. Scott is in the hospital after having a minor cardiac infraction (heart attack). He is doing fine now and I’m sure he will give you all the details when he can.

Let’s see if we can’t fill up his comments with good wishes, and get well soon to Scott and Family.

Texas Trauma Center Funding in the Legislature

A nice editorial today in the Fort Worth Star Telegram, which I’ll talk about below.  This does make me have to reconsider the basic Fort Worth newsreaders’ approach to the Star-Telegram: believe the news reporting as it’s very good, and always go 180 degrees away from the editorials.

Trauma ahead at emergency rooms

By Steve Jacob

Star-Telegram Staff Writer

A hospital’s emergency room is like a swelling river that carries whatever water its tributaries dump into it. As each tributary’s flow increases, the river bears the burden until the riverbanks eventually flood.

Texas’ population grew 18.5 percent while ER visits increased more than 30 percent in 1997-2005, according to a Texas Hospital Association survey. Because hospital beds grew just 4.3 percent during that period, ER hallways increasingly serve as bullpens for patients waiting for a vacancy elsewhere in the facility.

In 2003, the Texas Legislature started an ingenuous effort to help our trauma centers by creating a new sin tax called the Driver Responsibility Program (DRP). Drivers cited for various violations are required to pay surcharges on their fines, including those for such things as failure to maintain insurance or driving with an invalid license. The biggest hit is $1,000 for the first DWI conviction and $1,500 for the second. The money is intended to be split evenly between trauma centers and the state’s highway funds.

The tax makes sense. The No. 1 cause of trauma is traffic accidents, with the cost of care averaging about $50,000 per patient. Texas has consistently led the nation in DWIs and alcohol-related crashes and is among the top three states in traffic deaths.

Unfortunately, the state is having trouble collecting the DRP funds. According to a Department of Public Safety report, less than a third of the $478.4 million generated by the program has been collected. The Senate recently passed legislation authorizing the use of collection agencies and creation of an installment-payment program to boost penalty recovery.

More significantly, the Legislature has not released $82 million in DRP funds for the past two fiscal years, consistent with the state government’s misguided tradition of diverting or withholding designated funds.

The House Appropriations Committee passed an amendment in March fully funding trauma centers to the tune of $98 million annually for the next two years, but it remains to be seen whether the appropriation survives the House-Senate conference committee legislative cement mixer in the session’s final hours.

The good news is that there is a growing awakening of the ED crisis, the bad news is that the fixes cost money.  A lot of money.

Oh, and I like the river analogy, it’s better than the one we use internally.