Category Archives: Health care reform

The Friday Afternoon Newsdump of the Year

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Gee, what a co-inky-dink. A new report on the rumblin’, stumblin’, fumblin’ rollout of Vermont Health Connect was released on Friday afternoon. 

Before Labor Day weekend. 

When Governor Shumlin was hundreds of miles away, at his vacation home in Nova Scotia. 

Ah, leadership. 

The report is pretty damning, and should have been tackled head-on by the Governor instead of being shuffled quietly out the door on a holiday weekend. It’s not too late; he could come back to work, express dismay at the report’s conclusions, take repsonsibility for administrative failures, promise to learn lessons and do better in the future, and maybe even fire a few people. 

Now, that would be leadership. And it would allow the Governor to launch his re-election campaign next Monday in a strong, purposeful, and accountable manner. Do I think that will happen? Eh, probably not. But it’d be nice. 

The report was written by Optum, the consulting firm that’s trying to fix the mess left behind by former contractor CGI. Topline, per VTDigger: 

A lack of leadership at Vermont Health Connect left the tech firm CGI unaccountable for work it was supposed to complete on the state’s health care exchange, according to a consultant’s report released Friday.

 

The state “ceded” responsibility for the project’s success to CGI, …and as a result, “CGI has not met its commitments.”

This is bad. This is not a technology issue in a super-complicated new system, as the Administration has insisted; it’s a failure of management on the part of Administration officials who should have been riding herd on CGI. Instead, the Vermont Press Bureau’s Neal Goswami says, 

Optum found that accountability for program management is unclear. “Neither (the state) nor CGI believe they are accountable for project outcomes,” the report says.

Am I the only one who’s appalled by that? CGI was fired for poor performance; but state officials failed to make CGI “accountable for project outcomes.” As any business-school professor could tell you, that’s fucked up. And if CGI deserved to be fired, so do the government officials who played a big part in its failure.

And none of those officials are named “Doug Racine.” 

Optum recommended that the state hire a project manager with experience in handling large-scale IT projects. State health care reform chief Lawrence Miller says the state is about to hire such a person. 

Well, huzzah. That’s a little bit late, isn’t it? 

In March, TIME Magazine published a cover story about how the federal health care exchange was on the brink of complete failure last fall. The Obama Administration realized, belatedly, that while they had a lot of policy expertise, they were woefully short in IT. So they basically called the Geek Squad: a team of IT experts from Silicon Valley “dropped what they were doing… and came together in mid-October to save the website. … Washington contractors had spent over $300 million building a site that didn’t work, this ad hoc team rescued it and, arguably, Obama’s chance at a health-reform legacy.”

You’d think, after all of that, the Shumlin Administration would have known it had a huge challenge on its hands, and that it required both IT expertise and intensive management oversight to fix the health care exchange. 

Instead, only now are we hiring an IT expert. 

On Friday, in the Governor’s absence, Lawrence Miller and Health Access Commissioner Mark Larson released the Optum report. And their statements were not at all encouraging; they downplayed the significance of the report and the need for further action. Miller called the report “something of a snapshot,” although as Goswami says, “the findings… are similar to previous assessments by independent parties.” In other words, this report may have been a snapshot, but the picture has stayed pretty much the same over time. 

Miller also said the Administration would use the report “to make decisions about the best way forward with the project.” Well, that’s half right. But you should also use the report to assess the failings of the past — so that you stop repeating them. 

For his part, Larson was even more determinedly lipsticking the Optum pig: 

“On a broad level what we have taken, generally, from this report is that we have worked hard with our vendor partners to create a foundation for Vermont Health Connect.” 

I’m sure they’ve all worked hard. But I’m not convinced that they have worked well or effectively. In fact, if the Optun report is accurate, a lot of the hard work has been wasted or misdirected thanks to a lack of accountability and oversight. Working hard is not an excuse for failing to deliver the goods. 

Oh, and the other news from the ultimate Friday afternoon newsdump: on Optum’s advice, Vermont Health Connect has stopped working on fixing the system. Instead, it will try to make the incomplete system more customer-friendly in advance of the November-February open enrollment period. Further work on fixing the system won’t resume until after open enrollment. 

Great. Even as Governor Shumlin is unveiling his single-payer health care system and asking the Legislature to approve it, Vermont Health Connect will still be an unproven work in progress. 

You know, if I were a lawmaker, I’d refuse to take any action on single-payer until Vermont Health Connect is fully functional. The Governor can’t, in fairness, ask lawmakers to vote for a huge new system as long as the health care exchange isn’t working. 

I’m fully aware that single-payer will actually be simpler than Vermont Health Connect. On a policy level it makes perfect sense. But on a political level, you can’t take the next step in the process until you’ve successfully finished the previous one. 

Beyond the immediate situation, bad as it is, I have a more existential concern. Governor Shumlin earned a reputation as a capable manager in his first term, thanks largely to his response to Tropical Storm Irene. The endlessly-troubled health care rollout threatens his reputation for good management. And that’s why I’d advise him to step up strongly and take his medicine. And, yes, fire  the people who failed to hold CGI accountable. 

If he doesn’t, I fear the best days of the Shumlin Administration may be over. When you’ve been in office for a while, and the opposing party is in disarray, there’s a natural tendency to relax a bit, start seeing yourself as invulnerable, and pay more attention to your image than to the quality of your work. That is the beginning of the end for great leaders everywhere throughout history. Is it the beginning of the end for Peter Shumlin? 

And for single-payer health care?

If you can’t improve your product, get a better salesman

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Let’s start with the thesis (for once): I still don’t understand why Doug Racine was fired. I have some guesses, but the official story doesn’t wash. 

From Governor Shumlin, we’ve heard the usual “time for a change” bullcrap. From Racine, we’ve heard that the Administration wanted more of an “ambassador,” while he’d been keeping his nose to the grindstone at the Agency of Human Services. Racine offered the following comments in a Wednesday interview on VPR’s Vermont Edition: 

They mostly focused on style. [They said it wasn’t about the troubles at the Department of Children and Familes, and never mentioned Vermont Health Connect.] I had been focused on the Agency… What they said they wanted was somebody who was going to be out there a little bit more, in front of the media, and in front of local groups and constituent groups, and just to be talking more publicly about the good work of the agency. They said I wasn’t the right person to do that.

Well gee, Doug Racine spent a lot of years in politics. I’d think he could be an effective “ambassador” if needed. And if he believed in the product. Besides, a problem with “style” doesn’t seem urgent enough to warrant the sudden and immediate dismissal of an original cabinet member. Hell, Racine cleared out his desk right after his firing: they wanted him gone, and gone NOW. They didn’t want him wiping his hard drive or stealing office supplies. 

I don’t have any inside information, but here’s what I think. The Shumlin Administration knew it would be cutting the budget, and that most of the cuts would happen at AHS. They knew the agency was already overstretched, and that Racine had long believed it was badly under-resourced. 

I look at the ratios, I look at the work they do, I talk with a lot of the workers. They’re very stressed. They’re dealing with families in exceedingly difficult situations.They need more people, there’s no question about it.

And then Racine said something I found telling: 

 I met with some of the [DCF staffers] who testified [at Tuesday’s legislative hearing], I met with them last week, and I urged them to go and tell their story to the Legislature. …I’m glad that they were there, I’m glad they testified, and I hope the Legislature was listening.

That hearing gave voice to the frustration and despair among DCF staffers. In the context of this week’s budget cuts — which Racine had to know about last week — their testimony was a big fat warning shot across the Administration’s bow. And he encouraged them to speak out. Not very ambassadorial, that. 

When Doug Racine ran for Governor in 2010, concern about Human Services was one of his top priorities. As AHS Secretary under Shumlin, he has tried to stretch the available resources as far as he could. He was a loyal soldier, trying to preserve human services programs in very tough times and not complaining in public. 

And then came another round of cuts, and the primary targets, per VTDigger, were (1) the already overextended DCF, and (2) Shumlin’s pet project for 2014: substance abuse treatment. 

Do you think that might have forced a confrontation with Racine? It looks to me like the Administration not only wanted him to swallow more bad news, but wanted him to get out in public and actively promote the budget. He could have done the former, but he couldn’t bring himself to do the latter. 

Again, no inside information, just educated inference. 

The only explanation I can think of for the timing is (1) the pending budget cuts, and (2) the election campaign. Shumlin wanted a cheerleader, and Racine wouldn’t pick up the pom-poms. 

Meanwhile, the interim AHS chief, Dr. Harry Chen, is by all accounts a good guy and an able administrator. But when I read Terri Hallenbeck’s story in the Freeploid, I saw some obvious holes in Chen’s game. First of all, he describes himself as very much a hands-on manager coming to a job where that might not be possible: 

Chen… said the management style he brings to the job includes lots of interaction with staff. 

“I wander the halls,” Chen said, acknowledging that as secretary of an agency that oversees such a vast array of services, there may be too many halls to wander in too many far-flung buildings.

And Senator Kevin Mullin pointed out that “two key areas where Chen may lack expertise the agency sorely needs is in information technology and child protection issues.” Which happen to be the two biggest challenges facing AHS. 

Dr. Chen’s interim appointment expires at the end of the year. He’s got four months to “wander the halls” and, he says, make recommendations about changes in the agency. In his first day on the job, reports Hallenbeck, he met with central office staff to give them reassurance. But he’ll have to make some tough decisions in a hurry. Sort of like his former job as an emergency room doctor: get as much information as you can as quickly as you can, and then do what you have to do. 

Might be more blood on the floor in the not too distant future. And I suspect that when Dr. Chen isn’t wandering the halls, he’ll be facing the cameras and telling the people of Vermont something that sounds a lot like this: “These are challenging times but the Agency is up to the task, and the Shumlin Administration is giving us all the resources we need.”

Rah, rah, sis boom bah. 

So it was a push, not a jump

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Media reports posted after my initial VPO piece on Doug Racine’s departure make it clear that Racine was fired as Human Services Secretary; he did not resign. And he was fired in a sudden and coldblooded way. The best reporting comes from Paul “The Huntsman” Heintz, who got the skinny from the firee himself.

In a phone interview, he said he was summoned to the 5th floor of the Pavilion State Office building at 4 p.m. Monday for a meeting with Shumlin chief of staff Liz Miller and Secretary of Administration Jeb Spaulding.

“I went in and sat down. They said, ‘The governor wants to make a change at your agency.’ I said, ‘Who would that be?’ Jeb looked at me and said, ‘You,’” Racine recalled. “We talked about it for a few minutes and then I went to the office and cleaned out my desk.”

So now we know who wields the hatchet in the corner office. Shumlin did give Racine a call about an hour after the meeting, and it was relatively cordial; but hell, couldn’t he do the actual deed himself? Especially since Racine had handled the hardest and most thankless job in state government for three and a half years?

There was also a Profiles In Courage moment Tuesday afternoon, when Shumlin went kinda wishy-washy on the nature of Racine’s departure, i.e. voluntary or not:

Asked what, specifically, prompted Racine’s exit, Shumlin said, “Specifically answering your question is exactly what I’m not going to do.”

Well, at least it was a head-on refusal to answer instead of the usual “bury ’em in bullshit” routine.

When I call AHS Secretary the “hardest and most thankless job,” here’s what I mean. It handles a whole lot of disparate programs aimed at helping our most unfortunate. It’s a huge agency by Vermont standards. As I noted earlier, it was hit hard by the Douglas Administration’s ill-fated Challenges for Change initiative, not to mention its misadventures with technology contracts (which were at least as bad as Shumlin’s). And it was ground zero for the health care reform effort and all the attendant troubles.

In addition, AHS’ challenges were compounded by Tropical Storm Irene, which left a whole lot of people in need of help — and which scattered the agency’s personnel to rented spaces in multiple communities because of the flooding in Waterbury. And they are still scattered today. Not to mention the flooding and forced closure of the Vermont State Hospital and the ensuing years of chaos in the mental health care system. 

Doug Racine handled all of that with grace and dignity. He kept his nose to the grindstone and almost never uttered a discouraging word in public. I’d think that was a good thing, but apparently he was too quiet for Shumlin’s taste:

According to Racine, the governor wanted a secretary more willing to engage with the news media and interest groups.

“If anything, it was perhaps not being out there enough,” Racine said.

I always thought Racine’s quiet style was perhaps exactly what Shumlin wanted from his longtime political rival. Either that, or Racine himself opted for the low-profile approach because he didn’t want to come across as bitter or as a potential political threat.

As I said in my previous post, I understand the need for a sacrificial lamb. And between the problems with health care and DCYF, I can see why Racine got the axe. But the way it was done? I think Racine deserved better.

A head has rolled

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Shocking, but not surprising news this morning out of the capitol city. Paul “The Huntsman” Heintz:

Gov. Peter Shumlin has dismissed onetime political rival Doug Racine as secretary of the embattled Agency of Human Services.

“These decisions are difficult, but the governor felt a change in leadership at AHS was needed at this time,” Shumlin spokeswoman Sue Allen said Tuesday morning.

Doug 'n Pete in a happier moment. (Photo from VPR)

Doug ‘n Pete in a happier moment. (Photo from VPR)

Laura Krantz at VTDigger writes it as a Racine departure, not a firing. Which makes me wonder if the last straw was last week’s emergency budget adjustment, with its calls for further cuts in an already-overstretched agency. Maybe Racine stood up for his people, and got shot down for his trouble. I have no inside information on that point, but the timing certainly fits.

Whether a push or a jump, the shock is the suddenness of it all and the fact that the scythe took its first cut at the top level rather than, say, taking a Mark Larson or a Robin Lunge. It’s not surprising because sooner or later someone in state government had to take the fall for Vermont Health Connect’s continued troubles.

I say so not because any one of the three is more or less culpable for the VHC mess, but because Larson and Lunge were more directly involved. And because a cabinet member is a key gubernatorial appointment, this is a more direct reflection on the Governor himself.

But as Heintz points out, the trouble isn’t all health care-related. AHS’ Department of Children and Families has also come in for criticism following the deaths of two young children under its supervision. In that context, Racine was the most relevant target.

Health Commissioner Dr. Harry Chen will be interim AHS chief, with an appointment through the end of the year.

My take, and I have absolutely no knowledge of how AHS works or doesn’t: It was an almost impossible job. In fact, when Shumlin appointed his chief political rival to the post, I wondered whether it was an honor or an exile. AHS is a big, complicated operation that’s usually overtaxed and underresourced. Racine took the job after years of Jim Douglas-mandated cuts, and the disastrous implementation of Challenges for Change. It was the kind of job that was almost certain to leave Racine with a tainted reputation as a manager, especially with the Governor’s aversion to tax hikes and obsession with cost-cutting. And on top of all that, AHS was home base for health care reform and its myriad pitfalls.

It was a thankless job, and Racine kept at it for almost four years. And did his job largely out of the public spotlight, with a dignity and dedication that speaks well of him.

 

Everybody loves good ol’ Phil

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I think I’ve identified the source of Lake Champlain’s outbreak of blue-green algae: last week’s party in Senator Dick Mazza’s Corvette-laden “garage” on behalf of Lieutenant Governor Phil Scott. Enough horseshit was generated to feed an algae bloom for months.

I’m sorry I missed it. Guess my invitation got lost in the mail. Fortunately, the Freeploid’s Nancy Remsen was there, and made the Mazza Tov the centerpiece of her Phil Scott profile in the Sunday paper. From her account, I extract a few gems…

The Republican lieutenant governor glad-handed Republicans, Democrats, lobbyists and business leaders…

I guess Good Ol’ Phil won’t be a supporter of VPIRG’s campaign finance reform agenda. Just a guess.

“It is great to see such a bipartisan crowd,” [former Governor Jim] Douglas observed. He wasn’t surprised, he said, noting, “Phil Scott is the kind of Vermonter who doesn’t worry about someone’s party label.”

Immediately thereafter, Douglas revealed himself to be the kind of Vermonter who DOES worry about party labels:

Douglas urged the crowd to help re-elect Scott to “make sure we don’t have lopsided government.”

As I have observed before, should we be electing people based on affirmative action? Or should the onus be on Republicans to craft a message that actually resonates with the Vermont electorate?

Oh wait, here comes Senate Penitent Pro Tem John Campbell, who was on hand to offer his almost-not-quite-nudge-nudge-wink-wink non-endorsement.

“I’m here to support a friend,” Senate President Pro Tempore John Campbell, D-Windsor, said as he stood near Scott in the Corvette showroom. Campbell qualified his support, saying, “I’m not raising funds for Phil.”

Isn’t that nice. I guess I shouldn’t think of this as treason.

No, I guess not, because as Campbell says, he’d support a real actual Democrat for Lieutenant Governor, but he won’t support Progressive Dean Corren even if he wins the Democratic nomination. Campbell just can’t overlook Corren’s long-ago “bashing” of Democrats, even though today’s Corren has definitively foresworn any and all Dem-bashing, promises to work hand-in-hand with Democrats, and is much more politically aligned with Governor Shumlin than is Phil Scott. But I guess Campbell, like Jim Douglas, is unfortunately obsessed with party labels.

Also on hand, making excuses for their Phil-anthropy, were State Senator Dick McCormack and Burlington Democrat Ed Adrian. McCormack “acknowledged that his views on many issues are probably closer to Corren’s, ‘but what I’ve done with Phil really counts for a lot.'”

Awwwww, how thweet. As for Adrian, well, he offered his own variation on the VTGOP’s affirmative action theme: keep Phil around as the token Republican.

If Democrats occupy every position of power, they are just going to fight among themselves. What is wrong with having a moderate, token Republican who would frankly be considered a Democrat elsewhere in the country?

Sorry, Ed, color me unconvinced. What’s wrong with having a “token Republican” in the Lieutenant Governor’s office is that, as a member of the Senate Rules Committee and the tiebreaking vote on legislation, he could become a significant roadblock in the push for single-payer health care and campaign finance reform. And I am unmoved by the fact that Scott would be considered a Democrat in West Virginia or Nebraska. It’s like Roger Allbee running for a Democratic Senate seat in Windham County: he may be a liberal Republican and he might make a really good Senator from, oh, Rutland County or the Northeast Kingdom, but he’s too centrist for the Windham electorate. Same with Scott: he’d be a fine Lite-Gov if it were entirely a ceremonial position, and he’d be a breath of fresh air in Montana or Wyoming, but as Lieutenant Governor of Vermont he’s a potential obstacle to Governor Shumlin’s top priority. Which is why Shumlin has all but endorsed Dean Corren.

Maybe it’s because I’ve never had the chance to fall under the up-close-and-personal spell of Phil Scott’s charms*, but I don’t get the Scott fetishism among so many of our Democratic officeholders. It’s reminding me quite a bit of the Vince Illuzzi fetishism of two years ago. Nobody gave Doug Hoffer much of a chance because he was a Progressive, and a rather abrasive one at that, while Everybody Loved Vince.

*Maybe it’s his private-label cologne, a bi-attractant blend of pleasing moderation with rich, manly undertones of racing fuel and asphalt. 

Except when it came Election Day, it turned out that the inside-the-Dome crowd didn’t represent the electorate as a whole. I’m hoping the same thing happens with Corren, for the sake of single-payer’s prospects in the Senate, and in order to drive another stake into the heart of the old-boys’ network, go-along-get-along atmosphere that beclouds our Most Stagnant Deliberative Body.

The curious incident of the dog in the night-time

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So yesterday, your top three Republican officeholders held a well-timed dog and pony show on the subject of Vermont Health Connect. Lt. Gov. Phil Scott, Senate Minority Leader Joe Benning, and House Minority Leader Don Turner praised Governor Shumlin for finally pulling the plug on the troubled CGI contract, but called for a thorough “scrubbing” of the process and perhaps the firings of some Shumlin Administration functionaries.

Standard stuff, and a sound political move. The Administration deserves all the criticism it gets until it delivers a fully-functional VHC. But what struck me most about the event was a conspicuous absence: Republican gubernatorial candidate Scott Milne, the party’s putative standard-bearer, was nowhere to be seen. Or, in Sir Arthur Conan Doyle’s immortal words:

Gregory (Scotland Yard detective): “Is there any other point to which you would wish to draw my attention?”

Holmes: “To the curious incident of the dog in the night-time.”

Gregory: “The dog did nothing in the night-time.”

Holmes: “That was the curious incident.”

Scott Milne, the dog that did nothing.

According to a reporter who attended the event, the three addressed Milne’s absence by saying that they were discussing legislative action and Milne’s not in the legislature.

To which I say nope, not buyin’ it.

I don’t necessarily think they were lying. But I do think there are three possible explanations, none of which involves the imaginary line between politics and legislation.

First of all, a few facts. The CGI termination was announced on Monday, so it made sense for the Big Three to have a presser on Tuesday. And, according to Milne’s campaign schedule, he was in the Bennington area most of the day. So attendance at a Statehouse event would have been difficult.

But still. Milne is the head of the VTGOP’s ticket. Wouldn’t it have been nice to give him a share of perhaps the biggest single spotlight of the campaign so far?

I can see why the event had to happen shortly after the CGI announcement. But couldn’t they have, oh, found a way to work it out? Fit the presser into Milne’s schedule, or have Milne shuffle his? Or, failing any of that, have Milne there by Skype or videoconference? There were ways to make this work.

Back to my three explanations, none especially flattering.

1. They truly saw this as a purely legislative event and didn’t think of inviting Milne. That’s called not seeing the forest for the single tree of an ersatz principle. This was a great opportunity to present a unified front on one of Shumlin’s greatest vulnerabilities.

2. Milne was invited and chose not to shuffle his schedule. Which would be a political fumble of the kind all too typical of his nascent campaign.

3. The Big Three didn’t really want Milne there. Which would be the most damaging option. It’d be a strong indication that the VTGOP already sees Milne as a lost cause and a liability.

Take your pick.

The Democrats run something called the Coordinated Campaign, in which candidates contribute to a central fund that helps pay for all kinds of organizational goodies, like compiling voter data, managing volunteer activities, shared mailings and other campaign materials, GOTV, etc., etc. And whenever there’s a media event featuring Governor Shumlin, appropriate Democrats are part of the action.

At best, the Republicans are running an Uncoordinated Campaign and missed a golden opportunity to showcase their top man. At worst, Scott Milne is an isolated, doomed figure and nobody wants to be seen with him.

The Milne Transcripts, part 8: Open mouth, insert foot, BITE DOWN HARD

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The final installment in my only apparently endless series of posts from Scott Milne’s disasterrific July 25 interview on WDEV’s Mark Johnson Show, available for your cringing pleasure on Johnson’s podcast site. 

This time, we bring you some of Milne’s most spectacularly inarticulate moments. 

As you may recall, in part 1 of this series I reported Milne’s desire to fill “the need for a, hopefully what the people will judge me as an articulate voice of opposition to that.”

Keep hoping, brother. Milne went on to embody the polar opposite of “an articulate voice” of anything. At times, he sounded more like an unprepared high-schooler bullshitting his way through an essay than a serious, major-party candidate for the state’s highest office.

Milne had a lot of trouble with health care reform. For several minutes, he got confused between Vermont Health Connect (the current system) and single-payer health care (Governor Shumlin’s ultimate goal). But he began his tiptoe through the minefield with this answer to Johnson’s basic question, “New problems with Vermont Health Connect have been revealed this week. What would you have done differently?”

Whether you’re for or against Obamacare, i.e. the Affordable Care Act, it’s a national law and I think the Founding Fathers set up this federal government that enables states to do a lot of things and enables states to be the incubators of best practices. And one of the fundamental principles of our campaign is that the more locally a decision can be made, the better it is. I would trust a decision by a selectboard or a city council over a state legislature when it makes sense, and clearly a decision made by a state legislature over the federal government when it makes sense.

That was just the preamble to a long, discursive response that could be boiled down to “Shumlin bad.” See what I mean about the unprepared high schooler?

But wait, there’s more. Milne repeatedly called the Shumlin Administration “reckless” in establishing Vermont Health Connect — but at the same time, he refused to take a stand for or against single-payer. That triggered this exchange:

Johnson: You called the Governor reckless on health care reform. You said it was too bold a move. How can you possibly go forward with single-payer?

Milne: Um… That’s a pretty, um, now I see why you’ve got your own show, Mark. Um. You know, it’s part of our strategy to get elected to spend August talking about the Shumlin Administration and their lack of management expertise, which is part of leadership, and the reckless ideas that have given them a greater opportunity to mismanage the affairs of the state. Um, I think that, ah, folks in your seats, i.e. the press, have let the Shumlin Administration get away without answering questions for six years. I’m new to this game; I should get 30 days.

Johnson: What questions haven’t the press asked Shumlin about health care?

Milne: I didn’t say you didn’t ask ’em, I said you let ’em get away without answering ’em. He hasn’t answered how he’s going to pay for it.

Johnson: Is that the fault of the press for not getting the answer out of him?

At this point, Milne seemed to realize that he’d just directly insulted his host, a longtime member of the Vermont media on radio and in print, and all of his colleagues in the media. You know, the folks who’ll be reporting on his campaign. And suddenly, his brain sounded Retreat!!!

Milne: No, no. I mean, but, but I’m saying — uh, no, it’s not the way I — I think, I think it’s, um, I think, I think um, it’s a, it’s a great question. I think it is not the fault of the press, but that, um, letting somebody get away with changing the subject when there’s, you know, an elephant in the room that they’re ignoring, uh, we should be reminding people about the elephant and not talking about the distractions.

Ugh. It’s not the press’s fault, but they did let Shumlin get away with it. In other news, the bank was robbed but it’s not the guards’ fault.

I could bring you many more examples of Milne’s inability to produce coherent sentences, but I’ll just skip to the end of the interview. Johnson, taking some pity on his shriveled husk of an interviewee, tossed Milne a softball for his final question: “Tell us about a life experience you’ve had that would convince people that you should be Governor.”

Fasten your seat belts. It’s gonna be a bumpy ride…

Um, well, let’s see. A life experience I’ve had that would convince people I should be Governor. Um, hopefully the opportunity to meet me over the next 60-90 days, have a conversation, realize I’m really not trying to sell you anything. I mean you talked about fundraising, I’m a little uncomfortable calling people asking for money, but, um, I, I think my whole life experience is one of growing up in Vermont, um, been interested in what’s going on, I’ve met every Governor of my lifetime in Vermont, which is one of the great blessings of being in Vermont, it’s sort of like being in New Hampshire every four years, you can meet primary candidates for Presidents if you want to.

Um. Got a good history in Vermont. I’ve got a political science degree. Paid attention to issues. But I guess my whole life is, you know, there’s reasons why maybe you don’t want to vote for me, and, ah, hopefully you realize I’m, uh, in this, ah, not for my personal ego, uh, I don’t know that this is a great, um, experience for my business, uh, but I just felt like, um, somebody needed to step up and point out the real danger to our future that’s, um, to me very, very apparent if we continue down the road we’re on and it, ah, and the Shumlin Administration seems to be doubling down on everything they’ve done over the last four years now and, they start doing an about-face in the next 60 days, my guess is going to be because they read a poll and realized that’s what they had to do.

Yeah, that “life experience” question is a real stumper. Good grief, Johnson gave you a chance to be a relatable human being and garner some sympathy for your quixotic cause. And all you could do was kick it around for a couple of minutes and leave people wondering what the hell you were talking about.

There you go. My eight-part guide to one of the most disastrous interviews in Vermont political history.

This time they’d better get it right

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The latest turn in the saga of Vermont Health Connect came today, with the cancellation of CGI’s contract to develop VHC’s endlessly troublesome website. The move comes seven months after the Obama Administration fired CGI as contractor on the federal website, and four months after Massachusetts did the same.

You can say the Shumlin Administration waited too long; or you can say they tried to stick with CGI as long as they could because the company knew more about the system than a new contractor possibly could. And, as the Freeploid’s Nancy Remsen reports, this disaster had many fathers:

The marketplace… has struggled since its launch Oct. 1. CGI missed many deadlines to complete processes and make fixes, although state officials and independent analysts have noted the unreasonableness of the compressed federal timeline that all states had to meet.

That “compressed federal timeline” was the result of numerous conservative lawsuits against the Affordable Care Act. No serious progress could be made until the Supreme Court had its say, which basically cut half of the preparation time for Obamacare’s launch.

But either way you slice it, the time had come for “a fresh perspective,” as health care reform czar Lawrence Miller put it. Whether CGI was truly at fault or not, a ritual sacrifice was called for. Its replacement, Optum, had already been hired to address a backlog of stalled “change of circumstance” requests.

It must also be noted, disapprovingly, that Miller and Mark Larson of the Department of Health Care Access were left to announce CGI’s departure in what looks, in media photos, to be a dreary and hastily-arranged encounter with the media. No sign of Governor Shumlin who, according to his official schedule, is in Montpelier today but couldn’t manage to join his long-suffering functionaries. He’ll be in public all over the place the rest of this week, wherever there’s good news to be announced; but not today. Sorry.

Those of us who support health care reform with single-payer as the ultimate goal have been frustrated by the continued delays and setbacks at VHC. And by the repeated (and routinely unfulfilled) assurances from the Shumlin team.

Well, now is the time to get it right. Good thing the Governor doesn’t face a signficant electoral challenge this year — although the longer this goes on, the more likely the Democrats are to lose seats in the Legislature. And with moderate Dems already doubtful about single-payer, Shumlin really can’t afford to lose any votes.

But beyond that, if VHC’s troubles continue into next winter, it’s hard to see the Legislature seriously considering a single-payer plan. Miller has accurately noted that single-payer will actually be a lot less complicated than the health care exchange — a bigger machine, but with far fewer moving parts. Still, why should the legislature go ahead with single-payer while VHC is still unproven?

This is a critical time for health care reform. There’s better damn well be measurable, actual progress before Election Day.

The Milne Transcripts, part 5: I’m not telling you

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The latest in my series of posts about Scott Milne’s epically bad July 25 appearance on WDEV’s Mark Johnson Show. Not only is he not ready for prime time, he’s not ready for 9 a.m. on a weekday. 

If the late Fred Tuttle was the Man With A Plan, then Scott Milne, Republican candidate for Governor, seems to be the Man Without A Plan. Time after time during the interview, he refused to take positions on important issues. He deferred until September or even until after the election; he said issues were too complicated for him to immediately answer.

His usual excuse was that he’s only been running for a short time. “I’m new to this game,” he told Johnson at one point, “I should get 30 days.” This is a reference to his campaign strategy: August is for attacking the Shumlin Administration, and September is for unveiling his own policies.

Well, I can sympathize with a candidate who’s just getting started — but whose fault is that? Which inexperienced candidate waited until the last possible moment to launch his campaign?

Er, that would be Scott Milne.

It’s like an actor who agrees on short notice to step into the lead role in a play, but when the curtain rises on Opening Night, he tells the audience he needs more time to learn the part because “I’m new to this game.” You think the audience would walk out?

Sorry, Mr. Milne. You signed up for this. You knew the calendar. The lights are up, the curtain is drawn, and you’re on.

Let’s look at his platform of procrastination, shall we?

— On health care reform, he refused to take a stand on the concept of single-payer (although he also called single-payer “reckless” more than once, so take your pick):

The single-payer is clearly something that we’ll be continuing to look at, and talk to the folks that I’m talking closely with now, and we’ll have some more specific ideas on that before the election.

— He calls Vermont’s economy his top priority. What will he do? “We’ll have a plan for fixing the economy” before Election Day. But he did offer a hint about his plan — albeit a useless one:

Our primary, um, fix that we’re going to offer to Vermont is, uh, a much better tone and friendly tone towards business, and then some specific plans about how to attract business and keep business in Vermont.

Aha. His “primary fix” is a better “tone.” Which makes sense; his primary criticism of Shumlin is the “unfriendly tone” toward business. If we just adopted a better “tone,” our economy would shoot through the roof.

— At one point, a caller asked about the then-extant possibility that Vermont would temporarily house some of the immigrant chlldren who have crossed into the US. He began with some good hemming and hawing:

The, um, situation of, ah, folks coming into, ah, Vermont from Central America is, is a really tough one.

After that inarticulate start, detoured into a standard Republican attack on President Obama, filled with ums, ahs, awkward pauses, and even a “Holy Shamoley,” before Johnson prompted him to answer the actual question.

Uh, I don’t know yet. I mean, I’m not going to jump up and down and say no. … I think it’s a complicated decision that deserves a lot of thought.

And then he patted himself on the back for having no opinion on the issue — because taking a stand would be the easy thing to do. Uh-huh. Also the leaderly thing to do.

— On the vexing subject of reforming public-school funding and organization, Milne plans an even bigger dose of delay:

I don’t think we’re going to have a specific plan before the election. What I’ve promised is, there’ll be a plan from the Milne Administration in the House and Senate in the first half of the biennium.

I can understand why he doesn’t want to stake a position during the campaign; the issue’s a toughie, and he’d be alienating some voters no matter what he said. But again, not exactly Leadership in Action.

All this deferral makes Scott Milne look weak. It’s even worse when he sounds weak as well: his voice hesitant, his sentences often incomplete and littered with “ums” and “ahs.”

Scott Milne posits his procrastination as The Big Plan: the “August Strategy” of attacking, the “September Strategy” of revealing his own ideas. I would argue that this is completely ass-backward: Now is the time when Scott Milne has the stage to himself, because Governor Shumlin won’t formally start the campaign until after Labor Day. Milne should be rolling out his proposals this month, and engage the Governor in September and October, when the two men will be sharing the stage.

Of course, the September Strategy is a convenient rationale for a candidate who’s just getting his feet wet and hasn’t worked his way through the issues. He said so himself, frequently referring to “the people I’m talking to” as he formulates his own views.

Not a good look for a man claiming to offer “leadership.”

Best get crackin’, Mr. Milne. You’re on stage, you’re fumbling it, and you’re losing the audience.

Sweet deals, or no deals?

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The 2015 legislative session looks to be big and contentious, including the likely rollout of Governor Shumlin’s single-payer health care plan and a serious debate over public-school organization and financing. We can also expect a new battle over campaign finance reform, VPIRG’s #1 issue for the year.

And there will be a new fight over taxing sugar-sweetened beverages, a measure that has failed twice in recent years. But a new year, a new push, and a new guy taking leadership: Anthony Iarrapino is leaving the Conservation Law Foundation to head the Alliance for a Healthier Vermont, the coalition that spearheaded the sugar-tax fight in 2013. Iarrapino told VTDigger, in the words of Bullwinkle T. Moose, This time for sure.

“We’re going to have the resources this time around to really mobilize and educate the public and policy makers on the wisdom of Vermont once again leading the nation in an important policy area,” he said.

The Alliance claims to have $200,000 to bankroll its campaign and counter the efforts of Big Food and the ever-vigilant Vermont Retail and Grocers’ Association. It also seeks to piggy-back on health care reform, by offering a short-term revenue boost from the tax and the longer-term cost reductions from lower rates of sugar-induced illnesses.

It’ll be interesting to see how Governor Shumlin plays this. (Yes, I’m assuming his re-election. Aren’t you?) He can surely use every bit of money he can find for single-payer; but he’s opposed this tax in the past, and his campaign is getting heavy support from the likes of Coca-Cola.

But I would be Shocked, Shocked, if there were any quid pro quo involved.

Jim Harrison of the Retail Association is dusting off his talking points, including the hardy perennial “a tax would hurt retailers near New Hampshire.” Yeah, well, it might hurt big supermarkets within shouting distance of the border, since a 2-cent-per-ounce tax adds up if you’re buying a 30-pack of Mr. Pibb. I doubt it’ll impact our cherished Mom and Pop enterprises; hard to see too many folks driving across the border if they’re just stopping in for a quick Gatorade fix.

But Harrison’s biggest laugh line was this:

Nothing has changed since previous efforts to pass the tax, adding that it’s still regressive and “goes down the path of government trying to decide what’s best for consumers through tax policy,” Harrison said.

Bwahahahaha. Stop it, Jim, you’re making me shoot coffee out my nose.

You kiddin’ me? Government uses tax policy ALL THE TIME to “decide what’s best for consumers.” Take the mortgage interest rate deduction or the charitable contributions deduction. Take any stinkin’ tax deduction, break, subsidy, or exception. Take the capital gains tax rate, which decides it’s better to be a rich investor than a working stiff.

And if you just want to talk about sweeteners, well, that’s the mother lode of government using tax policy to “decide what’s best for consumers.” Agribusinesses that produce sugar and corn benefit from extremely generous subsidies, price supports, and free “insurance.” The result is lost tax revenue for the public till, a farm system that’s heavily skewed toward the biggest producers and commodity crops that go into junk food of all kinds, and — pay attention, Jim — higher cost for consumers because of artificially high sugar, corn, and soy prices.

So please don’t insult our intelligence with that “government shouldn’t decide what’s best for consumers” nonsense. That ship sailed a very long time ago.

Anyway, it should be an interesting battle. I expect legislative leaders to trot out the old reliable “too many other issues on our plate” line, in an effort to put off consideration of the sugar tax. It’ll be up to the likes of Iarrapino to make it a fight they can’t postpone. As we saw with the GMO labeling bill this year, it’s possible to build momentum behind an issue that lawmakers might prefer to duck, but it takes a concerted effort.

And it’ll require a softening of Shumlin’s hard-line stance. Not an easy thing to accomplish.