Vermont isn’t the first state to attempt a state-based single-payer system. California looked at it in the 1990s, and it too proved to be too expensive to be workable.
In stumping for Vermont’s single-payer plan, Gov. Shumlin and other supporters repeatedly argued that it was intended as a cost control mechanism. The failure of the plan is yet another reminder that these sorts of single-payer systems require tax hikes that even liberal governors in liberal states can’t support.