St. Davids HealthCare, the second largest hospital system in Central Texas, has been unusually quiet on the notion of establishing a medical school in Austin.

Executives there also have not spoken out on a proposed tax increase for health care services some of which would go toward underwriting medical school services. On Nov. 6, Travis County voters will decide whether to increase the Central Health portion of the property tax rate from 7.89 cents per $100 of assessed value to 12.9 cents, a 63 percent increase.

Officials at the Seton Healthcare Family, St. Davids chief competitor, have made no secret that they back a medical school, along with a proposed new teaching hospital, upgraded clinics and a comprehensive cancer center championed by state Sen. Kirk Watson, D-Austin. Indeed, Seton has pledged $250 million to build the hospital.

St. Davids President and CEO David Huffstutler serves on a Watson committee working on the projects. In addition, St. Davids is a key partner with Central Health, providing charity care to needy patients and services to Central Healths women patients who want sterilizations, as well as rape victims seeking emergency medication. The Catholic-owned Seton says it cant provide those services. Consequently, St. Davids also trains medical residents on those services and expects that to continue.

Huffstutler discussed these issues with the Statesman on Thursday. An edited version of his remarks follows:

St. Davids has been pretty quiet about the proposed medical school and tax increase on the ballot in November. Are you opposed?

We dont oppose the medical school. Were generally supportive of a medical school. We believe it will be good for economic development. If there is a physican shortage (an argument proponents have made for a medical school), we believe residency slots are more important than undergraduate medical education in getting physicians on the ground in the state. (After the state reduced funding for residency slots) there is obvious concern about supporting those slots. If we dont have the slots, the medical students we educate will leave.

Thats not a rousing endorsement.

I dont know that the way the process has worked has been completely inclusive or completely transparent. While I have been participating on (state Sen. Kirk Watsons) organizing committee, thats not really where the work is being done. We have some questions about how this is all going to work.

What questions?

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St. David’s chief gives qualified support to medical school, tax increase