Sun
Feb 9 2014
08:11 pm

Last Wednesday we asked Dr. Richard Briggs, candidate for State Senate, if he supported expanding Medicaid/Tenncare according to the provisions of the Affordable Care Act.

Dr. Briggs responded tonight, apologizing for the delay because he was at the County Commission/School Board retreat on Friday and Saturday.

Based on his response, Dr. Briggs appears to be undecided on expanding Medicaid/Tenncare. He seems to agree with Gov. Haslam, saying that "We do not yet know which programs will be fiscally sustainable and if Congress will change or modify the program."

Further, he says "Ultimately I support all our citizens having access to affordable health care but we must be prudent and certain we do not have to abandon our most vulnerable citizens as we have in the recent past if it does not work out."

He also says he supports "Universal access to our health system, including the requirement for all individuals to be able obtain affordable health insurance based on their ability to pay" among other health care reforms.

Read Dr. Briggs' response after the break...


Email from Dr. Richard Briggs, candidate for State Senate...

I support:

1) Universal access to our health system, including the requirement for all individuals to be able obtain affordable health insurance based on their ability to pay. I am watching very closely the Medicaid expansion program in the states that participate as well as the "Arkansas" plan. We do not yet know which programs will be fiscally sustainable and if Congress will change or modify the program. As practicing physician, I never want to experience the horrible and heart breaking period when Governor Bredesen had to disenroll 170,000 of our citizens several years ago. We cannot compare Tennessee with some of the other states which accepted Medicaid expansion because they have a mechanism to increase revenues if costs increase which we do not. We depend entirely on a regressive sales tax (which is already one of the highest in the country) and excise and franchise taxes. Also our constitution requires a balanced budget.

Ultimately, I support all our citizens having access to affordable health care but we must be prudent and certain we do not have to abandon our most vulnerable citizens as we have in the recent past if it does not work out.

Below are a few links worth looking at. The Knoxville Area Project Access is a program the Knoxville Academy of Medicine, Knoxville physicians, and the hospitals developed to help the uninsured.

PBS: Medicaid a clear and present danger says Bredesen

Knoxville Area Project Access

WSJ: ObamaCare's Incentive to Drop Insurance

2) Access to the health care system regardless of pre-existing conditions

3) Freedom for patients to choose their own physician

4) Strategies to lower the escalating costs of medical care through the use of technology and evidence based best practices.

5) Increasing the supply of physicians to improve access to medical care

I appreciate the opportunity to respond and my above thoughts are just the tip of the iceberg reflecting the amount of time I have spent studying this issue. Health care and its costs (30% of the state budget) as well as the human implications is the most important issue facing every citizen of our state.

Richard Briggs

fischbobber's picture

So?

Does he support the opt-out of the ACA or is he is favor of Tennessee opting in and participating? He supports the provisions of the plan apparently, but he doesn't support Tennessee signing on? I'm not sure what to make of this.

Don Daugherty's picture

Briggs and Campfield are peas in a pod on issues like this

Bob:

Briggs was given an opportunity to step up and set himself apart from Campfield and Haslam. He failed miserably. What I also make of it is this: he's not going take a position on one side of the fence or the other, as he's under the false impression that his race against Campfield may wind down to how many Democrats in that district vote in the GOP primary . . . for Briggs. It won't be that close.

Thanks Randy, for making him take a position (which is, "I have no position until I get what I need"). On another thread, Briggs' stance on Medicaid expansion was discussed, with a few folks saying he'd be more "reasonable" than Campfield. That's plainly hogwash - what you see is what you get: another politician deceptively posturing for votes.

stalwartdem's picture

Mr Briggs response is..

loaded with "buzz phrases" like "universal access" and "regressive taxation" that are meant nothing more that to moderate his image in the eyes of democrats. Campfield could take this content and craft a very effective attack on briggs for the consumption of rank and file repubs. If campfield goes there, it could be devastating.

stalwartdem's picture

In case anybody missed it...

His answer to the question: Do you support medicaid expansion in TN is...NO, WITHOUT SAYING NO. ergo...the answer to the question is NO

Mike Daugherty's picture

Briggs needs to read Bill

Briggs needs to read Bill Owen's op ed in today's KNS and explain whether he agrees or disagrees with Bill's assessment of medicaid expansion. That would say a lot more than this response.

Mike Cohen's picture

Briggs/Owens

Why, yes...Briggs, a lifelong Republican running in a Republican primary in a heavily Republican district should should feel obligated to jump in and respond to an op-ed by a lifelong Democrat.

fischbobber's picture

Well....

If he wants to be elected because he's a good guy and fundamentally different from Campfield, it wouldn't hurt.

Republicans can and will do what they wish, however. I am much more concerned about Cheri Siler separating herself from the two Republicans, than I am about one of the Republicans separating himself from the other.

Don Daugherty's picture

Obviously, he's taken some

Obviously, he's taken some bad advice here. Republicans won't apprecuate it, as he is straddling the fence so fiercely and Democats now see him for what he really is, just another Haslam Republican. Lifelong Democrat or not, Owen's op-ed hit it dead-on. If Briggs is a moderate Republican (he is not), then reading Owen's piece seems like... not a bad idea. Especially if you've got an absurd plan like Briggs does.

Mike Daugherty's picture

Only Democrats should take a

Only Democrats should take a stand on medicaid expansion and other issues? Yes, he should tell the voters where he stands on issues instead of pretending not to have things sorted out. A lifelong Republican, he would stand with Haslam and continue with the same crazy legislation we have seen the governor sign into law the past 3 years.

Mike Knapp's picture

Cost containment - physician supply side

I'd be very interested to hear the good doctor's ideas about how to contain costs/medical inflation rate. For example - would he support immigration reform which would allow foreign doctors to compete in the domestic physician supply bending the cost curve down as per points 4 & 5.

4) Strategies to lower the escalating costs of medical care through the use of technology and evidence based best practices.
5) Increasing the supply of physicians to improve access to medical care

And of course can we get a yes or a no on expansion. Leave the position papers and Bredesen's book behind - This is really not about how to deliver healthcare, it's whether people should have healthcare at all. It's a human rights issue. And btw - from a republican/libertarian perspective - is it OK to have the government intervene on folks' behalf with preexisting conditions to ensure they have insurance?

bizgrrl's picture

Thanks, people. I'm glad I'm

Thanks, people. I'm glad I'm not the only one who thought this was a lame response. What a cop out.

bizgrrl's picture

Why deny thousands of people

Why deny thousands of people healthcare for three years because you might have to take it away the fourth year?

Max's picture

Position on Income Tax

I thought this statement was interesting.
"We depend entirely on a regressive sales tax (which is already one of the highest in the country) and excise and franchise taxes"

Rachel's picture

Me too. Sounds like the good

Me too. Sounds like the good doctor doesn't think this is such a good idea.

Listen, folks, I would have liked a bit more definitive response. But he DID respond - which he didn't have to - and he did so at some length and in an intelligent fashion (can any of you imagine Stacey writing that response?). Perhaps you might reflect on what he said and then try some followup questions?

If y'all want to come at me, have at it. I've been working for six hours w/o a break, it's almost midnight and I have yet to eat dinner. So I'm spoiling for a fight.

Better hurry, tho. Have no idea when I'll be back - the next two weeks look to be hairy.

Don Daugherty's picture

Rachel- we know you think

Rachel- we know you think highly of Dr. Briggs as a person, and no one should come at you for that. He seems to be a decent fellow, but his political views are predictably mainstream Republican. You're right, Campfield's response would have been moronic, but we expect that. After reading posts by you, Cohen, and Drevik, I think many of us expected more from Dr. Briggs than what he gave us here.

Good luck with your work - take a break!

Mike Cohen's picture

Briggs

I am a Briggs supporter...I acknowledge that up front.

He is way different from Campfield, especially if you have friends who are gay. I have many, men and women, and I want them treated fairly, not singled out.

Secondly, Briggs was very clear about wanting everyone to have access to health care. He probably has a better feeling and understanding of the finances involved than most others, having spent his career in the field.

fischbobber's picture

Healthcare and finances

Doctors, as a group, don't understand the finances of healthcare, insurance guys do. Doctors just know who pays and how much. Nor do they seem to care. Walk into a doctor's office that has its own lab and tell them to send your blood work to a lab that's covered by your insurance if you don't believe me.

Doctors looking to line their own pockets rather than work with the insurance patients bring in are a huge and ongoing part of our healthcare problems.

As a medical professional, Briggs should know this, so, why isn't he promoting legislation that protects patients from doctors that deliberately order out of network services for their patients when in-network service is available and paid for?

Briggs said nothing that indicated he put his patients needs above those of the people charging them.

Dante's Beatrice's picture

Bobber, you were so right

Bobber, you were so right about Herr Dockter Briggs.Check this out.Here is the recently fired Snarky giving his view of the Korporate Krony Briggs comments on the Broyles "Free to Speak and Avoid Retalliation" Ordinance....Unbelievable.....I can't stand Spacey, but what Briggs said is truly repugnant..

(link...)

fischbobber's picture

The X-Files

This whole election reminds me of the snake handler episode of the X-Files.

The truth is out there.

Dante's Beatrice's picture

Signs & Wonders (2000)

I suppose one must pick the Repugnant that is easier to beat, then work for Cheri Siler.By the way Bobber, the truth of snake handlers is out there ...in Middlesboro and probably in several East Tenn spots, clandestinely. Oh, and in the limited craniums of Commissioner Huffman, Spacey,Herr Doktor Briggs,Kommon Kore Klacks, and assorted republi-baboons who seek to climb the slippery towers in their fetid ever sinking quicksand swamp.

fischbobber's picture

Snake Handlers

I worked those parts for several years. They weren't bad folks, but they live a hard life. Retired coal miners with black lung getting by on less than 500 dollars a month. It's a different world. Lots of folks named Hatfield. Lots of folks named McCoy. One must see it to believe it.

fischbobber's picture

Signs & Wonders

The Reverend Samuel Mackey reminds me of Dr. Briggs, for anyone else that remembers the episode and ever has creepy flashbacks of knowing someone from somewhere else.

Don Daugherty's picture

I want to believe.

I want to believe.

Mike Daugherty's picture

Ron Paul and his son Rand

Ron Paul and his son Rand also have experience in the medical field. Their position on health care is pretty much let em die. Doctors such as Paul and Bill Frist are smart enough to realize the financial benefit that insurance companies, drug companies, medical corporations, etc. receive as a result of the U.S. spending double what other countries spend on health care. They get rich at the expense of everybody else. Why would they be interested in changing the system? These doctor politicians might help people in their doctor's office, but they are killing them with their votes in Congress.

Dr. Briggs might be different. I know he is smart enough to know many people that cannot afford health care will suffer and die if medicaid is not expanded. He could use his feelings and understanding about life and death and being healthy to endorse a plan that would save many lives. If he is a good and moral man, he will come down on the side of expanding medicaid.

Mary Wilson's picture

As a practical matter, doesn't he want patients who can PAY?

I heard once from a 'stockbroker' person that doctors are THE worst in the world in deciding where to invest because their egos make them think they know ALL about about finances.
So, if he could objectively look at Haslam's refusal to do right for our people, we are losing $2.4 million per day from the $3.3 billion we would gain by just saying NO.

So, some of the sources he listed, like KAPA...this is a great organization that indirectly is supporting TennCare expansion by currently HELPING with ACA enrollment. Guess he hasn't checked on their current projects and work for the sickest and uninsured?
And that WSJ article quoting Bredesen from 4 years ago, about all that deficit blah: Our national deficit has been cut in half in the last 5 years, with jobs growth increasing every month, by the private sector...since our 'other side in Congress' has never voted for ANY jobs bills, EVER in all the years of this Administration.
As Stacey himself said (and I love to quote him!) 'yeah, Dr. Briggs has the same positions on most things as I do'. To straddle the fence on a matter of life or death, medical care and insurance that will save lives and with him being a physician, his hedging sort of proves ole Stacey to be close to the truth.

Mike Cohen's picture

This is just a basic D/R

This is just a basic D/R difference in approach and concern about the financial responsibility down the road.

It's a fairly fundamental difference.

But it seems silly to beat on Briggs because he sides with the basic approach of the party of which he has long been a member.

Mike Daugherty's picture

Providing decent, affordable

Providing decent, affordable health care to every person in the U.S. should not be a Republican or Democrat or Right or Left argument. It is a right or wrong argument. It is the moral responsibility of any society, especially the richest nation in the world to provide health care for its citizens.

The basic approach of Republicans is to allow millions of Americans to suffer and sometimes die from inadequate health care.If Briggs agrees with the Republican approach, people need to beat up on him because he is wrong. We need legislators that are morally strong and care about the health of everybody, not just the elite.

Rachel's picture

So, followup questions for

So, followup questions for Doctor/Colonel/Commissioner Briggs, as SnM likes to call him.

How 'bout - under what circumstances would you support taking the Federal $$ for Medicaid expansion? And/or do you think Tennessee should have set up its own exchange? Why or why not?

Mike Knapp's picture

Watching Arkansas closely - could 83,000 poors lose coverage?

I am watching very closely the Medicaid expansion program in the states that participate as well as the "Arkansas" plan... I never want to experience the horrible and heart breaking period when Governor Bredesen had to disenroll 170,000 of our citizens several years ago.

NYT - In Arkansas, ‘Private Option’ Medicaid Plan Could Be Derailed

But just as the idea is catching fire in other states with Republican or divided leadership — Iowa has adopted a version of the plan, and New Hampshire, Pennsylvania, Utah and other states are exploring similar avenues — Arkansas may abruptly reverse course, potentially leaving the 83,000 people who have signed up so far without insurance as soon as July 1. Facing pressure from conservative challengers in the May primary, several Republicans who supported the plan last year are now considering switching their vote when the Legislature votes to reauthorize its financing, possibly as soon as next week. The defection of just one Republican could kill the program, state officials said.

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