The South Texas Medical Center is designed to move cars efficiently—and that reality can collide with the daily needs of medical students, residents, staff, patients, and visitors who have to cross busy roads on foot. UT Health San Antonio’s main campus sits at 7703 Floyd Curl Drive and is bordered by major cut-through streets like Medical Drive, Floyd Curl, Louis Pasteur, Babcock, and Merton Minter.  University Hospital’s main campus location is at 4502 Medical Drive, putting heavy foot traffic directly alongside high-volume vehicle traffic.  

When someone is struck walking near the hospital corridor, it often turns into a liability fight: “Were you in a crosswalk?”, “Did the driver have a green arrow?”, “Did you ‘dart out’?”, “Was the intersection design confusing?”, “Was the driver distracted while turning?” This post walks through the most common danger points and how Texas law typically treats these cases.


Quick Answer


Why This Area Produces So Many Close Calls

Even when crosswalks exist, the Medical Center environment creates predictable conflict points:

San Antonio’s broader traffic-safety strategy (Vision Zero) reflects that pedestrian injuries and deaths are a citywide priority and provides public-facing maps/reports about high-injury areas.  


What Texas Law Actually Says About “Right of Way” for Pedestrians

“Pedestrians always have the right of way” is a myth—but drivers have strong legal duties, and many hospital-area pedestrian cases come down to turning movements and signal compliance.

If you were in a crosswalk (or had a “Walk” signal)

If you crossed outside a crosswalk

Texas law says pedestrians crossing somewhere other than a marked crosswalk or an unmarked crosswalk at an intersection must yield to vehicles (with additional restrictions between signalized intersections).  

Drivers still owe “due care” in all scenarios

Even when an insurance company claims a pedestrian “shouldn’t have been there,” Texas law still imposes a baseline duty: drivers must exercise due care to avoid colliding with a pedestrian.  


Shared Fault in Texas: How Insurance Adjusters Use It Against Pedestrians

Texas proportionate responsibility rules are central in pedestrian cases. The jury (or factfinder) assigns percentages of responsibility among the parties.  If the pedestrian is found more than 50% responsible, recovery can be barred.  

Common “shared fault” arguments you should expect near the Medical Center:

A serious claim is built by evidence, not arguments—see the table below.


Common Crash Scenarios Near University Hospital/UTHSCSA—and the Evidence That Moves the Needle

Scenario (very common in the Medical Center)What usually proves faultWhat insurers often arguePractical documentation tips
Right-turn or left-turn strike at a signalSignal phase timing, crosswalk markings, driver line-of-sight, witness statements“Pedestrian entered late” / “Driver had right-of-way”Photograph the signal heads, crosswalk, and any “No Turn on Red”/turn-arrow signage from both directions
Mid-block crossing near driveways/garage entrancesLighting, sight obstructions, speed evidence, surveillance video“Jaywalking” / “Pedestrian should have yielded”Identify nearby cameras immediately (garage, hospital buildings, retail) and request preservation
Vehicle exits a parking garage/driveway into walkwayCurb-cut design, driver stopping position, mirror visibility, video“Pedestrian came out of nowhere”Photograph the driveway/garage exit geometry and any stop lines; look for scraped paint, debris, shoe scuffs
Rideshare/delivery vehicle stops and pedestrian is hit while passingApp data, driver status, stop location, traffic conditions“Third party caused it”Screenshot ride/delivery details, trip time, and pickup/drop-off points before they disappear
Collision involving a work vehicle or hospital-related contractorEmployer ownership, course-and-scope evidence, vehicle logs“Independent contractor”Photograph company markings, DOT numbers, and ask responding officer to record employer info

Who Can Be Liable: It’s Not Always “Just the Driver”

A thorough pedestrian claim analysis near the Medical Center typically considers:

  1. The driver (negligent lookout, speeding, failure to yield, distracted turning, improper lane change).
  2. The driver’s employer (if the driver was in the course and scope of work).
  3. Rideshare or delivery layers (coverage disputes can depend on app “status”).
  4. Property owners/operators (for some premises or driveway/garage design issues).
  5. Government entities (in limited situations—e.g., certain roadway-condition claims or public-entity vehicles).

If a governmental unit may be involved, do not wait. Texas law generally requires notice within six months of the incident, and it allows shorter city notice periods under local charters/ordinances.  San Antonio also provides a public-facing Notice of Claim process through its Risk Management office.  


How Insurance Typically Works in Texas Pedestrian Injury Claims

The driver’s bodily injury liability coverage

Texas requires minimum liability coverage amounts (often called 30/60/25).  Minimum policies can be inadequate for a serious pedestrian injury—especially if surgery, hospitalization, or long-term rehab is involved.

Your own auto policy may help—even though you were walking

Many people don’t realize that certain coverages can apply when you’re a pedestrian:

Coverage questions are fact-specific. The point is: do not assume “the driver’s policy is all there is.”


What To Do After a Pedestrian Crash Near the Medical Center (Checklist)

  1. Call 911 and request medical help if needed.
  2. Get evaluated the same day (ER/urgent care) if you have head, neck, back, hip, or internal pain—adrenaline masks symptoms.
  3. Ask for the crash report information (responding agency, report number).
  4. Photograph the scene immediately:
    • Crosswalk markings, signal heads, signage, lane layout, lighting
    • Vehicle position and damage
    • Your injuries and torn/bloodied clothing
  5. Get witness names and numbers (hospital areas have witnesses who disappear fast).
  6. Do not give a recorded statement to the driver’s insurer until you understand the issues (signals, crosswalk status, comparative fault).
  7. Preserve surveillance video quickly (many systems overwrite within days).

Timeline: What a Well-Handled Case Usually Looks Like

Texas has a general two-year statute of limitations for personal injury claims, but you should not treat that as a safe planning target—evidence and notice issues come much sooner.  


Common Mistakes Pedestrians Make (That Insurers Exploit)


Attorney Insight: The “Turning Driver” Problem Is Often the Heart of These Cases

In the Medical Center area, many pedestrian injuries occur when the driver is focused on finding a gap in car trafficand treats the crosswalk as an afterthought. The legal and practical value of the case often turns on proving one of these themes:


FAQs

Do I have a case if I wasn’t in a crosswalk?

Possibly. Crossing outside a crosswalk can create a shared-fault argument under Texas law, but it does not automatically eliminate a claim—drivers still must exercise due care.  

What if the driver says they had a green arrow?

A green arrow can matter, but it isn’t a free pass. The key issues are the pedestrian signal phase, crosswalk status, and whether the driver kept a proper lookout and yielded when required.  

Can I recover if I’m partly at fault?

Yes—often. In Texas, your recovery can be reduced by your percentage of responsibility, and you may be barred if you’re found more than 50% responsible.  

What if the driver is uninsured or doesn’t have enough coverage?

You may have options through UM/UIM (if not rejected in writing) and potentially other coverages, depending on the facts and policies involved.  

How long do I have to file?

Texas generally has a two-year limitation period for personal injury claims, but do not wait—evidence disappears quickly, and governmental notice deadlines can be much shorter.  


Next Steps if You Were Hit Near University Hospital or UT Health San Antonio

If you or a family member was struck walking in the Medical Center area, the most important early steps are (1) getting the right medical evaluation, and (2) preserving evidence tied to signals, crosswalks, visibility, and video. Those details often decide liability—especially when insurers push comparative fault.

Ryan Orsatti Law

4634 De Zavala Rd, San Antonio, TX 78249

Phone: 210-525-1200

“This blog is for informational purposes only, not legal advice. Reading it does not create an attorney-client relationship. Past results do not guarantee future results.”