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Opinion — Christine Hallquist: Telehealth can transform health care in Vermont

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Opinion — Christine Hallquist: Telehealth can transform health care in Vermont


This commentary is by Christine Hallquist of Burlington. She was the Democratic nominee for Vermont governor in 2018, and was CEO of the Vermont Electric Cooperative for 13 years.

You’re home alone when you start having pain and tightness in your chest. It’s spreading to your shoulder, and you’re nauseous. You’re having a heart attack, and if you don’t get help immediately, it may be too late. The first thing you should do is call 911, which requires a reliable phone and/or broadband connection. Unfortunately, in Vermont, not everyone has one yet.

Vermont Community Broadband Board is working to change that, which will give every Vermonter access to telehealth. If you’re at high risk for a heart attack, your doctor might recommend virtual monitoring, which would automatically alert first responders of a heart attack. And that is just one of the benefits and ways that telehealth can revolutionize health care for Vermonters. 

In Vermont, almost everyone has insurance, but many can’t find or afford care. Vermonters pay some of the highest prices nationwide for individual health coverage. The monthly cost of a typical plan on the state’s insurance marketplace has doubled over the past six years — from $474 to $948. Nine of the state’s 14 hospitals are losing money, and the state’s largest insurer is struggling to remain solvent. 

“There is no hospital in Vermont that is not in jeopardy,” said Dr. Bruce Hamory, who authored a recent report on Vermont’s health care system. Hamory’s recommendation: push as much care out of the hospitals as possible and regionalize Vermont’s siloed hospital system.

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Telehealth can transform health care in Vermont. It enables patients to connect with health care providers remotely. This can greatly reduce barriers to care for rural residents, who often face significant challenges due to long distances to health care facilities. 

By enabling regular check-ins and remote monitoring of chronic conditions, complications can be caught early, allowing for prompt intervention and preventing serious issues. Patients can quickly consult with specialists located far away, reducing wait times and expediting diagnosis and treatment plans. Telehealth check-ins and remote monitoring after hospitalization can help recovery, identify complications early and prevent unnecessary readmissions. 

Telehealth is safer. Less travel means fewer car accidents and less pollution. It also means less disease spread, crucial for the chronically ill, pregnant, elderly or immuno-compromised 

Telemedicine can connect patients experiencing emergencies with providers for immediate assessment and guidance, leading to faster and more appropriate interventions. Real-time reporting of vitals, such as temperature, heart rate, respiratory rate and blood pressure during transport helps reduce unnecessary visits and enables professionals to prepare for intake. 

Patients with heart failure can use wearable devices to monitor vital signs and be constantly reviewed using artificial intelligence. This can trigger intervention, including rapid evaluation of stroke symptoms by neurologists, leading to faster diagnosis and treatment, potentially minimizing neurological damage. Remote monitoring can also be used for patients with epilepsy, and orthodontists are using a piece of hardware in a patient’s mouth to monitor for more than 137 possible issues that can arise.

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Teletherapy can provide mental health services to people who might otherwise not get treatment due to stigma or geographic barriers, potentially preventing crises. Teledermatology allows individuals to share images of skin abnormalities remotely, facilitating early diagnosis of potentially serious conditions, such as cancer. 

Internet access is increasingly recognized as a “super determinant” of health. Additional benefits include the ability to have family members or caregivers at a patient’s appointment, even if they live far away. And seeing a patient in their home gives providers a more complete picture of the patient’s life in order to provide more personalized care. 

Telehealth is also better for providers. Fewer physical facilities mean lower costs. Telehealth will reduce unnecessary/expensive emergency room visits because of increased preventive care. Continuous patient monitoring and quick detection will reduce expensive interventions. 

It’s important to understand there is only one technology that can meet the demands of telehealth: fiber-optic networks. Their high speed, reliability, low latency, immense bandwidth capacity and resistance to interference allow faster data transmission with minimal signal degradation. 

Fiber optics allow for virtually infinite capacity, much more than DSL, wireless, cable, or low earth orbit satellite, and reliably transfer large files, real-time video and real-time monitoring of vitals. Fiber-optic networks are much faster and less prone to interference, ensuring a stable and consistent connection. The last thing you want when you are monitoring a patient is an interruption in the data stream. 

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Fiber-optic networks can carry large volumes of data without significant performance degradation. Signal quality remains high over long distances, allowing it to perform in extreme weather conditions and emergencies. And fiber lasts significantly longer than other cable types like copper. 

Fiber-optic networks are scalable and can be upgraded without requiring extensive infrastructure changes, ensuring long-term adaptability. Additionally, the rapid advancements in fiber-optic technology hardware make them ready to support new standards and applications, paving the way for future growth and innovation, as they enable telehealth to revive the sustainability and accessibility of Vermont’s health care system.





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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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20th Annual Vermont Composting Summit kicks off on March 25

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20th Annual Vermont Composting Summit kicks off on March 25


MONTPELIER — The 20th annual Vermont Organics Recycling Summit (VORS) will be held on Wednesday, March 25, at the Montpelier Performing Arts Hub. It is organized by the Composting Association of Vermont (CAV) and the Agency of Natural Resources.

VORS brings together composters, farmers, businesses, educators, policymakers, and community leaders to advance solutions to keep clean organic materials out of landfills and return nutrients to Vermont soils. Additional workshops, tours, and hands-on learning opportunities will be held across the state on March 26..

“The 20th annual Vermont Organics Recycling Summit is guided by the theme, Compost! Feed the Soil that Feeds Us,” said Department of Environmental Conservation Commissioner Misty Sinsigalli. “This is a cornerstone gathering for Vermont’s growing organics recycling ecosystem. Whether you’re a backyard composter, a farmer, a municipal leader, or a sustainability advocate, VORS provides a critical forum for cross-sector collaboration.”

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A highlight of this milestone year will be the keynote presentation from Jayne Merner. Merner is a lifelong compost practitioner and co-owner / operator of Earth Care Farm in Rhode Island. She grew up working in compost production and now leads one of the region’s best-known large-scale compost operations. Merner also hosts The Composter podcast and has taught composting and soil stewardship around the world.

Each year, VORS fosters connections, sparks innovation, and helps translate policy and research into real-world action. The summit welcomes all who are passionate about creating healthier communities through composting.

CAV is partnering with ORCA Media to record sessions for post-event viewing.

To learn more and register for VORS, visit compostingvermont.org/vors-2026.

The Department of Environmental Conservation is responsible for protecting Vermont’s natural resources and safeguarding human health for the benefit of this and future generations. Visit dec.vermont.gov and follow the Department of Environmental Conservation on Facebook and Instagram.

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