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ProSense

(116,464 posts)
17. Yes,
Sun Apr 13, 2014, 10:43 AM
Apr 2014

"And the effects are not always apparent in the beginning. As with Obamacare, it is a leap in the right direction. Not perfect, no but as seen in Vermont it will eventually lead to single payer. It won't happen by itself, we have to keep fighting hard for it to happen. "

...and from the peice posted here (http://www.democraticunderground.com/10024757591), acknowledgment that Obamacare is helping to drive the momentum toward single payer.

Even as the Affordable Care Act is in its nascent stages, some states are already looking toward 2017 when they can request waivers to opt out of the healthcare exchanges. And a small, but persistent, movement has popped up toward a single payer system as an alternative to participating in the exchanges.

<...>

Robin Lunge, Vermont’s director of healthcare reform, said that Vermont’s goal is to move the issue of healthcare completely away from the employer. Vermont’s single payer system, she said, would be similar to the one state employees are already on. It would be financed through an employer and individual tax as well as the premium tax credits and subsidies provided through the exchanges.

<...>

The state’s Medicare, Medicaid and Veteran’s Administration programs would continue to operate as usual under a plan similar to Vermont’s. In Vermont’s potential single payer system, the system would act as a supplement to government insurance and cover everyone who is uninsured or part of the current state health exchanges.

Obamacare is providing the impetus. Vermont's single payer move has been fully funded by Obamacare.

Lessons from Vermont's Health Care Reform

By Laura K. Grubb, M.D.
The New England Journal of Medicine, April 4, 2013

In May 2011, Vermont Governor Peter Shumlin signed legislation to implement Green Mountain Care (GMC), a single-payer, publicly financed, universal health care system. Vermont's reform law passed 15 months after the historic federal Affordable Care Act (ACA) became law. In passing reforms, Vermont took matters into its own hands and is well ahead of most other states in its efforts to implement federal and state health care reforms by 2014. The Supreme Court decision last June to uphold most of the ACA left many states scrambling, since they had postponed reforms pending the judgment. Although Vermont is a small state, its reform efforts provide valuable lessons for other states in implementing ACA reforms.

<...>

Finally, Vermont policymakers are maximizing federal financing and have projected cost savings. In January 2013, the state released a 156-page financing plan for its single-payer arrangement; the plan outlines federal financing sources and the anticipated generation of savings. Vermont has been awarded more than $250 million in federal funding for its state exchange — the fifth-highest amount among the states, although Vermont has the country's second-smallest state population. “We feel strongly that the exchange is not the answer to all of Vermont's health care problems,” Shumlin remarked, explaining that “the exchange is helpful to Vermont to bring us federal dollars to achieve our single-payer goal.”3 In fact, state exchange development will be 100% federally funded.4

- more -

http://www.pnhp.org/news/2013/april/lessons-from-vermonts-health-care-reform

For everyone who has a problem with ACA--
http://www.democraticunderground.com/10024747402

Recommendations

0 members have recommended this reply (displayed in chronological order):

Ergo, George W. Bush was the most effective president in American history. WilliamPitt Apr 2014 #1
Silliness, the critics were only on one side. President Obama ProSense Apr 2014 #3
Ouch. MannyGoldstein Apr 2014 #4
You agree with this: "He accomplished everything they sent him to do." ProSense Apr 2014 #7
G DUHbya wanted to privatize Social Security Yo_Mama_Been_Loggin Apr 2014 #23
breaking shit is easy Schema Thing Apr 2014 #5
Not everything, he didn't get Social Security. A Simple Game Apr 2014 #12
Demolishing a house is easier than building one. JoePhilly Apr 2014 #15
By that measure small Bush was a very effective. maced666 Apr 2014 #2
Granting Dodd-Frank as the strongest bill of its kind in 3 generations, TheKentuckian Apr 2014 #6
I think the eventual expansions of Social Security not to mention the creation of Medicare Bluenorthwest Apr 2014 #8
If you're saying ProSense Apr 2014 #9
And so those who say 'it did not go far enough' included FDR himself because it did not Bluenorthwest Apr 2014 #11
Absolutely ProSense Apr 2014 #13
It took approxiamtely 10 years to "smooth" out the wrinkles in SSI Iliyah Apr 2014 #19
Yes, and pushing for progress ProSense Apr 2014 #21
"Even a mirror cannot show you yourself, if you refuse to look at it". riqster Apr 2014 #10
I like your quote lavenderdiva Apr 2014 #29
Roger Zelazny riqster Apr 2014 #33
Thanks so much rigster!! lavenderdiva Apr 2014 #38
No worries. He is one of my fave writers. riqster Apr 2014 #39
With 75 Democrats in one of those Senates treestar Apr 2014 #14
Change takes time. sheshe2 Apr 2014 #16
Yes, ProSense Apr 2014 #17
FDR's reforms proved that there is a better way than pure capitalism. The naysayers are ridiculous. reformist2 Apr 2014 #18
Yeah? Well, neither did Hank Aaron OR Babe Ruth - calimary Apr 2014 #20
One would hope that the pages from 'The Politics of Upheaval' cheapdate Apr 2014 #22
Yes, and ProSense Apr 2014 #24
Brick by Brick mckara Apr 2014 #25
The irony is that FDR saved capitalism... Drunken Irishman Apr 2014 #26
Where are the calf brains marinated in truffle-soaked baby ducks testicles? BeyondGeography Apr 2014 #27
Krugman: ProSense Apr 2014 #28
I'm glad that there are some that know and understand history here Number23 Apr 2014 #30
Um.... did I miss something? Isn't this Obama's second term? McCamy Taylor Apr 2014 #31
Um, ProSense Apr 2014 #37
You're sweet. You have to admire such single minded dedication. Keep up the good work. McCamy Taylor Apr 2014 #40
I have a thing for facts. n/t ProSense Apr 2014 #41
Incrementalism? BlindTiresias Apr 2014 #32
And until we elect solid, obstruction-proof majorities in the House and Senate, it will continue. riqster Apr 2014 #34
Lol BlindTiresias Apr 2014 #35
I hear ya. In Ohio, it's a sorry lot, with a few exceptions. riqster Apr 2014 #36
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