Texas Medicaid is fiscally unsound and medically inadequate. By federal law, the first state dollars expended must be for Medicaid spending, and all other state priorities must accept the leftovers. With Medicaid taking an ever-larger bite out of the Texas budget, policymakers are left with fewer opportunities to meet the needs of Texans, restrain spending, and provide tax relief.
Health Care
Don’t Fence Me In: Challenges for Health Care in Rural Texas
LLANO, TEXAS—Dr. Jack Franklin often stops for coffee on his way to his modest office in this Texas Hill Country town. With a population of about 3,300, Llano is small enough that he’s bound to bump into a patient or two from time to time. At the Fuel Coffee House, he’s even served his daily...
March 16, 2026