I was thinking it was because the maths doesn't work or something.
where the rubber meets the road...
Don't you love all these flatlanders 'splaining what went wrong from on high at Camp Weathervane?
Damn that Bernie for not being able to wave a magic wand and get state legislation passed from his office in Washington DC.
Let's not even try at all, coronate the queen and be happy with our lot.
It's too white, too blue, too progressive, now it's not progressive enough, blah blah blah.
Ever since Bernie's announcement from the waterfront in Burlington when they counted dark faces in the crowd and declared "Not Good Enough, Bernie!". They even criticized him because there were yachts in the background ffs.
Vermonters are supposed to be ashamed of where we're from according to these arm chair activists.
Sorry, rant over. Thanks for getting it.
someplace in New England.
I LIKE the cold.
I LIKE progressives.
I LIKE making more money.
But, alas, my Mom would be alone if my family moved, so it's not to be (and she won't move. She thinks Tennessee is cold! LOL)
at reasonable costs? And guarantee that any health issue that pops up will be covered?
If the answer is no, then that means there is a break-even point where the economies of scale that single-payer health insurance relies on kicks in.
Now, this is not to say that VT could or could not implement SP healthcare. It does mean that United States should have an easier time with the budgeting than Vermont, provided that is what prevented Vermont from succeeding in implementing the plan.
That's just a hunch to your question.
Your post doesn't seem the least bit supportive.
Yet just a while back:
Did you change your mind or something?
the financing. Vermont is a very small pool for making such a system, the US is not.
It is not the right time for Vermont to pass a single-payer system, Shumlin acknowledged in a public statement ending his signature initiative. He concluded the 11.5 percent payroll assessments on businesses and sliding premiums up to 9.5 percent of individuals income might hurt our economy.
It turned out that some of the few big companies operating in Vermont self-insure and threatened to leave the state if Shumlin's plan was implemented.
While you're at it, why not ask him about his neighborly screwing?
Especially small states such as this. Too much cross border shenanigans for one thing. Also, they don't have the negotiation clout to accomplish much. It's the same reason Texas dominates the text book industry so much, and California can have special emission standards. Single payer should start at the federal level. Texas or California, and maybe Florida could try it on a state level, (although I suspect Florida's income level is too low to support it). But in the end, it's a bit like gun control, on a local or state level you just can't get the result you're looking for.
to make it economically feasible.
is for single payer to be administered by the states.
What does that do for economies of scale?
as a block rather than one (small) state for example.
Federal programs can be administered by each state. Education comes to mind, as does various EPA efforts.
There are models
one well placed insider whose goals are not aligned with the majority.
Those "caregivers" don't make anywhere near enough to be middle class.
But hey, I'm sure they can hold on until they get one lump sum every year. WAAAAY better than actually closing the loophole that keeps minimum wage from applying to them.
State or Federal Single Payer?
In 2017, states will be able to get a waiver to set up their own approved health care solutions, as long as they meets the standards of the Affordable Care Act. This will technically allow states to implement single payer systems on a state level, Vermont has already stated this is the direction they will take. Single payer systems are typically thought of something handled by the federal government, but in America it more likely that we will see single payer on a state level first.
The success of a state-based single payer program is likely to have an influence over whether or not we implement a single payer system as a country. RomneyCare was implemented in Massachusetts years before ObamaCare (which uses an almost identical framework) became the law of the land.
I guess you thought this was a gotcha question. LOL
and hospital groups grow so large, they are too big for a single state to negotiate with them. They act like their own countries and set all the conditions. The power is still all on one side. It would take everybody in, at this point, to balance it out.