Hi, Shrewd!        Login  
Shrewd'm.com 
A merry & shrewd investing community
Best Of PoliticsBest OfAll BoardsThe Shrewd’m WeeklyLearn to InvestHow to Become Shrewd
Search
Shrewd'm.com Merry shrewd investors
Search
Best Of PoliticsBest OfAll BoardsThe Shrewd’m WeeklyLearn to InvestHow to Become Shrewd


The week's question
In December 2024, in the thread "Re: BRK: Why Not XOM?", BreckHutHigh asked the members: "What about the long road trips with kids?" This week it is put to everyone again. The button below opens the small thread re-asking it - read what others have said so far, then give your own answer as an ordinary reply.
Answer this questionContinue to Shrewd'mThis note won't appear again
Halls of Shrewd'm / US Policy
Unthreaded | Threaded | Whole Thread (133) |
Author: albaby1 SILVER
SHREWD
  😊 😞

Number: of 84359 
Subject: Re: The Affordability Tour Kicks Off
Date: 12/16/25 3:00 PM
Post New | Post Reply | Report Post | Recommend It!
No. of Recommendations: 3
Or, nefarious "JCs" who don't want it to work? :) I doubt that a state's attempt happened in a vacuum without "input" from interested parties elsewhere in the country that did not want the status quo upset.

Perhaps, but that doesn't seem to be the main reason. The then-governor was hugely invested in it, and had gotten strong support from the legislature, and it was immensely popular. But they couldn't make the money work:

The financing model Shumlin rejected would have paid for a top-shelf benefits package, one on par with the plan enjoyed by Vermont state employees. Shumlin said the state could have reduced pressure on the financing plan by reducing the quality of the benefits package. But he said Vermonters by and large have high-quality plans in the current system.

Offering a lower-value plan, he said, would have resulted in too many residents paying more money for worse coverage in a publicly financed system.

Shumlin says he doesn’t regret promising his supporters a single-payer system that he’s now learned he won’t be able to deliver.


vermontpublic.org - Shumlin its not the right time for single payer

This is the main problem for single-payer health care financing. The money. It's very expensive to give everyone top-flight insurance. But in the current system, a large number of folks (a minority but a sizable minority) have very good health care plans for which they don't pay very high premiums. The "Cadillac" plans, mostly held by unionized workers both private and public. If you give everyone a Cadillac plan - or even a plan as good as a standard large group health plan - the system can't work without very large tax increases. If you don't give everyone a Cadillac plan, then a large number of people end up with worse coverage (and probably paying more money for it). A large enough number to be fatal.

Put another way, it's a variant of the Wobegone effect. Half the voters in your state have insurance that's better than average. If you set up a single-payer system that provides better than average coverage, you can't afford it. But if it doesn't provide better than average coverage, then half your voters will see their quality of coverage get worse under your new single-payer system. And in all likelihood, it's not "average" that's the political killer - whoever's got the top 20% quality health coverage in the state is probably where you need to be, because if you make 20% of your voters' health insurance worth, it will kill the proposal.

It's not the JC's. Or rather, it's not just the JC's. You can't make the switch without making a large number of ordinary voters worse off, because the money just can't work out. It's easy to blame the JC's, because of course there are some JC's who are against single-payer health care. But even in states where the political decision is made to blow off those JC's, you still can't square the circle and give people insurance that's above current average and find a way to pay for it.
Post New | Post Reply | Report Post | Recommend It!
Print the post
Members reply directly to albaby1 here — and replies get answered. Reading is free; so is joining the conversation. Join Shrewd'm »
This community has written 84,309 posts about US Policy. The article-length ones it recommended most:
It's going to get worse · 33 recs · 2025
G’day Donny · 30 recs · 2026
Old Related Story · 28 recs · 2026
HCR is a national treasure · 27 recs · 2025
Fascism in America · 27 recs · 2025
Unthreaded | Threaded | Whole Thread (133) |


Announcements
US Policy FAQ
Contact Shrewd'm
Contact the developer of these message boards.

Best Of Politics | Best Of | Favourites & Replies | All Boards | Followed Shrewds | Open Questions | Moving a community