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Vermont Single-Payer Health Reform (Green Mountain Care)


In efforts to increase health care coverage and introduced universal health care coverage, scholars and various players in the United States (U.S) have suggested the adoption of a single-payer health care system. Canadian health care system is one of the most referenced successful single-payer health care systems (Ivers, Brown & Detsky, 2018). In efforts to replicate the vast benefits offered by such a system like ease of obtaining care, affordable, and high effectiveness, Vermont state government passed a policy reform starting the earliest state-level single-payer healthcare system in the U.S. The rationale of this reform which was dubbed as Green Mountain Care (GMC) was to make a system where Vermonters would get universal health coverage. Additionally, it was aimed at creating technological advancements to the then already subsisting system.

Adoption of the Reform

Signed by Governor Peter Shumlin on May 26, 2011, this Vermont Health care reform was described as near-universal coverage to Vermonters that would help them significantly reduce health care spending (Fox & Blanchet, 2015). The GMC was to assist in controlling the health care costs through cutting fees to providers and also wholly modifying the Vermont state health care system. At the same time, the spring aimed at extending the coverage to all the Vermont residents. Despite failing later in 2014, various adoptions strategies had been suggested to achieve the goals of this health reform.

The major components of Green Mountain Care, as provided by the federal health care policies, established propose coverage from private insurers, state-sponsors, and multi-state plans. It could also contain tax premiums to offset premiums and make them more affordable for the uninsured Vermonters. This reform was managed by a board of five …