Opinion | Free-Market Health Reform in Bernie Sanders’s Vermont | An insurance card is not an a…


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An insurance card is not an appointment

Commentaries are opinion pieces contributed by readers and newsmakers. VTDigger strives to publish a variety of views from a broad range of Vermonters. Commentaries give voice to community members and do not represent VTDigger’s views. To submit a commentary, follow the instructions here.

This commentary is by Matt Swenson, who is the founder of Omnidex Solutions, a risk diagnostics company. He lives in Vermont.

Vermont’s healthcare debate has spent a decade stuck on the wrong question. The political class argues about who should pay the bill. Patients are asking something simpler: Can I actually see a doctor?

Insurance is not care. Coverage is not capacity. A promise from the government does not create a primary care appointment, a hospital bed, a nurse or an operating room. Yet Montpelier keeps tightening its grip on the money while patients have fewer real options every year.

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Commentary | Kaj Samsom: Judge health care policy by its results

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As Vermont's Commissioner of Financial Regulation, one of my responsibilities is to ensure our health insurance markets are working for the people they serve. That means asking a simple question: Are current policies producing the results Vermonters deserve?

Much of Vermont’s legal and regulatory approach to health insurance was developed over a decade ago, when policymakers were pursuing a very different vision for Vermont's health care system. That effort was abandoned due to fiscal realities. A lot has changed since then, but our laws and regulations have not, and we find ourselves with some of the highest premiums in the country. Young adults are dropping coverage; small businesses struggle to offer health insurance plans and hospitals face growing financial pressures. These are not isolated problems. They are evidence of a market that needs thoughtful modernization.

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