For a refresher, during the latter years of the Sundquist Administration, the former governor was busy pursuing a state income tax, arguing repeatedly that it wasn’t the spending that had sunk the state into such dire financial straits, it was a lack of revenue.
To this, income tax opponents pointed out that it was chronic overspending, and TennCare was often cited as the behemoth causing the financial crisis. We had plenty of wind to our back, proof that the state’s healthcare system was rife with fraud, and out-of-control pharmaceutical costs owing to a lack of any form of restrictions on prescriptions.
At one point, a full quarter of the state’s population was on TennCare, a far greater percentage than in any other state, and demands were made to cut TennCare back to the Medicaid-eligible only. We honestly never thought that cuts in TennCare would actually be made, certainly not under Don Sundquist. TennCare was going to be his ticket to a state income tax.
Enter Phil Bredesen. The new governor identified almost immediately that TennCare was in fact the behemoth that was draining the state’s coffers dry, and began pursuing various ways to contain costs, only to be blocked at every step by the Tennessee Justice Center and the judges they ran to.
This spring, the governor started toppling the dominos of his plan to trim TennCare by 323,000 enrollees, and this time he had the judiciary on his side. Later, he floated a compromise deal that would protect 97,000 of the most medically needy in a “safety net.”
Many conservatives (at least the partisan Republicans) then turned on Governor Bredesen for doing essentially what we had been demanding under Don Sundquist. (Okay, we aren’t perfect.)
Now, on its way out the door in May, the Tennessee General Assembly made a $180 million blunder.
As blogger Bruce Barry (pithinthewind.com) noted on May 28, “A proposal to put $100 million back into TennCare to keep ‘uninsurables’ enrolled kept the Tennessee House in session for an extra day. Rep. Joey Hensley’s (R-Hohenwald) amendment to the budget bill would have steered that money away from Gov. Bredesen’s plans to beef up the state’s health care ’safety net.’ Well-intentioned though the safety net plans are, moving the money back into TennCare makes sense because then it would draw $180 million of federal matching funds.”
In other words, had that $100 million safety net been left inside the TennCare program, it would have translated into $280 million by virtue of federal matching funds. But since the safety net is outside the TennCare program, there are no federal matching funds. Although those matching funds are paid for by us, too, from the state’s perspective, $280 million for uninsurables is far better than $100 million.
In early December, Governor Bredesen revealed that he would expand TennCare to re-enroll about 100,000 of those that had been originally cut from TennCare. This had actually been predicted six months ago, and here’s where the GOP has Bredesen cornered.
Sharon Cobb, a blogger and journalist from Nashville wrote back on June 13 “A six month investigation into TennCare reform has unearthed some startling documents and disturbing revelations about Governor Bredesen and his administration’s plans to blame the Tennessee Justice Center for the TennCare cuts, then as part of their political strategy, reenroll some of those cut from TennCare in 2006 — before the election.”
Cobb’s prophecy has come to pass. Governor Bredesen has been using TennCare — and the people who were on it — as a political pawn, essentially frontloading the cuts so he could take the heat early, then re-enroll some of those who were cut later on, during an election year, to lessen the political impact of trimming TennCare.
It still seems reasonable that TennCare’s roll had to be lightened. A large amount of savings, we conservatives argued both then and now, can be realized by ditching those leeching the system fraudulently (by under-reporting their income and/or lying about their residency), and by putting a cap on prescriptions. At the same time, most conservatives I know have no problem with their tax dollars going to help those who honestly cannot help themselves.
At any rate, Governor Bredesen has made a political move that could prove fatal if a high-profile Republican ever wanted to run against him, which is becoming ever-doubtful. But, fellow conservatives, let’s at least withhold our criticism of Governor Bredesen for doing exactly what we said should be done in the first place.
Touching my private parts too much, 17) Thinking about having sex, 22) Thinking about touching other people’s private parts, 23) Thinking about sex when I don’t want to, 26) Washing myself because I feel dirty on the inside, 34) Not trusting people because they might want sex, 40) Getting scared or upset when I think about sex, 44) Having sex feelings in my body, 47) Can’t stop thinking about sex, and 54) Getting upset when people talk about sex.



