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Welcome2014 Crossroad Conference
THANK YOU
• Speakers and participants • Crossroads Committee – Becky Conditt,
Chris Felton, Briana Vela, Silvia Ballejo, Carson Scott, Kenneth Stewart, Don Nicholson, Carolyn Witherspoon and Erin Gregg.
• F. Marie Hall Staff
The Top 10 Rural Issues for Health Care Reform
1. Economy Based on Self-Employment & Small Businesses2. Public Health Insurance Plans: Dependence and Need3. A Stressed Health Care Delivery System4. Health Care Provider and Workforce Shortages5. An Aging Rural Population 6. A Sicker, More At-Risk Population7. More Preventive Care, Health and Wellness Resources8. More Mental Health Services9. Increasing Dependence on Technology10. Effective Emergency Medical ServicesHat tip to: Rx - A series Examining Health Care Issues in Rural America, Jon M. Bailey,
Center for Rural Affairs, 145 Main Street, P.O. Box 136 Lyons, Nebraska, USA 68038, March 2009.
ACA enrollment
• ~6 million uninsured (~25% of population)
• 733,757 (9.4%) eligible Texans purchased health insurance through the federal Marketplace from October 1, 2013 to April 19, 2014.
• Rural disparities continue Mike Cline, PhD and Steven H Murdock, PhD. Estimate of the Impact of the Affordable Care Act on Texas Counties Hobby Center for the Study of Texas – Rice University, 2012.
West Texas, 2013: Population/Doctor = 650:1
West Texas, 1970: Population/Doctor = 1,350:1
West Texas Challenge: “Shrinking” the Service Area Of the 108 counties in West Texas:
• 22 have no physicians
• 10 have no physicians, physician
assistants or nurse practitioners
• 21 have no pharmacy
• 32 have no hospital
• 75 percent of the region is more than
90 miles from a comprehensive trauma
hospital
• TTUHSC (Lubbock) is the only burn
center between Dallas and Phoenix
TTUHSC Service Area (108 Counties)
• 50% of the land mass and 11% of the population of the total state (2.7 million people)
• Larger than 46 of 50 states in U.S.• 54 counties considered “Frontier” (<7
people/sq. mile)
• Fuel - $100 billion investment to produce 7.5 million barrels / year – 6.9 % of all wages in Texas
• Fiber – 35% of world market produced by China, India and Texas (US = 15.7 million bales and Texas = 14.8 million bales; bale = 480 lbs.
• Food – 15% of world market $8 billion
Challenges
Health Reform remains essential and it’s about more than insurance! It’s about:• Innovation• Collaboration OUTSIDE THE BOX• Perseverance We hope you enjoy the 2014 Crossroads Conference – we hope you will learn, network, and most especially think. Take up the challenge – that is the only real reform…
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