Vermont Information
Information on Act 48 (H.202)
Text of legislation (pdf)
Report from Dr. William Hsiao
Health System Reform Design: Achieving Affordable Universal Health Care in Vermont
Contact Information
Vermont for Single Payer
Website: http://vermontforsinglepayer.org/
Phone: 802-595-2820
Email: hcforall@sover.net
Media Contacts
Deb Richter, M.D.
802.224.9037
drdebvt@sover.net
Dr. Richter practices in Montpelier, Vermont. She is a former President of PNHP. She has spoken extensively to both community and medical groups, is a frequent spokesperson in the print, TV, and radio media, and is active in coalition building on the need for universal access to health care.
Peggy Carey, M.D.
Chair, PNHP Vermont
Phone: (802) 363-1575
E-mail: peggycareyster@gmail.com
Dr. Carey attended the University of Vermont College of Medicine and completed her residency in Family Medicine at University of Vermont. Upon completing her residency, she joined the Family Medicine Department at UVM and for fifteen years created and directed the Community Medicine and Prevention Programs of the department’s residency. She has done research on views of Residents on single-payer healthcare as well as collaborative research on Adolescent Substance Abuse as well as development of a Patient Decision Making Aid for Prediabetes. Presently she is the Chair of the recently formed Vermont Physicians for a National Program chapter while practicing family medicine in a rural practice in the Champlain Islands near Burlington, Vermont. Dr. Carey has been a member of PNHP since 1990.
Marvin Malek, M.D.
Phone: (802) 223-7375
E-mail: mmalek66@gmail.com
Dr. Malek received his medical training at SUNY Upstate in Syracuse, NY, residency training at Cook County Hospital, and has spent most of his career in community medicine, providing care to underserved populations. He is the recipient of a Kellogg Foundation grant which he used to to pursue advanced training in the field of health policy at Harvard School of Public Health.
He currently practices internal medicine at Central Vermont Hospital, where he provides medical consultation and intensive care to hospitalized patients.
Marvin served as host and co-producer of a radio show, Public Health Radio from 2001 – 2007, which highlighted issues of importance to the public health in the U.S. and abroad. Many of the shows address problems in health care delivery, in many cases comparing the US to other developed countries. Most of the shows are accessible at the show’s website www.publichealthradio.org
Frustrated by the timidity of the legislation that was enacted in Vermont in 2006, he ran for Lieutenant Governor of Vermont that year and for State Rep this year, hoping to work on the health care issue.
Marvin remains active on the issue of health reform. He has testified before the legislature and given talks around the state advocating for a more humane and affordable health care system.
Local Unions Endorsing HR676
- Local 2326, International Brotherhood of Electrical Workers (IBEW), Essex Junction, VT
- Washington-Orange-Lamoille Labor Council, AFL-CIO, Montpelier, VT
- Vermont State Labor Council AFL-CIO, Montpelier, VT, September 2006, State Convention
- Champlain Valley Labor Council, Burlington, VT
Vermont State News
By Wendell Potter | iWatch News
MONTPELIER, Vt. — You can’t see them. They’re hidden from view and probably always will be. But the health insurance industry’s big guns are in place and pointed directly at the citizens of Vermont.
By Alan Panebaker | Vtdigger.org
The Shumlin administration and the Green Mountain Care Board introduced road maps Thursday for how they plan to implement health care reform.
By Jessica Marcy | Kaiser Health News
Vermont lawmakers are taking steps to move the state toward a publicly-financed insurance program and craft a state health exchange, which is required by the 2010 federal health law and which state officials hope to use as the groundwork for their eventual move to a unique single-payer system.
As states attempt to set up single payer programs, one problem that comes up is how do you move federal funds from programs such as Medicare into the state single payer system? The simple answer is, you don't, at least not without getting Congress to enact transformative legislation.
By Susan Leigh Deppe, M.D. | Vtdigger.org
Opponents of Vermont’s new single-payer health law are fear-mongering about the supposed consequences of lack of “robust choice” in the health insurance marketplace. What they ignore is that health care doesn’t work like other “products.” It is better seen as a public good, like electricity. A publicly financed, single-payer system will actually give us more choice.
by Daniel Fireside | YES! Magazine
Deb Richter resolved to fix the health care system almost as soon as she began practicing medicine more than two decades ago in inner-city Buffalo. “I was very naive, I guess,” recalls Richter. “A lot of my patients didn’t have insurance. I would prescribe medicines for patients but they wouldn’t be able to afford them, and then they would just get sicker. I was mortified.”
By CHRIS GAROFOLO | Brattleboro Reformer
The U.S. Department of Health and Human Services announced on Tuesday Vermont will receive more than $18 million to fund the design and development of a larger health benefits exchange to serve as the foundation for the state's future single-payer plan.
By Alan Panebaker | VTDigger
In reaction to the Shumlin administration’s push for a single-payer style health care system, doctors have resuscitated a bargaining group that will represent the interests of physicians.
By Hoag Levins | The LDI Health Economist
In the mid-1990s, Harvard health economist William Hsiao abandoned the U.S. health system as an area of study to focus his efforts on the health systems of other countries. The switch was motivated by frustration. "I gave up on the United States," said the 75-year-old China-born scholar who emigrated to this country as a teenager. "I did not do any more work on the U.S. because Washington politics were so driven by ideology, and money played such an important role in policy making, that I really couldn't contribute to it any more. The research I did just got pushed aside."
By John Buntin | Governing
At a time when states are struggling to comply with the provisions of the Affordable Care Act (ACA), Vermont's ambitious plan to create the nation's first single-payer health financing system might be hard to comprehend. Vermont Gov. Peter Shumlin sees this initiative as common sense. I recently had a chance to talk with Shumlin, an experienced legislator and small business owner, about why he thinks such radical change in health care is a necessity. An edited transcript follows.
By Wendell Potter | iWatchNews
Deb Richter knows from years of experience that you can’t take “no” as a final answer from your health insurer. You’ve got to fight back.
By Jessica Marcy | Kaiser Health News
Starting now, Vermont begins building a single-payer health system that will move many state residents into a publicly financed insurance program and pay hospitals, doctors and other providers a set fee to care for patients.
By Bram Kleppner | Burlington Free Press
With single-payer, Vermonters get better health, lower costs, more privacy, more freedom, a better economy and more jobs. Vermont companies get healthier and more motivated workers, a more flexible labor market, a better economy, lower costs, and more sales.
Gov. Peter Shumlin today announced his appointments to the Green Mountain Care Board, a body that is central to the implementation of health reform in Vermont. The Board is responsible for creating the first single payer health care system in the country, which will control costs and guarantee coverage regardless of employment status.
By Kevin Outterson, Professor of Law and Health Policy at Boston University | The Incidental Economist
H.202 passed the House 94-49 yesterday and Governor Shumlin promises to sign it. The Vermont law deserves some careful attention, but doesn’t appear to be creating much of a stir in Vermont itself – the lead story in this morning’s Burlington Free Press was flooding on Lake Champlain and the most popular story on the website was UVM students in an annual clothing-optional rite of spring.
By Tristin Adie | The Indypendent (N.Y.)
On May 26, Vermont Gov. Peter Shumlin signed into law H. 202, a bill that is intended to set the state on the road to a single-payer health care system. While the legislation puts off the creation of such a system for a number of years, this is an important initial victory for thousands of activists in the state who have been agitating for years for a truly universal system.
By NANCY FOLBRE | The New York Times Economix blog
Now Vermont has passed legislation moving the state toward a Canadian-style universal, single-payer health-insurance system, to be phased in alongside national health-care changes. The plan relies heavily on the prospect of waivers that will allow it to reallocate some federal Medicaid funds and on other sources of money that have not yet fully specified.
Editorial | Rutland (Vt.) Herald
This is the triumphal phase of the first term of Gov. Peter Shumlin. Last week his office released a schedule describing the long list of signing ceremonies he will hold throughout the state. Shumlin did not do it alone. Strong Democratic majorities in the House and Senate pushed through an impressive array of legislation on matters great and small. It is a sign of what can happen when voters set a clear direction and elect leaders eager to follow through. The Democratic successes this year also mean that the Democrats will be accountable for the success or failure of their ambitious program.
By David Goodman | Mother Jones
As Gov. Peter Shumlin took his spot on the granite steps of the Vermont State House, a row of people fanned out behind him wearing bright red t-shirts proclaiming, “Health care is a human right.” The slogan sounded noble, and wildly unrealistic. Until the governor spoke.
By Ellen Oxfeld | Burlington (Vt.) Free Press
Gov. Peter Shumlin signed the new health care bill into law Thursday. Many people may wonder how we came to this point. Why is it that Vermont is the first state to pass legislation that acknowledges that health care is a public good, and that the best route toward universal access and cost control is to create a health care system that is publicly funded? There are still many more steps to go be fore we reach this goal.
By Thatcher Moats | Rutland (Vt.) Herald
MONTPELIER — Amid a boisterous crowd of health care activists, lawmakers, lobbyists and administration officials, Gov. Peter Shumlin on Thursday signed into law the health care reform bill the Legislature passed earlier this month.
By Zach Howard | Reuters
Vermont became the first state to lay the groundwork for single-payer health care on Thursday when its governor signed an ambitious bill aimed at establishing universal insurance coverage for all residents.
By Jane Norman, CQ HealthBeat Associate Editor | The Commonwealth Fund
Last Thursday was a day of celebration for advocates of single-payer health care when Vermont Gov. Peter Shumlin signed into law a measure that's intended to pave the way for government-run health care in the Green Mountain State.
Health blog | Consumer Reports
Vermont made history today when Governor Peter Shumlin, a Democrat, signed into law a plan to create the nation’s first state-run “single-payer” health system. If fully implemented, every Vermont resident, including those on Medicare and Medicaid, would be entitled to enroll in the state’s own insurance plan, Green Mountain Care. Private insurers would still be allowed to operate in the state.
Democracy Now!
Today Vermont is set to make history by becoming the first state in the nation to offer universal, single-payer healthcare when Gov. Peter Shumlin signs its healthcare reform bill into law. The Vermont plan, called the Patient Protection and Affordable Care Act, will attempt to stem rising medical care prices and provide universal coverage. We speak with Dr. Deb Richter, president of Vermont Health Care for All. She moved from Buffalo, New York, to Vermont in 1999 to advocate for a universal, single-payer healthcare system in the state. Gov. Shumlin calls her the “backbone” of the grassroots effort that helped persuade the Democratic-led state legislature to pass the bill this spring.
As governor signs a 'universal health care' bill, a national physicians group says the Vermont developments show that many Americans want to go beyond the new federal health law to more fundamental reform
By NPR Staff, All Things Considered
Vermont is about to accomplish something the federal government couldn't. Once Gov. Peter Shumlin signs a bill on May 26, the state will be on track to having a single-payer health care system.
By Ezra Klein | The Washington Post
Kevin Outterson is an associate professor of health law, bioethics and human rights at Boston University, as well as a blogger at the Incidental Economist. He’s also been following the Vermont health-care reform process in some detail, and is one of fairly few people who has actually read the 141-page single-payer bill that the governor is poised to sign. Earlier this afternoon, he walked me through what he’s learned.
By ABBY GOODNOUGH | The New York Times
Many people move to Vermont in search of a slower pace; Dr. Deb Richter came in 1999 to work obsessively toward a far-fetched goal.
By Doug Trapp | Amednews
Vermont Gov. Peter Shumlin has pledged to sign a bill that paves the way for the state to launch a health system approaching a single-payer model later in the decade and to create a state health insurance exchange within the next several years.
By Jeanne Lenzer | BMJ
Vermont is set to become the first US state to launch a single payer healthcare plan after a bill passed both houses of the state’s legislature.
By Roger Collier | Healthcare Finance News
In just a few days, Vermont’s Governor Peter Shumlin will sign into law what the media is calling “single payer health care reform.” But is it?
By Nancy Remsen | Burlington Free Press
The headline “Green Mountain Dreams” over a David Weigel piece in the online news magazine Slate last week captured how many people view the health reform legislation that Gov. Peter Shumlin will sign into law May 26.
By The Associated Press
The Census Bureau reported that, in 2007, Vermont ranked sixth in the country in physicians per capita, with 374 per 100,000, versus a national average of 271 per 100,000. And about 90 percent of Vermonters have some form of health insurance already. But some of those with insurance say it falls far short of what they need.
By Emily P. Walker | MedPage Today
The Vermont legislature has passed a bill to create a publicly funded health care system that aims to provide coverage to every Vermont resident by 2017.
By Wendell Potter | Tucson Sentinel
While several states are suing the federal government to block health care reform and dragging their feet on implementing any part of it, Vermont this week will be taking a giant leap in the other direction—toward universal coverage and greater cost control—when Gov. Peter Shumlin signs legislation putting the state on the path toward a single-payer health care system.
By Ethan Parke | Vtdigger.org
One icy and treacherous day in February 1988, I slithered my way to Montpelier from my farm in the Northeast Kingdom to testify at a hearing about universal health care. The previous year the Legislature had set up a health care board that was charged with coming up with a plan to provide health care to all 62,000 uninsured Vermonters.
By Hamilton Davis | Vtdigger.org
For the second time in 15 years, the state of Vermont is making a concerted effort to rebuild its health care system. The odds were long for the mid-1990s campaign, which failed, and they are equally long now. That is not to say that the drive toward reform initiated by Gov. Peter Shumlin is doomed, only that it is a very long shot.
By Carl Etnier | Vtdigger.org
Green Mountain Care is set to become law now that the House and Senate have passed the final version of the health care reform bill, which was hammered out in conference committee earlier this week. The House approved the bill Thursday on a 94-49 vote.




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