Research Library

Almost all adult Texans were aware of the Affordable Care Act's Health Insurance Marketplace before the open-enrollment period ended March 31.

It is inconceivable to imagine our nation today without the gains of the Civil Rights Act. It is impossible to understand why the issue was so divisive then, since it is such an obvious right and moral proposition. Similarly, let us hope we will look back at the Affordable Care Act 20 years from now and wonder why it was such a contentious topic in 2014.

Texas Hispanics were more than twice as likely as whites to have enrolled in health insurance plans offered through the Affordable Care Act's Health Insurance Marketplace between September 2013 and March 2014, according to a report released by Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation.

The Health Reform Monitoring Survey (HRMS)-Texas report is based on the HRMS, a national project that provides timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes. The Baker Institute and the Episcopal Health Foundation are partnering to fund and report on key factors about Texans obtained from an expanded representative sample of Texas residents.

More than one-third of Texas’ six million uninsured residents are “Young Invincibles,” and their participation in the Marketplace is critical to reduce the uninsured rate among all Texans. While these young adults have substantial need for health coverage, on the eve of the launch of the Marketplace, Texas’ “Young Invincibles” had a poor understanding of the Affordable Care Act’s health coverage opportunities and held a low opinion of the new law.

European finance ministers have agreed to the final pieces that will create a banking union and a fund that can be used to rescue failing EU member banks — a big step forward for European financial stability. International economics fellow Russell Green explains in the Baker Institute Blog.

In 2012, the Drug Policy Program at Rice University’s Baker Institute and the South Texas College of Law (STCL) established a unique agreement to work together on model legislation for the decriminalization and regulation of marijuana in Texas. The collaboration was initiated by students and supported by the administrations and faculties of both educational institutions. South Texas College of Law students produced 19 separate statutes for their public law course in the spring 2013 semester. They were asked to write model legislation regarding some aspect of marijuana policy and provide well-reasoned commentary for their statutes. Experts from the Baker Institute’s Drug Policy Program gave guest lectures on drug policy issues and worked with STCL professor Drury Stevenson to provide a general direction for the course. The goal of the collaboration between the STCL and the Baker Institute was to create a variety of statutes that legislators and government officials can consult and learn from as marijuana policy is increasingly debated over the next decade. Neither the Baker Institute nor the South Texas College of Law endorses any particular policy. The model legislation has not undergone editorial review by the Baker Institute.

In this issue brief, Rice University's Baker Institute and The Episcopal Health Foundation ask, "Were Texans satisfied with the cost of health care and health insurance prior to the Affordable Care Act?" By Vivian Ho, Ph.D.; Elena M. Marks, J.D., M.P.H.; and Patricia Gail Bray, Ph.D.

Baker Institute health policy experts Hagop M. Kantarjian and Vivian Ho explain why Texas, which holds the notorious record of the highest rate of uninsured citizens in the U.S., should follow many Republican-led states that are now reconsidering the Medicaid expansion program under Obamacare.

Many contemporary medical ethicists dismiss the centuries-old Hippocratic Oath as outdated because of the enormous scientific, social, economic, and political changes since Hippocrates' time. Health policy scholar Hagop Kantarjian makes a case for its relevance.