IBM is one of the companies in the state that Vermonters for Health Care Freedom says could be hurt by the Shumlin administration's single payer health care plan.
IBM is one of the companies in the state that Vermonters for Health Care Freedom says could be hurt by the Shumlin administration's single payer health care plan.

A nasty tit-for-tat ensued last week between a GOP operative and the Vermont Democratic Party over Gov. Peter Shumlinโ€™s single-payer health care plan, and the Dems, who aggressively counter-attacked, won the dogfight.

Darcie Johnston, a Republican politico and head of Vermonters for Health Care Freedom, an anti-single payer group, issued the first salvo on Wednesday and penetrated the Vermont Demsโ€™ no-fly-zone in cyberspace.

Johnston declared in an email blast that MVP Health Care, one of the stateโ€™s three major health insurance carriers, was encouraging large, self-insured employers, such as IBM, Walmart and Home Depot, to leave the state — should Shumlinโ€™s single-payer plan become a reality.

As proof, Johnston cited a reference on MVPโ€™s website to a possible payroll tax on businesses and employees. A section of the site states, โ€œto avoid double-paying, employers may consider getting rid of their self-funded plan or leave the jurisdiction of Vermont.โ€

MVPโ€™s website also refers to the Hsiao reportโ€™s recommendation of a 9.4 percent payroll tax on businesses and 3.1 percent payroll tax on employees. If such a tax were instituted, MVP asserted, companies would have to pay insurance premiums and a payroll tax. The website states: โ€œIn this situation, employers would be subject to the likely payroll tax โ€“ meaning employers would finance the single payer plan and cover their own employees under their existing plan, essentially becoming a double-payer, unless they choose not to continue with their current plan.โ€

Johnston interpreted this information as an endorsement of her own view, and then put a partisan twist on it. As she put it: โ€œGovernor Shumlinโ€™s reckless push towards a single payer system could very well be the biggest job-killer in Vermontโ€™s history.โ€

The Vermont Democratic Party pounced on Johnstonโ€™s email the next day, accusing her of spreading โ€œmisinformationโ€ about the single-payer bill.

Jesse Bragg, executive director of the Vermont Democratic Party, said Johnstonโ€™s claim was misleading because the state hasnโ€™t figured out what the financing mechanism for single-payer will be. The Shumlin administration has made cost containment the Holy Grail of his ambitious plan, and the governor has repeatedly said single-payer canโ€™t go forward without bending the cost curve. The financing system would be determined in 2013.

โ€œThe legislation authorized the pathway to single-payer, but the specific financing plan has not yet been designed,โ€ Bragg said. โ€œTherefore, claims about the impacts of single-payer financing on individuals or groups are nothing more than fearmongering.โ€

Bragg said that โ€œfar-right groupsโ€ like Vermonters for Health Care Freedom are conspiring with special interests (i.e. MVP), and, together, they โ€œare putting corporate profits and the far-right agenda before the needs of working Vermonters.โ€

On Friday, MVP Health Care weighed in โ€“ against Vermonters for Health Care Freedom. Gary Hughes, director of internal communication, issued a statement objecting to the โ€œirresponsible statementsโ€ made by the 501c4 group, based in Montpelier. Johnstonโ€™s press release was not authorized by MVP, and Hughes said it took one comment on the companyโ€™s Web site out of context.

โ€œTo state that MVP has advised Vermont employers to leave the state is inaccurate,โ€ Hughes wrote.

In an interview, Hughes said the company continues to participate in the single-payer discussion, and, he emphasized: โ€œWe arenโ€™t advising any of our employers to move.โ€ MVPโ€™s website statements, which appear to support Johnstonโ€™s contention, have not been removed.

A triumphant riposte was issued by the Vermont Democratic Party not long after the MVP excoriation of Johnston was made public.

โ€œIn its short existence, Vermonters for Health Care Freedom has repeatedly distorted the facts, taken quotes out of context, and misled Vermonters in a transparent attempt to derail meaningful, necessary health reform,โ€ Bragg wrote. โ€œWe join MVP in demanding that Vermonters for Health Care Freedom stop distorting the truth. If Darcie Johnston cannot stick to the facts, she should stay out of the debate.โ€

Johnston sent a public apology to MVP, explaining that she misread the aforementioned double-pay/donโ€™t-stay statement on the insurerโ€™s website. Her initial contriteness, however, gave way to a restatement of the gist of her original partisan pitch: Single-payer will hurt big business.

โ€œThe single-payer bill has created an enormous amount of uncertainty and confusion for Vermontโ€™s employers, and we regret if we added to that confusion,โ€ Johnston wrote.

Dan Barlow, who handles government affairs for Vermont Businesses for Social Responsibility, also waded into the fray. Barlow said the tactics used by Vermonters for Health Care Freedom are similar to those used in the federal debate over health care reform efforts in 2010.

Because the group is a 501c4 and isnโ€™t under federal law required to reveal its sources of income, Barlow said, โ€œWe donโ€™t know who they represent.โ€

Uncertainties abound, with this exception: The inevitability of more polemical battles over single-payer health care.

VTDigger's founder and editor-at-large.

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