Welcome to The Conservative Cave©!Join in the discussion! Click HERE to register.
0 Members and 1 Guest are viewing this topic.
By Reps. Marsha Blackburn and Phil RoeTennessee was home to a failed attempt at universal single payer care, and has lessons to teach a President who has promised that in pursuing his goal of universal health care, he will learn from the policy failures of the past. In 1994 Tennessee implemented managed care in its Medicaid program, creating a system known as TennCare. The objective was to use the anticipated savings from Medicaid to fund and expand coverage for children and the uninsured. The result was a program that nearly bankrupted the state, reduced the quality of care, and collapsed under its own weight.The genesis of TennCare has many parallels to the situation in which we find ourselves today. It was a public option plan designed to save money and expand coverage. In the early 1990s, Tennessee was facing rising costs in its Medicaid program. TennCare was designed to replace Mediaid with managed care and use the promised savings to expand coverage. By 1998, TennCare swelled to cover 1.2 million people. Private business dropped coverage for employees and forced them onto state rolls. By 2002 enrollment had swelled to 1.4 million people and forced Tennessee's Governor to raise taxes and ultimately propose an entirely new state income tax to cover the unforeseen costs. Governor Bredesen was ultimately forced to dramatically restructure a program he has since called "a disaster". By 2006 Bredesen had disenrolled nearly 200,000 people and slashed benefits. TennCare lessons challenge the Administration's thinking on the benefits of a "public option" solution to assuring American's have the care they deserve. As a Tennessee doctor who provided care under TennCare and a state legislator who had to find ways for the state to pay for it, we learned these lessons the hard way. They shaped the way we both approach health care policy. With Democrats promising to pass a similar system in the House by August, those lessons are worth sharing with the country now."Free" Care Is Expensive: No matter how forthright the Administration's cost estimates are; no model accounts for the rational decisions that push people to over-utilize the "free care" a public option offers. TennCare's gold plated coverage included every doctor's appointment and prescription. As such, patients with a cold opted to charge the state hundreds of dollars for doctor visits and medicine instead of paying $5 out of pocket for over-the-counter cold medicine. Over-use caused TennCare's anticipated savings to evaporate and its cost to explode. While TennCare consistently covered between 1.2 and 1.4 million people; costs increased from $2.5 billion in 1995 to $8 billion by the time of TennCare's restructuring. It consumed a third of the state budget including nearly all state revenue growth. When the illusion of "free" care is fostered, it is always over-utilized.Employers Prefer "Free" Care to Private Care: If the government offers universal health care, why wouldn't businesses move employees to the plan as a sound business decision? In Tennessee, this behavior dramatically expanded the public burden as people who had once been on private insurance migrated to the "free" option of public care, adding to the State's unanticipated cost. Studies indicate that only 55% of those added to TennCare came from the uninsured population, while the rest came from a decline in private coverage.
