The end of this month marks the deadline to sign up for a Marketplace health insurance plan. Unfortunately, for many families, simply having health insurance coverage doesn’t guarantee access to the best possible health care.
The sad truth is that there are many patients who were left scrambling to find a new medical home when a number of insurance companies decided not to provide in-network coverage for many hospitals in the Texas Medical Center, including Texas Children’s Hospital. Children and families, many suffering from serious or complex medical conditions, are being denied access to the largest, and one of the best, pediatric hospitals in the entire nation. Distraught mothers and fathers have called the hospital with emotional pleas for help, concerned that their children can no longer receive care from the doctors and nurses they have known for years or even their entire lives.
The reality is that not all hospitals are created equal. At Texas Children’s, we build facilities and recruit world-renowned pediatric subspecialists to deliver world-class health care and treatment to the children and families who need us most. As the saying goes, “it’s what we do.” We advance pediatric research and drive innovation in pediatric health care, all in hopes of discovering new therapies and cures for children with serious or life-threatening medical problems, and we scrupulously monitor and report the outcomes of the care and treatment we deliver. In conjunction with our partner, Baylor College of Medicine, we invest in the future health of the children of Houston, Texas and the nation by training more of the next generation of pediatricians and pediatric subspecialists than anyone else nationally. Finally, we do all of this in a family-centered and child-friendly way, improving not only the health of the child, but also the well-being of families across our community.
These are significant investments, but we are the hospital of last resort for many children. We turn no family away and take care of the most critically ill patients and treat more complex cases than any other hospital in the state, many times absorbing the cost so every family who needs that higher level of care receives it.
We see the unfortunate results when children don’t have access to the best facilities and health professionals. Getting the right care at the right place and in a timely fashion can save insurance companies millions of dollars in the end. In other words, ensuring access to the best facilities and health professionals, like those at Texas Children’s, not only is the right thing to do, but also makes good business sense. Denying even one child access to potentially life-saving care is one too many.
Good health demands that every child should receive care regularly from a pediatrician or family physician. The many children across our community suffering from serious or complex medical conditions require more. Recent decisions by several health insurance companies make clear that while they might agree in principle with these statements, they are blind to the ramifications of their decisions for many of our community’s most vulnerable children and families. Our children need and deserve access to state-of-the-art facilities and medical equipment designed specifically for children. They need and deserve access to pediatric specialists who are among the best in the world. Little lives depend on it.
Dr. Mark W. Kline serves as physician-in-chief of Texas Children’s Hospital and chairman of the Department of Pediatrics at Baylor College of Medicine.