Archive for the ‘Medicaid Expansion’ Category

The Battle Over Insure Tennessee

Saturday, May 30th, 2015

The battle over Insure Tennessee wages on and a series of interesting revelations have been uncovered since Governor Haslam unveiled his Insure Tennessee Plan.

In February, records were provided that showed Republicans voting against Haslam’s Insure Tennessee were themselves on the state health plan, which funds 80 percent of employee premiums. These Senators were Health Committee Chairman Rusty, Mike Bell, Sen. Brian Kelsey, Sen. Frank Niceley, and Sen. Kerry Roberts.

In April, the Tennessean continued its investigation of Insure Tennessee and laid out the financial losses to Tennessee because of Republican political games.

If the Tennessee General Assembly had passed the Insure Tennessee plan to extend insurance coverage to the working poor, about $3.1 million would have been spent daily in Tennessee doctor’s offices, pharmacies and hospitals.

Instead, today, thousands of sick Tennesseans do without care or visit emergency rooms at the expense to Tennessee taxpayers. To date, an estimated 800 Tennesseans have died awaiting Health Care Coverage since Tennessee was eligible for ObamaCare coverage.

The Insure Tennessee plan proposed by Haslam, and rejected by a fearful legislature with virtually no debate, would have been one of the best economic stimulus programs for small towns and rural communities in this state.

A University of Tennessee Center for Business and Economic Research study released in January “estimated that the average person who enrolled in Insure Tennessee would “spend” about $5,700 each year on health care and that 200,000 Tennesseans would enroll in the various plans proposed by the governor to help the working poor who make too much for Medicaid insurance and not enough to qualify for the subsidies offered on the federal health insurance exchange”.

The study also projected that expanded insurance coverage would bring about $1.14 billion of spending into the state from the federal funds earmarked for Medicaid expansion when Congress passed the Patient Protection and Affordable Care Act or Obamacare.

The spending generated from Insure Tennessee would create an economic boom, creating or maintaining about 15,000 jobs, mostly in our rural counties, where the bulk of those eligible live. The $1.14 billion would mostly flow into the paychecks of Tennesseans, adding over $900 million to their income.

Most of that $900 million would be spent in local businesses. And so on … get the picture. Obviously, Republican hatred of President Obama trumped any chances of economic boom for Tennessee. Their fear of being primaried by fellow wing-nuts also trumped economic benefit to Tennessee.

The opposite of an economic boom is what our legislator’s want, a vicious cycle of delaying health care until it becomes a crisis, or an act of charity, and/or paid for by the rest of us. The decision of our legislature has created a living on the edge mentality where financial disaster and ruin, for many, is a simple accident away from destroying a Tennessee family.

It is hard to recall a time when the General Assembly has so ignored the wishes of a business and Tennesseans. A recent Vanderbilt poll showed two out three Tennesseans want/support Insure Tennessee.

Early this month the Tennessee Legislature got excited when the Tennessean exposed the fact that many of the same folks who voted to deny poor Tennesseans health care coverage, are covered by health care, on the backs of Tennessee taxpayers.

Taxpayers have paid almost 6 million for health care for these hypocrites since 2008. Several lawmakers tried to stop the release of how much money the state spends on their individual health premiums. They argued the release of the information would violate privacy laws.
While Republicans have fought to keep expenditures on their health care private, Democrats have been supportive of the release.

“It is the ultimate in hypocrisy,” said state Rep. Mike Stewart, D-Nashville, chairman of the House Democratic Caucus who is enrolled in the health plan. “To refuse to provide for the working poor of Tennessee, while trying to keep the insurance benefits they receive a secret illustrates their [Republicans] contempt for Tennesseans.”

PREMIUM COSTS

Lawmaker – Years on Plan – Lawmakers Contribution – Taxpayer Contribution
Sen. Rusty Crowe – 1992-2015 – $48,162.32 – $202,730.79
Rep. Beth Harwell – 1992-2015 – $49,242.94 – $198,134.99
Lt. Gov. Ron Ramsey – 1993-2015 – $44,924.74 – $187,796.77

NOTE: Records only go back to 1992. They may have received coverage for a longer period.

As revelations related to Insure Tennessee have been unveiled, activists across the state have taken action to pressure legislatures to support Insure Tennessee. In NETN, activists have purchased ½ page ads in various area newspapers designed to put pressure on Rusty Crowe and Ron Ramsey. This same group of activists engineered a town hall meeting that focused on Medicaid expansion and Insure Tennessee. Over two hundred folks packed Munsey Memorial United Methodist Church in Johnson City in the Town Hall meeting.

The meeting was filled with questions mostly aimed at Rusty Crowe. Why would the legislature vote against a plan that would not cost Tennessee taxpayers a single penny while providing 300,000 Tennesseans with health care? Why don’t working people in Tennessee have health care? Those in attendance hammered Rusty Crowe with those and other questions. Petitions were being signed after the meeting was over.

Tennesseans would prefer their elected representatives act like leaders and support the will of the majority and the best interest for Tennessee. And maybe stand up for what is right; instead of trying to protect their chances in a primary election challenge by a wing-nut. When it comes to the Tennessean legislature doing their job, they prefer to do nothing and blame it on Obama, unless it is one of the wealthy friends or lobbyists who demands special consideration. They will waste a whole week with legislation designed to pander to folks like the NRA.

A Greed Driven Budget or April Fool’s Joke?

Tuesday, April 1st, 2014

WASHINGTON — Todays unveiling of Paul Ryan’s newest Republican budget exposed what Republicans will do if they gain complete control of Congress. His greed driven budget will allow the rick to harvest a windfall of tax cuts while the poor and middle class would be burdened with the painful costs. This budget will also allow Democrats to broaden the political difference between the two parties beyond health care, minimum wage and unemployment benefits.

Ryan laid out a budget plan that slashes $5 trillion in spending over the next decade on the backs of the poor and middle class. He falsely claims he would bring federal spending and taxes into balance by 2024, through drastic cuts to Medicaid and food stamps, and the total repeal of the Affordable Care Act just as millions are reaping the benefits of the law.

Domestic programs would be reduced to the lowest levels since modern government accounting while defense spending would increase. Medicare would be converted into a “premium support” system, where people 65 and older could purchase private insurance with small federal subsidies instead of government-paid health care. Subsidies in truth could not pay for health care of these people.

“We need to be a proposition party, not just an opposition party,” said Ryan, Republican of Wisconsin. “We believe we owe it to the [rich] country to offer an alternative to the status quo. It’s just that simple.”

Even with those tough political choices, the budget would balance in 2024 only because Ryan is assuming his cuts would prompt a burst of economic growth to raise tax revenues above what independent economists forecast. Back to trickle-down economics. He also does not adjust the government’s revenue ledger to reflect the cost of repealing the health care law’s tax increases and Medicare cuts, which could add an additional $2 trillion.

The Ryan budget will be formally drafted on Wednesday in the Budget Committee and brought to a House vote on Friday — if Republican leaders can find 217 votes to pass it over the concerns of moderates who say it goes too far and conservatives who say it does not go far enough.

Regardless of the vote, the budget will be front and center in the coming campaigns.

Paul Ryan’s budget is close to the heart of core Republican values and beliefs: Deliver Wealth to the wealthy, Power to the powerful, and suffering to everyone else…

In all, Ryan said, spending would be cut by $5.1 trillion over the next decade. More than $2 trillion of that would come from repealing Mr. Obama’s health care initiative, the Affordable Care Act, a political move that may be much more difficult now that more than 10 million Americans have gotten health insurance through the law, either through private policies purchased on insurance exchanges, through expanded Medicaid or private policies purchased through brokers but subsidized by the law.

Such an [Ann Rand] approach “empowers recipients to get off the aid rolls and back on the payrolls,” Mr. Ryan wrote. More importantly, it stuffs money in the pockets of the rich and powerful.

The toughest cuts would come from domestic programs that have already been reduced steadily to rubble, since 2011, when Republicans took control of the House. Nor did Ryan shy away from hot-button issues.

Education funding would be cut by $145 billion over 10 years. Pell grants for college students would lose $90 billion. University students would start being charged interest on their loans while still in school, reaping $40 billion.

Under the greed driven world of Republicans, Federal subsidies for the National Endowments for the Arts and Humanities, as well as the Corporation for Public Broadcasting “can no longer be justified,” Ryan said.

Not even big bird and Sesame Street will be spared the pain of Ryan’s cuts. The arts, in addition to public television, will be wiped off the face of the earth.

Bill Haslam’s Crusade Against the Middle Class

Saturday, November 9th, 2013

tndp logoBrandon Puttbrese was the Communications Director for the TNDP. Our families should be working their way into the middle class, not falling out of it. Tennesseans used to know that if they worked hard and played by the rules, they’d be able to care of their families, send their kids to college, and have a secure retirement, but today, the rules have been rewritten by lobbyists for the wealthy and well connected.
We have to reclaim security for working families and we can do it by restoring Tennessee values. To make progress for all Tennesseans, we must: put an end to the extremism and corruption in the government; invest in our future by rewarding hard work, expanding quality health care to all Tennesseans; and make sure everyone, from CEOs to working families, does their fair share and plays by the rules.

We’re not going to cut our way to prosperity or build a stronger middle class by giving more tax breaks to big corporations and millionaires. To expand the middle class, we must encourage and support our innovators, educators and builders. We need an economy that creates jobs of the future and rewards all hard-working Tennesseans — not one built on inside deals for well-connected CEOs and risky handouts for big special interests that threaten our entire economy and shortchange working and middle class families.

We need to restore security for the middle class and create an economy that rewards hard-working families. Instead, Bill Haslam has rubberstamped an extreme agenda that doesn’t create jobs and pushed top-down economic policies that pad his own pockets, reward his wealthy friends and damage the middle class.
Haslam’s tax plan will rack up $1 billion worth of massive tax breaks for millionaires and billionaires, while he’s made big cuts to children’s services, higher education, health care, public safety and programs that help Tennesseans find work.

Bill Haslam has doubled-down on extreme policies that hurt working and middle class Tennesseans — denying 400,000 citizens fully funded Medicaid coverage, letting big business and lobbyists write their own rules, cutting programs that invest in workers and their families, and eliminating rules and oversight that hold government officials accountable.

Haslam’s anti-public school policies fail our students and threaten our state economy—cutting teacher salaries, over-relying on expensive standardized testing, and diverting funds away from public schools to an out-of-state, for-profit corporation that streams classes on the internet.

Not only did Haslam pass the biggest budget in Tennessee history, Haslam’s corrupt inside dealing outsourced hundreds of Tennessee jobs and directed hundreds of millions worth of state contracts to business partners and wealthy campaign contributors.

Haslam made his fortune at Pilot Oil, where he and his family have made millions from a scheme that preyed on their own customers. Pilot Oil executives have admitted stealing from truck drivers and even targeting honest, hard-working new Americans.

Haslam has rubberstamped an extreme tea party agenda that doesn’t create jobs and, worse yet, harms security working and middle class families; from Haslam’s discriminatory voter ID law and guns in parking lots (even when business owners don’t want them) to defunding Planned Parenthood and eliminating workplace protections for LGBT Tennesseans.
Bill Haslam’s special interest dealing and constant secrecy proves he can’t be trusted. He won’t come clean about his secret relationships with high-powered lobbyists and he’s still hiding his income tax returns because he pays a lower rate than working Tennesseans. If we can’t trust him to be honest about his dealings, how can he be trusted to build a stronger middle class?

WEAKENING MIDDLE CLASS SECURITYRebuilding a fair economy that strengthens the middle class by attracting good American jobs investing in education, and expanding access to affordable health care should be our top priority. But Bill Haslam has a different view. Haslam slashed security for working families, rigged the rules to favor big special interests, and cut programs that strengthen the middle class. Instead of asking everyone to do their fair share, Haslam gave the wealthy and big corporations massive new tax breaks and hopes that job growth will trickle down from the top.

Hurt Working Families to Pad Profits for Corporate Special InterestsIf we’re going to build a fair economy, big corporations and wealthy CEOs have to play by the same rules as working families and the middle class. Bill Haslam and lobbyists have re-written the rules to put profits for special interests ahead of working families.

• Good-paying jobs are key for middle class security, but Haslam has signed multiple laws that drive down the wages of working men and women.

o Haslam eliminated prevailing wage rules on state contracts, which allows wealthy contractors to pad their profits by slashing the wages of workers.

o Haslam repealed local wage ordinances, boosting profits by cutting worker pay back to $7.25 an hour.

• One of Bill Haslam’s signature laws doesn’t put one more Tennessean back on the job, but it does cut payments to workers who get hurt on the job — by a third.

o It’s already difficult to make ends meet when a family member is out of work. Haslam’s new law not only increases bureaucratic red tape and burdens working families, it gives businesses a new financial incentive to fire injured workers.

• In Bill Haslam’s world, special interests don’t have to play by the same rules as the hard-working middle class. Haslam’s cap on damages law shields irresponsible and reckless businesses that injure and kill Tennesseans from being held fully accountable in court.

o By putting a price tag on Tennesseans, the law protects profits for businesses and corporations that harm our families. Haslam signed the measure into law even while his multi-billion dollar company Pilot Flying J faced lawsuits for negligence.

Eliminated Programs that Put Tennesseans Back to Work
With more than a quarter million Tennesseans looking for jobs, we need to build an economy that rewards responsibility and increases opportunity for our families. Bill Haslam’s top-down agenda has boosted profits for his business friends and out-of-state corporations while cutting programs that help hard-working families find jobs. As a result, there are more Tennesseans looking for good jobs today than there was a year ago.

• To date, Bill Haslam has blocked Medicaid expansion, a move that would create 18,000 good-paying jobs and provide a billion dollar boost to Tennessee’s health care economy.

• Instead of bolstering efforts to get Tennesseans back work, Bill Haslam shut down 34 career centers that helped citizens find and apply for jobs. The change in priorities means residents in 34 counties will have to drive elsewhere to get help with creating and posting resumes, skills training and other job-finding services.

• With unemployment rising in the state, the Haslam administration eliminated a rapid-response team that helped workers caught in mass lay-offs prepare for new jobs.

• Haslam fired 71 Economic and Community Development workers who assisted city and county leaders in planning for new growth. The move passed planning expenses onto local taxpayers.

Destabilizing Public Schools, Shortchanging StudentsThere is nothing more important to our economy than educating our children, and that’s not going to happen if we overcrowd our classrooms and divert money away from public schools. Preparing the next generation of leaders and innovators begins at home, but our public schoolteachers play a vital role in equipping our kids with the skills and knowledge they need to compete for the good-paying jobs of tomorrow. Bill Haslam’s top-down privatization agenda threatens our students’ economic future by driving away high-quality teachers and leaving our public schools less secure.

• Bill Haslam’s first education decision put a commissioner with only three years of classroom experience — Kevin Huffman — in charge of a $6 billion education budget.

o This shortsighted experiment has been a costly and abject failure for students. The top-down management style of Haslam’s education commissioner has drawn the ire of school superintendents, educators and parents, crashed morale, and driven away high-quality teachers.

o In September 2013, nearly half of the superintendents in the state signed a letter to Haslam saying educators did not “feel respected or valued” by his administration and that teachers felt “voiceless and powerless.”

• Our kids need great teachers, and we’re not going to recruit and retain those teachers if Haslam’s administration keeps attacking them. In 2011, Haslam signed a law taking away teachers’ right to negotiate together for decent wages and benefits, small class sizes and the kind of things only teachers know about like what works best in the classroom.

o The next year, Haslam proposed increasing classroom sizes — meaning your kids would get less one-on-one time with their teachers.

o While Haslam gave tax breaks to millionaires and billionaires, his administration cut teaching salaries and financial incentives for teachers who earn advanced degrees.

o Haslam instituted a flawed teacher evaluation system that scores more than half of educators on the test scores of kids they don’t even teach; Haslam’s new mandates put less focus on student learning and more focus on bureaucratic paperwork.

o Rather than attracting great educators, Haslam’s top-down orders are costing us great teachers. In 2010, the year preceding Bill Haslam and Commissioner Kevin Huffman taking office, 1,524 teachers retired; by 2012, the most recent year for which data is available, 2,197 teachers retired — a stunning 44 percent increase. In 2012, one in five teachers who were eligible for retirement did so, approximately double the rate in 2010.

• Even though a standardized test never taught a child anything, Haslam’s administration has doubled down on high-stakes testing — at a cost of nearly $200 million year. Haslam’s top-down education policies are robbing students of critical thinking and forcing schools to “teach to the test.” Too many of our tax dollars are going to investors when they should be spent on students.

• Bill Haslam put corporate profits ahead of our children’s education. Instead of investing in small class sizes or expanding pre-K, Haslam diverted millions of tax dollars from public schools to a for-profit corporation that streams lessons to students over the internet.

o Last year students enrolled in Haslam’s for-profit school showed less growth than students in every other public school in the state.

o Haslam’s for-profit school scheme has failed students two years in a row. News reporters even caught the company deleting the bad test grades of students.

o Haslam’s own education commissioner called the for-profit school’s performance “unacceptable.” But instead of holding the for-profit school accountable for failing students, Haslam signed a new law protecting their multi-million dollar contract.
• When we should be strengthening public schools, Bill Haslam has proposed privatization schemes — like private school vouchers — that divert money away from public schools and have failed to deliver on the results that were promised wherever they were tried.

• Bill Haslam punished students by cutting $3.4 million from Nashville schools because the elected school board refused the application of a well-connected charter school. In retaliation, his administration then supported efforts to strip local school boards of the authority to approve charter school applications.

• On top of diverting money from public schools and undermining the educators who are shaping our students, Haslam’s top-down approach ignores the harsh realities facing Tennessee families:

o We will improve education by improving the lives of children. One out of four children in Tennessee live in poverty and Haslam signed a law to cut benefits for the children of Tennesseans who are out of work.

o More than 40 percent of expecting mothers in Tennessee don’t receive adequate pre-natal care. And while healthy mothers raise healthy children, Haslam has blocked funding to expand Medicaid, which could extend quality health coverage to 191,000 women in Tennessee.

• If Tennessee is going to win the good-paying jobs of the future and strengthen our economy, we must increase graduation rates at our colleges and community colleges. Unfortunately, Haslam’s plans are putting a good education out of reach thousands of Tennesseans.
o Under Bill Haslam, tuition rates have increased on working and middle class families in Tennessee every year, saddling students with more debt that hurts our economy.

o While tuition rates in Tennessee are increasing faster than most of the country, Haslam has slashed funding for higher education.

o Instead of investing in Tennessee colleges or in students by lowering tuition costs, Bill Haslam spent $5 million to advertise for an out-of-state, online college.

Blocking Health Care Security
Instead of working to strengthen Medicaid and improve access to affordable health care for all families, Bill Haslam has cut funding for important health care programs. Access to affordable, quality health care is key to building a stronger middle class, but Bill Haslam has made it harder for Tennessee families to get the care they need.

• Haslam opposed the Affordable Care Act and has blocked federal funds to expand Medicaid, an expansion that could extend quality health coverage to more than 330,000 working Tennesseans and invest billions in Tennessee’s economy.
o If Haslam continues blocking Medicaid expansion, more Tennesseans will die because they lack health coverage. Studies show Medicaid expansion would save lives; health coverage especially helps poor women and children in rural counties, the elderly, and black Tennesseans.

o Bill Haslam’s decision to deny working families Medicaid coverage has already caused hospitals to shut down programs and fire thousands of workers, which has costs our economy millions. Haslam’s continued indifference puts more than 50 hospitals at risk of closing, a shameful scenario that threatens to make health care less accessible to the rural families who need it.

o Haslam’s inaction on Medicaid is punishing the poor. 161,000 Tennesseans in working poor families who would qualify for Medicaid coverage will have nowhere to turn but emergency rooms, which hurts our hospitals and our economy.

• After spending $10 million of taxpayer money to study health exchanges, Bill Haslam evaded his responsibility to Tennesseans when he decided against building a locally operated health insurance marketplace that would help our families get insured.

• Instead of working to solve health care problems facing Tennesseans, Haslam opposed the Affordable Care Act and would:
o allow insurance companies to deny coverage because of a pre-existing condition, putting as many as 2.8 million Tennesseans at risk;

o re-institute lifetime caps on coverage, meaning those with long-term and life threatening illnesses may be cut off from their coverage;

o take away free preventive health care screenings like mammograms for women;

o no longer allow young people to stay on their parents’ insurance until they’re 26;
o charge women up to 50 percent more for their coverage than men.

• As governor, Haslam cut funding for a program to aid Tennesseans with disabilities.

Slashing the Safety Net for Seniors
Tennesseans who’ve worked their whole lives deserve dignity in their golden years — they’ve earned it, and they deserve it. But to pay for his massive tax giveaways for corporations and the wealthy, Haslam slashed vital programs that Tennessee seniors rely on for a secure retirement.

• Bill Haslam cut millions from in-home care for seniors, forcing elderly Tennesseans out of the home they have lived in for years and into nursing homes.

• Haslam supports repealing the health reform law that has strengthened Medicare and saved Tennessee seniors $109 million on life-saving prescription drugs.