Medicare

Vermont to Pursue a Single-Payer Health Care System?

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Remember when Vermont Senator and self-described democratic socialist Bernie Sanders introduced a 700-page amendment to the health care overhaul bill that would have transformed it into a national single-payer program? And then Sen. Tom Coburn responded by making the Senate clerk spend a couple of hours reading the amendment's text on the Senate floor? Good times!

And they may not be over, either—or at least not in Sanders's home state of Vermont. From The Boston Globe:

While Massachusetts grapples with its own health costs, the nation's eyes will be on Vermont as it tries to do ObamaCare one better and switch to a single-payer health insurance system. The newly elected governor, Peter Shumlin, made single-payer a main campaign pledge. Now he has assembled a team of health officials grounded both in the realities of Vermont medical care and the pros and cons of comprehensive health reform. Shumlin's special assistant for reform will be Anya Rader-Wallack, once an aide to former Vermont Governor Howard Dean and more recently deeply involved with the Massachusetts universal-coverage system.

This isn't the first time a state has toyed with the idea of setting up a single payer program. In the 1990s, for example, California pursued a similar idea through a ballot initiative. But although the process may differ from state to state, the single-payer pitch over the last few decades has typically come down to some variation on the idea that it's Medicare-for-all. Medicare is popular, the thinking goes, and pitching single payer as Medicare-for-all will make it an easy sell.

But Shumlin, the state's new governor, is reportedly also selling the idea as a cost-control measure. There's a tension between those two ideas, though—namely that Medicare doesn't control costs very well, and never has. In the first year of its operation, the program cost more than three times what the highest cost estimates had projected, and spending on the program has continued to grow from there. Even the program's defenders concede that a lot of the money spent on the program goes nowhere: Prior to the passage of the new health care law, the Obama administration pointed to data suggesting that as much as 30 percent of all Medicare spending was wasteful. Indeed, the new health care law is set to create an independent board of federal overseers tasked with limiting the growth of Medicare spending. Liberals have expressed a lot of hope that the board will turn Medicare into a manageable, sustainable program. Right now, though, it isn't.

So sure: Medicare-for-all might be a politically effective slogan. But it's not very convincing as a cost-control plan.

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160 responses to “Vermont to Pursue a Single-Payer Health Care System?

  1. Medicare for all has to be the dumbest slogan of all time. If the press was honest with us about the shape of medicare, no politician could get elected spouting such nonsense.

    1. If the press was honest with us American People? were more knowledgable about the shape of medicare, no politician could get elected spouting such nonsense.

      FIFY

    2. But the dumbest argument of all time has to be “We’ll control costs by having the government run it.”

  2. All I can say is you bitches are dead-wrong-discuss or read my latest blog
    on inter-dimensional time travel

        1. Hell fucking no.

        2. “No” and “fuck no!” Wow, fucking coincidence! That’s what I think about you too-sorry I can’t stand dudes with the trifecta of infinitesimal minds, vocabularies, and dicks.

          1. Does constant rejection hurt badly, rectal?

            Because I fucking hope it does.

            1. Is it really rejection when all she wanted was for you to respond to her post in the first place? Beating a masochist isn’t punishment.

              1. Well, speaking as a sadist…I don’t really care if the masochist likes or dislikes the beating. I like doing it.

                And what she really wants is blog hits. And she will never get that.

                1. Hell, you are dead wrong about my blog hits. So you like to hurt women Epi. Fascinating. Who fucked you up? Your mother, a girlfriend, or the chick who said “you’ve got to be kidding asshole; Id rather fuck a homeless man?

                  1. No one will fuck me, I need blog hits to keep the suicidal thoughts away. Each blog hit is like a a spank from my Daddy.

                    1. Well, which is it? Should I ask one of the site keepers how to spell it?

                    2. Idiot, I liked being spanked by Daddy.

                  2. Epi didn’t say he likes to hurt women. He said, he likes beating masochists, which implies nothing about the gender of the “beatee”.

                    1. Yes and Hitler wore a nice suit-I swear you men are living in a clubhouse of stupidity.

                    2. You men are all the same, no one has a bigger dick than my Daddy.

          2. What’s the coincidence?

            Congratulations on being mostly coherent this time, though.

          3. How about “never” and “go away”? I don’t comment all the time, but I read them, and you add nothing.

          4. Oh yeah, my first reaction was “never.”

            1. More like Soft Action; they have a pill for that. BTW, only pussies hide behind anon names. I have an idea for you Soft Action; fuck your own pussy.

              1. My Daddy took pills like that. They worked too.

                1. Heller you are so silly-if you want to play daddy we can

                    1. What? You want me to be daddy and you have your Catholic school girl uniform already on? Fuck your sick.

  3. As if I needed further convincing not to move to a northeast state….

    *now MORE THOROUGHLY convinced to stay the motherFUCK out of those socialist hellholes*

    1. But Vermont is socialism with guns.

    2. I love in the “socialist hellhole” of Massachusetts. We’ve been making it illegal for private insurance companies to deny coverage to individuals with preexisting conditions since 2007. Oh, and we have gay marriage. Yes—it’s truly a tragedy here.

      Please.

      Want a “hellhole”? Try Texas. Skyrocketing obesity rates, backwards textbooks, fundamentalists Christians, and almost zero health care coverage. Oh, and the highest rate of executions in the U.S. Yeah, sounds fabulous.

  4. Socialism is a true crime, and this Bernie Sanders has always been a criminal! Keeps your hands off of my health care!

    1. !!!frAfrAfrAfrAfrAfrAfrAfrAfrAfrAfrA

      1. You must be a gay . . . suppose you like socialism too!

        1. The first thing you dipshit liberal trolls go for is fag jokes. Do you have something against fags?

          1. Anyone notice that “sanja” is basically a homophobic, more strident Neil?

            1. I can’t tell parody from reality any more. I don’t even see the value in trying.

              1. There is value in the eternal struggle with the troll; not to defeat it, but to understand it. When you look into the troll, the troll also looks into you.

                1. we are who we pretend to be, therefore we must be careful who we pretend to be – vonnegut.

                  trolls, take heed.

                  1. My alter ego is so in check that there better not be any dogs around!

  5. If this goes through, here’s what will happen after roughly 8 years.

    Phase 1: The plan is implemented. Editorial pages all over the US and western world champion Vermont and the genius of Sanders. The uninsured and poor line up for their “free” care and praise their wise and benevolent leaders for their newfound access to care.

    Phase 2: The program quickly runs a deficit and the supply of health care quickly succumbs to the massive demand. Discussion begins on how to fund it to keep it going. Critics emerge to point out the inherent flaws in the whole idea. Supporters declare that critics of the plan are villains who hate the poor, minorities, and single mothers who want to watch everyone in the “lower” classes suffer.

    Phase 3: The program becomes insolvent. Doctors and nurses stop providing care and all hell breaks loose. The politicians who started the program are nowhere to be seen. One of three things happens (presented in order of likelihood):

    Possibility 1: Either the whole idea is scrapped and the state’s health care system begins a long recovery using highly regulated and entry-restricted private insurance plans.

    Possibility 2: The state program receives a federal bailout to howls of protest from taxpayers.

    Possibility 3: The politicians in power commit career suicide by imposing massive progressive income and property taxation on the citizens of Vermont. The wealthy flee in droves or they lock their money up in municipal bonds or other tax sheltered investments.

    1. Wealthy? In Vermont? Better be vacation home property taxes.

      1. VT already has massive real estate taxes, no?

    2. Possibility 4: As a cost control measure, Vermont closes half of the clinics so that people must stand in line several hours for care. This reduces the number of people in care for which the state must pay, reducing cost.

      1. Possibility #5 all of the State’s doctors move out of State.

        1. Good. And the FIRST motherfucker who should have to wait for health care is Bernie Sanders.

          1. Should and will are often unrelated concepts, especially when it comes to government.

            1. I’m not a big fan of using force, but holding Sanders at gunpoint while he waits his fucking turn at the local clinic would be fun to watch.

    3. Possibility 6: In order to manage the unlimited demand for the limited supply of health care, treatments will be approved/withheld based on cost-to-benefit analysis. No transplants for anyone over XX years of age. No “experimental” treatments, the definition of which changes frequently, depending on which disease/disability lobbies have the most legislative pull.

    4. How strange…we’ve had a program superior to Obamacare in Mass. since 2007 and yet, mystically, we’re not bankrupt. Hmmm….

  6. If this goes through, here’s what will happen after roughly 8 years.

    Phase 1: The plan is implemented. Editorial pages all over the US and western world champion Vermont and the genius of Sanders. The uninsured and poor line up for their “free” care and praise their wise and benevolent leaders for their newfound access to care.

    Phase 2: The program quickly runs a deficit and the supply of health care quickly succumbs to the massive demand. Discussion begins on how to fund it to keep it going. Critics emerge to point out the inherent flaws in the whole idea. Supporters declare that critics of the plan are villains who hate the poor, minorities, and single mothers who want to watch everyone in the “lower” classes suffer.

    Phase 3: The program becomes insolvent. Doctors and nurses stop providing care and all hell breaks loose. The politicians who started the program are nowhere to be seen. One of three things happens (presented in order of likelihood):

    Possibility 1: Either the whole idea is scrapped and the state’s health care system begins a long recovery using highly regulated and entry-restricted private insurance plans.

    Possibility 2: The state program receives a federal bailout to howls of protest from taxpayers.

    Possibility 3: The politicians in power commit career suicide by imposing massive progressive income and property taxation on the citizens of Vermont. The wealthy flee in droves or they lock their money up in municipal bonds or other tax sheltered investments.

  7. Of course after they enact soul killing rationing to pay for this, they will just free load off of other states as Vermonters go elsewhere for care not available in Vermont.

  8. sorry for the double post >.

    1. I thought it was even better the 2nd time!!

    2. Forgiven – it was an awesome post

  9. If the voters in these states really want single payer let them keep their hell holes.

  10. I think I have this figured out, now…

    1. Huge, expansive, universal, one-size-fits-most, cumbersome program with ill-defined rules and regulations, which will be run by [a completely incremental, new set of] unelected bureaucrats

    2. ????

    3. PROGRAM PROVIDES BENEFITS TO THE POPULACE UNSEEN IN ANY REAL LIFE EXPERIENCE TO DATE, PLUS BALANCED BUDGET!!!

    Do I have that about right?

    1. Or,

      1. Collect underpants.

      2. ?????????

      3. Free healthcare!

  11. Not to mention giant new unsustainable unfunded health care employee pension liabilities.

  12. Well, this certainly makes me rethink my whole “move to VT” life goal. Good going, Shumlin. Asshole.

    1. I thought the libertarian thing was to move to New Hampshire.

  13. Caption: “I’m crushing your head!”

    1. Wrong. That is clearly a face pinching stance.

      1. Head crushing will be the means the Vermont Death Panels use to free up funds.

      2. I thought he was re-enacting the time he gave Nancy a rusty clitbone.

        1. Nancy’s clit is even larger than Chyna’s. It smells of rotting leaves and mothballs. Thanks for reminding me, dickface.

    2. He really does manage to look as stupid as he in fact seems to be.

      1. Yes, but you can clearly tell he is morally outraged.

    3. Head Crusher

      Apparently today is a Megadeth day.

      1. Sorry, Face Pincher always wins.

        Megadeth is a gay in a gay house, that is known.

        1. Never mind. I just watched the entire video. (Spoiler Alert!):I forgot that Face Pincher is killed in the end.

          1. Never mess with a pro.

  14. special assistant for reform …deeply involved with the Massachusetts universal-coverage system.

    /record stops

    1. Since you live in Virginia and have zero direct contact with our Massachusetts health care system, you might want to STFU. We (and by “we,” I mean actual citizens of this state, unlike you) like our health care system. Continue to enjoy your lack of coverage in the backward state of VA.

  15. Something must account for the worldwide popularity of socialized medicine, even where not everything else is socialized.

    1. “Somethin’ fer nothin'”

      1. Seriously, you think most people expect to come out ahead? I strongly doubt that’s their thinking.

        1. Seriously, you think most people expect to come out ahead? I strongly doubt that’s their thinking.

          The average person has little understanding of the workings of government programs. Ask the average person what are the costs of sending a letter through the mail and they will tell you $0.42. They have no clue that the true costs are hidden. All they worry about is how much they must pay at any one moment.

          1. But then why wouldn’t they favor socialized everything? There’s obviously something special about medicine that gets it singled out this way.

  16. I’d like to see how many of the rich New Yorkers that Vermont depends upon for its tax base start leaving and flocking to New Hampshire.

    1. I’m a poor Virginian by way of Vermont, but I haz an edumacshun and some of them there techincal skeelz (i.e. the type of person VT wants), and I’m now thinking of NH instead of VT.

      1. Heck, it’s only a few miles over. That said, Burlington is a whole lot of fun. And I’m not even a liberaltarian. But you’ll have Hampton Beach, so that might compensate for it. At least if the Riverdales have described it correctly.

        I was actually happy to see this; federalism will tell us how it works. Of course, when it doesn’t work at all, the federal government will argue that’s exactly why single-payer needs to be universal. No emigration for you!

        1. Problem is northen NH is even lighter on job prospects than northern VT. And growing up in VT gives me a natural rival’s aversion to NH. *sigh*

            1. Hell no. Maine is great to visit, but you don’t want to live there.

        2. “I was actually happy to see this; federalism will tell us how it works.”

          Thats the catch. The Oboma admin has already hinted that it will “work” with vermont on this, ie the federal government will subsidize it in some fasion. It will appear to be sustainable only because of federal dollars and will not be a true experiment.

          1. It’s worked for us so far!

            1. We will fund Cuba indefinitely!

    2. You know, New Hampshire could become a major power as a state with a little marketing. In fact, just a simple name change would do the trick: Nude Hampshire.

      1. Nude Hampshire with a ‘t’ or…?

      2. Nude Humpshire?

      3. Having lived in NH for 20-plus years, there are very, very few residents here that I would like to see naked.

        People eat a lot of ice cream here.

        1. Oh, I forgot:

          VERMONT SUCKS!!!!!!!!!

          1. We do have the best gun laws.Too bad the politics is dominated by liberals .

        2. Like mere facts ever stopped a brilliant marketing campaign before.

          I should know, as I’m the man behind North Dakota’s successful name change to North Florida.

          1. I pretty much constantly wonder who the fuck lives in North Dakota and why.

            1. People who want to demonstrate their ability to withstand ridiculous weather?

            2. Funny thing is North Dakotans constantly wonder the same thing.

            3. People looking to get fabulously wealthy developing oil reserves?

              1. There is that.

  17. I wonder what Ed Tuliper thinks about this?

  18. This sucks. I was gonna go to VT for care when NY institutes socialized medicine. My other closest options are MA and Canada. CT, here I come.

    Shoot me now.

    1. There’s always Rhode Island. They have the best beaches, at least.

    2. I don’t know how to put this gently about about Connecticut, but…

      1. Just one about. No need for the Canadianship.

  19. Peter Shumlin, made single-payer a main campaign pledge. Now he has assembled a team of health officials grounded both in the realities of Vermont medical care

    Riiiiight — a group of people, allegedly grounded in reality, thinking they’ll improve medical care with a government takeover.

  20. Don’t be surprised if they try it again in California. The Terminator vetoed such a bill recently. But Moonbeam . . .

  21. Under the headline, “Construction Stops at Physician Hospitals,” Politico reports today that “Physician Hospitals of America says that construction had to stop at 45 hospitals nationwide or they would not be able to bill Medicare for treatments.”

    http://www.politico.com/politicopulse

  22. Why not try it? it worked so well in Tennessee.

    1. Remember, the reason any crackpot socialist scheme didn’t work is always because it just wasn’t implemented right when we did it before. This time it will be different, comrade! Rinse and repeat.

  23. The biggest profit center for Vermont medecine is Canadians fleeing their single payer system.

  24. I hope this passes. Nothing will bolster the libertarian argument more than the results of a US state with actual, factual single-payer healthcare.

    1. You are assuming the other side is interested in a debate supported by evidence. Single-payer is a matter of faith for the left.

      1. Oh I agree that some people will never be convinced. Every failure of the program will be interpreted as a success by the true believers. But you need more than zealots to get/stay elected.

      2. Faith my ass.

        It’s been proven world wide.

        What HASN’T been demonstrated anywhere is a functional free market health care system.

        1. The only thing proven world wide is the repeated occurrence of patients denied care by their single payer systems to travel to “functional free market health care systems” for those treatments.

        2. Chad, name one country as big or as diverse as the US that has a single payer system.

          On the other hand, as small and undiverse as VT is they might just be able pull it off.

          But then, once cost controls involving fees kick in, how many doctors will want to maintain a practice in the state?

          1. Chad, name one country as big or as diverse as the US that has a single payer system.

            Well, given that the US is the 3rd largest country in the world, that might be tough.

            Germany is pretty close to single payer. But, you know, since their system is only 125 years old, it is probably gonna collapse any day now.

            1. Germany is pretty close to single payer. But, you know, since their system is only 125 years old, it is probably gonna collapse any day now.

              The claims against socialized systems of healthcare of “collapse” and “it won’t work” by free marketers is a major mistake. There are numerous examples of universal type systems that have existed for decades and their opponents can pick any number of them as support for socialization. And when such a system is finally implemented here and it does not “collapse” overnight, the average person presumes that this disproves the arguments against socialized systems.

              The real argument is that these style systems function by installing mandates that cause the very same issues that pro-universal healthcare proponents launch at “free market” healthcare. Everyone does NOT get healthcare. Everything is NOT covered. People die waiting for service. Healthcare providers are more concerned with the bottom line rather than the patient. Costs continue to rise. People still go bankrupt from medical costs.

            2. Umm, key words, “pretty close”.

              Other key word from my comment “diverse”.

              Anecdotal evidence suggests that Germany and some other European countries do not do an awfully good job of delivering services to their ethnic minority populations which are by and large so marginalized politically that any complaints they make go unheard.

              I also agree with what Ray Pew says in his last paragraph.

        3. Faith my ass.

          It’s been proven world wide.

          What HASN’T been demonstrated anywhere is a functional free market health care system.

          How do you define “functional”?

    2. Precisely. If the states are laboratories of democracy, I can’t wait until this one blows sky-high.

  25. I’m not going to cry, you guys are meanies!

  26. Yeesh, the mother of adverse selection problems.

  27. Doesn’t “single payer”- aka the Canadian model- also entail an outright ban on private payment? Would a state making it *illegal* to pay a doctor out of pocket be able to defend that policy in court? I know how economic liberty and property rights have been eviscerated in Federal court, but it still seems like they would run afoul of what’s left of the contracts clause if they made it illegal for anyone but the state to pay for medical services.

    And if they *don’t* make private options illegal, you just end up with what we have in schools: a large, near-monopoly of horrible quality, contrasted with a few high-quality private options that only the rich can afford. Exactly the kind of inequality that keeps scumbags like Sanders up at night (and usually leads them to want to ban the private option, as would have happened in schools if not for Pierce v. Society of Sisters)

    1. I don’t think they’d have a problem with legislating a monopoly in medicine, any more than with utilities or liquor or garbage disposal.

    2. Right now our health care system is exactly what you describe: “[…] a large, near-monopoly of horrible quality […] with a few high-quality private options that only the rich can afford.”

      There you go. That’s American health care as we speak.

  28. The good thing is that it will fail and the other states will say “hell no!” to single-payer healthcare.

  29. Vermont is already facing a $13M shortfall next year;but we can hold out our hand to the Feds and in the meanwhile demonstrate how fiscally unsustainable single payer really is.
    A Vermont Resident

    1. $13M? You’re so cute.

      (ca. resident)

  30. Caption:

    “Look, if you want to know how much it will cost to get your kid a measles shot- and where to go to get it- you only have to read *this many* pages. It’s not that hard, people!”

  31. We’re trying to figure this out, people. Just relax and do what Obama tells you, and no one gets hurt.

  32. any asians in vermont want to sue the state under 14th amendment “equal protection”? Asian diseases are under-researched, and, therefore, under-covered by a universal system. Furthermore, any drug benefits fail the equal protection test, because adequate statistical samples to establish safety and efficacy in Asians do not exist.

  33. Who needs ObamaCare when you can have JayCare, a single-payer whore, I mean escort system. Pick your ho, any price and the taxpayers will pick up the tab. These benefits are already enjoyed by the aristocracy. Why not everyone?

  34. Since Vermont’s total population is composed of approximately 98% honkey, I suppose a wacky scheme like this might work.

  35. Medicare for all IS a cost-control plan. It would allow the 1/3 of our healthcare dollar that currently goes to administrative cost and to for-profit insurance companies for marketing, profit and excessive CEO salaries to go for healthcare. The American people would be spend $350 billion less than we are currently spending on health care in the first year.

    1. You are high. There has never been a government program that has reduced administrative costs, because that’s what government is – A jobs program.

      You obviously don’t read the other articles at this site outlining the excessive public employee pension obligations.

      A group of people who can’t be sued deciding whether they want to increase their own pay or approve procedures for people they don’t know. If you’re a little slow, the snow clearing issue in NYC this past week might give you a hint.

    2. HAHAHAHAHAHAHAHAHAHAHA

    3. Anne, honey, I will bet you $100 right now that, 10 years after VermontCare passes, it will triple any cost estimate used by its proponents when it was implemented.

      1. Is X 3 the over/under line? Because I would like some over action please.

        1. You know 3x is too low. I know 3x is too low. Everyone here but Anne knows 3x is too low.

          The only thing this bet has going against me is that in the 15 years in the future it will take until I get paid $100 won’t get be a cup of coffee at Starbucks.

    4. You really should take the time to go look at what happened to the cost projections for Medicare before it was implemented. It was supposed to save everyone money and be affordable. It wasn’t, not even in the beginning. It has dramatically exceeded, more like shattered, its expected costs. Your idea that somehow the government will not have administrative costs or pay bloated salaries is a fantasy. I challenge you to cite any previous history of our government making any industry more efficient. You have to actually back up your outlandish assertions. It’s not a hope and change rally…people here actually think for themselves (mostly).

    5. Seriously??? Do you realize that Medicare has rampant waste (aka “fraud”)??? Do you realize that Medicare for all means socialized medicine with low quality and long waits OR soaring costs and poor quality due to the third party payer effect??? Do you have any understanding of how markets work??

    6. Yeah, because government workers work for free, and the government never spends money to create propaganda, or wastes money on inefficient processes, and of course there’s no corruption whatsoever. Rrrrrright.

  36. “The American people would be spend $350 billion less than we are currently spending on health care in the first year.”

    Sure, and we’ll spend a bazillion dollars more on litigation costs once the Al Sharptons and David Dukes get started suing on behalf all of “their people” who are being denied care due to being on waiting lists that will be seen as favoring one group or another.

    Sorry, Ms Courtright no one here is falling for your simpleminded cost analysis.

  37. The single payer concept is similar to what some old communists believed, they believed that a single massive factory could supply all the shoes not just the USSR, for the entire world !

    Like shoes every person has their own needs, to assume that a single payer organisation can somehow efficiently meet those needs defies reason.

    Speaking of that what do people like Chad support, single payers for states, or the entire nation or the entire world. Using their logic they would have to support global single payer because that would using their logic be the most efficient.

  38. The following might be of interest to you: vtdigger.org 12-15-2010

    VT Digger provides videos of the remarks of Dr. William Hsiao in a hearing before the Vermont Health Care Committee. Hsiao is Harvard economist and architect of Taiwan’s single-payer system contracted by the Vermont State Legislature.

    What he said:

    A “pure” single-payer system that offers universal coverage and comprehensive coverage for every Vermonter could be costly, Hsiao said. A public option approach would create a government-administered insurance plan that would compete with other insurers and potentially offer lower premium rates because of the government’s bargaining power with hospitals and doctors. Universal coverage in that scenario would not be possible, Hsiao said.

    The last option, Hsiao’s choice, will be “what we think is viable and practical.”

    “When you look at your dreams and you want your dreams to come true, in that process the rubber meets the road,” Hsiao said. “I’m confident our report won’t please everyone. I hope it will please most people.

    1. Hsiao sounds like an idiot. The first clue is his Harvard affiliation.

      Does Hsiao mention anything about freeing up the health care market (removing price controls, anti-competitive regulations, mandated coverage, equalizing the tax code for health care costs, tort reform) so that there is an actual free market and competition?

    2. When you look at your dreams and you want your dreams to come true, in that process the rubber meets the road

      BARF

  39. Single payer is great. You pay for your care. I’ll pay for mine. That guy over there pays for his. Every single person pays for his or her care. Single Payer FTW!

  40. Vermont, taking the insanity of Massachusetts and running with it!

    1. btw, you notice how well our lovely health system is MA is working?
      Percent of population insured: no change.
      Cost: skyrocketting.

      Is it too late to join the Freestaters?

  41. This isn’t anything new in Vermont. In the early 1990s, then-governor Howard Dean was making noise about universal coverage for Vermont residents. So every insurer except BC/BS picked up and left.

    I tried paying for temporary health insurance at that time (I was a VT resident living in DC, just after college). But thanks to Dean’s proclamations, no insurer would underwrite me.

  42. “Single payer”? Ha! A cutesy euphemism designed to avoid calling the system what it really is: government-run healthcare.

    1. Enjoy Every Sandwich:

      Shhhhhhhhhhhhhhh! Don’t say that out loud, then no one will know!

    2. Well, it would be more accurately called government-run health insurance.

      1. LOL you really think it wouldn’t go any further than that? You see, I’m not buying into the name at all.

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