dviss1
Emcee Referee
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Vox (a far left wing tilted site) explains why single payer fell apart in New Hampshire.
For @dviss1
https://www.vox.com/2014/12/22/7427117/single-payer-vermont-shumlin
Putting a price tag on Vermont’s single-payer plan was a maddening task for health economists after Act 48 passed. In just the past two years, different economic modeling firms have priced the project anywhere from $1.6 billion to $2.5 billion during its first year.
...
The Shumlin administration contracted with London and a team of economists at her university last year to estimate the cost of Vermont’s plan. Their report estimated that Vermont will need to raise an additional $1.6 billion in tax revenue in 2017 to pay for a single-payer system. (Lunge says, due to some different assumptions, this report and the new one estimating a $2.5 billion price tag are not completely "apples to apples" comparisons).
As the 2017 launch date for single-payer grew closer, the Shumlin administration began to dive into the details of how, exactly, it would work — and began to falter.
...
Covering more people meant spending more money. "This is a challenge we face as a state setting up a system, rather than an entire country," said Lunge. "We have borders, and people come in across those borders every day."
The increased costs and decreased revenue started to add up. The Shumlin administration estimated it would need to increase payroll taxes by 11.5 percent and income tax by 9 percent.
About half of countries who attempt to build single-payer systems fail. That’s Harvard health economist William Hsiao’s estimate after working with about 10 governments in the past two decades.
In December 2014, Vermont canceled its plan for single-payer healthcare.[63] Vermont passed legislation in 2011 creating Green Mountain Care.[95] When Governor Peter Shumlin signed the bill into law, Vermont became the first state to functionally have a single-payer health care system.[96] While the bill is considered a single-payer bill, private insurers can continue to operate in the state indefinitely, meaning it does not fit the strict definition of single-payer. Representative Mark Larson, the initial sponsor of the bill, has described Green Mountain Care's provisions "as close as we can get [to single-payer] at the state level."[97][98]
Vermont abandoned the plan in 2014, citing costs and tax increases as too high to implement.[99]
