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Bredesen's cuts to TennCare were brutal. Is he being vetted for HHS.

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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-06-09 03:32 PM
Original message
Bredesen's cuts to TennCare were brutal. Is he being vetted for HHS.
Edited on Fri Feb-06-09 03:42 PM by madfloridian
 
Run time: 03:09
https://www.youtube.com/watch?v=uud11ft2HJU
 
Posted on YouTube: February 24, 2007
By YouTube Member:
Views on YouTube: 0
 
Posted on DU: February 06, 2009
By DU Member: madfloridian
Views on DU: 1376
 
I remember reading here about the destruction to the Medicaid program in TN called Tenn Care. We at DU were talking about it often, and how it would impact so many people. This is just one of the many videos on the topic at You Tube.

From the link at You Tube:

In 2005, Governor Phil Bredesen of Tennessee instituted the single largest Medicaid cuts in history. This is a 3-minute trailer (the 25-minute film is available from Talking Eyes Media) that examines the unconscionable suffering caused by the TennCare cuts and the implications nationally for public health programs.


Here is more on the topic. I can not find the documentary named here in this post, but here is an excerpt from something I posted in 2005.

he documentary, "323,000," is the culmination of a 6-month investigation into the largest health care cuts in the history of this country. In the course of the investigations, documents were discovered that definitely prove that Governor Bredesen did not tell the truth to the citizens of Tennessee when he said the reason for the drastic cuts were the fault of the Tennessee Justice Center and other TennCare advocates. In fact, as you will learn below, the cuts are part of a bigger political strategy."

PREVENT ALTERNATIVE PROPOSALS
This paragraph is shocking, as Bredesen says not to work with others to compromise on it:

An internal memo obtained from the Governor's office, dated November 22, 2004, entitled, "Back to Medicaid Kickoff" confirms that the administration was not negotiating in good faith. The most compelling and damning evidence that the Governor had no intention of trying to reach any settlements that might try and save TennCare is in the confidential memo that reads "Prevent alternative proposals (e.g., savings, revenue generation, enrollment)."


BREDESEN appears to be using this as a campaign issue for 06:

"The documents indicate the State's intention to "front-load" the bad news now in order to do "add-backs" later. So their strategy is to make the cuts now so they can add back some of the benefits next year in an effort to make it look as though they are helping people, but the facts are they'll be helping people that they're hurting now. On page 10 of the "Return to Medicaid" report, it states, "front load bad news, allowing add backs later". Page 3 of the "Back to Medicaid" confidential memo confirms that politics is indeed a major consideration of the overall strategy of the cuts. It states, "build back enrollment through alternative programs (e.g. CHIP) in year two". (That is next year when he runs for re-election.)


I found more from Blog for Iowa in 2005.

Largest Public Health Cutback in United States History

Tennessee Governor Phil Bredesen is executing the cruelest and largest cutback of public health coverage in the history of the United States. Every day, nearly 2,000 people enrolled in TennCare, the State Medicaid program, are receiving letters of termination or reduction of benefits. Hundreds of thousands of Tennesseans, many of whom are chronically ill and disabled, are living in fear because of Governor Bredesen’s decision to strip them of the only health care they have. Now, more than ever, they need your help.

Unfortunately, the national media has done very little to address this issue even though many people stand to lose their lives as a result of these drastic and unnecessary cuts. To make matters worse, internal State memos and documents, obtained by the Tennessee Justice Center, reveal that the State had orchestrated and implemented these cuts merely as a political strategy, with no regard for the consequences they are having on people's lives. The Tennessee Justice Center is a non profit, non-partisan law office. TJC represents low income families, and all of their clients are on TennCare.

The documentary, “323,000,” is the culmination of a 6-month investigation into the largest health care cuts in the history of this country. In the course of the investigations, documents were discovered that definitely prove that Governor Bredesen did not tell the truth to the citizens of Tennessee when he said the reason for the drastic cuts were the fault of the Tennessee Justice Center and other TennCare advocates. In fact, as you will learn below, the cuts are part of a bigger political strategy.


Every day here in Florida I see more and more articles about people being deprived of health care, just basic everyday health care needs.

I don't know the outcome there in Tennessee, but it must have been pretty doggone good for Bredesen to be considered for the post of HHS.
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-06-09 03:36 PM
Response to Original message
1. BlueJessamine's plea not to appoint Bredesen...link to post.
Edited on Fri Feb-06-09 03:55 PM by madfloridian
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-06-09 04:02 PM
Response to Original message
2. TNR's The Plank also questions the wisdom of picking him.
http://blogs.tnr.com/tnr/blogs/the_treatment/archive/2009/02/04/bredesen-for-health-reform-yikes.aspx

"As governor, Bredesen presided over some drastic cuts to TennCare, Tennessee's once innovative effort to reform Medicaid. I wrote about these in my book, Sick:

...it was a Democratic governor who would succeed in enacting the most sweeping cuts: Phil Bredesen of Tennessee. Bredesen knew a thing or two about health care: before getting into politics, he had made his fortune by founding a company called HealthAmerica—one of the fi rst commercial HMOs to cash in on managed care during the late 1980s. This experience, plus his confi dence in his own intellectual abilities (he had a physics degree from Harvard), convinced him that he could wring new efficiencies from Tennessee’s Medicaid system, just as his HMO had generated financial savings—and hefty profits—in the private market.

A lot of what Bredesen proposed to do—such as reducing fraud by providers and recipients, and improving the use of information technology—made sense. But when those quick fixes didn’t bring the TennCare budget under control, he unveiled a more straightforward plan: he would simply slash the program. More than 100,000 people who had qualified for TennCare because they were “medically needy” would lose their coverage altogether. Those allowed to remain in the program would have to make do with more limited benefi ts. The biggest change would be in the coverage of prescription drugs. “The sad reality is that we can’t afford TennCare in its current form,” Bredesen said. “It pains me to set this process in motion, but I won’t let TennCare bankrupt our state. This is the option of last resort.”

I guess it really doesn't matter who Obama chooses really.

The poor will always suffer first and suffer the most.

Wait until Floridians learn that their kids won't qualify under the new SCHIP program because Florida can't provide matching dollars.
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-06-09 09:57 PM
Response to Original message
3. Looks like he is being considered.
Edited on Fri Feb-06-09 09:57 PM by madfloridian
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 02:49 PM
Response to Original message
4. Kick because even Move On is picking up on his lack of creds for the HHS job.
From the latest email from them:

"Most of the people Obama is considering are real health care champions. But at least one is not.

Obama's getting a lot of flak from Republicans on all fronts right now. If we don't show support for Obama's agenda now, we could be stuck with a health care leader who's not up to the job. And that means our dream of universal health care—MoveOn's No. 1 priority this year—could fade away.

Sign our petition asking President Obama to put a progressive champion at the helm of his health care reform effort. Click here to sign the petition:

http://pol.moveon.org/hhs/?id=15542-1340845-SxtkqBx&t=3

The petition says: "President Obama, please pick a progressive champion to head up your health care reform effort. We're ready to fight for your goal of winning quality, affordable health care for everyone in 2009."

How can you tell who's a real health care champion? We need someone who's going to support visionary progressive health care reform; someone with a track record of standing up to the insurance and pharmaceutical giants at the heart of our health care crisis; someone who is 100 percent committed to giving every single American the choice of a public health insurance plan so we're not at the mercy of the private insurance companies (just as Obama promised).1

Obama is reportedly considering several governors and a few senators. Many of these folks would be great, but at least one would be a bad choice for health care reform: Tennessee Governor Phil Bredesen made his fortune acquiring and running HMOs. As governor, he gutted Tennessee's public health insurance program, causing more than 320,000 people to lose their health insurance. And Bredesen let the private insurance industry pay for his multi-million dollar redecoration of the governor's mansion.2


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BlueJessamine Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 08:22 PM
Response to Original message
5. Thank you so much madfloridian
for posting this!!

:fistbump:


:yourock:
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 09:55 PM
Response to Reply #5
7. Your post was very good and needed attention.
And thanks for calling my attention to the fistbump animation. I love it.

:fistbump:
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KamaAina Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 08:25 PM
Response to Original message
6. Bredesen has drawn the ire of disability rights groups
people with disabilities got absolutely hammered by the TennCare cuts.

http://www.democraticunderground.com/discuss/duboard.php?az=show_mesg&forum=389&topic_id=5023611&mesg_id=5025047

Then again, all too often, the attitude toward disability in both parties is "Who cares what you think?"
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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 09:57 PM
Response to Reply #6
8. Thanks, I did not realize that about disability groups.
Something is seriously wrong with a country that can not take care of its needy and sick and disabled.

Seriously wrong.
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EraOfResponsibility Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 10:06 PM
Response to Original message
9. thanks for posting this
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debbierlus Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Feb-10-09 11:16 PM
Response to Original message
10. Between Geitner & this loser, I am just about done with Obama

I am so SICK of this shit.

He is proving to be nothing more then a corporate puppet. The Trojan Horse of Washington.

Enough already.
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cheapdate Donating Member (197 posts) Send PM | Profile | Ignore Wed Feb-11-09 11:19 AM
Response to Original message
11. In Governor Bredesen's defense....
Bredesen's position on TennCare was simple, to provide the greatest benefit allowable within the given budget for the program. The Tennessee Justice Center's position was equally simple, every person deserves every possible measure to maintain their health, as a basic human right and a matter of simple human kindness and compassion.

Governor Bredesen made it clear during the long, tortuous battle over TennCare that if we lived in a universe where budget constraints didn't exist, then of course we would provide the highest level of health care for every person and there would be no conflict with the Tennessee Justice Center.

But Bredesen said, as he had no choice but to say, we don't live in that universe. In this universe, budget constraints do exist. The TennCare program has a fixed budget, set by the legislature. As difficult as it may be, needs must be prioritized and choices must be made.

Bredesen fought for his position, to provide the greatest benefit allowable within the given budget for the program. The Tennessee Justice Center fought for its position.

I disagree vehemently with the notion of Bredesen "playing politics" or being dishonest with the issue. I'll say it one more time, its really simple. Given the fact that the budget for TennCare was fixed by the legislature, Bredesen fought to provide the greatest benefit achievable within that budget.
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liberalhistorian Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-11-09 12:08 PM
Response to Reply #11
12. Bullshit. Tens of thousands of people suffered needlessly
and he didn't even try to do anything about it or work with the legislature or anything like that. There were many other areas he could have cut first that were much less important, but, as usual with too many politicians, he chose to put it on the backs of those who would suffer most and have the least power to do anything about it. There were many other things he could have done besides make such drastic, brutal cuts. Peddle your horsetripe somewhere else.
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cheapdate Donating Member (197 posts) Send PM | Profile | Ignore Wed Feb-11-09 03:23 PM
Response to Reply #12
16. The battle was over benefit caps.
On one side were those who would accept no benefit caps of any kind.

On the other hand, in December 2003, a report assessing the viability of TennCare over the next 5 years was released. The report indicated that by 2008, TennCare would incur total costs of approximately $12.2 billion, with $3.8 billion in state spending (equivalent to 36 percent of total state appropriations). The primary cost drivers in descending order of significance were pharmacy, professional services, outpatient services and increased enrollment. The report from McKinsey and Company was funded by Blue Cross Blue Shield of Tennessee, the Farm Bureau, Hospital Corporation of America, Vanderbilt University and 22 hospitals within the Tennessee Hospital Association.

You might call that "horsetripe" and maybe it is, but Bredesen did work with the legislature. No benefit caps or eligibilty requirements were proposed for the 612,000 children on the program. The benefit caps were for adults only. Bredesen believed benefit caps, particularly relating to prescription drugs (which at the time were not covered by Medicare) were necessary to salvage the financially troubled public insurance program.

In June 2005, proposed benefit caps for up to 396,000 adults who would remain on TennCare included: 1) a five prescription pharmacy limits for some adults, 2)elimination of some optional services such as private-duty nurses for adults, and 3) the right to charge small copays on some enrollees.

In September 2005, Gov. Bredesen created a program of $5.7 million in grants to be awarded to 60 faith-based, community-based, rural and federally funded health centers across the state. Bredesen described the participating centers as part of a $104 million network of programs to benefit uninsured patients and ease the transition for roughly 190,000 adults who are being disenrolled from TennCare. The funding was recommended by a task force Bredesen created in January to examine how to bolster Tennessee's health care safety net.

Tens of millions of people in this country are uninsured. Governor Bredesen was not able, single-handed, to create a utopia in Tennessee where everyone was covered without any limits on benefits.

I think it's true Bredesen played hardball with the Tennesse Justice Center. Christ, look at the history of litigation in TennCare. It was literally in litigation before it ever began. It has been in continuous, serious litigation during its entire existance.

Blame the people of Tennessee for the failure of TennCare. All the Phil Valentine radio listeners and their stupid "tax revolt" assaults on the State Capital. They get exactly what they want.



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madfloridian Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-11-09 01:24 PM
Response to Reply #11
13. His comments about "advocacy groups" really shocked me.
“Anybody who’s got some real scars and experience is going to have their detractors,” the governor said Monday in an interview with The Wall Street Journal. “People at the White House are smart enough to be able to assess that.” And he took a swipe at his opponents, saying that “advocacy groups don’t matter nearly as much as the pharmaceutical groups, the hospitals, the doctors’ groups. There’s a lot of very powerful interest groups that will play in this thing.”

This quote by Bredesen — dismissing advocacy groups and embracing industry interests — is typical of his tenure in office. In 2005, Bredesen’s wife, Andrea Conte, embarked on a $9.4 million renovation of the governor’s mansion. The largest donor to the project? BlueCross BlueShield of Tennessee, which gave $150,000.

While in making cuts to TennCare, Bredesen largely “cast aside” the “cost saving ideas of advocates” that would have increase health care coverage while also addressing the state’s budget crisis. But as TNR’s Jonathan Cohn notes, advocates will be necessary in pushing health care reform through Congress; a lack of coordinated support amongst liberal allies was part of the reason that President Clinton’s health care plan failed to conservative attacks."

http://thinkprogress.org/2009/02/10/bredesen-pharmaceutical/

There is no excuse for a country like ours to have deprived the poor and needy of health care. It is happening in my state, and there is no excuse here either.
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quidam56 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-11-09 01:57 PM
Response to Original message
14. See what is deemed, defended and supported in Tennessee as THE ACCEPTABLE STANDARDS OF HEALTH CARE.
http://www.wisecountyissues.com Bredesen would be a horrible pick. Profit care comes ahead of Patient Care in Tennessee.
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BlueJessamine Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Feb-11-09 02:44 PM
Response to Original message
15. Bush's Medicare guy thinks he's peachy, though.
via Kos:

Dennis Smith, now a senior fellow at the Heritage Foundation, was in charge of Medicaid at the federal level in 2005. He said Bredesen's actions were "necessary and appropriate." <...>

The most praise for Bredesen comes from conservatives.
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tooeyeten Donating Member (441 posts) Send PM | Profile | Ignore Fri Feb-13-09 03:14 PM
Response to Original message
17. good for the industry
Not good for consumers.

Bredesen must be related to Bobby Jindal, he likes to cut healthcare for the poorest among us too.
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