Tag Archives: health care cost

Stay the Course in Vermont Healthcare

How quickly we forget. Just short of four decades ago, Vermont policymakers decided that a competitive healthcare system had not lowered healthcare costs, but was, in fact, driving costs up, as hospitals vied for more expensive technology and market share. The relationship between our thirteen community hospitals and our tertiary-care hospitals – then Fletcher Allen and Dartmouth – were tortured and riddled with expense. We decided that a citizen-regulated monopoly would better constrain costs, regulating towards a more cost – efficient and accessible network of integrated healthcare facilities, spanning sole practitioners, community clinics, community and tertiary care hospitals. And it worked. Looking at measures of access, prevention and treatment, avoidable hospital use, costs, healthy lives and equity, the Commonwealth Fund …
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