Mark Larson: Newsweek’s failure

Editor’s note: This commentary is by Mark Larson, commissioner of the Department of Vermont Health Access, the home of Vermont Health Connect. It was also submitted to Newsweek magazine.

I feel obligated to respond to the story “Doubling Down on Obamacare” by Lynnley Browning that was published on the website Newsweek. Despite providing Newsweek with a list of inaccuracies in the story, only two of which have been corrected, there are more inaccuracies with the story and the reporting that deserve a public response.

Where to begin is easy. It was clear from the first sentence of this article that a premium would be placed on sensationalism over actual reporting. “If Obamacare gets blown up by Congress later this year, you might want to thank (or blame, depending on your prejudices regarding the Affordable Care Act) the state of Vermont. If it can’t make it there, some argue, it can’t make it anywhere,” Ms. Browning wrote. Really? Despite the hyperbole, no single state, let alone one that represents only 0.5 percent of Congress and has actually been one of the more effective states at implementing Obamacare, will cause Congress to “blow up” the president’s single biggest domestic achievement.

The bigger issue here is that Ms. Browning built her story on the premise that the Affordable Care Act is not working in Vermont. The reality is actually quite different. Everyone knows the rollout out of Obamacare has been problematic, and Vermont has not been immune to the challenges. But despite those troubles, Vermont has consistently been one of the most effective states in signing up individuals. According to the non-profit Kaiser Family Foundation, Vermont has enrolled 33.4 percent of its eligible population through its Obamacare exchange. That’s a percentage nearly two times higher than almost every other state.

In addition, the central charge in Ms. Browning’s story, based on conversations with an anonymous source, is that CGI, the contractor building Vermont’s exchange, willfully mislead and pulled the wool over Vermont’s eyes. The allegation centers around one test on July 26, more than two months before the Oct. 1 launch date, that CGI told the state of Vermont was designed to show connectivity to the federal data hub and the ability to determine a hypothetical customer’s eligibility. The test did exactly that. Ms. Browning asked me about the test, and I answered her questions. However, she never asked me to respond to the key, anonymous allegation that the test was a fraud. Had she been forthright about her angle, I would have gladly provided her with documentation that showed Vermont’s exchange had passed a number of tests, both before and after the date in question, demonstrating the successful connection to the federal data hub.

… it’s the responsibility of journalists to take overtly politically motivated sources with a heavy dose of skepticism. Unfortunately, that didn’t happen with this story.

 

Ms. Browning also inaccurately reported why Vermont ended contract discussions with the company Oracle. She failed to report the real reason despite the fact I explained it to her. The decision to end discussions with Oracle was made because the company would not agree to the state’s legal terms. In retrospect, given the difficulties of rolling out exchanges in Vermont and around the country, it was absolutely the right call to insist on legal protections for the state of Vermont. But that didn’t make it into the story.

Lastly, it is clear from the substance of the story that Ms. Browning worked closely with two Republican opponents of Vermont’s Gov. Peter Shumlin in writing her story. Nearly every allegation in Ms. Browning’s story has already been raised by either Randy Brock, the 2012 Republican gubernatorial candidate, or his campaign manager Darcie Johnston. And this isn’t just conjecture. Brock told Vermont reporters in subsequent news reports that he helped Browning with the story, passing her materials, emails and public record requests. Johnston even described her influential role in getting the story published in a fundraising email to supporters of her anti-health care reform group.

It’s not that Johnston and Brock don’t deserve to have their voices heard. They do. But it’s the responsibility of journalists to take overtly politically motivated sources with a heavy dose of skepticism. Unfortunately, that didn’t happen with this story.

Like every state, Vermont worked hard before and after the launch of its federally mandated exchange program to ensure Vermonters are able to access coverage and qualify for federal subsidies. Like every state, our exchange program is vastly improved from where we started, and we continue to make the changes still needed to deliver the best program possible and fully acknowledge there is work to be done. What I do expect is fair and balanced reporting of our challenges, as well as our successes. I hope to see that in future Newsweek coverage of this critical issue.

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32 Comments on "Mark Larson: Newsweek’s failure"

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starr Bullis
2 years 2 months ago

mr. Larson…it is called Karma …..remember when you misled Vermonters about the security breach….what goes around comes around, Mark….

Kelly Cummings
2 years 2 months ago

Really Starr? You’re blaming Mr. Larson for
a reporter not doing her job? A little blind eye…a little ridiculous.

You know that Karma thing you just threw out there? Well, I guess you now gotta keep an eye out over your own shoulder. Karma works both ways. Bummer.

Just sayin’…..

Heads up!

Jimmy Pupa
2 years 2 months ago

Newsweek became a “conservative rag” I always thought it was Time.

Lauren Greenfield
2 years 2 months ago

The truth becomes ‘hate speech’ only to those with something to hide.

Jerry Kilcourse
2 years 2 months ago

Browning and Newsweek are guilty by engaging in the “sins of omissions” regarding her article and the subsequent hype in order to gain circulation among the less well informed. So much for truth and balanced reporting.

Walter Carpenter
2 years 2 months ago

“So much for truth and balanced reporting.”

It sure was not balanced in that Newsweek article.

Paula Schramm
2 years 2 months ago

The truth becomes ‘hate speech’ only to those with something to hide.”
Have to agree a little bit….. wonder just what Darcie Johnston has to hide : maybe who pays her ?

Brent Burns
2 years 2 months ago

Commissioner Larson, It seems you are more concerned with the public perception of the health exchange than the actual functionality of the exchange for Vermonters. Also, I’m not sure why you are citing a third party non profit for your enrollment numbers when, as commissioner of health access, you should be able to provide those numbers yourself. While you are waiting for Newsweek to publish a more positive article about your successes, Vermonters are still waiting on you to provide competent leadership in fixing Vermont Health Connect. You might want to spend some less time writing commentary and spent that… Read more »

Kim Fried
2 years 2 months ago

Mark, your credibility is very, very low. Having universal health care is very necessary but your past handling of the problems during the roll out has left you flat in the eyes of many citizens.

chuck gregory
2 years 2 months ago

Mr. Larson~~ This is what you can expect from the national media as the for-profit health care industry rolls even more guns into Vermont. Darcie Johnston is sitting on a Rolodex of wingnut contributors who are more than eager to anonymously fund every effort to prevent Vermont from showing the rest America that sick people can be saved from suffering needlessly, losing their jobs because of illness and going bankrupt because of both of those causes. Your critics would be credible if they offered a similar or better plan, but they don’t. They are apparently either shilling for the industry… Read more »

Jerry Kilcourse
2 years 2 months ago

Well put Chuck…also Randy Brock’s idea of health care reform is to turn the clock back to the days when health insurance companies could discriminate against older Vermonters, reject claims due to pre-existing conditions, and issue huge deductible junk policies that only gave the appearance of coverage.

Unfortunately, Newsweek and some others only want to regurgitate old news about the ACA roll out, complete with”anonymous” sources in the hopes on gaining on line readership, regardless of accuracy.

2 years 2 months ago

Chuck: Are you the same Chuck Gregory from Springfield that had a letter to the editor in today’s Rutland Herald regarding Vermont health care that stated this: “ In a state where the 2012 income reported for all in-state households was $16.4 trillion – yes trillion – ……” And then you comment above by saying: “Your critics would be credible if they…….” If by chance you are the same Chuck Gregory, then what does it take to make one “credible”? Would stating that Vermont households reported $16.4 trillion in 2012 income make do the trick? Anyway, the Chuck Gregory that… Read more »

Marty Post
2 years 2 months ago

Chuck,
I think you should take Peters advice. Granted my article was incorrectly titled by the Herald, but the conclusion is the same.
The process needs to slow down until we know the cost details, who will pay, what will it pay for, and the risks/fall back position.
Even the Governor has stated on many occasions if this is not cost effective he will not proceed.
PS. your calculated cost estimate of $19.75/household/year is off by a factor of 1,000 times that number to reach the $5.92Billion

Jason Kelley
2 years 2 months ago

Mr. Larson:

Thanks you for your clarification in response to an amazingly poorly researched article in Newsweek.

How much easier it would have been if Vermont had been granted a waiver to move straight to a publicly financed universal health care system. Instead we have to deal with the amazingly complex Rube Goldberg system that is the ACA until 2017.

Dave Bellini
2 years 2 months ago

The computer system will eventually work. The debate should center on the big unanswered questions: What will the new universal plan cover? What will it not cover? How much will the TRUE out of pocket costs be? What is the overall cost? How specifically will it be funded? Will it be better than Canada? Vermonters deserve answers today.

Wendy Wilton
2 years 2 months ago

Dave, I agree. However, the questions that linger regarding data security and ops are are a harbinger of what we can expect in 2017…and important to consider today.

Walter Carpenter
2 years 2 months ago

“However, the questions that linger regarding data security and ops are are a harbinger of what we can expect in 2017…and important to consider today.”

What if it does not happen? After all, the ACA and GMC (Green Mountain Care) are two completely different entities.

Wendy Wilton
2 years 2 months ago

What the state needs now is a whistleblower to bring Vermonters some transparency to the VHC fiasco.
While the Shumlin administration is trying to keep the lid on the problems, including what we don’t know, the Governor is opposing the whistleblower law in the legislature. This OpEd is a reminder to any state employee who may know something that disclosure is not worth the risk.
I hope anyone reading this who has information has the courage to come forward.

Timothy MacLam
2 years 2 months ago

Ms. Wilton-
I think you have finally said something worthy of very serious consideration.

Wendy wilton
2 years 2 months ago

Tim,
In the news today the VT US Atty is being asked to look into the Newsweek allegations based on a letter and evidence from a VHC insider/whistleblower. Is the US Atty is willing to look beyond politics and take this seriously for the benefit of Vermonters? We’ll see.

2 years 2 months ago

Now that Commissioner Larson has taken the time, energy and money to respond to the Newsweek article, maybe he can tell us why the state elected to attempt to build a Vermont health care exchange in the first place. I ask this question since: The construction of the VT exchange is costing tens of millions of hard earned tax payer dollars plus millions more in promotion and administration costs. The federal exchange option was available to Vermont use at essentially no cost. Also, remember President Obama just told us the federal exchange is working fine. VT has only two insurance… Read more »

Paula Schramm
2 years 2 months ago

Mr. Yankowski – you ask a question that many people feel confused about, but which has a straight-forward answer. The answer is the state had to , by federal law, put the exchanges in place by the given date. We tried to get waivers to start heading right towards first steps of the universal, publicly-funded health care laid out in Act 48. But although in theory the ACA welcome states innovating to find their own improvements on the ACA, as long as the resulting coverage was the same or better than what the ACA called for – the truth became… Read more »

2 years 2 months ago

Paula:

I don’t think the law required Vermont to create its own health care exchange. Vermont could have used the federal exchange and saved millions and millions of tax payer dollars as most other states did.

Trying to get waivers for Act 48 has nothing to do with creating the exchange.

I love your comment: “blame the Republicans”. Paula, there are hardly enough Republicans in this state to fill a parking space in Montpelier. You’ll have to find some else to blame.

Paula Schramm
2 years 2 months ago

Peter – We each need to read the other’s posts more carefully ! I thought you were talking about the health exchange in general, and just not understanding the true desire to go to single payer system, or, more accurately, fulfill Act48, ASAP…. You make sound this like some sort of underhanded conspiracy, rather than the intention to carry out what was actually voted into law, and to try to do it without having to wait until 2017….and without having to set up the exchanges, which are so different from Act48, and a complication, rather than an enhancement of what… Read more »

David Dempsey
2 years 2 months ago

Paula, The question that Peter Yankowski asked was pretty clear. As you said, the state had to set up the exchange by federal law. Vermont had two choices, use the federal exchange or set up our own. We spent over $83 million dollars to set up our own. If we used the federal exchange, we wouldn’t have spent $83 million of taxpayers money. That is a legitimate question and has nothing to do with anything you talked about in your comments. You need to focus on what Peter said, not what he didn’t say.

Paula Schramm
2 years 2 months ago

David – As I said, we each missed some of what the other was saying. I did speak to his question in my reply, and I agree- it was a perfectly legitimate question, and I had a good point to make in response to it.
He in turn criticized me for something I didn’t say, and I pointed that out too.

Al Walskey
2 years 2 months ago

I really wish that the discussion and criticism would focus on just how BAD American health care is. You don’t have to dig very deep to find that some 45,000 Americans die each year due to the lack of health care. We Americans pay twice as much for health care, with worse health outcomes and have shorter life spans than other industrialized countries. Clearly, there’s room for improvement! Those who are milking the system and driving up costs are those who have employer sponsored health care subsidized with employer tax breaks that otherwise would have gone into the U.S. Treasury.… Read more »

Wendy wilton
2 years 2 months ago

Al, I don’t think your argument flies in VT. We have a high level of charity care in addition to several programs available for the poor and for the elderly. Of the 45,000 or so Vermonters who were the uninsured before ACA, many chose not to purchase health care even though they were offered coverage through employers or Catamount through the state, or sign up for Medicaid if they qualified. Can you identify a Vermonter who died due to lack of health care access? (Whether or not they availed themselves of it is another issue) Post exchange, it’s a different… Read more »

Walter Carpenter
2 years 2 months ago

“VT should have defaulted to the federal exchange and skipped this whole debacle.”

Then where would we be? The same problems with the website, designed by a company hired to do the job, have marred the federal exchanges as well.

Al Walskey
2 years 2 months ago

Wendy,
Here’s the link to an article that cites a credible study about what they call “excess deaths.”:
http://news.harvard.edu/gazette/story/2009/09/new-study-finds-45000-deaths-annually-linked-to-lack-of-health-coverage/

Here’s a link to a chart that breaks excess deaths down state by state:
http://www.pnhp.org/excessdeaths/excess-deaths-state-by-state.pdf

I and people I know well have experienced what are called “therapeutic misadventures” that hospitals are too embarrassed to report. They’re also worried about the legal ramifications. Bottom line, even if you are insured your chance of becoming a “therapeutic misadventure” in the good ole USA is higher than other industrialized countries.

Kelly Cummings
2 years 2 months ago

This article got me to thinking….just who owns Newsweek now?

So I Googled it.

This is what I found. Some of this stuff is so interesting. Who knew? I sure didn’t.

Is Newsweek about to be Controlled by the Second Coming of Jesus Christ?

http://churchintoronto.blogspot.com/2013/08/the-2nd-coming-christ-controversy-david.html

http://observer.com/2013/08/moonies-messiahs-and-media-who-really-owns-newsweek/

http://www.christianitytoday.com/ct/2012/september-web-only/david-jang-second-coming-christ-singapore.html?paging=off

Al Walskey
2 years 2 months ago

You don’t have to look very far to find that problematic software roll-outs abound. Here’s an article that appears on vtdigger regarding DMV software. http://vtdigger.wpengine.com/2012/12/05/state-wins-8-37-million-back-from-hp-for-failed-dmv-system/ These are almost always problems caused by the much praised PRIVATE sector that makes a regular habit of “over promising” and “under delivering” products and services to government officials like Mark Larson who make a good faith effort to give taxpayers the most bang for their buck. The public wrath and outrage should be rightfully directed at CGI, in this case, for failing to meet their contractual obligations! As with the DMV the solution to… Read more »

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