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Report: 4 Vermont hospitals face risk of closure, but all are in financial distress

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Report: 4 Vermont hospitals face risk of closure, but all are in financial distress


There’s a metaphorical hurricane bearing down on Vermont’s healthcare system, and we need to prepare now to weather the storm, according to a consultant hired by the Green Mountain Care Board to figure out how to make health care affordable, equitable and sustainable in the state.

“It’s like getting a hurricane warning,” Dr. Bruce Hamory said in an online press briefing. “You can see it coming. You don’t know quite how bad it will be, but you want to get the windows boarded up, get a supply of food or leave town.”

Hamory and his team at Oliver Wyman Life Sciences presented their final report to the GMCB at a public board meeting on Wednesday. The 144-page report includes extensive recommendations on issues ranging from hospital operations to housing and transportation. The Green Mountain Care Board is responsible for overseeing major aspects of the healthcare system in Vermont, including hospital budgets.

Hamory warned that four Vermont hospitals − Gifford Medical Center in Randolph, Springfield Hospital, Grace Cottage Hospital in Townshend and North Country Hospital in Newport − are facing the greatest risk of closure because they don’t have the volume of patients to support their operations, but that all Vermont hospitals are facing severe financial distress.

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“Nobody is off the hook here,” Hamory said. “For every hospital, their survival in their current form depends on aggressive control of costs and growing in certain necessary areas.”

Vermonters face challenges getting timely and affordable healthcare

The report lays out the “serious challenges” Vermonters face in obtaining health care:

  • Decreasing affordability − Average premiums for silver exchange plans available through Vermont Health Connect are $985 in 2024, a 108% increase in six years.
  • Deteriorating sustainability − Nine of the 14 hospitals in the state reported operating losses in 2023 of up to -8.9%. The trend is projected to worsen, with 13 of 14 hospitals expected to report losses by 2028.
  • Aging and shrinking population − People over 65 years old are projected to exceed 30% of Vermont’s total population by 2040, exacerbating the strain on the healthcare system because of increasingly complex needs for care. Meanwhile the working population is expected to decline by 13% by 2040, limiting contributions to the commercial healthcare premiums that subsidize the shortfalls hospitals experience in payments from federal programs.
  • Lack of healthcare access − Primary and specialty care clinics in Vermont have long wait times, preventing patients from seeing providers for urgent, as well as routine visits in a reasonable timeframe. Also, community-based care, such as primary care and home healthcare, does not fully support Vermonters’ health needs, resulting in increased hospital use.
  • Inequity in healthcare − The current system in Vermont fails to adequately support access and affordability needs for low-income populations in rural areas. There’s insufficient affordable housing, a “significant social determinant” to health. Transportation for patients is unreliable and “lacks timeliness,” preventing patients from accessing care. Lastly, “culturally competent” care is not widely practiced to treat patients with unique needs in terms of language, mental health and gender/sexual identity.

Transformation of Vermont’s health system includes regionalized care

The transformation of the health system in Vermont that’s “urgently needed,” according to the report, would be led by the Agency of Human Services, together with the Green Mountain Care Board. The report calls for the state to support the development of infrastructure including a “robust” workforce, greater access to transportation and an affordable housing supply.

The report proposes the development of new regionalized centers of care, to “drive hospital efficiency and shift care outside of the hospital setting.” These “Centers of Excellence” would provide specialized services within the reach of most Vermonters, and would create areas of “sufficient population size” to support the medical professionals and equipment needed.

Decisions concerning the types and locations of Centers of Excellence would be determined by AHS, in combination with the communities and hospitals concerned, Hamory said in an interview with the Burlington Free Press.

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Central Vermont Medical Center in Barre, for example, might become a COE for geriatric care, infusion therapy, neurology, psych-adult and radiation therapy. Copley Hospital in Morrisville might become a COE for orthopedics and rheumatology.

Both Brattleboro Memorial Hospital and Rutland Regional Medical Center might become COEs for acute general surgery. The report says additional COE designations for other specialties and other hospitals require further discussion as part of Vermont’s “regionalization plan.”

“Part of the goal is to move care to more convenient and less expensive locations and out of the UVM Medical Center and Dartmouth Medical Center,” Hamory said. “Perhaps one of the benefits of this process will be to give folks some reasonably clear picture of what the future holds that they can use to plan. This is an enormous project.”

Contact Dan D’Ambrosio at 660-1841 or ddambrosio@freepressmedia.com. Follow him on Twitter @DanDambrosioVT. 

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Maine Black Bears vs. Vermont Catamounts – Live Score – March 13, 2026

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Maine Black Bears vs. Vermont Catamounts – Live Score – March 13, 2026


Vermont meets Maine and Smith in America East Final, fresh off her 26 Pts, 12 Reb, 4 Ast game

TEAM STATS

ME

62.3 PPG 65.8

28.4 RPG 29.8

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13.4 APG 12.1

11.2 TPG 9.9

60.1 PPG Allowed 51.5

UVM

TEAM LEADERS

ME
UVM
PREVIOUS GAMES
Maine Black Bears ME

Vermont Catamounts UVM



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COMMENTARY: Vermont: The Beckoning Country

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COMMENTARY: Vermont: The Beckoning Country


Vermont has some big problems that desperately need fixing! Many of them are connected, in a variety of ways to a symptom rarely discussed. The population of Vermont is falling while the population of the United States is growing. Vermont has been losing people for the last few years. The reasons include deaths in Vermont outpace births; between 2023 and 2024 there were 1,700 more deaths than births. More people left the state than moved into Vermont. In another worrying sign the birthrate in the United States is down 25 percent since 2007 when the decline began. Another symptom may be that weekly take home pay in Vermont is about $400.00 less than the national average. Taken together these problems should set off alarms about our future.

S, it should not be a surprise that our schools throughout the state have a diminishing number of students while simultaneously school budgets are skyrocketing upward. Yes, it is costing us more to educate fewer students, and Vermonters are rarely wealthy. Maintaining quality schools is expensive. The average pay for public school teachers in the United States is $72,030. The average pay for a public-school teacher in Vermont is only $52,559. A nearly $20,000 gap is hardly an incentive to attract the best of the best. Good teachers are a precious commodity.

Gov. Phil Scott has demanded the Legislature do something about education costs in the Green Mountain State. Legislators have been spending much more time on this problem than any other facing the state. There have been various proposals, one of the latest is from Sen. Seth Bongartz of Manchester that would create a two year “ramp period” for school districts to merge voluntarily. Two years is a long time to wait when the problem is financially urgent. School mergers are inevitable in many areas which will mean the eventual closing of several small elementary schools. The closing in many cases means long bus rides for little kids.

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One idea that has not been discussed is increasing, substantially, Vermont’s population over the next decade or so. We don’t have enough students to make financial sense for our small rural schools. We need more property-owning people whose taxes will help balance our cash-strapped education budgets. Why doesn’t the Legislature think about a campaign to entice people to move to the Green Mountain state?

In the 1960s Vermont’s economic development officials, under new Gov. Phil Hoff, launched a marketing campaign that was known as “Vermont the Beckoning Country.” The campaign was remarkably successful, bringing thousands of people to a place that at that time had largely skipped the Industrial Revolution. Vermont’s ski industry began growing by leaps and bounds then, bringing in large numbers of people new to the state. Entrepreneurs, many of them World War II veterans, began developing ski resorts in the Green Mountains. They attracted thousands of visitors and some of those visitors fell in love with Vermont. They stayed. These Flatlanders changed the state, making it more liberal, and more environmentally conscious. Gov. Hoff, the first Democrat elected governor since 1853, was followed by a wave of successful liberal politicians who turned Vermont from red to blue. People can differ about the whether the political transformation improved the state or destroyed it, but the state undoubtedly grew more prosperous.

Vermont has plenty of land that can be used to build new housing. New people can bring fresh ideas and the capital needed to create new businesses with good jobs. More families living in more houses means more property taxes going to schools. It should also lighten the load for the current financially stressed Vermonters.

A well-financed advertising campaign to entice new people to make Vermont their home will make us more prosperous. More taxpayers can be one of the many solutions needed to save our struggling education system.

Clear the cobwebs off the old slogan and invite a whole new crop of young, energetic families to Vermont the Beckoning Country!

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Eric Peterson lives in Bennington. Opinions expressed by columnists do not necessarily reflect the views of Vermont News & Media. 



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Spring-like days ahead, but the risk for additional river ice jams and flooding will continue.

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Spring-like days ahead, but the risk for additional river ice jams and flooding will continue.


BURLINGTON, Vt. (WCAX) – It was a pleasant Sunday with spring-like temperatures, but it also resulted in a few ice jams in rivers, which happened earlier than expected. The Ausable, Mad, Missisquoi and Great Chazy rivers flooded today due to ice jams. These rivers will recede tonight as temperatures get close to, or below, freezing. However, new ice jams may form, and additional rivers may flood on Monday as highs get even warmer. Expect partly sunny skies with highs in the upper 50s to low 60s. The wind may gust as highs as 40 mph. This will continue to support rapid snowmelt, which will run off into rivers and other bodies of water. Remember to never cross any flooded roads, and avoid going near river banks.

The threat for ice jams will continue into Thursday. A backdoor cold front may touch off a few showers on Tuesday, otherwise it will be partly sunny with highs ranging from the 40s north to the 50s and low 60s south. Computer models continue to bring a low pressure system in our area on Wednesday. It’s continuing to look a little warmer, though the heavier rain is now inching farther into Canada. That said, some rain is likely, and high temperatures will be at least in the low 40s, and may reach the 50s in southern parts of the region. Morning rain on Thursday will change to afternoon snow. A few inches accumulation is possible. Early highs in the 30s will fall through the 20s by afternoon, and overnight lows will be in the teens and low 20s, so everything will freeze up.

Friday will start off with some sunshine, then another, weaker system could bring a light rain/snow mix late in the day and overnight. A few inches of snow can’t be ruled out. A return to more seasonable temperatures will happen over the weekend with highs mainly in the mid-30s and lows in the teens and 20s. There’s the chance for snow showers both days, but significant weather isn’t expected.

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