Portside

Obamacare was conceived at the Heritage Foundation, and birthed in Massachusetts by Mitt Romney. Obama took Romneycare, a program designed to keep the private insurance industry intact, and improved some of its provisions. In deciding what course, the question for the new administration, which successfully ran a campaign with a large plank to make major changes to the health care delivery system, try to go around the existing insurance industry or through it?

Vermont is the home of Ben and Jerry’s, maple syrup, Bernie Sanders and the first state to pass marriage equality. Now, Vermont will be known for something that will impact every resident in the state -- a single payer health care system.

Vermont's aggressive health care reform initiatives can serve as a roadmap for other states, according to Laura Grubb, a Master of Public Health candidate at The University of Texas Health Science Center at Houston (UTHealth). "Vermont is progressive," said Grubb, also a fellow in adolescent medicine at the UTHealth Medical School. "They didn't wait until each step of the Affordable Care Act had to be implemented. They voted on their own state-based reform system."