Now is the Time for Green Mountain Care
An Open Letter to Governor Shumlin and the Vermont Legislature from National Advocates for Universal, Publicly Financed Healthcare
In 2011, the Vermont Legislature passed and Governor Shumlin signed into law Act 48, which provided the roadmap for the creation and implementation of a universal, publicly financed healthcare system, Green Mountain Care. The national healthcare justice movement was inspired and energized by this action and vowed to support and promote the country’s first healthcare system designed to provide healthcare as a public good through a single-payer financing reform. The victory in Vermont served as a model for organizers in dozens of states and a rallying point to rebuild national momentum for healthcare for all. We were therefore quite concerned to hear that, due to recent political developments in Vermont, Green Mountain Care’s continued progress may be interrupted or altered in such a way that it will no longer serve its intended purpose to provide healthcare for all Vermonters as a public good and a matter of right, without financial barriers.
The struggle to win Act 48 was hard fought by the people of Vermont through public outreach, events and actions, direct interactions with elected officials, and a powerful grassroots Healthcare Is a Human Right campaign that engaged many thousands of Vermonters in speaking out about their need for healthcare and their readiness to struggle for their rights.
Nurses, teachers, laborers, students, people of various faiths, the undocumented, and so many others joined together to make certain that Vermont’s healthcare system would reflect its values of universality and equity. They were supported by a broad coalition united around a vision to advance Green Mountain Care (click here for more information). Of particular note are the working class Vermonters who told their stories at a series of public hearings hosted by the Vermont Workers’ Center, and those same working Vermonters who gave elected officials the political space and courage to advance single-payer public financing. It was an impressive effort that provided an example of real democracy in action not only in Vermont but for the country.
Yet for the next few years, Vermonters were kept waiting as the Administration delayed plans for financing the new health care system. The Legislature was finally scheduled to pass a financing plan for Green Mountain Care in 2015, when on December 17, 2014, instead of presenting his recommendations, Governor Shumlin announced, “In my judgment, now is not the right time to ask our Legislature to take the step of passing a financial plan for Green Mountain Care.”
This was a crushing blow to those who had remained loyal to his efforts and had worked to ensure he would finish that work. Just a few, short months earlier during the election season, Governor Shumlin said, “We are moving forward on the nation’s first single-payer health care system that contains costs, takes the burden off of employees and simplifies the system for all Vermonters. I was elected to get tough things done, and this may well be the toughest. But I will not rest until it is done.”
According to the governor, this dramatic turn of events was brought about by financial challenges in raising the public funds to pay for Green Mountain Care. But Vermonters are already paying for their healthcare. Like everyone else in the United States, they pay nearly twice as much as the OECD average for worse outcomes in an unequal system that denies access to many and pushes many more into financial catastrophe. The challenge is not to find new money, but to share our payments for healthcare in a more equitable, cost-effective way.
Certainly the development of a public, equitable financing plan will require difficult choices and engagement with entrenched interests that do not want to pay their fair share. But study after study has shown that public financing of healthcare would be not only feasible but also optimal for Vermont’s residents and businesses. We remain confident that Vermont can and will find the public funding mechanism that supports the full and equitable implementation of Green Mountain Care and reaffirms the democratic process that so convincingly created it.
Governor Shumlin’s announcement is a blow not only for the determined people of Vermont but also for those who looked with hope and renewed energy at the successful effort to advance publicly financed, single-payer healthcare and to create a more just society. The blow dealt to Green Mountain Care reached far beyond Vermont’s borders and far deeper than the disappointment in one elected official’s lack of vision and commitment.
Now is not the time to give up or give in. One decision shall not determine the fate of a right fought for by many. The people of Vermont can and will have the final say in how to establish and pay for a healthcare system that will serve all of their needs, rather than the profits of a few.
We urge the governor and the legislature to redouble their efforts to develop and agree on a public financing plan that advances equity and realizes Vermonters’ right to healthcare, respecting the will of the people as expressed in Act 48. Nationally, we vow to redouble our efforts to win healthcare justice in Vermont and throughout the United States.