Vermont
Employee in small Vermont town quietly lowered fluoride in water for years
Residents of a small group in Vermont have been blindsided final month by information that one official of their water division quietly lowered fluoride ranges practically 4 years in the past, giving rise to worries about their kids’s dental well being and clear authorities — and highlighting the enduring misinformation round water fluoridation.
Katie Mather, who lives in Richmond, a city of about 4,100 in northwestern Vermont, stated at a water fee assembly this week that her dentist lately discovered her two youngsters’ first cavities. She acknowledged they eat loads of sugar, however famous that her dentist really helpful in opposition to supplemental fluoride as a result of the city’s water must be doing the trick.
Her dentist “was working and making skilled suggestions based mostly on state requirements all of us assumed have been being met, which they weren’t,” Mather stated. “It is the truth that we did not have the chance to provide our knowledgeable consent that will get to me.”
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The addition of fluoride to public ingesting water methods has been routine in communities throughout the US for the reason that Nineteen Forties and Nineteen Fifties however nonetheless would not sit nicely with some folks, and lots of nations do not fluoridate water for numerous causes, together with feasibility.
Critics argue that the well being results of fluoride aren’t absolutely recognized and that its addition to municipal water can quantity to an undesirable treatment; some communities lately have ended the follow. In 2015, the U.S. authorities lowered its really helpful quantity in ingesting water after some kids obtained an excessive amount of of it, inflicting white splotches on their tooth.
Whereas such splotches are primarily a beauty downside, the American Dental Affiliation notes on its web site that fluoride — together with life-giving substances together with salt, iron and oxygen — may be poisonous in massive doses.
However within the really helpful quantities, fluoride in water decreases cavities or tooth decay by about 25%, in response to the U.S. Facilities for Illness Management and Prevention, which reported in 2018 that 73% of the U.S. inhabitants was served by water methods with satisfactory fluoride to guard tooth. So for some folks in Richmond, it was a shock to listen to their water wasn’t assembly the usual.
Kendall Chamberlin, Richmond’s water and wastewater superintendent, instructed the Water and Sewer Fee in September that he decreased the fluoride degree due to his issues about adjustments to its sourcing and the really helpful ranges.
He stated he worries about high quality management within the fluoride utilized in U.S. ingesting methods as a result of it comes from China — an assertion that echoes unfounded reviews about Chinese language fluoride which have circulated on-line lately.
And, he stated, he would not suppose the state’s really helpful degree of fluoride is warranted proper now.
“My responsibility is to take affordable care and judgment for the safety of public well being, security and the atmosphere of my prospects,” he stated, including that “to err on the facet of warning isn’t a foul place to be in.”
Chamberlin didn’t reply to an Related Press e-mail looking for remark.
Two of the three fluoride components U.S. water methods can use do, the truth is, come from China as a result of they haven’t any home producers, however all are topic to stringent requirements, testing and certification to make sure security, CDC spokesperson Tracy Boehmer stated in an e-mail. Spokespeople for the Vermont Division of Well being concurred that each one components should meet these nationwide requirements.
Chamberlin’s resolution flabbergasted residents and docs.
“For a single particular person to unilaterally make the choice that this public well being profit may not be warranted is inappropriate. I feel it is outrageous,” retired Dr. Allen Knowles stated on the Sept. 19 assembly. He stated he has an 8-month-old granddaughter he thought was getting adequately fluoridated water.
“Fluoride, once more, is among the most profitable and vital public well being measures that has ever been undertaken on this nation,” Knowles stated. “The discount in dental illness is simply inarguable. You do not set up security based mostly on one particular person’s opinion or one examine or this or that.”
Most water naturally incorporates some fluoride, however sometimes not sufficient to stop cavities.
The mineral was first added to public water in Grand Rapids, Michigan, in 1945. Now it is commonplace, though extra prevalent in some states than others; Oregon, New Jersey and Hawaii have the bottom proportion of residents with fluoridated water, in response to the United Well being Basis.
Fluoride can be added to toothpaste and different topical merchandise and is in some meals.
In sparsely populated and largely rural Vermont, 29 of the 465 public water methods voluntarily fluoridate, and simply over half of residents served by a public system get fluoridated water, in response to the Vermont Division of Well being. The state’s commonplace degree is predicated on federal suggestions.
Cities that fluoridate should keep ranges throughout the state’s suggestions and submit month-to-month reviews to the state Well being Division.
The state’s former fluoride program supervisor, who retired in 2019, had tried working with Chamberlin and his staff in Richmond, “and issues would enhance for some time, however drop again down once more,” Robin Miller, the director of the Workplace of Oral Well being, wrote in an e-mail to the AP.
Miller stated she did not notice the city’s fluoride quantity had been constantly low for thus lengthy till March this yr. After a web site go to by the state in April, the degrees didn’t enhance, so Miller contacted the Richmond city supervisor in June, who requested she attend the assembly in September, she stated.
On the second assembly Monday, the one at which Katie Mather raised issues about her kids’s tooth, Chamberlin — who would not reside on the town and appeared on-line — learn a press release of apology.
“Phrases can’t categorical how sorry I’m for inflicting this controversy,” he stated. “Imagine me after I say I’ve all the time solely had good intentions based mostly on a misunderstanding. I promise I’ll be sure nothing like this ever occurs once more.”
A former Richmond worker who labored below Chamberlin identified the month-to-month report is reviewed by the city supervisor and goes to the state.
“It is not only one man doing what he desires. He is bringing these reviews to his boss, who indicators them,” stated Erik Bailey, now the village supervisor in Johnson.
City Supervisor Josh Arneson stated Chamberlin or different staffers all the time instructed him ranges have been acceptable. He stated he first heard from the state in June concerning the constantly low ranges.
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The fee voted to return the water to full fluoridation.
Vermont
Gov. Scott appoints three new department commissioners – VTDigger
Gov. Phil Scott on Friday announced the appointment of two new department commissioners and one deputy commissioner to his administration.
Scott tapped Kerrick Johnson as commissioner of the Department of Public Service, ahead of Commissioner June Tierney’s retirement at the end of the year.
Johnson, of North Middlesex, currently serves as executive advisor to the Vermont Electric Power Company, commonly known as VELCO. The company, owned jointly by the state’s distribution utilities, manages 700 miles of distribution lines and works with Independent System Operator of New England, a regional partner, to maintain the reliability of the state’s electricity transmission grid.
“Kerrick has extensive experience as a leader in the energy sector which will be valuable as we help Vermonters make the switch to cleaner energy sources in ways they can afford,” said Scott in a press release, where he also expressed gratitude for Tierney’s seven years of service.
Over the last decade of his career working in energy innovation, Johnson said he has learned how to streamline systems and identify and eliminate needless costs. He said he intends to bring that knowledge to his work as commissioner.
“I think there’s opportunities internal to Vermont to be more thoughtful about pace, about placement and about cost of generation and infrastructure build out,” said Johnson. “Regionally, Vermont has some unique attributes it brings to the table that can serve both Vermont and the region in fulfilling its energy needs, and I look forward to creating and seizing opportunities to better leverage Vermont’s strength.”
Although awaiting legislative confirmation, Johnson said he intends to have ongoing conversations with key stakeholders like members of the department and the legislature to “ensure a smooth, seamless transition.”
The Legislature has at least two high-interest energy topics to debate during the upcoming session. Johnson will likely be engaged in discussions about whether to implement a proposed Clean Heat Standard — a matter of significant discussion during the recent election. And Republicans and Scott have called for changes to the Global Warming Solutions Act, which sets emission reduction requirements for the state for 2025 and beyond.
Scott also appointed Mike Ferrant, of Williamstown, to fill the role of deputy commissioner of the Department of Liquor and Lottery. Andrew Collier, the previous deputy commissioner, was tapped by Scott to be commissioner of the Department of Motor Vehicles.
“I’m very excited to join the amazing team at the Department of Liquor and Lottery and grateful to the Governor for his confidence in me in this position,” Ferrant wrote in an email to VTDigger.
Finally, Scott appointed Sandy Bigglestone as acting commissioner of the Department of Financial Regulation to replace current commissioner Kevin Gaffney who will retire at the end of the year. Bigglestone has previously served as deputy commissioner of the Captive Insurance Division within the department.
Bigglestone said the role is slated to be temporary until a permanent appointment is made. But, during her time as commissioner, Bigglestone said she plans to lead through collaboration with the department’s “top-notch staff.”
Bigglestone said she is dedicated to the department’s mission of protecting consumers and ensuring companies, institutions and individuals operate within the law and can deliver on promises to consumers.
In her 28 years of service at the department, Bigglestone said she has learned about global market forces and how to help Vermonters when situations like the 2008 financial crisis and COVID 19 pandemic arise.
“We find ourselves always having to pivot and shift and to address what challenges Vermonters face, and work together to come up with some solutions,” said Bigglestone.
Vermont
Vermont health care regulators approve OneCare’s annual budget, likely its last – VTDigger
For likely the last time, state health care regulators at the Green Mountain Care Board on Wednesday approved the annual budget for OneCare Vermont, the accountable care organization that has been the linchpin of Vermont’s “all-payer” health care payment reform efforts since 2018.
OneCare announced in early November that 2025 would be its last year in operation. Dec. 31, 2025, is also the anticipated end date for what the Centers for Medicare and Medicaid Services calls the “Vermont All-Payer ACO Model.”
The care board approved an organizational budget of just under $11.3 million, a reduction of almost $1.5 million from OneCare’s original request, submitted before the nonprofit’s board of managers voted to close its doors.
Regulators directed OneCare — which since October 2021 has been solely a subsidiary of the University of Vermont Health Network — to redistribute the latter amount to independent health care providers that participate in the organization’s “population health management” programs, including primary care offices, home health agencies and area agencies on aging.
Green Mountain Care Board Chair Owen Foster called the approved budget “very fair for OneCare,” given that it was not significantly lower than the organization’s actual spending in 2024.
The reduced budget level-funded salary and benefit expenses from 2024 and eliminated the unfilled position of chief financial officer. Tom Borys, who served in that role, took over as interim chief executive officer after Abe Berman, who served as OneCare’s CEO since May 2023, stepped down earlier this month.
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The care board also cut money that was allocated to pay for an annual outside evaluation no longer being required by the board, and for lobbying and board recruitment.
“It’s obviously a different budget than in prior years with a winddown coming of the operations,” Foster said.
Borys acknowledged that “the paradigm has changed for us” and accepted the rationale for the cuts in public comments to the board on Dec. 4 and written comments on Dec. 12. The organization’s goal for 2025 was to “do our best for the state, the providers, the patients that they serve, and also be mindful of the cost,” he said.
Borys added that OneCare expected to continue its full list of activities through the end of 2025. The plan is to spend the first half of 2026 closing down, with the final steps of the shutdown completed by that October, he said. Care board staff said it was currently unclear whether the regulator would need to approve a partial budget for 2026, assuming the federal “all-payer model” ends when expected at the end of 2025.
The model has been a unique policy framework — and the basis for a legal contract between the federal health insurance agency, Vermont’s Agency of Human Services and the care board — that has allowed Medicare and Medicaid funds to be distributed by an accountable care organization in nontraditional ways.
The new payment methods have included adding bonus payments for providers who meet certain care quality standards and “per patient per month” payments to independent primary care providers. The strategies were intended to bolster preventative care and reduce overall health care spending.
For the duration of the model’s contract, which started in 2018, OneCare has been Vermont’s only “all-payer” accountable care organization — meaning it does business with private providers, Medicaid and Medicare — so it has been the only entity capable of carrying out the terms of the agreement.
In late November, the care board approved the 2025 budgets of Lore Health, Vytalize Health and Aledade Accountable Care as submitted. All three are accountable care organizations operating in Vermont that provide services only to patients insured by Medicare.
On Wednesday, members of the care board also received an update on negotiations with the Centers for Medicare and Medicaid Services over Vermont’s participation in a new federal reform model called the AHEAD program, which stands for States Advancing All-Payer Health Equity Approaches and Development.
Vermont is one of six states that has been selected to participate. The others are Maryland, Connecticut, Hawaii, New York and Rhode Island. A care board vote on whether to move forward with preparations to participate is expected in mid-January.
Care board member Thom Walsh questioned whether President-elect Donald Trump’s incoming administration would back the federal reform program’s continued rollout. If it did not, he asked, did leaders at the Agency of Human Services have a backup plan for funding programs that health care providers and their patients have come to rely on?
OneCare did successfully defend one part of its 2025 budget: the continuation of its “regional care representative” program, which the care board had put on the chopping block.
The $300,000 pays primary care providers within OneCare’s network to work with peers in their region on how best to make use of the data and reports the ACO provides. The program is needed for the organization to maintain a connection with those offices, which is essential for progress towards shared care quality goals, Borys said.
“I’d like personally to end the all-payer model era on a high note,” he said.
Vermont
Vermont’s minimum wage will increase to $14.01 in 2025. How it compares to other states
Biden wants to end subminimum wage for people with disabilities
The Biden administration has proposed phasing out a program which allowed employers to pay workers with disabilities less than the minimum wage.
Come Jan. 1, 2025, the minimum wage in Vermont is going up.
Vermont is required by law to increase minimum wage annually either by 5% or the inflation rate — whichever percentage is lower. In 2025, minimum wage will have risen almost 2.5% from the year before.
The state is one of 21 that are raising the minimum wage in 2025.
What is Vermont’s minimum wage in 2025?
Starting on Jan. 1, 2025, the minimum wage in Vermont will be $14.01
The current minimum wage is $13.67.
What is the federal minimum wage?
The federal minimum wage is $7.25 and is not changing. That’s been the federal minimum wage since 2009.
What state has the highest minimum wage?
While technically not a state, Washington D.C. has the highest minimum wage in the country at $17.50.
Washington state has the next highest at $16.28, and it’s increasing in 2025 to $16.66 per hour.
The third highest is California, which is increasing it’s minimum wage to $16.50 in 2025. Fast food restaurant employers and healthcare facility employers have a higher minimum wage. The minimum wage for fast food workers starts at $20 and for healthcare workers it’s a scale that starts at $18 depending on the type of work.
What states are raising the minimum wage in 2025?
A total of 21 states are raising the minimum wage in 2025. They are Alaska, Arizona, California, Colorado, Connecticut, Delaware, Illinois, Maine, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New York, Ohio, Rhode Island, South Dakota, Vermont, Virginia and Washington.
Most of the increases will go into effect on Jan. 1, but some will go into effect on July 1.
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