General Discussion
In reply to the discussion: Uh... we should be thanking *Bernie Sanders and Ron Wyden* for single payer in America. [View all]joshcryer
(62,536 posts)...I don't see them covering everyone for several years, so it's a moot point. Having to compete on the exchanges will slow their trajectory but if they didn't have the ACA expanding Medicare I don't see the rates dropping so quickly either.
So, no, I disagree that the number of uninsured will basically be the same as if Vermont had gone the way other states have. Vermont has an insurmountable head start with the GMC.
I keep seeing this dumb idea that the ACA is forbidding states from giving people free health care. It's non-nonsensical. What the ACA does is set minimum standards for health care and mandates that people pay an insurer on an exchange to get it. In Vermont's case it was proposed to raise the employer tax rate to be able to draw out the GMC / single payer plan early, that would've worked but it would've been damn unpopular. Vermont would prefer that the state gets the Federal subsidies, Medicaid expansion, and mandated buying of insurance (hopefully GMC), as opposed to raising taxes!