Low Value Health Care: Coronary CT Screening In Texas

Kenneth Lin

First published 3/25/11 on Common Sense Family Doctor

Like many states, Texas is facing a fiscal crisis caused by decreased revenue from the economic recession and skyrocketing health care costs. Even without the expansion of publicly financed health insurance mandated by last year’s health reform law, the percentage of the state budget devoted to Medicaid expenses is projected to rise from 28 percent to 46 percent by 2020, even faster if the law withstands current constitutional challenges. The situation is so dire that the Texas Tribune and the New York Times recently reported that state health officials have been considering measures to reduce overuse of pricey neonatal intensive care units by refusing to cover elective labor inductions or Cesarean sections without medical indications.

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