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More people want to come to Vermont for medical aid in dying than the system can handle

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More people want to come to Vermont for medical aid in dying than the system can handle


Ever since Vermont removed its residency requirement for medical aid in dying last year, Dr. Diana Barnard hasn’t been able to keep up with the phone calls from would-be patients.

“It can be hard. I have, like, three calls sitting on my phone right now,” she said during a conversation at Porter Medical Center in Middlebury, where she works as a palliative care physician.

Vermont is one of nearly a dozen states where doctors can prescribe lethal medication to terminally ill patients who want to hasten their death. For the first decade the law was on the books, only Vermont residents could use it. Then, in 2023, lawmakers opened the program to out-of-staters. The change brought an influx of interest to the small state.

“The floodgates opened, and suddenly we were receiving these calls,” said Dr. Tim Schafer, a physician at Grace Cottage Hospital in Townshend. He prescribes for medical aid in dying, as do some of his colleagues. Because of their location in southern Vermont, they often get requests from Massachusetts, New Hampshire and other nearby states.

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Barnard has also taken on a number of out-of-state patients, including Rita Mannebach of Florida. Earlier this year, Barnard confirmed Mannebach had terminal lung disease and prescribed the drugs. Mannebach and her family worked with a local death doula, Meg Tipper, to arrange housing in Vermont and manage other preparations, both logistical and emotional.

Mike Mannebach

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Rita Mannebach spent years volunteering as a hospice worker and advocating for medical aid in dying in Florida before using it herself in Vermont.

On a phone call from a rented house in Burlington, Mannebach described her plans for her last day alive.

“On Thursday morning, we’ll have a little program at 10 o’clock that we just put together ourselves,” she said. “There will be a symbolic ceremony of letting go — me letting go of [my family], them letting go of me. And then I’ll just have some last words that I say — may you be peaceful, may you be happy, that kind of thing.”

She had no doubts about what she wanted to come next. “It’s all about quality of life for me. It results in less suffering,” she said.

Building capacity

Barnard is well-known in this sphere of the medical world. She filed a lawsuit against the state with one of her patients, a Connecticut resident who wanted to use medical aid in dying in Vermont. The suit led Vermont to remove its residency requirement, and it led a lot of patients to Barnard — many more than she can responsibly take on.

“Building capacity is important,” she said. “A big part of my work is trying to educate other physicians, and, in a way, kind of inform other physicians about the importance of this practice, about mentoring them through learning how to do it, so that they can feel comfortable doing it on their own.”

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For busy physicians, it can feel like a big ask. Most doctors here already have more Vermont-based patients than they can handle. Every new patient requires significant paperwork, multiple medical consultations and emotional support. Medical aid in dying patients have to be in Vermont for two required appointments and to take the medication.

A red brick building with a black railing and a white sign that says "Porter Medical Center"

Sophie Stephens

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Vermont Public File

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The Porter Medical Center in Middlebury, where Dr. Diana Barnard sees patients.

Opening up the program to out-of-staters “has profoundly changed my life, our clinic function,” said Schafer at Grace Cottage. “We just had a lot to learn about how to pull this off logistically.”

Schafer feels a deep calling to help his patients who are suffering, and he’s had to come to terms with not being able to help everyone who reaches out.

“Our call center assures us that there’s a volume of calls coming in,” he said. “And finally, you know, it kind of started surpassing what could be handled. And we finally agreed — we have to limit new consults to one per week.”

To help with logistics, Schafer and other prescribing doctors rely on a new network of volunteers called Wayfinders. It was established earlier this year by Patient Choices Vermont, a nonprofit that educates the medical community and the public about medical aid in dying. It also advocated for the passage of the original law in 2014.

Wayfinders is made up of current and retired hospice nurses, social workers and death doulas who can support families and patients navigating medical aid in dying.

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Suzanne Baxtresser, a retired hospice nurse, volunteers her services in the Brattleboro area. For her, the biggest challenge is finding housing where patients and their families can stay.

Finding a safe place

As Vermonters well know, the state faces a severe housing shortage. It’s also a popular tourist destination, which makes short-term rentals even harder to come by than doctors.

“We want people to take the medicine in a safe place,” Baxtresser said. “We want people to know that nobody’s going to come knocking on the door saying, ‘What’s happening?’”

While some Airbnb owners in the area are amenable to people using medical aid in dying on their property, they’re often booked up. “When summer comes, everything gets rented,” Baxtresser said.

One family with an unused property in southern Vermont has essentially donated it to the cause — physicians and Wayfinder volunteers call it “the safe house.” And a representative for Patient Choices Vermont said they are actively working on a longer-term housing solution.

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If and when that happens, Baxtresser believes the increase in out-of-state interest will turn into an increase in out-of-state usage.

“If patients knew there was a clear path, they would come,” she said. “But right now we don’t have the support. We don’t have the structure to support that.”

With the help of the Wayfinders, Rita Mannebach was able to find a place to stay for the weeks before her death. Her years volunteering as a hospice worker helped her feel ready for what was to come.

“I’m very comfortable with death,” she said. “I’m 84, and I’m at peace with the whole thing. To me, what happens after is totally unknown. I don’t know what’s going to happen. But I don’t have any fear. So I feel perfectly at ease about the whole thing.”

Two days after our interview, she followed her plan. Rita Mannebach of Florida died in Vermont.

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After she passed, her family made plans for her ashes to be shipped back to Florida. Then, they tidied up the rental, drove to the airport, and went home.

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Vermont high school playoff scores, results, stats for Thursday, March 5

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Vermont high school playoff scores, results, stats for Thursday, March 5


The 2025-2026 Vermont high school winter season has begun. See below for scores, schedules and game details (statistical leaders, game notes) from basketball, hockey, gymnastics, wrestling, Nordic/Alpine skiing and other winter sports.

TO REPORT SCORES

Coaches or team representatives are asked to report results ASAP after games by emailing sports@burlingtonfreepress.com. Please submit with a name/contact number.

Contact Alex Abrami at aabrami@freepressmedia.com. Follow him on X, formerly known as Twitter: @aabrami5.

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Contact Judith Altneu at JAltneu@usatodayco.com. Follow her on X, formerly known as Twitter: @Judith_Altneu.

THURSDAY’S H.S. PLAYOFF GAMES

D-III GIRLS BASKETBALL SEMIFINALS

At Barre Auditorium

No. 5 Vergennes (17-4) vs. No. 1 Hazen (18-2), 5:30 p.m.

No. 3 Oxbow (16-6) vs. No. 2 Windsor (16-6), 7:30 p.m.

Watch Vermont high school sports on NFHS Network

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D-I BOYS BASKETBALL QUARTERFINALS

Games at 7 p.m. unless noted

No. 8 Mount Mansfield (10-11) at No. 1 Rice Memorial (17-3)

No. 12 Essex (5-16) at No. 4 Rutland (15-6)

No. 7 Burr and Burton (13-8) at No. 2 South Burlington (15-5), 6 p.m.

No. 6 BFA-St. Albans (13-8) vs. No. 3 Burlington (15-5) at Colchester, 7:30 p.m.

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D-II GIRLS HOCKEY QUARTERFINALS

No. 8 Stowe (5-16) vs. No. 1 U-32 (13-6-1) at Kreitzberg Arena, 5 p.m.

(Subject to change)





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19 Vermont school budgets fail as education leaders debate need for reform

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19 Vermont school budgets fail as education leaders debate need for reform


MONTPELIER, Vt. (WCAX) – Most Vermont school budgets passed Tuesday, but 19 districts and supervisory unions saw their spending plans rejected — an uptick from the nine that failed in 2025, though well below the 29 that failed in 2024.

Some education leaders say the results show communities are largely supportive of their schools.

“We’re starting to kind of equalize out again towards the normal trend of passage of school budgets each year,” said Chelsea Meyers of the Vermont Superintendents Association.

Sue Ceglowski of the Vermont School Boards Association said the results send a clear message. “Vermont taxpayers support Vermont’s public schools,” she said.

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Meyers said the results also raise questions about the scope of education reform being considered in Montpelier. “If we are going to reform the system, it might not require sweeping broad changes as are being considered right now, but a more concise approach to consider that inequity,” she said.

But in districts where budgets failed, officials say structural changes are still needed. In Barre, where the budget failed, Barre Unified Union School District Board Chair Michael Boutin said the Legislature must, at a minimum, create a new funding formula. “We have to have that in order to avoid the huge increases and decreases — the huge increases that we’ve seen in the last couple years,” Boutin said.

He said the rise in school budgets is separate from why property owners are seeing sharp tax increases. The average state increase in school budgets is 4%, but the average property tax increase is 10%, driven by cost factors including health care. “There’s a complete disconnect, and that’s a product of the terrible system that we have in Vermont with our funding formula,” Boutin said.

Ceglowski says the state should address health care costs before moving forward with rapid education policy changes. “Addressing the rapid rise in the cost of school employees’ health benefits by ensuring a fair and balanced statewide bargaining process for those benefits,” she said.

The 19 districts that did not pass their budgets will need to draft new spending plans to present to voters, which often requires cuts. Twelve school districts are scheduled to vote at a later date.

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6 of the Quirkiest Towns in Vermont

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6 of the Quirkiest Towns in Vermont


Vermont is, for many visitors, the postcard-perfect New England state. A part of the United States since 1791, the first to join the Union after the Thirteen Original Colonies, Vermont has many unique, and sometimes quirky, features. The place has attracted artists and other creative geniuses, some of them decidedly eccentric, from its earliest days. The natural parts of Vermont, like the famous Lake Champlain, offer unusual points of interest for visitors and locals alike. With a state as rich in traveling attractions, it should be little wonder that some of them come with a quirk or two.

Montpelier

Summer Farmers Market in Montpelier, Vermont. Editorial credit: Phill Truckle / Shutterstock.com

Montpelier, while being Vermont’s charming capital, is the tiniest among all US state capitals with just around 8,000 residents. For comparison, the second-smallest, Pierre in South Dakota, has a population of about 14,000. Established in 1787, this historic town warmly welcomes visitors with a variety of landmarks, including the Vermont History Museum and the sprawling 200-acre Hubbard Park. The State House is also open to the public for tours. Just a short drive west, less than an hour away, lies Lake Champlain, one of the Northeast’s most beloved watersides.

The town’s name pays homage to Montpellier, a beautiful city in southern France. This naming reflected the high regard for France at the time, especially for their support during the US War of Independence. Interestingly, Montpelier has experienced its share of flooding, with significant damage occurring in the years 1927, 1992, and most recently in 2023.

Elmore

Lake Elmore State Part with beautiful autumn foliage and water reflections at Elmore, Vermont
Lake Elmore State Part with beautiful autumn foliage and water reflections at Elmore, Vermont

Elmore, a charming small town in Lamoille County with fewer than 900 residents, is a favorite spot for autumn leaf-peepers. Located north of Montpelier, this peaceful town has its own unique charm, including several local landmarks sharing the name ‘Elmore,’ which adds to its character. It’s important to note that Elmore town is separate from East Elmore. To the west, Elmore Mountain overlooks the area, while Elmore State Park lies just north of the town itself. Enjoying waterside beauty, Elmore Lake is often listed among Vermont’s most picturesque lakes, with its waters flowing into the Lamoille River through Elmore Pond Brook. Like Montpelier, Elmore is situated east of Lake Champlain. For those seeking a more bustling scene or a change of pace, the vibrant city of Burlington, just an hour’s drive west, makes for a perfect day trip or weekend getaway.

Stowe

Aerial view of Stowe Vermont and autumn colors.
Aerial view of Stowe Vermont and autumn colors.

Stowe, with a lively population of 5,300, is Vermont’s top spot for adrenaline seekers and the eccentrics among us, earning its reputation as the state’s premier ski and snowboard destination. The Stowe Mountain Resort proudly calls itself the “ski capital of the east”—that’s the eastern United States. Nestled near the breathtaking Mount Mansfield, Stowe offers more than just winter fun; warmer months bring plenty of activities like hiking and mountain biking in the beautiful Cady Hill Forest.

The town also has a rich history, being the home of Jake Burton Carpenter (1954-2019), the visionary behind Burton Snowboards and a trailblazer in making snowboarding an international sport. While some might have called him eccentric when he launched his company in 1977, today he’s celebrated as a true pioneer whose legacy keeps inspiring young snow sports enthusiasts, like those at Mount Mansfield Winter Academy, a special school dedicated to nurturing the next generation of champions.

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Manchester

View of the historic and colorful Manchester Village in Manchester, Vermont with tulips in bloom
View of the historic and colorful Manchester Village in Manchester, Vermont with tulips in bloom

Manchester, a town with 4,500 residents located in southwest Vermont, is popular among art and architecture enthusiasts. It features Hildene, the estate of Abraham Lincoln’s son Robert, which boasts an impressive Georgian Revival house and grounds. The town’s American Museum of Fly Fishing showcases numerous rods, flies, and related gear, attracting many superstitious anglers. Manchester is also home to Orvis, a renowned fishing and clothing company. The Southern Vermont Arts Center hosts exhibitions, and includes a sculpture garden and performance space. Nature lovers should visit Mount Equinox, west of town, or explore the Green Mountain National Forest to the south.

Eccentric fact: Jonathan Goldsmith, known for portraying “The World’s Most Interesting Man” in Dos Equis commercials, resides in Manchester. Stay quirky, my friends.

Brattleboro

Historic downtown of Brattleboro, Vermont.
Historic downtown of Brattleboro, Vermont. Image credit jenlo8 via Shutterstock

Brattleboro, with a population of 12,100, sits along the Connecticut River and features a variety of attractions and oddities. Located just west of New Hampshire—in which the Connecticut River forms the border—and just north of Massachusetts, the town is an ideal midpoint for exploring the wider New England region. Outdoor enthusiasts will appreciate Fort Dummer State Park, welcoming hikers, bikers, and campers alike. Among the more renowned eccentric figures in history, British writer Rudyard Kipling moved to Brattleboro after marrying a Vermont woman in 1892. Their home, Naulakha, references his birth and childhood in India. Kipling believed that Brattleboro’s conservative small-town culture created an

Woodstock

Snowy day at the farm in Woodstock.
Snowy day at the farm in Woodstock. Editorial credit: James Kirkikis / Shutterstock.com

Woodstock, a town with 3,000 residents located in upstate New York, is separate from the famous 1969 cultural event. This southeastern town attracts architecture enthusiasts, particularly for the First Congregational Church, built in 1807 and featuring a bell cast by American revolutionary Paul Revere, and the Norman Williams Public Library, completed in 1884. For outdoor activities, visitors can walk in Woodstock Town Forest, located south of the town, or enjoy panoramic views from the Marsh Billings Rockefeller National Historical Park, the only part of the US National Park system in Vermont besides the Appalachian Trail. Recently, Woodstock has modernized its infrastructure with digital technology, launching the “Wireless Woodstock” initiative in 2011, which provides free Wi-Fi across the entire town. It’s not quirky; it’s just cool.

Vermont’s Quirky Small Towns May Also Be Its Best

These small Vermont towns show the state’s sometimes quirky, but never boring character. Architecture fans will find unusual, beautiful examples state-wide. Montpelier is an oddly pint-sized capital with heavyweight history. Brattleboro has long attracted strange, sometimes brilliant types, whether foreign or domestic. Manchester is interesting enough for the World’s Most Interesting Man. And with abundant natural parks, the Green Mountains, and the majesty of Lake Elmore and Lake Champlain, the quirks of Vermont’s best features should attract even the most straight-laced visitors.



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