Children.....An Agenda
of Urgency
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September 10, 2008
Many here kicked out of health
coverage


By GORDON BONNYMAN
Politics continue to undermine the health coverage of Tennessee
families. And when politicians take us backward on something as
crucial as health care, real people take the fall.
We got a reminder of that reality when the U.S. Census Bureau
released its recent report on the number of people without health
insurance. It takes a while for the bureau to compile the data, so
the new report, which covers the period 2006-2007, was already
somewhat dated when it came out recently.
The report contained good news and bad news. The good news was that
the number of uninsured Americans declined slightly in 2007. The
bad news is that the good news is old news. The weakening economy
has since driven the ranks of the uninsured, most of whom are in
working families, above 46 million people.
The bad news reaches far beyond the uninsured. Americans have
traditionally gotten coverage through their jobs, but
employer-provided coverage is eroding steadily. The new report
confirmed that the decline continued even before the economy turned
sour. Only 59 percent of Americans got health coverage from their
employer in 2006-2007. Among those who still do, there are so many
coverage limits and exclusions that, even with insurance, many
people are only one accident or illness away from bankruptcy.
TennCare went the other way
For Tennesseans, there was more bad news in the report. Tennessee
did worse than most other states. In 2006-2007, a majority of
states offset declines in private insurance by expanding their
Medicaid and children's health insurance programs. But Tennessee
went the other way, eliminating TennCare coverage for over 200,000
Tennesseans. TennCare was a lifeline for workers whose jobs did not
provide insurance, and for people with pre-existing conditions that
no insurance would cover.
Incompetent but politically connected TennCare HMOs, plus bad
decisions by state officials, drove up TennCare's costs. Instead of
holding the HMOs accountable and improving management, officials
cut off many thousands of working Tennesseans whose only fault was
to have cancer, heart disease or some other serious condition. The
impact on people's lives has been devastating.
State officials' bad decisions affect us all. The TennCare cuts
returned to Washington $1.2 billion a year in federal funds that
supported Tennessee's health system. The loss of federal funds
leaves many rural hospitals and public facilities like Meharry
General struggling. The costs of indigent care must now be covered
by local taxpayers and private insurance premiums. It isn't just
state officials who let us down. Federal officials enact laws that
let insurance companies dump people when they get sick. Congress
allows drug companies excessive profit at Medicare patients'
expense. Americans deserve better.
The Census Bureau report shows that our nation and our state
continue to fall backward in offering everyone access to affordable
health care. Until we demand more of our leaders, we and our
neighbors will keep on paying the
price.
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