By Chris Powell
For $504,000 Governor Lamont has just purchased a consultant’s report putting in print what nearly everyone involved with public policy already knew about the University of Connecticut Health Center in Farmington and what anyone else might have deduced on his own. That is, if the place is to stop losing tens of millions of dollars per year, something will have to be done.
Maybe the governor thinks the study will give the issue the urgency that hundreds of millions of dollars in losses over recent years have been unable to do. Or maybe he wants the study as political cover for taking and pressing a position himself. In any case, options for cutting the health center’s losses have been plain for some time.
The study outlines them. It says the wages and benefits paid to the health center’s employees are high. The health center’s hospital, John Dempsey, is too small to cover expenses well. The health center disproportionately serves the poor covered by Medicaid, whose patient reimbursements are far below actual costs incurred, causing annual losses above $100 million. And the hospital might be made self-sustaining by selling it to or merging it with a private-sector hospital chain.
Nothing has been done mainly because health center and hospital workers are state employees whose unions control the Democratic Party, which long has been in charge of state government. Under Democratic rule taxpayers can be required to economize but not state employees. Selling or merging the hospital as a way of unloading its excessive wage and benefit costs won’t fool the employees. It will be denounced as union busting, which it will be, though nobody in authority in Connecticut — except, on certain days, the governor himself — seems to mind taxpayer busting.
If, as the consultant’s report suggests, more than 70% of the health center hospital’s recent annual loss of $140 million can be attributed to insufficient Medicaid reimbursements, most of the loss could be offset by increasing those reimbursements — which in effect is what state government long has been doing by covering the health center’s deficits. But then formally raising Medicaid reimbursements would require paying them to all other hospitals and medical providers in the state, costing hundreds of millions more each year.
However the report is received, it isn’t likely to prompt any action unless the governor himself proposes one and then risks his political capital to accomplish it. He has been very generous to the unions but they are so friendly to him only because they always get their way.
LENIENCY IS FATAL: Connecticut should be angry that the driver accused in the May 30 hit-and-run crash on Interstate 84 in Southington that killed state Trooper Aaron Pelletier has a long criminal record in Puerto Rico, including two convictions for separate incidents of murder. Not just a Connecticut prosecutor but Governor Lamont himself should ask Puerto Rico to explain why the man was not still in prison there.
But Connecticut has no right to get too worked up about what seems like excessively lenient criminal justice elsewhere. For Connecticut itself is full of its own repeat offenders on the loose, just as it is full of elected officials and big thinkers who congratulate themselves for the steady decline in the state’s prison population even as many serious crimes are committed by people who should have been put away long ago by the state’s criminal-justice system.
While criminal justice is usually a matter of judgment, it doesn’t require much judgment to know that once an offender has two or three serious convictions or a slew of lesser ones he is never likely to reform and shouldn’t be given a chance to do more harm.
Connecticut has a chronic offender law but it is seldom used and it gives prosecutors and judges too much discretion. Would a “three-strikes” law — requiring long imprisonment upon three felony convictions or a slew of misdemeanors and removing discretion from prosecutors and judges — be too severe? Lately it seems that even a “10-strikes” law would help.
Chris Powell has written about Connecticut government and politics for many years. (CPowell@cox.net)
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