Strk, like everything else, it's not an issue that is easily generalized.
For example, how much of our current health care costs are driven by our "somebody has to pay" legal system in which attorneys get huge percentages of the settlements? A system where "shot in the dark" lawsuits are common because the hope is the target will settle rather than litigate? In short, what piece of the action are the trial lawyers getting? I see you hammering those evil insurance companies, but not the Association of Trial Lawyers of America.
This is one huge lobbying machine. They're rabidly against tort reform. Who do they contribute to the most in order to achieve their goals?

You're after the insurance companies and rightfully so. It is unconscionable what they pay a CEO of HMO because the ones that make them most are the ones most successful at minimizing client benefits. Not to mention the other dirty tricks they pull, like authorizing medications based on pharmaceutical company kickbacks. They need their house cleaned.
But what's your position on tort reform? That probably has as much to do with health care costs here as anything the insurance companies do.
I'm not really deeply informed on Vermont's health care but could you read this article and tell me of any inaccuracies you find?
According to the Census Bureau, 9.5 percent of Vermont's population lacked insurance when Dean assumed office in 1991. About 9.7 percent lacked coverage at the end of his term (average of 1999-2001). Over the Dean years, Vermont fell from second to tenth in share of population with total health coverage. Such minute differences could easily be statistical noise, but if Dean claims to be the man who did something about the uninsured in Vermont, it seems there wasn't much of a problem to begin with...
...What does Vermont health care look like today? It's a mixed picture. The percentage of insured citizens is relatively high, but so are Medicaid rolls. It's not clear that Vermonters can sustain the state government's spending. Projections suggest that in Vermont Medicaid will run a $98 million deficit by 2008. And insurance premiums are sky high. "I'm paying a lot and getting little choice," a self-employed Burlington resident told me. He wasn't kidding: To cover his wife and himself, he pays $5,000 a year for a plan with a $1,000 deductible. Because most carriers have left the state, there are only a few insurance companies left in business.
Vermont's Badly Managed Care