After Obamacare was signed into law, some states built health insurance exchanges. Others opted for something different, such as in Arkansas, where state leaders built a private option.

But in Vermont, the idea was to one-up the president by building a single-payer system like ones in Canada and Europe. Green Mountain Care, as it's become known, was a top priority for Gov. Peter Shumlin during his campaign for the governor's office and during his tenure.

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