There was plenty of talk during the 2024 legislative session about housing, homelessness, Act 250, climate change, school funding, crime, opioids, and other big issues. I don’t recall health care occupying the spotlight at all.

And then last week, an outside consultant delivered a devastating assessment of our “badly broken” health care system and said that wide-ranging “structural reform” is needed as quickly as possible. Or, for those underwhelmed with what passes for leadership in our Brave Little State^TM, much quicker than seems plausible.

Maybe the only person who might feel a little bit good about the consultant’s report (downloadable here under the title “State-Level Recommendations for Hospital Transformation,” because the Green Mountain Care Board is all about that clickbait) is former governor Howard Dean. You may recall that when he dipped his toe, ever so briefly, into the political waters, health care was the only issue he spotlighted. I noted that it was kind of refreshing to hear someone focus on health care, which seemingly left the front burner after former governor Peter Shumlin abandoned single-payer health care.

Continue reading →