Newly elected Vermont Governor Shumelin is moving the state towards single payer. He formed a consulting group headed by Dr. William Hsaio, chief designer of the Taiwan health plan. The latter runs at a cost of 6% of GNP and covers 99% of the population. The Vermont legislature seems on board to inch towards making Single Payer happen. It will still be a tough slog.
Like the birth of the Canadian system, Vermont has the chance to be the laboratory for the nation on whether Single Payer will provide a solution to soaring health care costs or not. It is already past time to start this experiment.
Naturally there will be interference from large institutional players. It is important to spotlight this serious effort by the Green Mountain State and show appropriate outside support to let it play out. It will be formulated and shaped by the people of Vermont who are facing unsustainable health costs. Dr. Hsaio has predicted from his data that health care expenses will bankrupt the state within 5 years if something is not done.
As many interested eyes as possible should be directed at their efforts so it plays out in the open. Undue negative influence from those who have chosen to be part of the problem instead of the solution need to be asked to step aside.