This project and blog post were created by University of Vermont Public Health master’s degree candidate Chike Asanya.
As we survey the vast landscape of family and child health outcomes across the United States, one state stands out for its remarkable achievements: Vermont. A known leader in public health, Vermont has consistently demonstrated a commitment to the well-being of its families and children, setting a standard that surpasses national averages. When it comes to healthcare, Vermont’s performance shines brightly. The state boasts one of the highest rates of health insurance coverage in the nation, 97% 1 with nearly universal coverage for children through programs like Dr. Dynasaur and Medicaid. 2 This means that families in Vermont have greater access to essential healthcare services, ensuring that children receive the preventive care and medical attention they need to thrive.
Moreover, Vermont’s dedication to maternal and child health is evident in its low rates of infant mortality, 3.2 deaths per 1,000 live births, and premature births, 8.8% both of which fall below national averages of 5.4 deaths per 1,000 live births, and a premature birth rate of 10.4% respectively.3 Through initiatives aimed at supporting expectant mothers and promoting healthy pregnancies, Vermont has succeeded in reducing the risk factors associated with poor birth outcomes, ultimately safeguarding the health and well-being of its youngest residents.
Despite these positive outcomes, Vermont is not without its uphill battles. Some issues have been staples of public discourse for quite some time. Namely, homelessness and a housing shortage. According to HUD’s 2023 Homelessness Assessment Report, the rate of homelessness in Vermont was the 2nd highest in the U.S. behind New York. Approximately 3,295 people, or 51 out of every 10,000 Vermonters had experienced homelessness in January 2023. 4 Moreover, Vermont state officials closed a temporary shelter on Cherry Street in Burlington in March 2024. Mayor Miro Weinberger urged for its extension. It did briefly, though he called it a, “rushed, poorly planned, poorly executed effort.” 5 The shelter closed on March 25th, 2024, and its future, along with other local efforts to mediate homelessness, remains uncertain.
Additionally, Vermont’s housing market is a hardship for many. Gary Winslett, a professor of political science at Middlebury College, suggests that first time homebuyers are faced with housing options that are, “some combination of tiny, very old, in need of serious renovation, or astronomically priced.” 6 The numbers don’t lie as the statewide median price for a single-family home is $315,000. 7 It’s understandable that 23,170 individuals moved out in 2022. That same year saw an influx of 26,151 new residents. 8 Coupled with an Increased demand for apartments, the state has continued to be in a housing shortage. July’s 2023 flooding in central and southern Vermont was a big contributor, as it set residents back who were scrambling to relocate and salvage what remained of their possessions. Flooding that accounted for approximately $600 million in damages. 9
Vermont’s commendable efforts in prioritizing family and child health have undeniably set a high standard. With exceptional rates of health insurance coverage and successful initiatives aimed at family and child health, the state has demonstrated a strong commitment to ensuring the well-being of its residents, especially its youngest members. However, amidst these achievements, Vermont continues to face significant challenges, particularly in addressing homelessness and its housing shortage. We cannot afford to leave our older neighbors
The startling statistics on homelessness underscore the pressing need for comprehensive solutions to provide stable housing for all Vermonters. The recent closure of a temporary shelter in Burlington highlights the urgency of this issue, emphasizing the importance of well-planned and executed efforts to support vulnerable populations. Furthermore, the housing market’s affordability crisis poses significant obstacles for individuals and families, with many facing limited options and exorbitant prices for homes.
As Vermont navigates these challenges, it’s essential for policymakers, community leaders, and residents to come together to explore innovative strategies and sustainable solutions. By prioritizing affordable housing initiatives, bolstering support services for those experiencing homelessness, and fostering collaboration across sectors, Vermont can continue its legacy of leadership in promoting the health and well-being of all its residents.
References
1. Robertson B, Noyes A, Driscoll K, Wohl. 2021 Vermont Household Health Insurance Survey. Vermont Department of Health; 2024:164. https://www.healthvermont.gov/sites/default/files/documents/pdf/HSVR-VHHIS-2021-Report.pdf
2. Medicaid and Dr. Dynasaur | Vermont Health Connect. info.healthconnect.vermont.gov. Published April 1, 2023. . http://info.healthconnect.vermont.gov/compare-plans/medicaid-and-dr-dynasaur
3. National Center for Health Statistics, final natality data 2010-2022.
4.The 2023 Annual Homelessness Assessment Report (AHAR) to Congress. https://www.huduser.gov/portal/sites/default/files/pdf/2023-AHAR-Part-1.pdf
5. State kept Cherry Street homeless shelter open for three more nights – what happens now? Burlington Free Press. Accessed April 2, 2024. https://www.burlingtonfreepress.com/story/news/2024/03/25/burlington-vt-homeless-shelter-mayor-weinberger-vermont-agency-human-services/73092400007/
6. Winslett G. LP#44: How Vermont’s Housing Crisis Got So Bad. lppapers.substack.com. https://lppapers.substack.com/p/lp44-how-vermonts-housing-crisis
7. New data shows unprecedented jump in Vermont median home price | VHFA.org – Vermont Housing Finance Agency. www.vhfa.org. https://www.vhfa.org/news/blog/new-data-shows-unprecedented-jump-vermont-median-home-price
8. US Census Bureau: State-To-State Migration Flows 2022 Analysis of Population Movement in and out of Vermont. https://www.vermonttreasurer.gov/sites/treasurer/files/documents/US%20Census%20Bureau%20State-to-State%20Migration%20Flows.pdf
9. Farnham D, State of Vermont. Match estimate for the Summer 2023 Floods https://legislature.vermont.gov/Documents/2024/WorkGroups/Senate%20Economic%20Development/2023%20Flood/Witness%20Documents/W~Douglas%20Farnham~Summary%20Match%20Estimate%20for%20Summer%202023%20Floods~1-16-2024.pdf












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