As Congress wrestles with the need to trim spending, attention has turned to Medicaid, and to a lesser extent, Medicare.
These are hardly new issues. Within seven years of the 1965 enactment of Medicaid, for those eligible for federal income support (largely those in poverty), and Medicare, primarily for those eligible for Social Security, Congress in 1972 turned its attention to concerns about containing costs in those programs.
Tennessee has been a pioneer in mana...