KANEW: Lee, State GOP Have Shown They Can’t Be Trusted With A Medicaid Block Grant

This op-ed by Holler co-founder Justin Kanew was originally seen in the Tennessean last week

Medicaid expansion would have been cost-free to Tennessee, yet former Republican Gov. Bill Haslam’s plan was blocked by his own party.

Gov. Bill Lee’s possibly illegal Medicaid block grant proposal would put billions of dollars Tennessee’s most vulnerable citizens depend on in his hands and the hands of the Tennessee Republican supermajority with few strings attached. The plan gives them the incentive to spend as few of those dollars as possible by finding “savings” the state would then keep a portion of.

Beware of ‘savings’

If “savings” sounds like “cuts” to you, you’d be correct. That’s why the block grant pushers have been unwilling to promise no cuts, and why comments about the proposal have been almost entirely negative. The American Pediatric Association, the American Lung Association, doctors, patients, mothers, lawyers, state legislators, members of Congress — in short, nearly everyone who has spoken at this week’s public hearings has been staunchly against what they see as a bad deal for Tennessee. It’s a deal that will hurt the people who need our help the most — seniors, children, the disabled and the poor.

The specifics of a block grant are vague and complicated, but the bottom line is that Lee and the state’s Republicans are asking us to trust that they’ll do a better job of stretching those Medicaid dollars without the federal rules and oversight that are designed to protect those at risk.

But Lee and the GOP have already shown us they are undeserving of our trust. Medicaid expansion would have been cost-free to Tennessee, yet former Republican Gov. Bill Haslam’s plan was blocked by his own party, and in the aftermath 12 hospitals have closed, 300,000 people have gone unnecessarily uninsured, and we’ve lost $7 billion of our own federal tax dollars. Yet we have still not been given a good reason other than that it was President Barack Obama’s idea.

Now Tennessee leads the country in medical bankruptcies, rural hospital closures per capita, opioid deaths and infant mortality rates and is bringing up the rear in health care access. We have a four-alarm health care fire in Tennessee, and now we’re supposed to trust the party that refused buckets of water and let it burn to do the right thing with even less oversight and more “flexibility?”

Governor was a no-show

Lee has intentionally ducked this week’s public hearings while calling the very qualified professionals and parents speaking out against his block grant “misinformed.” But they’re not. They know the truth about what’s happening here in Tennessee and the irresponsible tragedy of not expanding Medicaid, and they simply don’t trust Lee to put Tennessee’s children, elderly, poor and most vulnerable ahead of money and politics this time around either.

“I had hoped Governor Lee’s religious faith would’ve given him more of a heart for the poor, especially as we anticipate the Day of Prayer he has called,” Rep. Jim Cooper said at the public hearing in Nashville this week. Amen, Jim. On that Day of Prayer, Lee might want to say one for his own soul, and the soul of his party.

“Faith without works is dead.” — James 2:17

Justin Kanew is a co-founder of the Tennessee Holler.