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Rob Roper: Time for a new approach to healthcare reform


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In a study released in the fall of 2020, State Auditor Doug Hoffer reported that Vermont’s healthcare costs had increased by 167 percent between 2000 and 2018.
Keep in mind that those years saw a number of “reforms” that promised to reduce costs while increasing access and quality, including Catamount Health, Green Mountain Care (the failed attempt at single-payer), and the latest debacle that is OneCare Vermont. All of these programs shared some common characteristics: they were all top-down, government-centered, and bureaucratic.
It’s time to try a new approach, lowering costs by increasing transparency, restoring direct doctor/patient accountability, and eliminating expensive regulations and unnecessary middlemen. ....

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Vermont Legislative Update Week 15 | Government and Public Affairs | Downs Rachlin Martin PLLC


Senate committee budget vote delayed until next week
As the end of the week approached, the Senate Appropriations Committee was still finalizing FY 2022 budget details, and a planned Friday vote was pushed until Monday. On Wednesday, Committee Chair Jane Kitchel, D-Caledonia, expressed repeated frustration that she was still receiving bills and specific appropriation requests from committees, including H.171 (a child care bill) and H.360 (a broadband bill). Those attempting to follow the budget deliberations were likewise frustrated by the lack of documents and transparency in the process.
Some of the delay in the always-complex legislative budget process is due to the influx of federal funding coming to Vermont from the American Rescue Plan, and disagreements between the administration and the legislature on how and when ARPA money should be spent. The House-passed budget included $650 million of ARPA dollars, and the administration immediately opposed what they viewed wa ....

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