{"id":183279,"date":"2015-01-07T22:11:00","date_gmt":"2015-01-08T03:11:00","guid":{"rendered":"https:\/\/www.panix.com\/~msaroff\/40years\/2015\/01\/07\/the-fix-was-in-all-along\/"},"modified":"2015-01-07T22:11:00","modified_gmt":"2015-01-08T03:11:00","slug":"the-fix-was-in-all-along","status":"publish","type":"post","link":"https:\/\/www.panix.com\/~msaroff\/40years\/2015\/01\/07\/the-fix-was-in-all-along\/","title":{"rendered":"The Fix Was In All Along"},"content":{"rendered":"<p>Three weeks ago, Vermont Governor, Peter Shumlin, having failed to secure an absolute majority in the election, throwing the results to the state house, announced that <a href=\"http:\/\/www.politico.com\/story\/2014\/12\/vermont-peter-shumlin-single-payer-health-care-113653.html\">he was scrapping his plans for single payer<\/a>.<\/p>\n<p>While he claimed that politics had nothing to do with it, a subsequent analysis appears to indicate that he <a href=\"http:\/\/vtdigger.org\/2015\/01\/07\/analysis-shumlin-built-lead-airplane-single-payer\/\">deliberately cast the numbers for single payer in the worst possible light<\/a>:<\/p>\n<blockquote><p><span style=\"color: blue;\">Gov. Peter Shumlin could have proposed a financing plan for single payer health care that cost $1 billion less than the one he presented to the public Dec. 17.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">Instead, demoralized after a stunning near defeat in the General Election, Shumlin scrapped his long awaited, universal, publicly financed health care plan because he said it would shock Vermont\u2019s fragile economy.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">\u2026\u2026\u2026<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">But critics say now Vermonters won\u2019t know if single payer could have succeeded in 2015, because after Shumlin decided it wasn\u2019t feasible, he found a way to mitigate the inevitable wave of political backlash and appease his main constituencies: liberal advocates, business leaders, providers, and teacher and state employee unions.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">Shumlin had said he would present a menu of options to the Vermont Legislature in the two year run up to the announcement, but instead he presented one plan that Vermonters could not afford.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">One of the alternative plans proposed by his health care reform team that was not considered in the final analysis was a much less expensive, $1.6 billion option, that would have offered a universal, publicly financed insurance plan with benefit levels on par with what is available to most Vermonters in the commercial insurance market today, according to documents provided by the Shumlin administration.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">\u201cI don\u2019t know exactly when he made that decision, but once it was made, there is no question in my mind that Shumlin pivoted to his roots and his instincts, which are purely political,\u201d said Hamilton Davis, a journalist and longtime observer of Vermont health reform.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">\u201cHe hung everything he could on it and walked away.\u201d<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">John Franco, a prominent Burlington attorney who has been involved health care reform for two decades, says that Shumlin purposely chose a plan that covered 94 percent of individuals\u2019 health care costs. Proposing an overly expensive option, Franco says, was a political calculation.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">\u201c<b><span style=\"font-size: 100%; font-variant: small-caps;\">If you build an airplane out of lead, it\u2019s not going to fly<\/span><\/b>,\u201d Franco said.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">\u2026\u2026\u2026<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">But buried on the 260th page of the appendices to his report released just before New Year\u2019s Day, is a financing plan that might have been a reasonable starting point for going forward.<\/span><br \/><span style=\"color: blue;\"><br \/><\/span><span style=\"color: blue;\">This plan would have offered insurance at a level that is equal to the average employer plan now on the market and would have cost $1 billion less than the Cadillac level plan Shumlin rejected.<\/span><\/p><\/blockquote>\n<p>It appears that he overstated the costs by about $1 billion, which is over $3000 per resident of the state, over $5000 per worker, and that is not including the fact that he, &#8220;The Shumlin administration assumed there would be zero administrative savings to the program in year one.&#8221;<\/p>\n<p>Why did this happen?<\/p>\n<p>Perhaps because the legislature is voting on who gets the next term of Governor <b>tomorrow<\/b>, and some of the business and medical interests in the state cut a deal not to lobby for his opponent?<\/p>\n<p>There is a part of me that is hoping that the legislature elects the Republican, because Shumlin has been a portrait in cowardice.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Three weeks ago, Vermont Governor, Peter Shumlin, having failed to secure an absolute majority in the election, throwing the results to the state house, announced that he was scrapping his plans for single payer. While he claimed that politics had nothing to do with it, a subsequent analysis appears to indicate that he deliberately cast &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1051,1045,978,1150,979],"tags":[],"class_list":["post-183279","post","type-post","status-publish","format-standard","hentry","category-hypocrisy","category-insurance","category-politics","category-public-health","category-wanker"],"_links":{"self":[{"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/posts\/183279"}],"collection":[{"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/comments?post=183279"}],"version-history":[{"count":0,"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/posts\/183279\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/media?parent=183279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/categories?post=183279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.panix.com\/~msaroff\/40years\/wp-json\/wp\/v2\/tags?post=183279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}