Shumlin to propose 8% payroll tax, progressive income tax to fund VT single payer plane
Gov. Peter Shumlin intends to propose a combination of an employer payroll tax and an income-based contribution to finance single-payer health care, according to sources with knowledge of the plan.
In the latest version of the proposal presented Nov. 19 to the governor and members of his Business Advisory Council on Health Care, the employer-funded payroll tax was pegged at 8 percent, according to multiple sources who asked to remain anonymous because council members had mutually agreed to keep their deliberations under wraps. The Shumlin administration declined to comment. ....
Estimates for the cost of single payer in its first year are at least $2 billion.
If the payroll tax were to raise about half that amount, the income-based health care fee would need to generate about $1 billion as well.
The health benefit for Green Mountain Care is likely to be modeled after the gold plan offered through Vermont Health Connect, according to one of the sources.
Green Mountain Care will include some amount of cost-sharing at all levels, and that will take the form of copays, coinsurance or deductibles. That breakdown is still unknown.
That stinks of Gruber.
People who are income-eligible to pay at lower sharing levels on the Vermont Health Connect exchange will pay at no more than those levels under Green Mountain Care. The same is true for Medicaid beneficiaries who cannot pay more than they do now or receive less coverage under Green Mountain Care.
That stinks of Gruber, too.
"Free at the point of care" is the way to go, which is why the Tories in the UK are busy destroying it.