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Vermont, the Land of Healthy Firsts

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Posted on May 24, 2011

By Amy Goodman

Vermont is a land of proud firsts. This small New England state was the first to join the 13 Colonies. Its constitution was the first to ban slavery. It was the first to establish the right to free education for all—public education.

This week, Vermont will boast another first: the first state in the nation to offer single-payer health care, which eliminates the costly insurance companies that many believe are the root cause of our spiraling health care costs. In a single-payer system, both private and public health care providers are allowed to operate, as they always have. But instead of the patient or the patient’s private health insurance company paying the bill, the state does. It’s basically Medicare for all—just lower the age of eligibility to the day you’re born. The state, buying these health care services for the entire population, can negotiate favorable rates, and can eliminate the massive overhead that the for-profit insurers impose.

Vermont hired Harvard economist William Hsiao to come up with three alternatives to the current system. The single-payer system, Hsiao wrote, “will produce savings of 24.3 percent of total health expenditure between 2015 and 2024.” An analysis by Don McCanne, M.D., of Physicians for a National Health Program pointed out that “these plans would cover everyone without any increase in spending since the single payer efficiencies would be enough to pay for those currently uninsured or underinsured. So this is the really good news—single payer works.”

Vermont Gov. Peter Shumlin explained to me his intention to sign the bill into law: “Here’s our challenge. Our premiums go up 10, 15, 20 percent a year. This is true in the rest of the country as well. They are killing small business. They’re killing middle class Americans, who have been kicked in the teeth over the last several years. What our plan will do is create a single pool, get the insurance company profits, the pharmaceutical company profits, the other folks that are mining the system to make a lot of money on the backs of our illnesses, and ensure that we’re using those dollars to make Vermonters healthy.”

Speaking of healthy firsts, Vermont may become the first state to shutter a nuclear power plant. The Vermont Legislature is the first to empower itself with the right to determine its nuclear future, to put environmental policy in the hands of the people.

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Another Vermont first was the legalization of same-sex civil unions. Then the state trumped itself and became the first legislature in the nation to legalize gay marriage. After being passed by the Vermont House and Senate, former Gov. Jim Douglas vetoed the bill. The next day, April 7, 2009, the House and the Senate overrode the governor’s veto, making the Vermont Freedom to Marry Act the law of the land.

Vermont has become an incubator for innovative public policy. Canada’s single-payer health care system started as an experiment in one province, Saskatchewan. It was pushed through in the early 1960s by Saskatchewan’s premier, Tommy Douglas, considered by many to be the greatest Canadian. It was so successful, it was rapidly adopted by all of Canada. (Douglas is the grandfather of actor Kiefer Sutherland.) Perhaps Vermont’s health care law will start a similar, national transformation.

Anthropologist Margaret Mead famously said: “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” Just replace “group” with “state,” and you’ve got Vermont.

Denis Moynihan contributed research to this column.

Amy Goodman is the host of “Democracy Now!,” a daily international TV/radio news hour airing on more than 900 stations in North America. She is the author of “Breaking the Sound Barrier,” recently released in paperback and now a New York Times best-seller.

© 2011 Amy Goodman

Distributed by King Features Syndicate


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MarthaA's avatar

By MarthaA, May 29, 2011 at 5:19 pm Link to this comment

Hopefully single payer health care will be another first
from Vermont
that floods the country with health care and we
never ever again have to even think about a sick
citizen being dumped somewhere, because that
citizen doesn’t have the money or insurance
coverage to pay for their hospital care.

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By jbud66, May 28, 2011 at 6:18 pm Link to this comment

To: teddiballgame,

Thank you very much for your assessments, and your critique of Amy Goodman’s article on Vermont. I have much respect for Ms. Goodman and her journalistic integrity; and I pay much attention to her work, but unfortunately it seems she is holding back a bit on this one. Perhaps she will be including an addendum to this story very soon.

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By jbud66, May 28, 2011 at 6:14 pm Link to this comment

To: the thirdman,

Chris Hedges is very well aware of the fact that not every liberal is a corporate shill. He mentions this constantly by referring to his liberal friends and colleagues, and their work: People like Ralph Nader, Jeremy Scahill, Cornell West, Jeremiah Wright, Naomi Klein, Noam Chomsky, the late Howard Zinn, Dennis Kucinich, Angela Davis, and Amiri Baraka, among many others.

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By teddieballgame, May 28, 2011 at 4:24 pm Link to this comment

Spencer is either ignorant of the facts or intentionally lying. Because of the runaway bloat in the US healthcare system born of unregulated profiteering, espcially in the insurance and pharmeceutical sectors, per capita health-care costs in the US are TWICE what they are in France; moreover, total healthcare expenditures, as a percentage of GDP, are nearly double in the US what they are in France: the US spends 17 percent of its GDP on healthcare, France 10.3 percent.

See the following for the FACTS:

http://www.creditloan.com/blog/2010/03/01/healthcare-costs-around-the-world/

http://www.kff.org/insurance/snapshot/chcm010307oth.cfm

Second, Spencer the Liar need not ruffle his slumber over Vermont—as I pointed out below (along with Kevin Zeese in another comment), the new Vermont law is not even close to single payer—it’s simply a ratification of the rebarbative PPACA law, with only the flimsiest wisp of a hint of an intent to implement something like a “universal” plan—of what kind, the law does not specify—sometime off in the misty future.

Much of the misleadership of the single-payer movement is spreading rank disinformation about what really happened in Vermont—essentially lies as destructive and flagrant as those purveyed by right-wingers like Spencer.

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By spencer, May 28, 2011 at 12:28 pm Link to this comment
(Unregistered commenter)

This doesn’t save money for everyone.  Some will have to pay more to cover those who will be paying less.  This is unsustainable- as they are finding out everywhere else that tries this.  The costs continue to rise for everyone.  The taxes rise for everyone to cover the cost.  Use goes up.  Eventually- as in France- 21% of income is required to sustain the beast.  That’s on top of all other taxation.

Have fun vermont.

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By Julian C. Holmes, May 28, 2011 at 8:48 am Link to this comment
(Unregistered commenter)

Dear Folks,

Bragging about Vermont’s truly illustrious history may not, however, improve
the chances of attaining true National Single-Payer Health Care,

Let’s deal with facts: The effort by Single-Payer supporters to pass The
EXPANDED & IMPROVED MEDICARE FOR ALL ACT, sponsored by John Conyers
(H.R.676 now before the Congress with over 50 cosponsors and strong
national support from unions), is being diluted by wannabees like Vermont
looking for publicity!

Let Vermont pump up its own good image, and let he rest of us get back to
true NATIONAL Single-Payer Health care.  A word to the wise ,,,  JCH,  Wayne,
Maine

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AnAlienEarthling's avatar

By AnAlienEarthling, May 27, 2011 at 5:07 pm Link to this comment

Another reason for considering a write-in for the
Honorable US Senator Bernie Sanders from Vermont!

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By teddieballgame, May 26, 2011 at 11:22 am Link to this comment
(Unregistered commenter)

This is uncharacteristically sloppy reporting by Amy Goodman . . . and others who have echoed the leading falsehood of this piece—namely that Vermont has enacted some sort of single-payer system.

In fact, it has done no such thing. The bill retains the stranglehold of private insurers and drug companies on the state’s health system—in fact, all it does is clarify the means of enforcing the repugnant Affordable Care Act in the state while paying vague lip service to the idea of creating a single-payer system some time in the misty future.

For a reasonably accurate assessment of what’s really in this bill, see the following statement from Phyisicans for a National Health Plan (PNHP):

http://www.pnhp.org/news/2011/may/vermont-health-law-spurs-fresh-interest-in-single-payer-reform-doctors-group

The only question is why so many progressives are purveying misleading information about the reality of this Vermont bill, which in essence differs very little from the bitter gruel served up by Obama and the Democrats in the form of PPACA.

Here’s my hunch: many single-payer activists invested huge amounts of time and energy in pushing for a single-payer bill in Vermont—and have now turned so much of their attention (mistakenly, in my view) to achieving single-payer through the slow crawl of a state-by-state slog, even though there’s no guarantee that Congress will ever pass the waivers needed to allow state single payer plans. Thus overcommitted to this state-by-state strategy in general and to the Vermont fight in particular, they cannot face the grim reality staring them in the face: they have been rolled again by the oily Dems, just as badly in Vermont as they were in Congress during the national health-care reform debate of 2008-2010.

This is what happens to organizations that spend nearly all their resources and energy pleading and begging (the polite term is “lobbying”) bought-off Democrats rather than thinking about how to build an independent mass movement for single payer.

Just look at the plethora of PDA (Progressive Democrats of America) types on the board of the leading single payer groups, and you’ll see why this is a movement so misguided and so deluded that it now, in perverse Orwellian inversion of reality, celebrates yet another grim defeat as a glorious victory.

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By surfnow, May 26, 2011 at 10:08 am Link to this comment

Good for Vermont. Their single-payer plan will also have another long-term beneficial economic side effect. When workers are not tied down to dead- end jobs that they keep just for the health benefits, some will now opt to begin their own businesses which will require payrolls which will lower unemployment. It’s a win-win for all.

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EmileZ's avatar

By EmileZ, May 26, 2011 at 8:00 am Link to this comment

I LOVE VERMONT and its enlightened citizens!!!

May it rub off on the rest of us.

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By Kevin Zeese, May 25, 2011 at 1:07 pm Link to this comment
(Unregistered commenter)

Vermont passed a good law, but it is not single payer.  It is important to get this right because it will not have the financial savings and efficiency that a real single payer system would have. We don’t want single payer blamed when it does not produce the hoped for cost savings.

The new Vermont Care only provides minimal coverage so private insurers will continue to have a major role in providing the full coverage people need.  Also, if a corporation provides insurance (internally, not with an insurance company) for its employees they will continue.  And, it is likely that the Vermont program will be managed by Blue Cross. 

In addition, they did not incorporate Medicare or Medicaid so those are two more payers.

As I said, this is a good law, probably the best state law in the country, but it is not single payer.

KZ

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By Susan McLoughlin, May 25, 2011 at 11:00 am Link to this comment

Amy on Thursday night, at the Meadowlark Festival in Penticton British Columbia, I heard that Vermont passed a law in 2008 that I believe is unique in the US. This 2008 groundwater law declared that Vermont’s groundwater is held by the state in trust for the public and must be managed for the benefit of its residents. A state with citizens instead of consumers! A rarity indeed. Certainly in Canada. Congratulations Vermont!

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By Cardigan, May 25, 2011 at 9:52 am Link to this comment
(Unregistered commenter)

Tommy Douglas was voted the best by Canadians, second was another health care advocate, the young, handsome Terry Fox.  Fox started a run across Canada to raise money for the cancer that took his leg.  Sadly, he died before completing his run.  His family and all Canadians continue to honour Terry Fox with yearly cancer runs that give millions to his foundation to fight all cancers.  And third—who else, Pierre Trudeau.  I’m a proud Canadian, but if I weren’t, I’d choose Vermont.

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By ocjim, May 25, 2011 at 9:23 am Link to this comment

If the media isn’t the voice of plutocracy, perhaps we can get some national attention for this revolutionary movement. This seems to be the only way we will get really affordable health care and break the backs of the greedfest of the health care industry we have.

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By Myronh, May 25, 2011 at 9:21 am Link to this comment

I have allways thought that insurance for profit is ridiculous. Why should anyone or any corporation make money on my health or misfortune?

There is something immoral about profit created from disaster; whatever that disaster is.

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By SarcastiCanuck, May 25, 2011 at 8:06 am Link to this comment
(Unregistered commenter)

Your a shining star Vermont and your politicians actually care more about thier people then getting corporate kickbacks into thier re-election campaign/Cayman Island accounts.And yes Tommy Douglas is a hero up here.He had ten pin bowling balls dangling between his legs and fought for us like your political wankers should be fighting for you.Fight the good fight Yanks and good luck finding justice.

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Mike789's avatar

By Mike789, May 25, 2011 at 6:54 am Link to this comment

Congrats to VE.

Now, let’s see how long it will take for any commentary from the MSM. If it makes “cents” that inventively marginalizes the megalopolous insurance extortionist, it’ll get little attention nor air time.

Massachusetts is ranked in the top five nationally for there system. S. Carolina Gov. Nikki Haley is disclaiming it as something her populous does not want while being ranked 42nd.

Well, it just makes me think it’s rigged to the status quo which sustains the few at the expense of the many.

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prisnersdilema's avatar

By prisnersdilema, May 24, 2011 at 10:30 pm Link to this comment

let’s hope it sends cold shivers deep down into the bones of every insurance CEO in this
country.  Your time is at an end.

Who will be next?

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THX 1133 is not in the movie...'s avatar

By THX 1133 is not in the movie..., May 24, 2011 at 9:47 pm Link to this comment

Vermont rocks and Gov. Peter Shumlin rocks; hopefully
blazing a trail for all to follow.
Well, one can hope, no?

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By thethirdman, May 24, 2011 at 9:33 pm Link to this comment

Somebody please tell Chris Hedges that not every liberal is a corporate shill.

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By TDoff, May 24, 2011 at 6:40 pm Link to this comment

Good on yer, Vermont. And your maple syrup is healthy, too.

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