Lessons learned from TennCare

RealClearPolitics – Lessons For Health Care Reform:

“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.

Hat tip to Instapundit