The Affordable Care Act's turbulent implementation has ruled the news cycle, but across the country states like Vermont are experimenting with their own plans.
Governor Peter Shumlin signed a revolutionary single-payer plan, Green Mountain Healthcare—the culmination of decades of work by progressive politicians in the state—into law in May 2011. The new system aims to guarantee universal insurance coverage, improve benefits for those who are currently underinsured, include universal dental care and vision care, and increase the Medicaid reimbursement rate to doctors in order to avoid cost-shifting.
In some ways, the system resembles the ACA, but the the most consequential difference is that Vermont’s law will end employer-provided insurance. "God didn’t create the fact that employers are responsible for healthcare for their employees," says Bernie Sanders, the state’s stalwart socialist senator.