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At the Crossroads: The Future of Health Care in Vermont
Myths & Realities:
For a complete, printable list of the following Myths & Realities
Download the Adobe PDF version.
Beliefs about "Why we can't"
Myth 1: The claim: Vermont is hamstrung by Medicare, Medicaid, self-insurance programs, federal laws and federal mandates and cannot possibly enact anything like a universal health care system on its own.
This is a large, sweeping claim. In the final analysis it implies that Vermont cannot control its own destiny as to health care costs and the fate of its health care services. Is it true? Taken as a whole it is not true. For easier understanding we will break up its constituent claims into Myths A, B, C, D, E and F.
Beliefs about "Why we shouldn't"
Myth 4: The claim: Administrative savings in a Vermont universal health care system would be far less than imagined.
This is a large claim. One of the attractions of a universal health care system is that it holds the potential of very large administrative cost savings. The claim contains several parts and we will divide them for easier grasp into Myths A, B, C, D, and E.
First, some background. America's health care consumes vast sums in administrative expenses. This is not in dispute. Nearly one fourth to one third of every health care dollar goes to administrative expenses. By and large these are necessary expenses as things stand, because of the complexities of medical care charges, payment schedules and collection bureaucracies in the U.S.
Second, other nations' health care systems all have lower administrative costs. This is not in dispute. Even complex systems with many payers are 10 to 15 percentage points less costly than the U.S.
Myth 5: The claim: Taxes will soar.
Beliefs about "What We Need"
Myth 9: The claim: Enhancing the private insurance market will reduce premium costs.
For clearer understanding we will divide this claim up into Myths A, B and C.