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Explosive growth

Booming Texas region could rival Dallas-Fort Worth as ‘next great U.S. metroplex,’ mayor says

John Egan
Sep 1, 2022 | 2:49 pm
San Antonio downtown skyline skyscrapers
In a speech on August 25, Austin Mayor Steve Adler discussed the potential evolution of Austin-San Antonio into a mega-region rivaling Dallas-Fort Worth.
Visit San Antonio/Facebook

Look out, Dallas-Fort Worth. Austin Mayor Steve Adler wants Austin-San Antonio to become the “next great U.S. metroplex.” Experts believe they're already well on their way toward that status.

In his last State of the City address as Austin’s mayor on August 25, Adler touched on the burgeoning notion that the Austin-San Antonio corridor — encompassing 13 counties across both metro areas — is evolving as a mega-region like DFW.

In alignment with that vision, Texas billionaire Elon Musk, CEO of Austin-based automaker Tesla, recently floated the idea of building a transportation tunnel between Austin and San Antonio. On Twitter, Musk noted that this futuristic tunnel would be the “fastest way” to travel “between one downtown and another with known physics.” The distance along I-35 between downtown Austin and downtown San Antonio is about 80 miles.

In the past, transportation advocates have pushed for a commuter rail line between the Austin and San Antonio areas, but the concept has never gained enough traction.

Calls for stepped-up transportation and cooperation between Austin and San Antonio come as the two adjacent regions become more neighborly.

Today, the Austin-San Antonio corridor is home to roughly 5 million people. As of the 2020 Census, 2.3 million people lived in the Austin metro area and almost 2.6 million people lived in the San Antonio area. The corridor’s population is expected to reach 6 to 7 million by 2030.

From 2010 to 2020, two of the country’s fastest-growing counties were the adjoining counties of Hays and Comal. At 53.4 percent, Hays County (part of the five-county Austin metro area and anchored by San Marcos) led growth among all U.S. counties during that period. Comal County, situated in the eight-county San Antonio metro area and anchored by New Braunfels, ranked third on that list with a growth rate of 48.9 percent.

This population growth is occurring as home prices continue to climb in the Austin and San Antonio areas. However, the San Antonio area remains a much more affordable place than neighboring Austin. In fact, San Antonio ranks among the top spots where both buyers and renters are seeking a refuge from skyrocketing prices for housing in Austin.

In July, the median home price in the San Antonio area was $341,600, compared with $515,000 in the Austin area. That’s a gap of $173,400.

“Austin is in the middle of a housing supply and housing affordability crisis. This is an existential challenge,” Adler said. “We are losing neighbors who can longer afford to live here. With their loss, we lose the diversity that is our biggest asset — our people.”

In November, Austin voters will decide on a $350 million bond program that would add affordable housing for low-income families and homeless people.

“We have quadrupled our investment in affordable housing units in the city since just 2014. And we have invested more in the last six years than in the city’s history up to that point,” Adler said. “And it’s still not enough.”

The Austin Board of Realtors has repeatedly sounded the alarm about the escalating cost and ongoing shortage of housing in the area.

“Although we’ve seen an uptick in inventory recently, we must focus on creating more supply to meet the increasingly high and sustained demand for housing. We must put housing first and use all the tools we have in the toolbox to address this issue,” says Cord Shiflet, president of the Austin Board of Realtors.

The same sentiment likely could be applied to the San Antonio area, especially if the population of the corridor exceeds 9 million by 2050, as former San Antonio Mayor Henry Cisneros has indicated will happen.

In 2020, Cisneros wrote that nowhere else in the U.S. are two connected metro areas expanding so rapidly. As the two areas move closer to the mega-metro level, Cisneros believes Austin and San Antonio can “provide a 21st-century example” of regional collaboration, including the possibility that a single NFL, NHL, or Major League Baseball team could serve sports fans up and down the corridor.

“We can avoid the worst consequences of lack of planning and of erratic growth in the Austin-San Antonio region,” Cisneros wrote in a newspaper op-ed. “We can make wise investments, pursue inclusive growth, and assure environmental responsibility.”

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hospital honors

Dallas children's hospital declared one of nation's best by U.S. News

Amber Heckler
Sep 15, 2026 | 9:05 am
Children's Health Dallas
Children's Health Dallas/Facebook
Dallas is home to one of the best pediatric hospitals in Texas.

Dallas has many renowned hospitals providing exceptional care, and now a local medical center has earned national acclaim for its top-notch healthcare for children and adolescents.

Children's Health Dallas ranks No. 2 among Texas' children's hospitals in U.S. News and World Report's 2026-2027 Best Children's Hospitals. It is also the No. 2 best pediatric hospital in the Southwest region.

Each year, U.S. News surveys more than 100 children's hospitals and thousands of pediatric specialists to determine it's Best Children's Hospitals rankings. The winning hospitals excel at various factors, such as "clinical outcomes, compliance with established best practices, and level and quality of hospital resources directly related to patient care."

Out of the 90 total children's hospitals selected across 34 states and Washington, D.C., only six were based in Texas.

"For two decades, U.S. News has helped guide families to top-tier pediatric care," said Ben Harder, chief of health analysis and managing editor at U.S. News, in a release. “Finding the right medical team for a rare diagnosis or complex surgery can be overwhelming, and U.S. News’ annual evaluation of the Best Children’s Hospitals provides a clear starting point for parents and referring pediatricians alike."

Children's Health Dallas ranked as the No. 1 hospital in the U.S. for pediatric Orthopedics, and it earned top-10 rankings for its pediatric Cardiology and Heart Surgery (No. 5) and Urology (No. 10) specialties.

The hospital also earned top-50 ranks in eight more nationally ranked specialties:

  • No. 15 – Neonatology
  • No. 17 – Neurology and Neurosurgery
  • No. 17 – Cancer
  • No. 20 – Gastroenterology & GI Surgery
  • No. 22 – Pulmonology & Lung Surgery
  • No. 26 – Nephrology
  • No. 35 – Diabetes & Endocrinology
  • "Top 50" Best Children's Hospitals for Behavioral Health

Elsewhere in North Texas, Cook Children's Medical Center in Fort Worth ranked as the 6th best pediatric hospital in the Southwest. Cook Children's earned top-50 rankings in the following specialties: Diabetes & Endocrinology (No. 36), Cancer (No. 41), Neurology & Neurosurgery (No. 44), Cardiology & Heart Surgery (No. 47), and "Top 50" in Behavioral & Mental Health.

The best children's hospital in Texas
Texas Children's Hospital in Houston reigns as the No. 1 pediatric hospital in the Lone Star State and in the Southwest, and it was the only Texas hospital to be named in U.S. News' national Best Children's Hospitals Honor Roll list for 2026-2027.

Texas Children's also leads as the No. 1 best hospital in the U.S. in two pediatric specialties — Cardiology and Heart Surgery, and Diabetes and Endocrinology. It earned top-five acclaim in seven more nationally ranked specialties: Nephrology (No. 2); Pulmonology and Lung Surgery (No. 2); Urology (No. 2); Neurology and Neurosurgery (No. 3); Gastroenterology and GI Surgery (No. 5); Neonatology (No. 5); and Orthopedics (No. 5).

The hospital also ranked as the country's 12th best pediatric cancer hospital, and it's one of the top 50 Best Children's Hospitals for Behavioral Health in the U.S.

Other high-performing Texas pediatric hospitals include MD Anderson's Children's Cancer Hospital and Children's Memorial Hermann Hospital in Houston, and Dell Children's Medical Center in Austin.

children hospitals pediatric hospitals rankings reports us news & world report dallas
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