For a fiscal crisis that is looming over Vermont, it was predicted in 2002 by a comission that HE called and he selected:
A. On January 24, 2001, Governor Howard Dean issued an executive order establishing a Special Governor's Bipartisan Commission on Health Care Availability and Affordability.
A. Our commission is made up of people who have spent years listening to testimony and otherwise studying the problems of health care availability and affordability. We have differences, some of them passionate differences, in our political philosophies, and it should come as no surprise that we differ on some of the directions reform should take. Although we have taken a substantial amount of new testimony during the past nine months, our real task has been to try to find common recommendations, despite our philosophical differences.2
B. Based on what we have learned, we do agree on this: Health care in Vermont is near a state of crisis -- some of us would say it is already in crisis -- and all health care sectors are on edge. We also note that many of these problems are national or even global in scope and that our abilities to solve them at the state level are limited.
C. Health care costs in Vermont, now exceeding $2 billion a year, are of a sufficient magnitude, however, and are increasing at a sufficient rate to place state government itself in jeopardy, including every program for which it appropriates money. By comparison, Vermonters budgeted $1.8 billion for all state government services in FY 2001 (not including federal funds).3
We are rapidly approaching the point at which these costs will directly conflict with our ability to do such things as to maintain roads and bridges, for example, or to provide cost-effective services to our infants and children, to promote agriculture and tourism, or to provide any other services our citizens have come to expect.
D. We do not have a health care system in Vermont.4 That means:
1. No one is in control.
2. No one is responsible for ensuring that high-quality medical care is adequate for the needs of the public.
3. No one ensures that medical charges are appropriate or that they are paid in full.5
4. There is a "disconnect" between the consumer receiving health care and the entity paying the bill. Consumers are shielded from the cost of the service.
5. There is no global budgeting or targeted growth planning for health care in Vermont.
6. There is little in the way of public accountability for the performance of health care institutions, or for their long-term planning.
7. Although administrative costs, including those associated with government paperwork burdens, have reached an unacceptable level, no one has been able to do anything about it.
E. This commission does not recommend the Single Payer option, even though we have been told by The Lewin Group that it could cover all Vermonters, including more than 51,000 currently uninsured, for 5 percent less than what we are collectively paying now.6 Some of our opposition is on philosophical grounds, but in practical terms, we reject that option for a variety of reasons, including:
http://216.239.37.100/search?q=cache:aC9QzqwOEmkJ:www.state.vt.us/health/commission/docs/report/mainreport.doc+%22Howard+Dean%22+%22Incentive+Plan+for+Medicaid%22&hl=en&ie=UTF-8Notice, this report states that the very plan Dean kept rejecting, single payer, would have been FIVE PERCENT cheaper than the hodgepodge mess that Dean slapped togetther without planning.
There is much criticis in in Vemront of Deans having simply shited care from single adult disabled individuals, to children, and a few poorer single females with children, leaving thousands of others without coverage.
Howard’s Universal Healthcare assessment in Vermont:
The plan purports to be modeled after Vermont's state health insurance plan, Dr. Dynasaur, which insureskids up to age 18. The plan is actually an extension of the state's Medicaid program, but covers children infamilies with incomes up to 300% of the Federal poverty limit ($55,200 for a family of four, in 2003), whoare over-income for Medicaid.
Parents pay premiums ranging from $60 to $150 per quarter. Despite the argument that rising insurance premiums are a reason for people to support Universal Healthcare, the Dr.Dynasaur premiums, much like private insurance premiums are also rising. Effective July 1st, parents willbe paying $75 to $210 per quarter.
As healthcare costs rise, so does the cost of state-run insurance, justthe same as private insurance. But the Universal Healthcare enthusiasts don't want you to know that.
Another thing Howard Dean doesn't want America to know is that Vermont's Dr. Dynasaur/Medicaid plan pays so little to providers and requires so much additional paperwork that many professionals do not accept the plan or limit the number of patients they do accept. This is especially the case for dental care and counseling, services often of vital importance to children.
State-run health insurance is not all it claims to be. The families that can obtain insurance from their employer would have better coverage if they did so, but the Dean team already knows this. That's why he plans to have families who qualify automatically enrolled when they file their federal income tax.
http://216.239.41.104/search?q=cache:Ltxk3AgTSbgJ:writersact.com/kerry/Kerry-issues.pdf+%22Howard+Dean%22+%22Dr+Dynasaur%22+parents+sick&hl=en&ie=UTF-8