Tag Archives: Owen Foster

If Phil Scott Gives a Damn About Affordability, His Health Care “Plan” Doesn’t Show It

Gov. Phil Scott has chosen to address Vermont’s health care affordability crisis in seemingly the only way he knows how: By proposing a modest deregulation of the marketplace.

The situation as we know it: Health insurance costs are skyrocketing and have been for years. Like many other challenges we face, it’s gotten worse during Scott’s time in office. It’s hitting everybody in the pocketbook. It’s driving the increase in property taxes and putting the squeeze on government operations. Our hospital system is close to collapse. Well, except for the University of Vermont Medical Center, which has become the designated whipping boy for rising costs.

And now we’re facing a dramatic rise in uninsured Vermonters thanks to the Republican Congress’ termination of federal subsidies. Per VTDigger’s Olivia Gieger, more than 2,500 Vermonters have already dropped their insurance plans — a decline of nearly eight percent. In the first two weeks of no federal subsidies!

And a Department of Vermont Health Access official has said that even more people will decide to go bareback as they face the harsh reality of through-the-roof premiums.

This is terrible news for our struggling hospitals, which will almost certainly have to absorb higher costs for charity care as uninsured Vermonters avoid seeing the doctor until they resort to the most expensive kind of care there is — emergency room visits.

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We’re Not Retreating. We’re Advancing to the Rear.

What is an institution to do when it makes a decision that kinda blows up in their face? Well, one option is to stick with the decision but modify it just enough to quiet the critics. Or to put it metaphorically, apply enough lipstick to a pig and make people stop noticing it’s a pig.

As it happens, two august Vermont organizations are currently engaged in the messy business of searching for the minimum acceptable capitulation. Vermont State University is trying to figure out how many books it will have to preserve, not because it wants the damn things, but because it desperately needs to quiet the howls of criticism; and the Green Mountain Care Board is looking for a way to give away $18 million while convincing us that they’re not giving away $18 million.

VSU’s nascent leadership continues to fumble its plan to close the campus library system… sorry, create something better than libraries… no wait, they’ll still be libraries but unencumbered by books… oops, now we’ve got a “refined plan” that will select the most academically important volumes while disposing of the rest. (You can tell they’re proud of their plan because they posted it online last Thursday with no formal announcement or public event of any sort.)

Gee, it’s almost as if the original plan was thrown together in haste with minimal forethought. Which inspires no confidence in the ability of this administration to lead a troubled system out of its current straits and into a better tomorrow. The future of VSU’s library system is way down on the list of critical issues to be addressed. If they can’t handle this without it blowing up in their faces, how will they address a massive structural deficit when they’ve already squandered their credibility dicking around with the library plan?

And all the while, they insist they’ll implement this vaguely defined thing by the end of June, come Hell or high water.

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