Even Vermont; Green Mountain Care; ran away from the idea simply because they could not find the stomach to pay for it. It was supposed to start in 2017 when th

Even Vermont; Green Mountain Care; ran away from the idea simply because they could not find the stomach to pay for it. It was supposed to start in 2017 when the ACA permitted such arrangements. to even get close to a palatable number they would force cuts in payments to doctors, hospitals, and more, by nearly twenty percent while doing nothing to reduce the operational costs of such providers. Another nail in the coffin is that of the many proposals to shift tax deductions away from the rich is to remove the Federal deduction for State and local taxes. High tax states need this deduction to hide their spending. It reduces by a lot the amount of Federal taxes paid in those states to benefit local coffers. Without the deduction tax increases become a real threat by increasing the chance those with large taxable incomes move