( – promoted by odum)
VPR came out with a report just shortly ago that the Senate Health & Welfare Committee voted the bill unanimously out of committee. It goes on to report on the key parts of the bill, mainly the creation of the 5-person GMC Board as well as setting up the health exchange.
There is one piece of the legislation that does concern me a little bit. Even after the House had changed the name of the legislation and striken out the mention of single payer, the Senate Health Care Comittee added an amendment by Senator Mullin. Bob Kinzel reports that “the key to winning the support of everyone on the committee was a provision that calls for a comprehensive study before the state considers adopting a single payer system.”
I had to wrap my head around that for the moment and ask myself the question. Was this a bit of deja-vu? Hadn't we already done something similar in commissioning the Hsiao Report? (Update: DH points out in comments the difference between the Mullin amendment and the Hsiao report. Thanks for the correction) Isn't that a comprehensive study of different models of single payer systems for Vermont and have a recommendation for the model that would best serve the state? I gave the legislation voted out of the Senate Health & Welfare Committee a quick look (it's 135 pages) and I don't see a reference to a study, but I'm in a bit of a rush and haven't looked at it deeply, so correct me if I'm wrong about that.
Also, Sen. Baruth had a post a few days back relating to this problem. He says, “The first of these threats has been institutionalized by this point: the House and Senate have agreed to move the Administration’s single-payer plan in a two-stage process, with the empty structure and the resulting questions on the front end, and all of the details, figures and final answers on the back end. That leaves pro-reform elected officials defending against anything and everything for a period of 18 months, minimum.”
The problem with putting in a study before adopting a single payer system is the delay that Baruth is worried about. I don't know about what others think, but this seems to be a strategy of a death by a thousand cuts, and the Senate Health Committee seemingly is going along with this. Delays and stalling tactics will increase pressure and doubts on the legislature and governor, imperiling the original intent of the administration and leaving us with just with a vastly diminished reform. Am I being a bit too worried here or does this worry have any merit to it?