The shocking fact that one out of every four residents of Texas has no health insurance has been cited so often lately that it runs the risk of losing its impact. Don’t let that happen. We are the worst in the nation in this regard, and quite possibly the best example of why the nation needs to reform its health care.
How did we earn such an unfortunate distinction? There are several contributing factors. Texas has very low levels of private insurance coverage, in part because we have lots of small businesses that don’t offer it. But a primary reason is that our state is very thrifty (a neutral term) when it comes to extending Medicaid coverage to its residents.