When the COVID-19 pandemic hit, it revealed a troubling paradox in Vermont's healthscape. Monopoly-creating laws and regulations (like the Affordable Care Act and the Certificate of Need program) have artificially reduced the state’s health facilities and resources. Vermonters must contend with fewer hospitals and ambulatory surgical centers, and reduced access to medical imaging technology. On the one hand, ...

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We do not rely on the benevolence of the butcher, the brewer, or the baker to feed ourselves — Adam Smith observed in the “Wealth of Nations” (1776) — but on their regard for their own interest. The desire to pursue a profitable living also holds true for doctors and nurses, notwithstanding the moral dimensions of their labor. Health care is a service like any other. We ought to expect price ...

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