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

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Contact Information

Vermont PNHP
For speaking and for official comment, please email our president, Marvin Malek, M.D., M.P.H. at mmalek66@gmail.com. For other inquiries, please email Ted or Ruth Cody at tscody@vermontel.net.

Executive Committee

President: Marvin Malek, M.D.
Vice President: Paul Millman
Treasurer: Steve Geller
At Large: Christine Couturier, M.D.; Ted Cody, M.D.; Jane Katz Field, M.D.; Charles Gregory

Media Contacts

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.

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.

Deb Richter, M.D.
Phone: (802) 224-9037
E-mail: 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.
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. She is a former chair of the 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.

Jason Kelley, M.D.
E-mail: jason.kelley@dartmouth.edu

Dr. Jason Kelley is an internist at the White River Junction Veterans Affairs Medical Center in Vermont where he serves as chief of the hospital medicine division. He received his medical degree from the University of Texas Southwestern Medical School, and did residencies at the Harlem Hospital Center/Columbia University and at the University of Vermont. He is a professor emeritus from the University of Vermont and is currently a visiting professor at Dartmouth Medical School. From 2001 through 2010 he served as vice chairman of the Department of Medicine at the University of Louisville and chief of medicine at the Louisville VA Medical Center. He joined PNHP in 1992 and served as the Vermont chapter president from 1994-1997. 

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

Posted on Thursday, May 25, 2017

By Jack Mayer, M.D., M.P.H. | Vermont Public Radio, May 25, 2017
Winston Churchill once quipped that, "You can always count on Americans to do the right thing - after they've tried everything else." I like that quote because it allows me to be cautiously optimistic.

Posted on Saturday, March 25, 2017

By Peter Hirschfeld | VPR (Vermont Public Radio), March 25, 2017
Less than 24 hours after the disintegration of a Republican effort to repeal and replace the federal Affordable Care Act, Sen. Bernie Sanders told constituents at a town hall meeting in Hardwick Saturday that he’ll introduce a single-payer health care bill in Congress “within a couple of weeks.”

Posted on Thursday, February 4, 2016

By Michael Corcoran | Truthout
The woeful state of health care in the United States, however, has kept the dream of joining the rest of the developed world in having universal public health care alive as an urgent priority for activists in Vermont and elsewhere. And so, advocates of health-care justice in Vermont, not inclined to disengage from the process, have advanced a new proposal: statewide "universal primary care." The plan would offer primary care - including some mental health and substance abuse treatment - to every single Vermonter regardless of their ability to pay.

Posted on Friday, July 31, 2015

By the Editorial Board | Bennington (Vt.) Banner
As the nation marks the 50th anniversary of Medicare the discussion of expanding the program and offering universal health care is resurfacing.

Posted on Monday, May 4, 2015

By G. Richard Dundas, M.D. | Bennington Banner
I recently attended a meeting at St. Peter's Episcopal Church at which we discussed Green Mountain Care and the Affordable Care Act. Subsequently, a Banner reporter wrote an article in which he misidentified a member of the audience as Rep. Alice Miller. The participant had some negative things to say about the Canadian health care system and its costs. Miller was not at this meeting as she was busy doing her job in Montpelier. Furthermore, I know that Alice favors a health care system in the United States which, like the Canadian system, features universal health care.

Posted on Monday, May 4, 2015

By Steve Early | In These Times
Liz Nikazmerad is a rarity in American labor: a local union president under the age of 30, displaying both youth and militancy. For the last two year years, she has led the 180-member Local 203 of the United Electrical Workers (UE), while working in the produce department of City Market in Burlington, Vermont. Thanks to their contract bargaining, full-time and part-time employees of this bustling community-owned food cooperative currently enjoy good medical benefits.

Posted on Tuesday, April 21, 2015

By Hamilton E. Davis | A Vermont Journal
One of the most important principles underpinning health care reform in Vermont is the proposition that health care financing should be separated from employment. If you lose your job, or if your employer doesn’t pay for health insurance, that shouldn’t leave you without access to health care.

Posted on Tuesday, April 21, 2015

By Deb Richter, M.D.
PNHP note: The following is the written testimony of Dr. Deb Richter presented to a committee of the Vermont General Assembly on April 16, 2015, regarding selected sections of H. 481, “An act relating to supporting health care initiatives and establishing payroll and sugar-sweetened beverage taxes.”

Posted on Thursday, April 2, 2015

By Ron Krupp | VTDigger.org
Stephen Brill’s new book “Bitter Pill” further elaborates on his Time Magazine article in spring 2013 entitled, “America’s Bitter Pill: Why Medical Bills Are Killing Us.” Brill explains in detail why hospitals are a big part of the problem. The University of Vermont Medical Center, formerly called Fletcher Allen, offers services at prices that bear little relationship to costs. Heart bypass surgery costs $9,319 in Argentina and an average of $67,583 in the U.S.

Posted on Wednesday, March 4, 2015

By Erin Mansfield | VTDigger.org
The Vermont Workers’ Center and the National Economic and Social Rights Initiative say single payer health care could still be on the table.

Posted on Thursday, February 5, 2015

By Anna Carey, M.D. | VTDigger.org
A 60-year-old man, who I’ll call C.C., recently walked into my family medical practice. The nurse handed me a thin chart record. His last visit was five years before for a skin infection. Written across the top in large block letters were the words, “NO INSURANCE.”

Posted on Tuesday, January 13, 2015

By Ellen Oxfeld | Rutland (Vt.) Herald
Gov. Peter Shumlin’s decision to suspend moving forward on the financing package for single payer in the coming legislative session does not mean that the dream of health care as a public good in Vermont is dead.

Posted on Wednesday, January 7, 2015

PNHP note: The following opinion pieces are from three prominent figures in the health reform movement in Vermont.

Posted on Friday, December 12, 2014

By Morgan True | VTDigger.org
Alissa Carberry, 24, is an early childhood educator working at a nonprofit in Burlington’s Old North End. She has type 1 diabetes and employer-sponsored health insurance from Vermont Health Connect.

Posted on Friday, December 5, 2014

Vermont for Single Payer
MONTPELIER, Vt. - Sixteen of Vermont’s leading unions, consumer advocacy organizations and health care reform groups joined together today to urge Governor Shumlin and the Vermont Legislature to move forward implementing Green Mountain Care, Vermont’s universal publicly funded health care system set to begin in 2017.

Posted on Wednesday, December 3, 2014

By Lisa Rathke | The Times Argus (Barre & Montpelier, Vt.)
MONTPELIER, Vt. (AP) — Supporters of a plan to make Vermont the first state in the country to enact a single-payer health care system urged Gov. Peter Shumlin and the Legislature on Tuesday to move forward with the overhaul, despite Shumlin’s close call in the November election.

Posted on Friday, November 7, 2014

By Morgan True | Vtdigger.org
MONTPELIER, Vt. -- For many observers, Rep. Mike Fisher's defeat in the Addison 4 district came as a surprise, and as a rebuke of Vermont's push for single-payer health care.

Posted on Friday, October 24, 2014
Posted on Tuesday, October 21, 2014

By Ellen Oxfeld | Rutland (Vt.) Herald
Recent letters have expressed the fear that a Vermont-based single-payer system would be a threat to Medicare. This is simply untrue and here is why.

Posted on Tuesday, September 2, 2014

By Ellen Oxfeld | Rutland (Vt.) Herald
In his Aug. 24 column, Middlebury’s outgoing state Rep. Paul Ralston raises some questions about the state’s road map to single payer. However, his conclusions are based on assumptions that need more probing.

Posted on Thursday, August 7, 2014

By Michael Ollove | Stateline, The Pew Charitable Trusts
BERLIN, Vt. – Dr. Marvin Malek has been yearning and advocating for a publicly financed, single-payer health care system for at least two decades. Now, as Vermont stands on the threshold of being the first state to launch such a plan, he’s confessing to trepidation.

Posted on Wednesday, July 2, 2014

By Ellen Oxfeld | Rutland (Vt.) Herald
In his recent column on health care (June 29), John McClaughry criticizes Vermont’s road map to universal health care as laid out in Act 48. This road map hopes to create a publicly financed health care system, in which health care is a guaranteed public good for all Vermonters The target date for implementation is 2017.

Posted on Monday, June 30, 2014

By Mary Ellen Flannery | NEA Today
The same state that led the nation on same-sex marriage is now tackling another social justice issue: health care coverage for all of its residents.

Posted on Wednesday, June 4, 2014

By G. Richard Dundas, M.D. | Bennington (Vt.) Banner
We read in the Banner that as many as 40 veterans may have died in Phoenix because they could not get needed care at the VA hospital. This is truly outrageous (surely an overused adjective but probably better than disgraceful). We must do better for our veterans.

Posted on Friday, May 23, 2014

By Geoffrey Cowley | MSNBC
BURLINGTON, Vermont—Al Gobeille is not your garden-variety health advocate. For the past two decades, he and his wife have hawked fried clams, liquor and ice cream on the Lake Champlain waterfront. He’s a big man with an impish grin and a can-do spirit rooted in an earlier career as a military officer.

Posted on Monday, April 7, 2014

By Molly Worthen | The New York Times
When most liberals hear the words “third party,” they have nasty flashbacks to Ralph Nader’s spoiler campaign in 2000. The history buffs among them might think of the populist Greenback Party’s feckless protests against the gold standard in the 19th century or the five presidential campaigns of the Socialist Eugene V. Debs — the last of which, in 1920, he ran from prison.

Posted on Thursday, March 27, 2014

By Ellen Oxfeld | Rutland (Vt.) Herald
This week in a Vermont Public Radio interview, Senate President Pro Tem John Campbell backed away from an unwavering commitment to the historic task set out in Act 48 — creating a publicly funded guaranteed health care system for all Vermonters.

Posted on Friday, March 21, 2014

By Peter Hirschfeld | Vermont Public Radio
The fight for single payer health care promises to be one of the heaviest political lifts in state history. And a new group is about to put some financial weight behind the lobbying push.

Posted on Friday, February 21, 2014

By Peter Hirschfeld | Vermont Public Radio
The state’s largest union is throwing its weight, and its money, behind the push for single-payer health care. And the move by the Vermont teachers union lends considerable strength to what will be the heaviest political lift of Gov. Peter Shumlin’s career.

Posted on Thursday, February 20, 2014

By Hamilton E. Davis | VPR News
From the opening days of Gov. Peter Shumlin’s single payer health care initiative, House Speaker Shap Smith has been a rock-solid supporter of the campaign. In 2011, he delivered Act 48, arguably the most far-sighted health care reform blueprint in the country, by lining up his huge Democratic house majority behind it.

Posted on Monday, February 10, 2014

So we support Gov. Shumlin, we are glad he gave this talk to Dartmouth graduate students (“Shumlin: Timing Is Key for Single Payer,” front page, Jan. 28), and we look for their understanding and help as we organize health care providers in Vermont to stay the course and work with us toward a health care system such as others in Western democracies already benefit from.

Posted on Wednesday, January 29, 2014

By Darshak Sanghavi, M.D., and Sarah Bleiberg | KevinMD blog
While the Affordable Care Act, or Obamacare, has been criticized by its opposition as “socialized medicine,” it relies heavily on private health insurance. On the other end of the political spectrum is the idea that a government-run single payer system, similar to Canada’s, is the best way to deliver health care.

Posted on Tuesday, January 28, 2014

By Chris Fleisher | Valley News (White River Junction, Vt.)
HANOVER, N.Y. — The biggest challenge in moving Vermont toward a single-payer health care system is time, while the political will to achieve it still exists at the state and federal levels, Gov. Peter Shumlin said Monday.

Posted on Thursday, January 23, 2014

By Peter Hirschfeld | Vermont Public Radio
Vermont lawmakers are at a critical juncture in their quest for a publicly financed health care system. And they’re bringing aboard a $10,000-a-month consultant to help them get it right.

Posted on Tuesday, January 7, 2014

By Peter Hirschfeld | Vermont Public Radio
In an extraordinarily rare appearance by a sitting governor before a legislative committee, Gov. Peter Shumlin Tuesday took responsibility for problems on the new health insurance exchange, but said the shortcomings only reinforce his case for a publicly financed, universal health care system.

Posted on Monday, October 28, 2013

By Dave Gram | Modern Healthcare
As states open insurance marketplaces amid uncertainty about whether they're a solution for healthcare, Vermont is eyeing a bigger goal, one that more fully embraces a government-funded model.

Posted on Thursday, October 3, 2013

Posted on Monday, September 16, 2013

By Ellen Oxfeld | Times Argus (Barre & Montpelier, Vt.)
The headline of your Sept. 5 article states, “Shumlin to rely on payroll tax hikes” to fund single payer. However, this headline would be equally accurate if it stated, “Gov. Shumlin to implement the largest single premium decrease in U.S. history.”

Posted on Monday, September 9, 2013

By Peter Hirschfeld | Vermont Public Radio
Gov. Peter Shumlin said increases in the payroll tax will “play a major role” in the public financing system he wants to use to fund single-payer health care.