70% of the women who gave birth at Parkland Memorial Hospital in the first three months of 2006 were illegal immigrants.
Dallas' Parkland Memorial Hospital is familiar even to many non-Texans as the site where both President John F. Kennedy and his assassin, Lee Harvey Oswald (who was himself shot by Jack Ruby), were transported for emergency life-saving procedures in November 1963. Now, in 2006, Parkland Memorial is well known for its maternity program, which includes nine prenatal clinics and employs 72 doctors training tobecome obstetricians-gynecologists and 45 nurse-midwives. According to the Dallas Morning News, in 2005 Parkland Memorial staff delivered 15,590 babies, an average of more than 42 infants per day.In a pair of June 2006 articles, the Morning News reported that a recent patient survey indicated 70% of the women who gave birth at Parkland in the first three months of 2006 were illegal immigrants (while a similar New York Times article pegged the yearly tally for 2005 as 'at least 56%'). The hospital spent $70.7 million delivering babies born there in 2004, with taxpayers covering about 40% of the costs ($31.3 million) directly, and federal and state funds (primarily Medicaid) making up the remainder. Because of large payments from the Medicaid system, Parkland still ended 2004 with a $7.9 million surplus in obstetrics.A recent hospital analysis concluded that the average maternity ward patient at Parkland is a 25-year-old, married Hispanic woman giving birth to her second child. The Parkland staff does not ask maternity patients whether they are illegal immigrants, so the preponderance of illegal aliens among this group has to be inferred through other means.) (Under the 1986 Emergency Medical Treatment and Active Labor Act [EMTALA], hospitals are obligated to provide care to pregnant women in need of emergency help, and those that fail to do so are subject to fines of up to $50,000 per violation and exclusion from Medicare and state health care programs.)Parkland's policies contrast with those of the public hospital system in neighboring Tarrant County:Uninsured Hispanic immigrants with uncertain immigration status have flocked in recent years to public hospital emergency rooms and maternity wards in Texas, California and other border states. Their care has swelled costs for struggling hospitals and increased the health care bills that fall to states and counties, giving ammunition to opponents of illegal immigration who complain of undue burdens on local taxpayers. As a result, health care has become one of the sorest issues in the border states' debate over illegal immigration. Facing harsh criticism from residents, public hospitals are confronted with an uneasy decision: demand immigration documents from patients and deny subsidized care to those who lack them, or follow the public health principle of providing basic care to anyone who needs it. In Texas, two of the biggest public hospitals chose differently. The Parkland Health and Hospital System, which serves Dallas County, offers low-cost care to low-income residents with no questions asked about immigration status. 'I don't want my doctors and nurses to be immigration agents,' said Dr. Ron J. Anderson, the president of Parkland. 'We decided that these are folks living in our community and we needed to render the care.' In Fort Worth, in neighboring Tarrant County, JPS Health Network requires foreign-born patients to show legal immigration documents to receive financial assistance in nonemergencies, like elective surgery and the treatment of routine or chronic illnesses. Executives said that their first responsibility was to legal residents, but that they were uncomfortable about having to make such distinctions.Administrators from both hospital systems indicated that some of the common assumptions made about immigrants who seek medical care at those facilities (and at other Texas hospitals) are misconceptions:
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