Reject Tom Pelham's Appointment to the Green Mountain Care Board

We are urging the Senate to reject the nomination of Tom Pelham to a vacancy on the Green Mountain Care Board. We urge the Senate to not only reject Mr. Pelham's nomination but to hold open the vacancy left by Con Hogan to be filled by someone who will be a voice for the interests of everyday Vermonters in need of health care. There is currently no member of the Board who has an everyday patient’s perspective on the panel, and can be their advocate for a system that is responsive to their needs. The need for such an inclusive and empathetic voice on this Board is all the more important as the Senate and House consider legislation to enact Universal Primary Care in Vermont as a first step toward realizing the full promise of Act 48.

Sign today, and copy and paste this letter into an email and send it to your Senator!

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The Honorable Claire Ayer, Chairwoman

Senate Health and Welfare Committee

State House

113 State Street

Montpelier, Vermont 05601

 

Dear Senator Ayer:

 

We have serious concerns about the nomination of Tom Pelham to a vacancy on the Green Mountain Care Board, and urge the Senate to reject Mr. Pelham's nomination and hold open the vacancy left by Con Hogan to be filled by someone who will be a voice for the interests of everyday Vermonters in need of health care.

 

There is currently no member of the Board who has an everyday patient’s perspective on the panel, and can be their advocate for a system that is responsive to their needs. This is a crucial perspective necessary to carry out the Board’s mission as a regulatory and policy reviewing body.

 

According to the Board’s own hiring guidelines, “It is expected that the expertise, knowledge and characteristics of individual members will complement each other and that members contribute to public confidence in the Board’s decisions and process.”

 

While Mr. Pelham might believe he has always advocated in the best interests of Vermont and Vermonters, his background and opinions do not match the required principles that a Board member is expected to support while serving. Those principles include:

 

  • The State of Vermont must ensure universal access to and coverage for high-quality, medically necessary health services for all Vermonters.

  • Overall health care costs must be contained and growth in health care spending must balance the health needs of the population with the ability to pay for such care.

  • The health care system must be transparent in design, efficient in operation, and accountable to the people it serves.

  • Primary care must be preserved and enhanced so that Vermonters have care available to them, preferably within their own communities.

  • Every Vermonter should be able to choose his or her health care provider.

  • Vermonters should be aware of the costs of health services. Costs should be transparent and easy to understand.

  • Individuals have a personal responsibility to maintain their own health and to use health resources wisely.

  • The health care system must recognize the primacy of the relationship between patients and their health care practitioners.

  • Vermont's health delivery system must seek continuous improvement of health care quality and safety and promote and incent healthy lifestyles.

  • Vermont's health care system must include mechanisms for containing all system costs and eliminating unnecessary expenditures.

  • The financing of health care must be sufficient, fair, predictable, transparent, sustainable, and shared equitably.

  • The system must consider the effects of payment reform on individuals and on health care professionals and suppliers.

  • Vermont's health care system must operate as a partnership between consumers, employers, health care professionals, hospitals and government.

 

In many instances, as you’ll see below, Pelham has been a voice for more health care austerity — not a universal system where everyone is covered regardless of their ability to pay. The need for such an inclusive and empathetic voice on this Board is all the more important as the Senate and House consider legislation to enact Universal Primary Care in Vermont as a first step toward realizing the full promise of Act 48.

 

Vermont faces a tremendous challenge—ensuring that our historical habit of Vermonters helping Vermonters continues in the matter of access to affordable, equitably funded, and universal health care. The voices of Vermonters in need of health care equity have been noticeably absent or ignored during regulatory reviews and systems evaluations. Too often, those voices are relegated to a few minutes of testimony. Rather than a temporary seat in front of a microphone, they need a permanent seat on the board.

 

The overhaul of our health care system means that we must think beyond the traditional austerity mindset of patching or constraining existing systems, which has been Mr. Pelham’s worldview as evident in these published articles:

 

  1. Bleeding Edge vs. Leading Edge Government

  2. The Golden Dome Squeeze

  3. Put away the Credit Card

 

While Mr. Pelham's governmental perspective may prove valuable to carrying out Gov. Phil Scott’s austerity agenda, Vermonters would be better served for this vacancy to be filled by someone who has real-life experiences with the shortcomings of the present payment and delivery systems and supports the vision of Act 48 to ensure that we create a system that provides equitable health care for all Vermonters—from newborns to seniors.

 

Thank you very much for your attention to this extremely important matter for the present and the future of all Vermonters.

 

Sincerely,

 

Rights & Democracy

230 signatures

Will you sign?

  • signed 2017-12-07 21:31:34 -0500
    We need a balanced board, with at least 1 healthcare professional to represent regular Vermonters who will require quality healthcare!
  • signed 2017-12-07 09:31:11 -0500
  • signed 2017-12-07 09:19:31 -0500
  • signed 2017-12-07 08:26:40 -0500
  • posted about this on Facebook 2017-12-06 22:03:37 -0500
    Sign the petition: Reject Tom Pelham's Appointment to the Green Mountain Care Board
  • @JohnBenoit88 tweeted link to this page. 2017-12-06 22:03:35 -0500
    Sign the petition: Reject Tom Pelham's Appointment to the Green Mountain Care Board http://www.radvt.org/reject_tom_pelham_s_appointment_to_the_green_mountain_care_board?recruiter_id=31000
  • signed 2017-12-06 22:03:26 -0500
  • signed 2017-12-06 21:46:08 -0500
  • signed 2017-12-06 19:51:17 -0500
  • signed 2017-12-06 15:58:41 -0500
  • signed via 2017-12-06 15:25:40 -0500
    Nicholas Wahlers
  • signed via 2017-12-06 15:25:36 -0500
  • signed 2017-12-06 15:17:24 -0500
    Gov. Scott continues to govern by the austerity playbook written by the Koch machine. Vermonters deserve a voice on the board that is looking our for THEIR HEALTH NEEDS, and not simply a balanced ledger.
  • signed 2017-12-06 14:54:54 -0500
    Liz Haenel
  • signed 2017-12-06 13:55:38 -0500
  • signed 2017-12-06 13:22:10 -0500
    Jane Knight
  • signed 2017-12-06 12:01:15 -0500
    The Green Mountain Care Board (GMCB) has the responsibility to take Vermont in the direction of a system of access to appropriate, cost-effective health care for ALL Vermonters, starting with S53, & H248 “Universal Publically Financed Primary Health Care for All Vermonters”. The GMCB need a balance of representation, esp. advocates for the Vermonters that need this the most… ALL OF US!
  • signed 2017-12-06 10:45:23 -0500
  • signed 2017-12-06 10:24:49 -0500
  • signed 2017-12-06 10:22:53 -0500
  • signed 2017-12-06 09:50:27 -0500
  • signed 2017-12-06 09:45:09 -0500
    While having someone who understands finance on this board is a good idea, I feel that must be secondary to someone who understands the importance of healthcare.
  • signed 2017-12-05 22:18:30 -0500
  • signed 2017-12-05 22:10:21 -0500
  • signed 2017-12-05 22:06:28 -0500
  • signed 2017-12-03 20:37:35 -0500
  • signed 2017-12-02 11:28:27 -0500
  • signed 2017-12-02 08:24:58 -0500
  • signed 2017-12-01 17:20:28 -0500
    Susan G Altoft
  • signed 2017-12-01 14:50:00 -0500

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