Galveston County Daily News, Nov. 16, 2008 State health care leaders said a plan to downsize UTMB poses vexing questions about the future of Galveston County's poorest and most traumatically injured patients. David Lopez, CEO of the Harris County Hospital District, said the plan will cause a ripple effect across the Texas health care system, a patchwork of overburdened providers that treat the 30 percent of Texans without insurance.