State of Texas: 'We don't have enough staff' - COVID surge strains Texas hospitals 6

State of Texas: ‘We don’t have enough staff’ – COVID surge strains Texas hospitals

AUSTIN (Nexstar) – Texas continues to break records, thanks to the Omicron variant. In the past week, the state’s COVID positivity rate hit record highs. By Thursday, more than 35% of molecular tests taken by Texans were turning up positive.

While positive case counts are no longer the best metric to gauge the pandemic, hospitalizations in the state have also doubled in just 10 days.

Meanwhile, hospitals statewide are experiencing staffing shortages.

“At this point, we have rooms where we could put people, but we don’t have enough staff to to match up, we are pretty close to the point where we wouldn’t have enough rooms either,” Dr. Rodney Young with Texas Tech University Health Sciences Center in Amarillo said Tuesday.

It’s the same problem in Dallas.

“We’ve got vaccinated healthcare workers that unfortunately got the omicron variant. And then they have to isolate which further strains the existing workforce,” Dr. Stephen Love with the DFW Hospital Council said this week.

And in Austin, too, Dr. Desmar Walkes said Tuesday, “The hospitals are experiencing staffing shortages.”

Doctors worry the initial messaging that the omicron variant is less severe has Texans letting their guards down.

“If we all get an illness, even if 90% of us have a relatively minor experience of it, that few percentage of folks that are less fortunate, and have a more severe illness, that is enough to overwhelm the healthcare system, particularly when you factor in what we were discussing that we have staffing shortages,” Dr. Young explained.

Over a 10 day period from December 23 to January 2, hospitalizations increased by 99%. During a 10-day period at the beginning of the Delta surge, COVID hospitalizations increased 76%. Given similar COVID hospitalizations during each, these rates are relatively similar.

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(Eric Henrikson/Nexstar Photo)

But during the Delta surge, it took 26 days for the positivity rate to double, from 9.28% on July 15, to 18.7% on August 9. With omicron, it only took 10 days to double from 9.18% on December 13, to 19.95% on December 23.

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(Eric Henrikson/Nexstar Photo)

“The modeling numbers are more concerning now than they were even with delta because of the high infectivity,” Dr. Young said, “The data we’re looking at suggests we’re going to see more hospitalizations and greater staffing shortages than we have faced with prior situations.”

The solution, though, remains the same: mask up, get vaccinated and get boosted.

“If there’s a silver lining in it, it may be that because it’s coming at us like a tidal wave that hits us, it will likely hit us in a short period of time. The next few weeks are going to be critical. And there’s still time to impact that,” Dr. Young said.

Dr. Ogechika Alozie in El Paso, with Texas Medical Association’s COVID-19 Task Force, said he thinks it’s too early to tell where we are in this current surge.

“The numbers that you get are always going to be delayed. And we are in the midst of omicron exploding across the country, and now across the state of Texas,” Dr. Alozie said. “It’s hard to tell where we are in this. And I think part of that is the surveillance, we don’t have the greatest surveillance.”

He agrees, though, the best solution is to assess your own risk, mask up, and get vaccinated.

“The risk to a 5-year-old is not the same as a 40-year-old is not the same as an 80-year-old. Each of those individuals will need to identify what makes them at risk, what to avoid and how to deal with it. I personally and professionally think the best way to protect yourself is to get vaccinated,” Dr. Alozie said.

On Friday, eight of the state’s 22 Trauma Service Areas reported more than 15% of patients in their hospitals as having COVID.

That used to be a trigger for local counties to roll back business capacity, but the Governor took that power away beginning in March 2021, as vaccines were more readily available.

Republican Don Huffines promises Dallas Cowboys Super Bowl win if he’s elected governor

During the January 2nd telecast of the Dallas Cowboys game, viewers in Texas saw an ad paid for by the Don Huffines Campaign, where Huffines himself promises a Super Bowl win for the Cowboys if he’s elected Governor.

“When I’m your Republican Governor, Texas will stop the illegal invasion at our border. And I’m not asking permission from the federal government. We will put prayer back in our schools, restore our culture, and the Cowboys would get another ring,” Huffines said in the ad.

Huffines said that Texans should take him seriously.

“Once I win the Governor’s office, we’re going to have strong leadership, just like they have in Florida with DeSantis. They won a Super Bowl. Texas is going to win a Super Bowl, and I’m predicting it’s going to be with the Dallas Cowboys,” Huffines said.

Huffines maintains that a governor’s leadership trickles down to influence many aspects of life in Texas.

“Most things are downstream of the governor’s office; our virtue, our culture, our legislation, our budget, our spending. When we have strong leaders, it will definitely reflect in our sports teams, and it’s certainly going to reflect in the Cowboys,” Huffines said.

For many Texans, the commercial was their introduction to Huffines. So why use that first impression to make promises that he realistically can’t keep? Huffines had an explanation.

“I think the commercial really hit the right spot… It was a good balance of being realistic and getting attention,” Huffines explained. Then he made another prediction.

“When people hear our message it resonates. And we’re going to win,” Huffines said.

Governor Greg Abbott’s campaign did not respond for comment. Abbott’s campaign plans to begin airing television ads in Texas in the coming week.

A spokesperson for Beto O’Rourke’s campaign responded to the ad, stating, “Republicans like Huffines and Abbott are responsible for the ‘invasion’ rhetoric that the El Paso shooter used to justify massacring 23 Texans less than two years ago. Abbott and Huffines are one in the same. Both are too extreme and cynical for Texas and neither will lead the Cowboys to the Super Bowl.”

Early voting for the primary starts on February 14.

Crooks print real DMV temp tags to cover up crimes. Where’s the oversight?

Sgt. Jose Escribano glances down at his laptop, then back at the road. He’s scanning Austin’s streets looking for what some in law enforcement call “ghost cars.”

It doesn’t take long to find one: a white 2004 Chevrolet pickup truck with illegal temporary tags.

“He could not get that vehicle registered. He could not get that vehicle inspected,” Escribano said, after pulling the driver over and unscrewing the paper license plate attached to the back of the truck.

The man said he bought for $100.

“He said, ‘I had no other choice,'” Escribano said.

Escribano is with the Travis County Constable’s Office Precinct 3 and one of the leaders in the state when it comes to finding, and fighting, Texas’ fraudulent temporary tags. In recent years, he estimates this has ballooned into a $200 million black market criminal enterprise.

“It makes it extremely difficult for law enforcement,” he said. “You become anonymous.”


image of a NYPD police bulletin with information about a counterfeit tag found, featuring an image of Santa with a fake tag


Internal NYPD police bulletin, obtained by KXAN, warning about fraudulent Texas tags. Even Santa Claus is jokingly depicted with one. (New York Police Department Photo)

Police say illegal temporary tags make their jobs more dangerous and puts the public at risk. For four years, KXAN has investigated fake temporary license plates used by criminals to cover up crimes.

In 2018, the Texas Department of Motor Vehicles said new security measures, including watermarks, would make them harder to copy and fix the paper plate problem. It didn’t. Illegal tags have allowed violent criminals to hide in plain sight, Escribano said, arguing this has now grown into a national safety threat.

A KXAN investigation found the TxDMV is approving car dealership licenses for individuals using stolen IDs and photoshopped photos of car lots that exist only on paper, according to Escribano and a review of internal law enforcement records.

It costs $880 to get a car dealership license in Texas.

But these phony dealers aren’t selling cars, Escribano and the Federal Bureau of Investigation say. Rather, they’re able to access the state’s webDEALER system. That allows criminals the ability to generate real temporary tags that, when scanned by law enforcement, can contain fake names, addresses and Vehicle Identification Numbers.

The tags are created in the TxDMV’s electronic tag online portal. Licensed car dealers are given access to the password-protected website where tags are created when cars are sold. A dealer manually enters the vehicle and buyer information to create the buyer’s tag, which is is automatically shared with the Texas Law Enforcement Telecommunication System, in real time, and can be accessed by law enforcement across the country.

That is a problem when the information the tag contains is all wrong.

“The application process is completely flawed,” said Escribano, who has been calling for more oversight for years. “Completely flawed.”

Internal records shared with KXAN show one name entered into the TxDMV website as: “BBB B, JDJDJDJ, JDHDLL, BBDNN, TX, 78666.” We also found a VIN approved by the state even though it’s a website — “https://webdealer.txdm” — and real VINs do not contain special characters.

The tag Escribano confiscated is from Kasniels Auto Sale LLC in Houston. The Space City has become a hub for fraudulent tag production, Escribano said.

In May, the Justice Department indicted three Houston residents for using a fake car dealership to sell 600,000 paper tags across the country without selling any cars. The DOJ says illegal tags “pose a danger to the public and law enforcement” because buyers use them to avoid liability insurance, registering their car, getting it inspected and to “hide their entities” from police.

The state shut down Kasniels on Nov. 8, according to Escribano. However, in just four months of doing business, from July 22 to Nov. 8, the small blue house behind a black iron gate became the second busiest car dealership in the entire state of Texas, TxDMV records show. It produced a trove of 236,630 temporary tags.

A phone number associated with Kasniels Auto Sales went unanswered. KXAN left a message with a generic voicemail box.

Law enforcement surveillance photos of the house taken in September, compared to its August TxDMV application, show Kasniels either photoshopped a fake Kasniels Auto sign or quickly removed a real one as it cranked out temporary tags. Escribano calls them a “shell company.”

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Kasniels Auto Sales LLC in Houston as seen in its application photo compared to law enforcement surveillance.

“The system is broke,” Escribano said. “It’s a safety issue for law enforcement. It’s a safety issue for the general public. Somebody hits you. Somebody commits a crime. Somebody hurts one of your loved ones. Who are we going to go after?”

“A hundred dollars?” an undercover officer asks in Spanish.

“Yes,” replies the seller, Cesar Sifuentes-Aguirre, who drove to the Walmart on North Interstate 35 in Austin in February 2020 to make a sale, according to body camera and undercover video.

An undercover officer posing as a buyer and Sifuentes-Aguirre eventually settle on $95 for a real temporary tag produced fraudulently. As soon as the cash is exchanged, a nearby officer says into his radio: “Alright, done deal. Done deal.” Within seconds, lights are flashing, the suspect’s car is blocked in and guns are drawn, according to multiple body-camera videos obtained exclusively by KXAN.

“Please, your hands, please,” Escribano is heard saying in Spanish as he handcuffs the suspect.

It’s an aggressive approach and a first look at how seriously law enforcement takes this type of threat. Sifuentes-Aguirre had “over 40” fraudulent tags in his truck, according to court records. Authorities later found 459 fraudulent tags that he sold in his phone, netting him at least $43,605, Escribano said.

Sifuentes-Aguirre pleaded guilty to unauthorized reproduction and distribution of temporary tags and was deported, Escribano said, because he was in the US illegally. That charge is considered a state jail felony punishable by 180 days up to two years in prison and a fine of $10,000.

Producing fraudulent tags has become a booming $200 million black market business, Escribano says, and it is often about more than just money.

From human trafficking and drug smuggling at the border to robbery, rape and murder, bogus tags are often tied to violent crimes. That includes two deadly drive-by shootings in Austin last year, according to sources. Police believe one of the suspects they said is involved, Manuel Huerta, is connected to nearly a dozen other shootings. He remains behind bars on nearly $1 million bond.

Paper tags were used on the getaway car when off-duty New Orleans police officer Everett Briscoe was shot and killed in Houston this summer. They were also used when Nassau Bay Sgt. Kaila Sullivan was killed in a hit-and-run during a traffic stop in 2019.

The suspects in both cases were ultimately caught and are awaiting trial.

“Give us a fighting chance and don’t let me sit here with one hand tied behind my back,” Escribano told TxDMV board members in October. “We’ve been doing this for three years now and, still, here we are.”

Escribano told board members directly that they are not doing enough to stop this. He wants dealer applicants to be fingerprinted and car lots verified in person.

On Sept. 1, House Bill 3927 went into effect. The new law gives the TxDMV authority to quickly cut off access to its webDEALER database for individuals suspected of fraud. The move received praise by the New York Police Department, where Texas tags are being sold by the thousands, officials say.

“The goal of this initiative is to stop the purchase of fake and fraudulently obtained permits,” outgoing NYPD Chief Rodney Harrison said at a news conference about the tag problem back in June.

But Escribano isn’t convinced. He predicts criminals will keep applying for new licenses.

“Now,” he said, “we’re playing a so-to-speak Whac-A-Mole.”

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The Texas Department of Motor Vehicles initially declined KXAN’s requests for an interview. At a recent board meeting, executive director Whitney Brewster agreed to speak with reporters and defended her agency.

“This is absolutely an emergency,” said Brewster, telling reporters she takes this issue “very seriously.”

Brewster says her investigators look for fraud weekly. She was asked why fake VINs are allowed into the state’s database, making it difficult for law enforcement to tell if a car is stolen or salvaged. It’s an issue KXAN has investigated for four years.

Brewster blamed a “defect.”

“We have a system defect that when you’re uploading the information versus manually entering that, it does not stop special characters,” she said. “That defect is being worked on now.”

However, Escribano says he alerted the TxDMV to this “defect” back in 2019 when shell company dealerships began popping up. Internal records shared with KXAN show falsified VINs were entered into the state’s system going back at least two years.

KXAN analyzed recent TxDMV data showing the number of tags produced by dealerships in Texas. Out of the top 20, half were fraudulent, according to a comparison of known illegitimate sellers obtained through a law enforcement source.

“Where is the oversight?” asked KXAN investigator Matt Grant. “How is this allowed to continue to happen?”

“HB3927 — prior to that we did not have the authority to be able to shut off bad actors quickly,” Brewster said. “We now have that authority.”

“What are you doing to verify that these dealers are actually legitimate?” asked Grant, who handed Brewster photos of several fraudulent dealerships. “We found, as have law enforcement, there are plenty of dealerships that are fraudulently operating and lying to you to get a license.”

“If there are businesses that law enforcement is detecting as being problematic, we would really appreciate them letting us know about those,” Brewster said.

“Would you physically inspect these locations as they’re submitting their applications?” Grant asked.

“We currently don’t. There is currently not a requirement for a mandatory site inspection,” she replied.

“Why not?” Grant asked.

“It currently does not exist,” Brewster said. “We are a complaint-based agency.”

Brewster said fingerprinting is “certainly an option.” Just not an immediate one.

“We have the authority to receive fingerprints from the Department of Public Safety,” she said. “However, we do not currently have the authority to request fingerprints from licensees … That would be something that would potentially be recommended to the legislature for change.”

A legislative change wouldn’t be able to come until 2023, when lawmakers reconvene.

  • Law enforcement slides of alleged fraudulent dealerships comparing the application photo to how it actually looks.
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The next day, Escribano and his task force purchased a fraudulent tag from an online seller in Grant’s name to show how easily it can be done. It was registered with a fake VIN, listing Grant’s home address as the Dallas Cowboy’s Stadium in Arlington. Another one, purchased from Kasniels, listed Grant’s home address as KXAN.

Both were purchased from an online seller and emailed to undercover investigators “within minutes,” Escribano said.

Actual temporary tags are good for 60 days before you get your permanent license plate. That must be obtained in person, which is the only way you can know it’s legitimate.

After KXAN and others started asking questions, a TxDMV advisory committee met in Austin on Dec. 16 and voted unanimously to recommend stricter background checks for non-franchised car dealerships in order to cut down on fraud. The group is recommending the board fingerprint new dealer applicants at their expense and conduct on-site inspections to verify they are authentic — a move that would require additional resources.

The committee is also recommended the board limit the number of paper plates small car dealerships can print to 900 in a calendar year.

Unless dealers are fully vetted on the front-end, Escribano says, the plate problem will continue to spin out of control.

“We’re sworn to protect the people out here,” he said. “We can’t protect you like this.”

The Chair of the Texas House Transportation Committee Rep. Terry Canales (D-Edinburg) tells KXAN he is working closely with the TxDMV to “ensure the timely implementation” of HB 3927. He is also working with the governor to ensure the state does “everything it can to fight the proliferation of illegal paper plates.”

“I am encouraging the TxDMV Board to not only adopt the proposed rules this winter but to adopt additional ironclad rules that ensure that these criminal enterprises are caught on the front end,” Canales said in a statement, “when they unscrupulously apply for their dealer license.”

In the meantime, Canales has made a request to House Speaker Dade Phelan to issue an interim charge to the House Committee on Transportation to “investigate this issue in greater detail.”

FBI: ‘More could be done’ to fix Texas’ paper license plate problem

“Texas is leading the way,” said Federal Bureau of Investigation Special Agent Brannon Coker with the Houston Division, “in the volume of paper tags that are being fraudulently issued across the country.”

“Just the ease of which criminal organizations are able to obtain these tags,” he said, “I think, has led to a proliferation.”

A new state law, which gives the TxDMV authority to quickly shut down suspected fraudsters, doesn’t go far enough, Coker said. Investigators worry criminals will keep applying for new dealer licenses.

“I just think there’s more that could be done,” said Coker. “Hopefully the state can put some fixes in place to hopefully mitigate this problem.”

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KXAN found Texas temporary tags illegally sold on Facebook.

After KXAN stated asking questions, a TxDMV advisory committee recommended newer, non-franchised car dealers be fingerprinted, their lots verified in person and paper tags capped at 900 a year.

KXAN found paper tags for sale on Facebook, which is illegal and becomes a federal crime when sold across state lines. These tags are often connected to robberies and violent crimes, Coker said, and sold to all 50 states, “even Hawaii,” in what has ballooned into a $200 million black market.

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A viewer sent KXAN a photo of a Texas paper tag in as far away as New York City. The plate was sold by Kasniels Auto, which was based in Houston before the TxDMV shut it down in November, according to law enforcement, for mass producing temporary tags without selling any cars.

The state shut down Kasniels on Nov. 8, according to law enforcement. However, in just four months of doing business, from July 22 to Nov. 8, the small blue house behind a black iron gate became the second busiest car dealership in the entire state of Texas, TxDMV records show. It produced a trove of 236,630 temporary tags.

In May, the Justice Department indicted three Houston residents for using a fake car dealership to sell 600,000 paper tags across the country without selling any cars. The DOJ said illegal tags “pose a danger to the public and law enforcement,” because buyers use them to avoid liability insurance, registering their car, getting it inspected and to “hide their entities” from police.

One TxDMV board member, Manuel Ramirez, who is also president of the Fort Worth Police Officers Association, said fixing the state’s paper plate problem is “a priority.”

“It’s dangerous for law enforcement,” said Ramirez. “We’ve had law enforcement officers that were killed by folks that were driving vehicles with fraudulent tags. That’s absolutely unacceptable.”

State Rep. Terry Canales, who chairs the House Transportation Committee, said he wants to “investigate this issue in greater detail” and called on the TxDMV to adopt “additional ironclad rules” to prevent phony dealers from accessing the state’s webDEALER system.

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