Reply #41: What works in Vermont [View All]

Is a single payer plan.

Medicaid, no more, no less.

What are you stating WORKS quite well in Vermont?

There is NO special health care system, operating in Vermont, under different rules than Medicaid for any other state, or do other benefits than those available under medicaid exist in Vermont...

And as to it working well, a Commission, established by Dean, that consisted of members appointed by him found quite the opposite.

Also they found that Vermont was average among the states in the quality and quantity of its delivery of Health care:

Governor's Bipartisan Commission

On Health Care Availability & Affordability

Final Report

I. Authority, Scope

A. On January 24, 2001, Governor Howard Dean issued an executive order establishing a Special Governor's Bipartisan Commission on Health Care Availability and Affordability........

B. Based on what we have learned, we do agree on this: Health care in Vermont is near a state of crisis -- some of us would say it is already in crisis -- and all health care sectors are on edge. We also note that many of these problems are national or even global in scope and that our abilities to solve them at the state level are limited.

C. Health care costs in Vermont, now exceeding $2 billion a year, are of a sufficient magnitude, however, and are increasing at a sufficient rate to place state government itself in jeopardy, including every program for which it appropriates money. By comparison, Vermonters budgeted $1.8 billion for all state government services in FY 2001 (not including federal funds).3

We are rapidly approaching the point at which these costs will directly conflict with our ability to do such things as to maintain roads and bridges, for example, or to provide cost-effective services to our infants and children, to promote agriculture and tourism, or to provide any other services our citizens have come to expect.

D. We do not have a health care system in Vermont.4 That means:

1. No one is in control.

2. No one is responsible for ensuring that high-quality medical care is adequate for the needs of the public.

3. No one ensures that medical charges are appropriate or that they are paid in full.5

4. There is a "disconnect" between the consumer receiving health care and the entity paying the bill. Consumers are shielded from the cost of the service.

5. There is no global budgeting or targeted growth planning for health care in Vermont.

6. There is little in the way of public accountability for the performance of health care institutions, or for their long-term planning.

7. Although administrative costs, including those associated with government paperwork burdens, have reached an unacceptable level, no one has been able to do anything about it.

E. This commission does not recommend the Single Payer option, even though we have been told by The Lewin Group that it could cover all Vermonters, including more than 51,000 currently uninsured, for 5 percent less than what we are collectively paying now.6 Some of our opposition is on philosophical grounds, but in practical terms, we reject that option for a variety of reasons, including...

This is a comlete report, going on for many pages, indicating whqatever it was that Dean did, it was a complete mess, that there was no planning whatsoever, an that the health care system, was simply an unmanaged hodge podge of health benefits mandated by the federal government, poorly administered, if it could even be called administration, by Deans Vermont.