As Congress debates a national healthcare overhaul, state experiments like Tennessee's are informing the discussion. As originally envisioned, the Tennessee plan expanded Medicaid to cover people who couldn't afford insurance or who had been denied coverage by an insurance company. Unlike Massachusetts's more recent universal coverage law, the TennCare plan is most often cited by opponents. They say TennCare's runaway costs show that the public health-insurance proposal by House Democrats could bankrupt the federal government.