Taking A Step Toward Medicare-For-All


A plan being pushed by State Senate leaders calls for immediate action that would provide health insurance coverage to 140,000 state residents, 40% of the 350,000 individuals in the state who are uninsured.

State Senate President Donald Williams (D-Brooklyn) presented his proposal to reform the health insurance system at a crowded meeting room of the Community Health Center on Thursday, March 22nd. Speaking next to a wall-size sign “Health Care Is a Right, Not a Privilege…” at the 35-year-old community-based clinic, Williams put the price of health care in Connecticut at $22 billion. He described the system as rife with inefficiencies as it denies more than 10% of residents access and under insures many others, especially the working poor.

Williams, who has represented his eastern Connecticut district since 1993 and is serving a third term as Senate President, offered a sober assessment of the challenges reformers face in moving toward universal coverage. He observed that federal action won’t come any time soon despite current legislation in the Congress and the tilting of the U.S. House to a Democratic majority.

Through the “Healthfirst Connecticut” initiative the Senate Democrats seek to move incrementally toward a single-payer “Medicare for All” plan modeled after the federal Medicare law adopted in 1965 that has brought a measure of health security to senior citizens ever since.

Governor Rell has introduced a counter proposal that promises universal coverage but does not involve any significant state investment. The Charter Oak Plan would be fee-based and would involve private insurers selling low-cost coverage to the uninsured. Critics, including Williams, say reducing Connecticut’s uninsured will require more money and a more comprehensive approach to reforming the system. The Rell “universal” health plan would reduce the number of uninsured, but by much less than the immediate actions proposed by Senator Williams.

Introduced by State Senator Don DeFronzo (D-New Britain, Williams called for the passage of 2007 legislation that will reduce the coverage gap. The forum included personal testimony on a video brought by Williams and by audience members on the difficulties of navigating the current system and being denied treatment.

The Healthfirst initiative would use existing federal and state insurance programs to provide health insurance to 140,000 persons. The proposal would expand the Connecticut HUSKY insurance program and increase income limits for eligibility under the public Medicaid and SAGA (public assistance) programs. A key component would raise the age of coverage for dependent children from 19 to 26. This would extend coverage to young adults starting out in a first job. More than 40% of Connecticut’s uninsured are between 19 and 34 years old. The plan would increase the income limit for a family of two from $19,800 to $24,420 as a means of extending HUSKY-A coverage. A combination of raising income limits and increasing Medicaid rates for providers would create more access immediately, according to Williams who put the cost of the program at $450 million, 50% of which would be funded by federal reimbursements.

“Right now, we spend hundreds of millions of dollars on direct care for the uninsured who, under the current system, end up treated in the emergency room when the problem is the most chronic and the solution is the most expensive. That has to change,” Sen. Williams said. “Making an investment to keep the population–and the workforce–healthy is good for the economy. And it is the right thing for society to do.”

To attain Medicare-for-all, Williams wants the state to “convene a health care panel to examine and evaluate policy alternatives that would consider “a statewide single-payer health care system.” These long-term strategies, said the Senate President, would be the basis for a universal health care program in Connecticut.

Juan Figueroa, President of the Universal Health Care Foundation of Connecticut, has praised the plan Williams shared with his New Britain audience last week, saying “the goal to create a ‘Medicare-for-all type’ health care system in Connecticut recognizes the need for aggressive reform measure that address the many pressing and complex issues facing the beleaguered health care system.” Figueroa similarly thanked the Rell administration for joining the debate but was much less enthusiastic about the GOP’s fee for service initiative.

The nonprofit foundation advocates that any new health care policy be measured against five principles established by the national Institute of Medicine. According to the Institute, universal health coverage must: include everyone; is continuous and portable; is affordable to individuals especially those with limited incomes; is affordable and sustainable to society, and; enhances health and well-being.

Figueroa, whose organization puts the number of Connecticut uninsured at more than 400,000 persons has urged Williams to “move forward with all deliberate speed” by convening the panel on new strategies and reporting findings and recommendations by May prior to adjournment of the Legislature this year.

Taking A Step Toward Medicare-For-All


A plan being pushed by State Senate leaders calls for immediate action that would provide health insurance coverage to 140,000 state residents, 40% of the 350,000 individuals in the state who are uninsured.

State Senate President Donald Williams (D-Brooklyn) presented his proposal to reform the health insurance system at a crowded meeting room of the Community Health Center on Thursday, March 22nd. Speaking next to a wall-size sign “Health Care Is a Right, Not a Privilege…” at the 35-year-old community-based clinic, Williams put the price of health care in Connecticut at $22 billion. He described the system as rife with inefficiencies as it denies more than 10% of residents access and under insures many others, especially the working poor.

Williams, who has represented his eastern Connecticut district since 1993 and is serving a third term as Senate President, offered a sober assessment of the challenges reformers face in moving toward universal coverage. He observed that federal action won’t come any time soon despite current legislation in the Congress and the tilting of the U.S. House to a Democratic majority.

Through the “Healthfirst Connecticut” initiative the Senate Democrats seek to move incrementally toward a single-payer “Medicare for All” plan modeled after the federal Medicare law adopted in 1965 that has brought a measure of health security to senior citizens ever since.

Governor Rell has introduced a counter proposal that promises universal coverage but does not involve any significant state investment. The Charter Oak Plan would be fee-based and would involve private insurers selling low-cost coverage to the uninsured. Critics, including Williams, say reducing Connecticut’s uninsured will require more money and a more comprehensive approach to reforming the system. The Rell “universal” health plan would reduce the number of uninsured, but by much less than the immediate actions proposed by Senator Williams.

Introduced by State Senator Don DeFronzo (D-New Britain, Williams called for the passage of 2007 legislation that will reduce the coverage gap. The forum included personal testimony on a video brought by Williams and by audience members on the difficulties of navigating the current system and being denied treatment.

The Healthfirst initiative would use existing federal and state insurance programs to provide health insurance to 140,000 persons. The proposal would expand the Connecticut HUSKY insurance program and increase income limits for eligibility under the public Medicaid and SAGA (public assistance) programs. A key component would raise the age of coverage for dependent children from 19 to 26. This would extend coverage to young adults starting out in a first job. More than 40% of Connecticut’s uninsured are between 19 and 34 years old. The plan would increase the income limit for a family of two from $19,800 to $24,420 as a means of extending HUSKY-A coverage. A combination of raising income limits and increasing Medicaid rates for providers would create more access immediately, according to Williams who put the cost of the program at $450 million, 50% of which would be funded by federal reimbursements.

“Right now, we spend hundreds of millions of dollars on direct care for the uninsured who, under the current system, end up treated in the emergency room when the problem is the most chronic and the solution is the most expensive. That has to change,” Sen. Williams said. “Making an investment to keep the population–and the workforce–healthy is good for the economy. And it is the right thing for society to do.”

To attain Medicare-for-all, Williams wants the state to “convene a health care panel to examine and evaluate policy alternatives that would consider “a statewide single-payer health care system.” These long-term strategies, said the Senate President, would be the basis for a universal health care program in Connecticut.

Juan Figueroa, President of the Universal Health Care Foundation of Connecticut, has praised the plan Williams shared with his New Britain audience last week, saying “the goal to create a ‘Medicare-for-all type’ health care system in Connecticut recognizes the need for aggressive reform measure that address the many pressing and complex issues facing the beleaguered health care system.” Figueroa similarly thanked the Rell administration for joining the debate but was much less enthusiastic about the GOP’s fee for service initiative.

The nonprofit foundation advocates that any new health care policy be measured against five principles established by the national Institute of Medicine. According to the Institute, universal health coverage must: include everyone; is continuous and portable; is affordable to individuals especially those with limited incomes; is affordable and sustainable to society, and; enhances health and well-being.

Figueroa, whose organization puts the number of Connecticut uninsured at more than 400,000 persons has urged Williams to “move forward with all deliberate speed” by convening the panel on new strategies and reporting findings and recommendations by May prior to adjournment of the Legislature this year.

The Little Team That Could: CCSU’s Blue Devils

Over the holiday semester break (December 28) I walked over to Central Connecticut State University’s Detrick gymnasium from my Belvidere home to watch the Central men play Vermont in a non-conference game. The team had a sub .500 record at the time and I was amazed to count only seven players in uniform. I wondered how a basketball team so depleted would survive the season in the Northeast Conference.

The undermanned Blue Devils showed promise early in the game against their America East opponent. They pushed the ball hard off missed shots; their team play, sure-handed passing and constant team motion evoking my memories of the old and great Celtics of another era. But they were shorthanded even more than usual that night and fell to Vermont and its 15-man roster, 55-48. Little did I know that the flashes of good play I saw in a loss, dropping Central to 3-9, would be a harbinger of things to come.

On March 7, the Central men gained their third trip to the NCAA tournament since 2000. Overcoming a second half deficit of 10 points, the Blue Devils defeated Sacred Heart University in dramatic fashion. Guard Xavier Mojica (Auburn, MA, Auburn HS),the league MVP, confidently drilled a a three pointer and Forward Jemino Sobers (Scarborough, Ontario, Mother Teresa) delivered a baseline jumper to catch and pass Sacred Heart as the clock wound down for victory.

CCSU’s journey toward March Madness is an improbable story of determination by a team frequently undermanned and often smaller in size than many of their opponents; a team that played through injuries and pain. From that 3-9 start in December, they finished the regular season 22-11 overall and 16-2 in their conference.

In many ways this relentless squad is a reflection of their coach, Howie Dickenman. Dickenman’s basketball resume begins as a standout player for CCSU, coming to the New Britain School from Norwich Free Academy where he was coached by his father. In workmanlike fashion, he was a New Britain High assistant and gradually earned his way up the coaching ladder. There was two years as coach of Greater Hartford Community College (now Capital Community College). Assistant’s jobs would follow at CCSU under longtime coach Bill Detrick and Canisius College. For 10 years Dickenman was an assistant and top recruiter at the University of Connecticut helping to build the Huskies to national prominence with Jim Calhoun.

Eleven years ago Dickenman returned to his basketball home where he has led his team to a third trip to the Division I “dance”. Dickenman’s passion can’t be missed at any game. He relentlessly paces the sideline and his shouts can be heard across the gym. His raspy voice shows that the season takes a heavy toll on his vocal chords. The yells rarely if ever are directed at referees over a bad call. He probably couldn’t stand being thrown out of a game and miss a minute of the action. Instead, his court side manner exhorts his players to excel and they usually respond to their tough but caring coach.

The Blue Devils have earned their spot in the NCAA tournament through perseverance and hard work and what one commentator called their “old school coach.”

They have gained the admiration of the community and state where they play. Now, it’s on to face a Division I elite team in the first round in the familiar role of the out sized and undermanned upstart. Whoever they play, however, had better be ready for this hardscrabble and unselfish group from New Britain, Connecticut.