THE FULL STORY
San Antonio is the 7th largest city in the nation. The area’s population growth (over 4 times the United States Average based on the 2025 Regional Competitiveness Report) has exposed long-standing healthcare deserts where residents lack access to hospitals, doctor’s offices, and specialists.
Even as new medical facilities are built, demand quickly outpaces supply, intensifying the strain on already overburdened systems. The city faces severe shortages in essential healthcare roles including nurses, respiratory therapists, lab technicians, phlebotomists, and particularly multi-skilled medical assistants (MAs), a critical need for many healthcare providers.
As a result, San Antonio’s civic leaders championed major policy shifts to support workforce training initiatives, including pathways in healthcare.
The mayor, with the city council’s backing, led a successful effort to reallocate 1/8 of a cent from an existing sales tax to create the Ready to Work fund. Voters overwhelmingly supported the change, with 77% approval. The strong social support likely stemmed from an awareness of a significantly high unemployment rate post-COVID, which grew from 3% to 15%.
To date, 12,000 residents have benefited from Ready to Work, which not only supports career opportunities, but has wrap-around services and designated funds to help provide a safety net for unexpected emergencies.
Additionally, innovative partnerships to increase healthcare workers were being championed by San Antonio’s Alamo Community College, one of Texas’s largest higher education systems. Traditional MA programs, requiring daily in-person attendance, only graduated around 35 students per year.
They worked with the College of Health Care Professions, a private training institution, to create a highly customized program to serve a diverse and often underserved population.
More than half of students identify as Hispanic, 25% as Black, and the majority are women over age 24, many of whom are single parents. 40% of students enrolled (double the national average) also carry “educational trauma,” having previously attempted and failed in other programs, leading to a sense of shame or internalized failure.
Unlike traditional models, the new program offered by the College of Health Care Professionals prioritized flexibility, competency-based learning, and comprehensive wraparound support.
The new approach offered an asynchronous learning model paired with one to two days per week of intensive, in-person, hands-on training. This approach allowed working adults, mostly in their 30s and older, to maintain full-time jobs, care for families, and still pursue training. With built-in wraparound supports, the pilot achieved a 100% success and placement rate.
As of 2025, 120 students completed the program with an 80% retention rate. Pathways have now expanded to include x-ray technician programs and other health tracks. Even in cases where certification isn’t required, students sit for licensure exams. This not only affirms their skills but boosts confidence and long-term employability. The strategic public-private partnership provides a great example of the types of programs that can bolster a region when many partners decide to work collaboratively to solve talent issues.