When I am listening as a mediator to parties in conflict, I try to listen to what questions would move them from disagreement to collaboration. Sometimes they are not asking the right questions. The reason for this is that with big problems it can be difficult to identify where to begin. I think of these big questions like a gnarl of yarn, there are two ends but it is near impossible to find them. So people begin where they think is a good place only to become stuck. My job is to acknowledge that they made an attempt at identifying the problem and suggest that for now, leave that question alone and try again. The questions I ask helps them to find another starting point.
I had a conversation with a well-respected dentist a few days ago. He shared his concerns with me about Governor Shumlin’s single-payer plan for healthcare. He was alarmed that the plan called for Vermont to boldly go where 49 other states feared to tread.
It is a valid point. One of the unintended consequences of the plan could be the refusal of young doctors to move to Vermont because of concerns about reimbursement. After generating enormous debt to get that medical credential, wouldn’t a young doctor be concerned about how he would pay it back? Would he go to a state that is trying an experiment that is even broader than the one the rest of the country is trying? My dentist friend argues that we may have a plan and too few providers. I worry about a plan that is not sustainable as well. In fact, I think he has gotten me thinking about healthcare in another way. I am starting to think that healthcare is only part of a bigger problem.
Perhaps the real conversation that we all need to be having is how do we stem the tide of young people from leaving our state for opportunities elsewhere? How do we encourage our best and brightest minds to remain in Vermont? It is not just doctors that we may lose. It is teachers, engineers, chemists, and many other occupations that find no opportunities in Vermont. And what about those kids who would make great plumbers, mechanics, electricians and other highly trained tradespeople? How are we identifying and encouraging them? Is it enough to be the greenest state? What do we as a citizens really want?
As a legislator, I want to be able to ask those questions. I want to study legislation to consider where those unintended consequences are and how they impact the broader questions of population sustainability.