Vermont Approves Single-Payer

Kate Pickert argues that the new law "isn't a game-changer":

Vermont is not like the rest of the country. First, the state is home to only about 600,000 people. It’s not clear that the scale is large enough to test out a single-payer system and see if it could be instituted in larger states or nationwide. Vermont’s existing private insurance market is also unlike most other places. The state has very strict insurance regulation that has whittled down the number of private insurers selling policies on the individual market. Turning Vermont’s existing system into single-payer would be a huge change, but it’s not the same as a big state like California making the jump or a far less regulated state like Alabama.