A statewide Tennessee Power Poll shows respondents want our state government to spend more money helping people hard hit by the economy and COVID and whatever else is descending on us these days. Many fewer are in favor of the governor’s proposal to set aside $50 million in these troubled times for our “rainy day fund,” which acts as our state’s emergency reserve fund.
Respondents in this February survey also disagree with Gov. Bill Lee’s proposal to allow people to carry handguns without a permit. Asked for their general impression of Lee’s job performance so far, Power Poll respondents—which are weighted heavily among the state’s big urban areas that count significant numbers of Democrats—view him disapprovingly.
BlueCross Foundation Funds Meharry Health Equity Research
The BlueCross BlueShield of Tennessee Foundation has awarded $325,000 to Meharry Medical College’s Center for the Study of Social Determinants of Health. Meharry is the nation’s largest private historically Black academic health sciences center. The grant will fund research on barriers to health care, poor health outcomes and vaccine hesitancy in at-risk, largely minority communities.
The $325,000 Grant Supports Efforts to Address COVID-19 & Health Disparities.
COVID-19 has disproportionately affected minority communities and resulted in more infections, hospitalizations and deaths, mainly due to social vulnerability.
“Social vulnerability refers to a community’s ability to withstand external impacts to health,” says Dr. Andrea Willis, BlueCross chief medical officer. “In other words, it evaluates how outside forces like disasters or disease outbreaks compound the odds already stacked against these communities. If the totality of those odds are too high, it leaves very little opportunity for that community to overcome them — and even less opportunity to win an uneven fight.”
Over the coming months, Meharry researchers will work with BlueCross BlueShield of Tennessee’s clinical and data teams to use the company’s Social Vulnerability Index, a tool created to identify factors that increase risk for negative health outcomes, in developing strategies to improve health equity and COVID-19 vaccine acceptance.
“Our support of Meharry’s efforts will ultimately help public health officials and civic leaders understand what makes some people and communities more likely to have severe health issues as a result of COVID-19 infection,” said Roy Vaughn, executive director of the BlueCross Foundation. “This grant will support work to analyze what drives vaccine refusal and find ways to implement effective interventions in at-risk communities across our state.”
Meharry has been on the frontlines of addressing COVID-19 from all avenues, from leading assessment sites to vaccine trials to raising vaccine awareness. Its president and CEO, Dr. James Hildreth, was recently appointed to President Joe Biden's new COVID-19 Health Equity Task Force. Meharry’s research will identify areas of Tennessee with a high density of at-risk individuals and guide strategies for interacting with communities to drive positive behavioral change and improve population health.
“We appreciate the BlueCross Foundation’s support of this research, which is guided by the feedback and input shared by our communities,” said Dr. Bryan Heckman, director of Meharry Medical College’s Center for the Study of Social Determinants of Health. “We look forward to finding effective ways to combine precision medicine and public health approaches that can optimize health equity for Tennesseans.”
The Meharry grant is just one way the BlueCross Foundation is working to address vulnerabilities and health care inequality. It has committed nearly $10 million to communities during the pandemic and engaged in a variety of efforts to improve public health, including:
- Funding COVID-19 testing for uninsured and underinsured populations
- Helping food banks statewide deliver more than 15 million meals to Tennesseans in need
- Supporting education through increased broadband access for students and six diversity scholarships for students pursuing health care professions
- Funding community-led efforts to promote and deliver COVID-19 vaccines, especially in underserved areas
- Launching a vaccine awareness campaign to encourage all Tennesseans to get flu shots and provide education about the new COVID vaccines
- Building BlueCross Healthy Places for communities needing well-designed spaces for all to engage in physical activity
Meanwhile, the business interests among Power Poll’s membership showed their teeth when asked about hiking the state’s minimum wage. While many left-leaning Democrats voice support for an immediate increase in the minimum wage to $15 an hour, the largest number of Power Poll members favor doing so but over several years. A considerable number also think $15 is too high to begin with. (The current federal minimum wage is $7.25.)
A total of 2,174 Power Poll members in Memphis, Knoxville, Chattanooga, Nashville, and various rural counties across the state were surveyed, with 731 responding, for a response rate of 33.62%. In Nashville, 706 were surveyed, and 370 responded, for a response rate of 52.41%.
Here are the specific questions and responses to the latest Power Poll. (Statewide percentages appear first, followed by Nashville percentages in parentheses.)
In his State of the State speech last week, Tennessee Gov. Bill Lee proposed putting $50 million into the state's "rainy-day fund," bringing our emergency reserve funds to $1.5 billion. Some like his conservative approach. Critics say now is the time to be spending. Do you think:
Lee’s supporters are right. Putting money in the rainy day fund is a wise stewardship of our state finances and the bond markets will love us: 27.9% (22.4%)
Lee’s critics are right. This money should be spent on people hard hit by COVID and the rough economy, in areas like healthcare, childcare, and more: 66.5% (71.1%)
Don’t know: 5.6% (6.5%)
Also in his speech, Lee said he would move forward with legislation allowing people to carry handguns without a permit. Regarding such a proposal, are you:
In favor: 11.9% (4.3%)
Opposed: 84.4% (93%)
Don’t know: 3.7% (2.7%)
What do you think of our governor’s job performance in general?
Strongly approve: 6.8% (4.3%)
Approve: 22.2% (17.6%)
No opinion either way: 10.8% (8.6%)
Disapprove: 32.7% (33.2%)
Strongly disapprove: 27.5% (36.2%)
And now, a question that could affect tens of thousands of employers and employees in Tennessee. The federal minimum wage is $7.25. A measure winding through Congress would hike that to $15 an hour. Do you:
Favor moving to a $15 hourly minimum wage immediately: 21.2% (25.4%)
Favor moving to a $15 hourly minimum wage over several years: 44.9% (47%)
Favor moving to less than $15 an hour over several years: 20.8% (17.3%)
Favor leaving the minimum wage where it is now: 12.2% (9.2%)
Don’t know: 1.0% (1.1%)
The Power Poll is not a scientific survey. It is a non-partisan poll taken of the most powerful, influential Tennesseans in the public, private, and non-profit sectors. Its answers provide a wealth of insight into how those who make many of our most important policy decisions, and guide our civic discussions, fall out on the most critical issues of the day.
To state the obvious, our state government at both the executive and legislative levels is very conservative. And yet when you look at our four major cities (Memphis and Nashville in particular, but also Knoxville and Chattanooga to a lesser degree), you see something politically and culturally much more moderate if not outright Democratic. An urban-rural schism in the state is alive and well.
That Bill Lee is seen so disapprovingly among Power Poll members is Exhibit A of that rural-urban divide. Nearly 60% of the total respondents checked the “disapprove” or “strongly disapprove” boxes with regard to his job performance. The governor’s hands-off approach to requiring masks certainly irked a lot of urbanites. It doesn’t take a genius to walk down the streets of one of Tennessee’s major cities and notice the prevalence of mask-wearing compared to what one sees in a smaller community.
The arguments between Lee and our urban areas have come into focus on education as well. Lee recently publicly chastised school leaders in Memphis and Nashville, when he called for both school districts to get their students back in the classroom. No more virtual learning, he demanded. Nashville and Memphis, which account for nearly one-fifth of the total public school population in the state, didn’t take kindly to the governor’s orders.
The rural-urban differences go on. In the presidential race, as far as one can tell, Lee has certainly acknowledged that Joe Biden is president, but there’s no question as to whether he fell in the pro-Trump-stolen-election-camp or the other side. He was definitely not with the other side. Ergo, further differences with urbanites.
Pushing pro-gun legislation will do him no favors either. An astonishingly high 84% of Power Poll members say that they oppose Lee’s proposal allowing people to carry handguns without a permit. Only 12% are in favor.
The question we asked regarding the so-called “rainy day fund,” which acts as a large reserve fund in case of fiscal calamity, was in response to Lee’s announcement to place $50 million more in the fund. Such a move has its defenders. To maintain the state’s robust bond ratings, cash reserves are viewed positively. As well, the state is legally required to place 8% of its projected revenues into reserve. This $50 million, however, is higher than required and will bring the rainy day fund total to approximately $1.5 billion. Combined with the more than $700 in an unrelated fund for needy families that the Lee administration has been sitting on, the $50 million allocation didn’t sit well with critics who feel as if it’s time to be helping the less fortunate. If these are not difficult times, when would be a time that better qualifies?
Most Tennessee Power Poll members (64%) think the $50 million should be spent on healthcare, or housing, or childcare, or something to help others in need.
Nonetheless, I want to here quote Justin Wilson, the state’s Comptroller Emeritus who knows these numbers better than anyone. He left a comment in the Power Poll survey questioning the rationale behind the rainy day question: “Question 1 has a false assumption. The opinions concerning the rainy day fund do not break down on a Lee supporter/critic line. Moreover, a significant number favor a larger contribution. Government Finance Officers Association (GFOA) recommends a 2-month reserve. Gov. Lee is proposing a little more than 1 month.”
I would have to say, though, that asking government finance officers about how much to keep in reserve is a bit like asking a barber if you need a haircut. Of course a barber thinks you need a haircut.
Finally, we asked about the minimum wage. A number of different proposals have been made in Congress regarding a minimum wage increase. The highest number of votes in the Power Poll survey was for a move to $15 an hour over several years, from the current federal floor of $7.25 an hour. As if to demonstrate that Power Poll is not just a bunch of wooly-headed liberals, a significant number (30%) said they would favor an increase to a minimum wage less than $15 or they would favor leaving it like it is at $7.25. All of which goes to show that when it comes to meeting a payroll, as obviously a lot of Power Poll members do, it’s sometimes damn hard.