Vermont health care reform
In 2011, the Vermont state government enacted a law functionally establishing the first state-level single-payer health care system in the United States. Green Mountain Care, established by the passage of H.202, creates a system in the state where Vermonters receive universal health care coverage as well as technological improvements to the existing system. On December 17, 2014, Vermont abandoned its plan for universal health care, citing the taxes required of smaller businesses within the state. Planning In 2010, the State Legislature passed S 88 (which included provisions from Act 128), which enabled the state of Vermont to establish a commission to study different forms of health care delivery in the state. Dr. William Hsiao, a Harvard University professor of economics who was an advisor during Taiwan's transition to single-payer health care, was enlisted to design three possible options to reform Vermont's health care. Hsaio, along with Steven Kappel and Jonathan Gruber, presented the proposal to the legislature of Vermont on June 21, 2010. The three options were laid out as follows: Option 1: As laid out by the requirements of Act 128, the first option would create "a government-administered and publicly financed single-payer health benefit system decoupled from employment which