Top Down vs. Bottom Up

Written by: James D on Nov 23, 2009 5:42 PM EST

I am beginning to wonder if a better strategy for Health Care might be driven more effectively from a community level than from the current top down approach.  If we can take the current set of ideas and work through community/party organizations - for example, by forming community based options through local or state governments that can offer competition to the big Insurers. Can we have a state based public option? Could state based public options then work with Federal Medicare on a state by state basis?  

Is what Vermont has implemented a model to extend?

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Location: Denver, CO 80014