Tag Archives: health care

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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We Can’t Afford Our Future

Periodically, we must relearn old lessons. A key such lesson is Franklin’s “Ounce of prevention…” adage – as relevant today as when Franklin applied it to fire prevention 250 years ago. Vermont has reached a critical juncture. We face some daunting issues we seem unable to fix. We’re expedient and well-meaning, but our efforts to tweak our way along are in vain and are now only add complexity and expense. Politics has evolved from public service into a lucrative career so there’s plenty of blame to go around, but attributing blame has become a political end in itself, defending empty ideologies and distracting us from actually fixing what’s broken. Special ed., emergency healthcare, mental health crisis care, drug rehab, homelessness, …
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