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Vermont Public has conducted interviews and research across the state to uncover the top concerns of Vermonters this election season, with health care emerging as a prominent issue. Many residents are struggling to afford health insurance premiums and face barriers in accessing basic medical services. Experts in Vermont’s health care system suggest that elected officials at the state level have limited power to make significant changes due to federal regulations and other constraints. However, they can focus on areas like Medicaid, where lawmakers have the ability to make a real impact by increasing reimbursement rates to health care providers. This move could help stabilize the health care system and reduce costs for Vermonters.
Despite the potential benefits, there is not universal support for this approach, with some suggesting structural reforms may be necessary to address inefficiencies and redundancies in the current system. The Green Mountain Care Board’s report recommending the closure or reconfiguration of small hospitals has sparked debate, with concerns about the impact on local communities. Advocates argue that lawmakers should provide moral support and political capital to the Board to implement unpopular but necessary changes. Additionally, improving access to primary care through models like patient-centered medical homes could result in better health outcomes and cost savings. Ultimately, the conversation around health care in Vermont’s 2024 election season is complex, highlighting the challenges and opportunities for improving the system.
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