Hays County Healthcare District and Access to Healthcare for the Underprivileged
A man is flourishing, but he sees others who have to struggle with great
hardships…and he thinks, “What does it matter to me? Let everyone be as happy
as Heaven wills or as he can make himself; I won’t deprive him of
anything… only I have no wish to contribute anything to his well-being or
to his support in distress.” – Immanuel Kant
A Global Crisis
• Poverty causes 45% of disease burden in poorest countries
• Includes diseases that have known treatments– Diarrhea– Measles– Tetanus
A National Crisis
• 46 Million Americans without Health Insurance
• 10 Million Americans “Medically Disenfranchised”
The United States is the single country out of thirty industrialized nations
that does not guarantee health care as a right of citizenship
Countries Provid-ing Guarranteed Access To HealthcareUnited States
How is that working out for us?
20% Increase in ER Visits in 10 years
G8 Infant Mortality Rates Source: WHO
Italy Japan France Germany United Kingdom
Canada United States
Russian Federation
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
G8 Life Expectancy for WomenSource: WHO
Japan France Italy Canada Germany United Kingdom
United States
Russian Federation
66
68
70
72
74
76
78
80
82
84
86
G8 Gross National Income Per Capita Source: WHO
Russian Federation Italy Germany Japan France Canada United
Kingdom United States
$- $5,000
$10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000
24% of Texans are without Health Insurance, the highest
percentage in the nation
The Situation in Hays County
Hays County Growth (2000 – 2010)
2000 20100
100002000030000400005000060000
BudaKyleSan Marcos
60%83%
37%
Source: Federal Census Bureau
Hays County Income Disparity
60%83%
37%
Source: Federal Census Bureau
United States per capita
Hays County per family
$-
$10,000
$20,000
$30,000
$40,000
Prior to the opening of SMCH, near 60% of Hays County residents traveled to Austin or San
Antonio to receive complex care
60%83%
37%50 miles
32 miles
Making A Difference
Healthcare That WorksHealthcare That Is SafeHealthcare That Leaves No
One Behind
Mission
National Ministries
1. University Medical Center Brackenridge
2. Dell Children’s Medical Center of Central Texas
3. Seton Medical Center Austin
4. Seton Edgar B. Davis Hospital
5. Seton Highland Lakes Hospital
6. Seton Northwest Hospital7. Seton Southwest Hospital8. Seton Shoal Creek Hospital9. Seton Medical Center
Williamson10. Cedar Park Regional
Medical Center11. Seton Medical Center Hays12. Central Texas Rehabilitation
Hospital
Seton Medical Center Hays
SMCH IS – First Month Census
Patient Discharges
Overnight Stays
Deliveries Surgeries0
100200300400500600700800900
% of Plan 180% 170% 210% 400%
SMCH IS – First Month ER Visits
planned actual0
500
1000
1500
2000
2500
286% of forecast
Mission"to provide comprehensive, affordable, quality
health care while responding to the changing needs of the community and respecting the dignity, values and culture of the individual."
FQHC – Federally Qualified Health Clinic. A clinic that is authorized to provide Medicare / Medicaid services. Services are partially funded by the federal government.
• Family Medicine• Women’s Health• Pediatrics• Internal Medicine• Dental Health• Mental Health
“Problems Require Funding”- Herb Dyer, Seton Medical Center Hays COO
$419 Million
Healthcare District - A local tax base created to direct a portion of tax revenue towards healthcare
Travis County Hays County0%
2%
4%
6%
8%
10%
% of Tax Dollars spent on Charitable Health Care
We must “treat humanity, whether in your own person or in that of any other, in every case as an end and never as merely a means.”
- Immanuel Kant
