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« Bredesen's Dismal Poll Numbers | Main | Sunny Days Ahead » July 13, 2005Falling For Bredespin
To fix the system, he's pulling the plug on TennCare and returning the state to traditional Medicaid. That will still mean the state will be splitting the tab with the federal government, but eligibility requirements will be tougher. The state will also no longer have to pay for antacids, among many of other "drugs" now covered by TennCare.None of that's actually what Bredesen is doing in Tennessee, of course. Bredesen has not pulled the plug on TennCare and he has no gret reforms pending. He's merely slashing a few hundred thousand people from the rolls, and tinkering at the margins of the program's structure. UPDATE: Matt White weighs in: The article's glowing praise of Bredesen totally neglects the fact that the Governor is tossing hundreds of thousands of people into uninsurability. By all appearances, Bredesen regaled a Wall Street Journal columnist with grandiose ideas about curbing healthcare costs and creating "economic tension" by requiring co-payments, enrollment fees or premiums. Those are great ideas. Why doesn't Gov. Bredesen try to implement them in Tennessee before he buys his New Hampshire snowshoes?The WSJ article also neglects to mention that people are going to die because Phil Bredesen broke his promise to reform TennCare. Bob Krumm also has some thoughts about the article, and Bredesen. And Adam Groves notes Bredesen's falling poll numbers - his approval rating has dipped below 50 percent for the first time - and wonders if criticism of Bredesen from Tennessee political blogs on both the Left and Right might have something to do with it. As much as I'd like to give credit to blogs, methinks there is more likely cause for his slumping poll numbers: Bredesen is in the process of slashing as many as 323,000 Tennesseans from the rolls of TennCare, the state's version of Medicaid-plus. Bredesen only barely won the 2002 gubernatorial election, with 50.9 percent of the vote, beating GOP nominee Van Hilleary by 50,481 votes. In that election, 1,644,741 votes were cast, with eight minor candidates got a total of 20,654 votes. One percent of the vote was 16,447 votes. A swing of just less than 1.6 percent - or 25,241 votes - just would have tipped the race to Hilleary. As you read this, Bredesen - who ran on a promise to apply his healthcare business management expertise (he got rich starting, running and selling HMOs) to reforming TennCare - instead is currently slashing roughly a quarter of a million sick, old, lower-income and disabled people from TennCare's rolls. You have to figure that Bredesen got at least 51 percent of those people's vote in 2002 - and probably more as the TennCare rolls skew toward the Democratic demographics. You also have to figure that those people aren't happy with Bredesen right now - and you have to figure that many of those have family in Tennessee who are facing major stress and worry because of Bredesen's slashing of TennCare. One would think Bredesen has lost support among those Tennesseans. Indeed, the latest SurveyUSA poll shows Bredesen's popularity sliding statewide, but most markedly in West Tennessee, as Adam Groves notes: The TennCare debate has hurt Bredesen's popularity, especially among black and Hispanic voters and in the Western region of the state, where the most TennCare enrollees are concentrated. The TennCare debate may also explain why Bredesen's disapproval rating among self-described "liberals" is at 51%.A 51 percent winner in 2002, Bredesen never was a gubernatorial goliath, but now, because of his failure to reform TennCare, Bredesen has become politically vulnerable. But only if the Tennessee GOP nominates a credible candidate who offers a real TennCare reform plan and convinces voters he - or she or he or she - will be able to keep the promise that Bredesen broke. ____________________________________________________________ For more scrutiny of the Bredesen record, see Bredesen Watch. Posted in Bredesen Watch
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Bill, Unless Republicans can explain how they can do it better and cheaper (in 25 words or less), then I think the Governor wins big on this issue with the average Tennessean. Posted by: Bob K at July 13, 2005 11:50 AMI'm not a Tennessean (although I'm told that someone in TN who runs a wellness program looks like me), but perhaps y'all (is that how you say it?) are being too hard on Bredesen. TennCare was a great idea, but activist lawsuits removed all of its constraints. Under those circumstances it was going to eventually consume the state budget. Unable to constrain services, the Governor took the only way out - limit the number of people getting services. Does that mean health care for all cannot be acheived? No; but it is only possible, as the Governor implies, if people are responsible in some way for their own demands. The Dems will not win the White House with a blowhard from the Senate. They need to nominate a governor who has experience in dealing with the consequences of well-meaning laws and lawsuits. Another Bill Clinton, without the personal failings, is needed. Posted by: jim linnane at July 14, 2005 02:29 AMTennCare is a bloated, fraud-riddled mess that requires much more action than what we've seen from Bredesen and the General Assembly. So far as all this talk about Bredesen being a potential presidential candidate, that's cool if folks with all the charisma of a cabbage head suddenly come into vogue. Posted by: McCarroll at July 14, 2005 10:55 AMBredesen will retain the Governor's seat by a landslide. First, he will win because the Republicans will focus on the Senate race to replace Frist. Once they have done that, they will not fight Bredesen with much vigor because of the things he has done that are very Republican; namely reform workers' comp. Eliminating the absurd recoveries that Plaintiff's attorneys were getting for their clients is a big plus for the small business. Second, like Bob K said above, most people who realize the uber-ridiculous level of benefits the Tenncare enrollees were getting don't like paying $6-800 per month to get a plan inferior to Tenncare. When one talks to a doctor who has to prescribe a bottle of Tylenol that costs $30 when they buy a generic bottle for $4, it puts the whole boondoggle into focus. Bredesen was wrong when he said that Tenncare was provding a Cadillac level of care--Tenncare is providing a Mercedes level of care. Why was there no investigation two years ago when the headline in the Tennessean read "Bonnyman appointed Davidson County Chancellor" and 10 days later there was a headline that read "Bredesen deal with Bonneyman to save Tenncare $300 Millon"? There will be no Republican who can say that she or he will fix Tenncare because the way it is now with the Court oversight, there is no fix for Tenncare. No one has the guts to suggest going back to medicaid as what could be the best solution. You're a conservative Republican. Why would you think "reform" meant anything other than slashing the program? I can't blame the Governor for that action. Addressing the problem of the uninsured is not one that a single state can handle effectively. Posted by: Kevin Poundstone at July 14, 2005 09:12 PMSounds like a lesson for any state that wants to improve its health care system. Include a passage in the law: "In the event of lawsuits that restrict the implementation of this plan as designed, this plan will immediately terminate, and Medicaid will be immediately re-instituted. Posted by: Greg at July 14, 2005 11:22 PMPost a comment
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