Introduction Texas has an estimated population of about 24 million people making it the second largest state as well as the one with the population which is fastest growing numerically in the country. Hence it is more diverse and larger compared to most other states in the country (Bunce & Matthews, 2007). However, the healthcare system in Texas is actually provided through a patchwork of state and local publicly funded programs that are uncoordinated. Nearly a quarter (about 6 million) of Texas population is uninsured whereas the other quarter is insured through publicly funded programs and a half is privately insured (Fuchs & Emanuel, 2005). This makes Texas to have a large number of uninsured populations compared to most other states and countries. This is attributable to lower wages in Texas, higher insurance premiums as well as few employers who offer insurance making access to insurance a challenge (Wells Fargo Small Business Roundup, 2008).
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