[Letter from John B. Truslow to I. H. Kempner, February 26, 1957] Page: 3 of 6
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Sr. Kempner
February 26, 1057
Page 2
2. That is the basis for our request for 2200,0O0?
In my letter of May 16th to President Wilson I wrote the "'figure o
_200,000 was reached on the basis of several approaches to the
problem. None of these is satisfactory because there are so many
variable and unpredictable factors in each, but the impact of the
several approaches may carry some weight." A copy of these three
approaches is attached to this letter.
3. ho' C do other counties tahe care o thei'indigent?
It is certainly apparent that The etropolita couunties anC
counties of the State of Texas is far behind many of our states
in this country in acknowledging the problem of the cost of indi-
gent patient care. It seems to be a characteristic of our bigness
and our buoyancy that we have not chosen to acknowledge the extent
to which indigency does exist. However in those areas where
governments at a city, county or regional level have faced the
problem there are three patterns in operation. Dallas city and
county, for example, supports the Parkland Hospital in toto to
the extent of $5,000,009; and in the second place there are
certain counties having welfare funds totally adequate to support
The $3.00 a day minimum for some of the patients at least. Thirdly,
'here is a handful of communities in which the social services have
hared some of the cost, augmented by Comaunity Chest funds and by
)reventive medicine measures locally.
Uo najor areas of ferment on this problem today are at Houston
ad Galveston, provoked undoubtedly by the fact that they both
ave medical centers and medical schools. It is proper and en-
:rely appropriate it seems to me for such a circumstance to
imnlate a measure of leadership among Texas communities in a
roble:n of co unity service nee ad enerally throu h-ut the
medicine is to educate each new generation of students in the
healthh field. The accepted ratio of teaching patients to medical
.udents throughout the United States is five beds per student in the
bird and fourth years combined. Our average number in this area I
50 in the third year and 150 in the fourth year -- a total of 300
times five is 1500. This compares with the present total teaching
beds in the medical center today of 830. These 300 beds are urge,:tl
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Truslow, John B. [Letter from John B. Truslow to I. H. Kempner, February 26, 1957], letter, February 26, 1957; (https://texashistory.unt.edu/ark:/67531/metapth1504246/m1/3/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting Rosenberg Library.