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paleotn

(21,657 posts)
8. Unfortunately, we're weren't big enough to make it work.
Thu Jan 1, 2026, 09:51 AM
Jan 1

Vermont is kind of a worst case scenario for single payer. Tiny, aging population that's about the size of the Augusta GA / SC or Syracuse NY MSAs. Our neighbors, NH and Maine, are bigger, but in the same demographic boat. But we could do it regionally and that's the way to go in my mind. New England plus NY and NJ could make it work. CA can do it all on their own, and would be even stronger with WA, OR and CO.

But then we've got the problem of "balkanizing" US healthcare and the known and unknown impacts of that. Wouldn't be easy, but then again, who said anything that's worthwhile had to be easy. Problems and all it's a hell of a lot better fiscally and from a healthcare outcomes perspective than the ginormous mess we have now. Lets do it!

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