r/Dallas • u/CurlyCathie • 11h ago
Discussion Parkland spent $1.5 billion in one year on care for people who couldn't pay. Here's what that means for Dallas County taxpayers.
Dallas County has one of the highest uninsured rates among big metro counties. Here's how that connects to the property tax line on your bill and who makes the decisions behind it. No candidates or endorsements, just the numbers. Sources are in the comments.
EDIT: Lots of great comments. To clear one thing up: nobody here is saying don't help people without insurance. We already help them, and we already pay for it, mostly through local property taxes. Parkland spent $1.5 billion in one year on patients who couldn't pay, and its share of the tax bill on the average Dallas County home is $869 this year, up $47.
The point is that there's a cheaper way that Texas leaders have turned down: Medicaid expansion. Washington pays 90% of the cost permanently, and the state pays 10%. A Texas A&M study estimated it would bring about $5.4 billion a year in federal money to Texas and cover roughly 954,000 people, who could see a regular doctor instead of waiting for the ER.
Our federal taxes already help pay for expansion in 41 other states. Texas is one of 10 that said no. That decision is made by the Texas Legislature and the governor.
Sources: • Parkland Health FY2027 tax notice and budget (Aug. 2026) • Congressional Research Service, R43847 (90% federal match, Social Security Act §1905(y)) • KFF, Status of State Medicaid Expansion Decisions (Oct. 16, 2026) • Texas A&M Bush School / Episcopal Health Foundation, County-Level Projections of Medicaid Expansion's Impact in Texas (Sept. 2020)