In 2005, Tennessee Governor Phil Bredesen made the largest cuts in health coverage in our nation’s history. Thousands upon thousands of people were dropped from TennCare, the state’s innovative Medicaid program. Others who remained in the program had their benefits slashed. It was obvious that these drastic cuts would cause enormous harm. The governor, however, dismissed these concerns and moved forward with his plan.
Governor Bredesen not only touted his plan within Tennessee, but he also recommended that other states make similar changes. At the time he was promoting Medicaid cuts, many states were facing budget crunches and looking for ways to cut costs. The TennCare cuts became a potential forerunner of what could happen to health coverage programs across the country.
Against this backdrop, it is instructive to look beyond the numbers and see what has happened to the real people affected by the TennCare cuts—that is what this book is designed to do.