Accelerating Efforts to Prevent Suicide in CT as Numbers Climb

The Centers for Disease Control and Prevention (CDC) released a report this year which indicated that suicide rates nationally jumped by 25 percent since 1999, a finding that “shocked” even experts who believed the rate had been flat. Each year, more than 41,000 individuals die by suicide, leaving behind their friends and family members to navigate the tragedy of loss, according to the National Alliance on Mental Illness. Connecticut's rate, 9.7 deaths per 100,000, rose 20 percent during that time, and 49 states saw an increase, according to the CDC. Connecticut’s suicide rate, is ranked number 46 in the country.

Suicide is the 10th leading cause of death in the U.S. with one occurring on average every 13.3 minutes.

For every suicide, there are 30 people who made the attempt, Dr. James F. O'Dea, vice president of the Behavior Health Network of Hartford Healthcare, recently told the Meriden Record-Journal.  The U.S. Health Resources & Services Administration reports that “approximately 45% of suicide victims had contact with primary care providers within 1 month of suicide.”

“Connecticut suicide rates may have not have increased as much in comparison to other states, but isn’t the real question, ‘Why is it increasing at all?’” Luis Perez, president and CEO of Mental Health Connecticut, told The Hartford Courant earlier this year.

“It’s been well-researched that most people who die by suicide do so because they want the pain to stop — and they don’t see any other way,” Perez said. “Prevention is critical. Knowing the safe and right way to talk to someone who may have thoughts of suicide and letting people know they are not alone, that millions of people struggle with suicide ideation is key.”

According to the state Department of Public Health, approximately 31 percent of victims had a history of treatment for mental illness and 42 percent had previously attempted or thought about suicide or disclosed their intent to commit suicide. The CDC offers 5 steps to help someone at risk: 1. Ask. 2. Keep them safe. 3. Be there. 4. Help them connect. 5. Follow up.

The U.S. government’s anti-bullying website, stopbullying.com, points out that “many issues contribute to suicide risk, including depression, problems at home, and trauma history. Additionally, specific groups have an increased risk of suicide, including American Indian and Alaskan Native, Asian American, lesbian, gay, bisexual, and transgender youth.”  The site indicates that “this risk can be increased further when these kids are not supported by parents, peers, and schools. Bullying can make an unsupportive situation worse.”

Matt Riley, Chief Operating Officer of the Connecticut-based Jordan Porco Foundation, recently told WTNH-TV that suicide is the second leading cause of death for Americans ages 15 to 24. One in ten college students and one in five high school students consider suicide. Young people considering suicide are most likely to talk to peers, so the Jordan Porco Foundation focuses on peer-to-peer outreach and awareness, with a series of successful program initiatives on college campuses in Connecticut and across the country.

In recent years, a new student-driven primary prevention program was piloted to help high school students develop positive coping skills and enhance protective factors in preparation for life beyond high school. Schools and organizations participating included Manchester High School, Immaculate High School in Danbury, Enfield Public Schools, Capital Preparatory High School in Hartford, Institute of Living in Hartford, Jewish Family Services in West Hartford, Wilton High School, Boys & Girls Club of Bristol, and Guilford Youth & Family Services.

Numerous organizations across Connecticut offer Mental Health First Aid, an 8-hour training to teach participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The evidence behind the program demonstrates that it helps trainees identify, understand and respond to signs of mental illnesses and substance use disorders.  The course is often offered to participants free of charge.

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UConn Analysis Has Role in Ensuring Integrity of State Elections

Little known even by University of Connecticut advocates across the state, the flagship university’s Voting Technology Research Center (VoTeR) advises the state on the use of election technology, investigates voting solutions and voting equipment, and develops and recommends safe-use procedures for electronic systems used in the electoral process. VoTeR will be at it again as a follow-up to Election Day, analyzing the technology and tabulations, as they’ve done before.

The Center’s website notes that “starting in 2008 the Center has performed technological audits and assisted in the hand-counted audit procedures in all statewide elections in Connecticut.”  Stated goals are “to ensure the integrity of the election outcomes conducted with electronic voting systems and to continuously assess the security and dependability of such systems.”

Alexader Russell, a Professor of Computer Science and Mathematics at the University of Connecticut, leads the Center. He holds a B.A. from Cornell University and both an M.S. and a Ph.D. from the Massachusetts Institute of Technology.

The mission of the VoTeR Center is to advise state agencies in the use of electronic election technologies, to investigate voting solutions and voting equipment, and to develop and recommend safe use procedures for electronic systems used in the electoral process.

“Of course, the most sensational attack against an electronic voting system is one which undetectably changes the reported outcome of an election,” Russell recently told UConn Today. “While the James Bond-appeal of these attacks elevates them to a common topic of conversation, the fact of the matter is that along the spectrum of various attacks those are comparatively difficult, expensive, and high-risk.”

A 2014 study published in the Journal of Election Technology and Systems concluded that “audits are a critical procedural component of the electoral process to guarantee the proper conduct of an election.”  The study, by Laurent D. Michel, Alexander A. Shvartsman and Nikolaj Volgushev of the Center, noted audits “can be valuable in the forensic analysis of data collected from voting terminals” used during an election. The system referenced in the study “was rigorously tested against several thousand event logs collected in real elections in the State of Connecticut.”

The statistical analysis of the post-election audit data for the November 2016 presidential election undertaken by the Center was released earlier this year, in June.  The analysis of 615 records “revealed no indication suggesting inaccuracy in the tabulator counts in the audited districts.”  The analysis, of 10 percent of the districts randomly selected by the Office of the Secretary of the State, was performed at the request of that office which oversees Connecticut elections in conjunction with municipal officials.

The analysis indicated that “445 records (72.4%) show no discrepancy, 85 records (13.8%) show discrepancy of 1 vote. There are 58 records (9.4%) showing a discrepancy of 2 or 3 votes; 14 records (2.3%) showing a discrepancy of 4 to 6 votes; 6 records (1%) showing a discrepancy of 7 to 10 votes; 3 records (0.5%) showing a discrepancy of 11 to 20 votes and 4 records (0.6%) showing a discrepancy of more than 20 votes.”

“The main cause for discrepancies between the hand and machine counts,” the review concluded, “appears to be human error in counting as reported by the auditors.”

Steps like training voting staff in best practices, and teaching them what to look out for in terms of suspicious activity, are key to safeguarding the entire voting system, UConn Today reported, indicating that Russell believes Connecticut has done a good job in these areas.

“One present difficulty is that vendors are primarily focused on functionality and ease-of-use rather than security,” Russell added. “In fact, we even lack clear standards for exactly what ‘security’ means for voting equipment.”

Connecticut makes certain that optical scan tabulators are not connected to the internet, and that each town performs logic and accuracy testing before each election or primary, to ensure that the voting equipment and ballots accurately collect the votes and tabulate the results, he noted.

More than 20 states – including Connecticut - faced cybersecurity threats in the 2016 election.

PERSPECTIVE: Small Business Owner Does Not Equal Entrepreneur, And That’s Okay

by Anthony Price My universe was shaken to its foundation, like a building crumbling to the ground under the force of a 9.0 earthquake, after reading Ben Lamm’s guest column in Entrepreneur magazine: “Stop Calling Everyone an Entrepreneur—They Aren’t.”

I thought this was typical Silicon Valley propaganda, from a hotshot in a hoodie and jeans. But after my less-skeptical self emerged, I began to think there was merit to what Ben was espousing. Ben, the founder of several companies and CEO of a startup, believes that the “entrepreneur” label has become as ubiquitous as Nikes on NBA-wannabes. He says that a lot more people are qualified to manage a “Jamba Juice than take companies from inception, through market traction (paying customers), funding, growth and eventual IPO or exit.”

I full-heartedly agree. Ben comes from a world where solving big “hair-on-fire” problems and scaling a business as fast as possible are crucial to owning a market and attracting OPM: Other People’s Money. This business template requires a steady stream of capital to be pumped into the business as fuel, which most businesses don’t have.

The money that your small business burns through is yours, or if you are lucky, your family’s, friend’s or the bank’s. In reality, a startup business has a limited amount of time to build a business with paying customers, or it will fail. Think of Chobani yogurt in your refrigerator—it’s expiration date is a constant reminder that it will not last forever.

The pressure comes from investors. When you play with OPM, investors are the house, they make the rules, and they want to make lots of money (10, 20, or 30x return or more) from a liquidity event (an exit from your business within five to seven years as a result of selling or going public).  In Ben’s view, the mission is the domination of an industry from the playbooks of Facebook, Google and Amazon.

Entrepreneurs Take Big Risks

Entrepreneurs view problems from a unique perspective. George Bernard Shaw, the playwright, said, “The reasonable man adapts himself to the world: the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.” Entrepreneurs are the unreasonable men (and women), risk-takers, but not gamblers. To them, gambling is working at a job they don’t like, with no future for advancement, for a boss who doesn’t value them. Entrepreneurs are confident in their abilities to solve big problems, assemble a team and scale. They are a special group of people who believe in their vision, talent, version of reality and work ethic.

The biggest differentiator between an entrepreneur and a small-business owner is that the former wants to solve big problems, grow quickly and takes huge risks. Think Facebook, Google, and Tesla. Facebook has over two billion monthly users, and its mission is: “Give people the power to build community and bring the world closer together.” Google is the most visited website on the Internet. Its mission is: “To organize the world’s information and make it universally accessible and useful.” Founded in 2003, Tesla Motor’s mission is: “To accelerate the advent of sustainable transport by bringing compelling mass market electric cars to market as soon as possible.”

Small and Powerful

A business consists of coordinated activities that deliver value to customers with the intent of generating a profit to its owners. There are twenty-nine million small businesses in the U.S., which represent 99.9 percent of all businesses.

The U.S. Small Business Administration (SBA) defines a small business as having fewer than 500 employees; organized for profit; has a place of business in the U.S.; operates primarily in the U.S.; is independently owned and operated, and is not dominant in its field on a national basis. Michael Gerber, the author of The E-Myth states, “There is a myth in this country—I call it the E-Myth—which says that small businesses are started by entrepreneurs risking capital to make a profit. This is simply not so.”

Most small business owners make the misguided assumption that because they know the technical work of the business, they understand the business that does the technical work.  These are two different things, just as being a home baker doesn’t make one competent to run a neighborhood bakery or a corporate chain of bakeries.  Small business owner does not equal entrepreneur.

Compare Ben Lamm’s vision of a startup business on steroids with how most small businesses start. Look at your favorite small business. For example, the guy (Jim) who owns the automobile repair garage down the street probably started because he either worked in the family business or got tired of working for someone else. Jim doesn’t have a grand vision to be as ubiquitous as Pep Boys. Sure, he wants to make money, but the love of his craft, freedom from a boss, quality of life, and a sense that he can shape his destiny are all reasons that usually motivate someone to start or buy a business.

Just Do It

Customers determine winners in business. But a decisive factor for your future success comes down to how you answer this question: Will you be an entrepreneur or a small-business owner? Entrepreneurs take big risks to create something new, while small-business owners provide goods and services that the market needs right now. Each has its own value.

Life as a small-business owner is appealing. There’s no disputing its impact on the American psyche. In our winner-take-all society, we need balance between big-risk takers and steady small businesses. Ben states, “Entrepreneurs, at their core, are rare, transformative and risky. They are going to propel the society forward with big leaps of creative disruption. Small-business owners give us a stable base that de-risks the moonshots and protects us from the fallout of failures.” Our economy needs both the entrepreneur and the small-business owner.

To succeed in business, you have to know whether you’re playing as an entrepreneur who is ready to change the game, the industry, the world, or as a small-business owner seeking to make an impact on a smaller scale. If you’re trying to change the game, put on a pair of Shaquille O’Neal’s size 22, because that’s what changing the game feels like. Your choice whether to be an entrepreneur or small-business owner will affect how you start, fund, manage, and grow your business.

Takeaway: Decide what you will be. Choose one.

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This is an edited excerpt from Get the Loot and Run: Find Money for Your Business, by Anthony Price of Hartford.  Price is founder and CEO of Lootscout, and an entrepreneur, speaker, panelist, and judge for business competitions. A trusted adviser to startups and growing businesses, his expertise is sourcing growth capital for entrepreneurs. This excerpt is published with permission of the author.

Will 2019 Legislature Ban Pet Leases? CT Would Be 4th State to Approve Ban

New York became the third state earlier this year, following Nevada and California, to enact a law restricting or prohibiting pet leasing, apparently a growing trend – and concern - across the country.  The law was approved last month and takes effect in December. Connecticut considered a ban on pet leasing during the 2018 legislative session.  A proposal was approved in the Senate, but was not considered by the House of Representatives, according to a report released this month by the state Office of Legislative Research (OLR). 

The Federal Trade Commission explains that “pet leasing is a relatively new industry. It relies on a financial product – a consumer lease – that is commonly associated with cars, furniture, and heavy equipment, not with puppies, parrots, and other pets. As a result, most people considering buying a pet are not expecting to be handed a lease.”

“There can be complications,” the FTC points out. “If the customer misses a monthly payment, the leasing company can repossess Fluffy, Fido, or Cookie the Cockatoo. And, if the animal gets lost, stolen, or dies, or if the customer can no longer keep the pet, the customer can still be required to make payments through the end of the lease period or pay a hefty early termination fee.”

These concerns, and others, are leading an increasing number of states to consider laws to govern – or ban – the practice.  Last month, published reports indicate that the American Society for the Prevention of Cruelty to Animals filed a lawsuit in New Jersey Superior Court on behalf of residents of Hopatcong, New Jersey, against a local pet store and another in Virginia. The lawsuit challenges the lease agreement.

Earlier this year, CBS News published a story about the practice, citing a Connecticut pet store’s practice that irked a local resident.

“Here's how it works: pet stores lure customers in with a cute but expensive pet. Then the customers sign what they believe is a loan that will allow them to make low monthly payments for the pet,” the CBS News report explained.  “But it's not really a loan; it's a lease. And customers often don't realize it until it's too late.”

The Connecticut law proposed earlier this year “generally would have voided any pet lease entered into on or after October 1, 2018,” according to OLR.  It stated that “Anyone taking possession of a dog or cat under such a contract would have been (1) deemed to be the animal’s owner and (2) entitled to the return of all amounts paid under the contract.”

Nevada law prohibits a person from offering to lease any living animal or goods intended for personal, family, or household use, including pets, according to the research published by OLR. California law, effective on January 1 this year, applies to dogs and cats and points out that the consumer taking possession of the dog or cat under such a contract is deemed the animal’s owner, voiding any lease agreements.  The New York law prohibits a contract for buying or financing a dog or cat that includes any provisions that authorize using the dog or cat as security and allow the lender or seller to repossess the animal if the buyer fails to make payments under the contract.  The law does not prohibit buying a dog or cat through an unsecured personal loan.

CT Utility Costs Are 4th Highest in the Nation, Analysis Shows

Connecticut residents pay an average of $496.07 for utilities per month, the fourth most expensive average utility bill in the nation, according to a new analysis.  Hawaii tops the list with the highest average utility cost, $730.86 per month, followed by Alaska, at $527.96.  On the other end of the spectrum is Idaho, which has the lowest average cost at $343.71. Electricity costs are significantly higher on the East Coast, according to the study by move.org, released this week. Seven of the top ten states with the most expensive utilities are on the Atlantic Seaboard.  In addition to Connecticut, those states are Rhode Island, ranking third at $521.98; New York ($477.31); New Hampshire ($477.02); Massachusetts ($469.13); Vermont ($468.30) and Maine ($464.45).  The only other non-Atlantic coast state to land in the top 10 is South Carolina ($473.78).

The analysis noted that “electricity costs are mostly to blame for Connecticut’s high overall utility bill, but its natural gas costs are much higher than most as well at an average of $114.11 per month.”  In two key categories, Connecticut had the third highest electricity rates and the 14^th highest natural gas rates.

The survey broke down each state’s utility costs into a handful of distinct categories: Electricity, Natural gas, Internet, Cable and Water. [State-by-state information was unavailable for cable and water, so the analysis used the national averages to supply those figures for each state.]

The average cost of cable is $100, but that may change as more people cut their cable cords and switch to streaming services, the analysis noted.

In addition to Idaho, the least expensive utility costs can be found in Utah, Montana, Washington (State), Nevada, Louisiana and Oregon, according to the move.org analysis.

Westport Earns Top 20 Ranking Among Nation's Small Cities; Shelton Reaches Top 100

For those looking to identify the best small cities in the nation - with populations between 25,000 and 100,000 – the search may not need to go further than Connecticut, according to a new analysis. Westport was the lone Connecticut community to reach the top 20 nationally, at number 19, with Shelton also earning a place in the top 100, at number 85, and Norwalk (#146), Trumbull (#157) and West Hartford (#159) also reaching the top 200.

The analysis, by the financial services website WalletHub, was based on 40 key indicators of livability, ranging from housing costs to school-system quality to restaurants per capita.  The indicators were grouped into five categories – affordability, economic health, education & health, safety, and quality of life.

On those scales, Westport was ranked 20^th in education & health, 65^th in safety, 82^nd in economic health, 258 in affordability and 595 in quality of life.  Other than Westport, no Connecticut community reached the top 30 in any overall category.

"Of the 22 Connecticut cities analyzed, 18 ranked in the top half. This is an indication that many Connecticut communities are able to offer high quality of life at low living costs," said WalletHub analyst Jill Gonzalez.  "Westport in particular made it to the top of our ranking due to several factors. The city has a very healthy economy, demonstrated by the fact that its residents have one of the highest median household incomes, and had absolutely no personal bankruptcies filed in the past year. It also has one of the lowest crime rates in the country."

Westport tied for fourth in the U.S. for the highest percentage of the population with a high school diploma or higher.  Trumbull had the second lowest percentage of population in poverty in the U.S., just behind Plainfield, lllinois.

Just outside the top 200 communities, were Stratford, Milford, Middletown, Danbury, Newington, Torrington, Bristol, Manchester, and Naugatuck.

Nationwide, among the 1,200 communities included in the analysis, leading the way were Leawood, KS; Carmel, IN; Princeton, NJ; Brentwood, TN; Milton, MA; Needham, MA; Los Altos, CA; Littleton, CO; Newton, MA; and West Fargo, ND.  Massachusetts placed three communities in the top 10 and a total of six in the top 20.  Also reaching the top 20 from the Bay State were Arlington, Melrose and Wellesley.

PERSPECTIVE: Dyslexia and Persistence Can Be Route to Achievement

Dan Malloy overcame tremendous challenges to build a successful career in public service and law. Born with severe dyslexia and motor-control problems, he was unable to walk steadily or to execute simple tasks like tying his shoes and buttoning his clothes. As a young student, Malloy couldn’t read, spell, or do mathematical problems. But his mother, a public-health nurse, didn’t buy into the idea that her son was slow, says Malloy. “She made a definitive decision to stress the things that I was good at and not bother with the things I wasn’t good at. My mother pushed me to develop my strengths, to focus on my leadership and oral-communications skills. Concentrating on those skills, which were my strengths, helped me meet the challenges of college, law school, and my career.”

Malloy’s mother also encouraged his listening skills by giving him a radio, so he went to bed each night tuned in to the news and other programs. At school, he found little encouragement. One of his teachers labeled him “mentally retarded” as a fourth grader; another hung his failed spelling tests on the wall beside those of “A” students. “It’s a tribute to my mother that I never envisioned that I wouldn’t be successful; I just didn’t know how I’d do it,” he says.

By the end of fifth grade, Malloy could button his clothes and tie his shoes, and by eighth grade, he was a much-improved reader. “I developed some compensatory skills and had halfway decent grades,”€ he says. “I also had a good level of academic success in high school and remembered everything I read, although reading was still arduous.” Luckily, Malloy attended a supportive high school, which waived the foreign language requirement and any math class beyond Algebra I, in which he scored a D. “That allowed me to take courses I was good at, like social studies and history,” says Malloy, who also had access to books on tape.

“The real point where my future was decided was when I had a serious injury in high school,”€ says Malloy. Sidelined by a compressed vertebra during football practice, he ended up in pancreatic failure as a result of undiagnosed ulcers. He lost sixty pounds and was not expected to live, until an advanced X-ray machine detected the ulcers and put him on the road to recovery” and to thoughts of college. Early in 1974, he wrote a candid letter to several colleges. “I told them that I almost died and that I had learning disabilities, and I asked them to take a look at me. I was lucky some schools were willing to take a chance on me,” says Malloy, who describes his SAT scores as “abysmal.”

Another byproduct of his dyslexia is Malloy's ability to listen and absorb information, an asset to anyone, but especially to a candidate for public office. At Boston College, his reading skills improved steadily, and his reading retention and comprehension were “off the charts,” says Malloy. “I got very good grades and the school was behind me.” His professors granted him extra time on multiple-choice tests and allowed him to answer essay questions orally or to dictate them to a third person.

He also wrote papers orally, dictating them to his future wife, Cathy, whom he met as a freshman. While Malloy is a fluent reader, reading aloud is difficult, so he plans speeches in his head and delivers them without consulting a written text. Another byproduct of his dyslexia is Malloy’s ability to listen well and absorb large amounts of information, an asset to anyone, but especially to a candidate for public office.

These assets certainly paid off in the November 2010 Connecticut gubernatorial election. In a tight race, Dan Malloy edged out his opponent to take the seat as Connecticut’s 88th governor. He was sworn into office on January 5, 2011. [He will have served two terms when he leaves office in January 2019.]

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This perspective appears on the website of The Yale Center for Dyslexia & Creativity (YCDC).  YCDC is a source of research, advocacy and resources to help those with dyslexia reach their full potential. Dyslexia is defined as an unexpected difficulty in learning to read. Dyslexia takes away an individual’s ability to read quickly and automatically, and to retrieve spoken words easily, but it does not dampen their creativity and ingenuity.

The Center’s tools and resources are used widely by parents, educators and those with dyslexia to advocate for greater recognition and support for dyslexic children and adults. YCDC builds awareness in all communities and mobilizes grassroots efforts to close the reading-achievement gap for all students.

The Center also showcases the success stories of adults with dyslexia, including writers, scientists, celebrities, and government and business leaders.  Malloy is one of two current Governors featured on the YCDC website.  The other is John Hickenlooper of Colorado, a graduate of Wesleyan University in Middletown.  California Lieutenant Governor Gavin Newsom, now a candidate for Governor, and former Connecticut Congressman Sam Gejdenson are also among the political leaders profiled.

It was recently announced that Gov. Malloy will be a visiting professor at the Boston College Law School in 2019. 

Connecticut's State Gas Tax is Sixth Highest in the US; Two States Seek to Defeat Increases

Connecticut’s state gas tax – criticized both because some consider it to be too high and because others point out that it is insufficient to keep the state’s roads and bridges maintained appropriately – is not among the highest in the nation, but comes close. Leading the way with the highest state gas tax levels are Pennsylvania (59 cents a gallon), California (54 cents), Washington (49 cents), Hawaii (48 cents), and New York (46 cents).  Connecticut is the nation’s sixth highest, at 44 cents a gallon, followed by Indiana (42 cents), Florida, Michigan and New Jersey (41 cents).

In California, voters will see a referendum question on the November ballot that if passed would repeal a gas tax increase (12 cents a gallon) that was passed by the state legislature a year ago as part of a comprehensive transportation funding package to pay for highway, road and bridge repairs, as well as public transit projects in the state.  Recent polls predict a close vote on Proposition 6.

In Missouri, voters will consider Proposition D, which would increase the fuel tax in that state by 2.5 cents a year for four years, totaling 10 cents a gallon. The proposal is intended to provide a stable funding stream to the Missouri State Highway Patrol, as well as millions of dollars to the Missouri Department of Transportation to repair and maintain the state's highways and bridges, according to published reports.

New Jersey’s gas tax, which had been one of the lowest in the nation, was increased in 2016 by 23 cents per gallon under a bipartisan deal engineered by then-Chris Christie and the Legislature.  That pushed New Jersey into the top 10 highest rates in the nation, and was the state’s first gas tax increase since 1988, according to news stories at the time.

In total, 27 states have raised or reformed their gas taxes since 2013.  Indiana instituted a 10-cent increase in 2017; Oregon approved a 10-cent phase-in that began this year. The South Carolina legislature overrode a Governor’s veto to enact a 12-cent-per- gallon increase in the tax rate to be phased in over 6 years, according to data compiled by the Institute on Taxation and Economic Policy.  Oklahoma’s legislature approved a 3 cent increase this year - that state’s first since 1987.

The federal government last raised the gasoline tax 25 years ago in 1993, since then the states – in the vast majority of instances – have nudged tax rates upward in their individual jurisdictions.  The lowest state rates are in Alaska (15 cents a gallon), Missouri and Oklahoma (17 cents), Mississippi, Arizona and New Mexico (19 cents).

CT Residents Concerned About Healthcare Costs, Suggest Policy Actions

Connecticut residents are worried about paying for health coverage and care, and are delaying or skipping recommended medical treatment and tests. They also support bold solutions across party lines, according to policy briefs released this month by Universal Health Care Foundation, based on the results of a statewide survey conducted in partnership with Altarum Institute’s Healthcare Value Hub. The poll found that state residents:

• Avoided or delayed treatments and tests, cut pills in half or did not fill prescriptions because of cost concerns
• Worry about affording health care in the future
• Had difficulty navigating our complex health care system, including dealing with surprise medical bills

The survey revealed that residents are not satisfied with the current health care system: 80 percent agree or strongly agree that “the system needs to change.”  When given more than 20 options, they focused on the high prices charged by industry players, citing most frequently as a “major reason” for high health care costs:

• Drug companies charging too much money—81 percent
• Hospitals charging too much money—74 percent
• Insurance companies charging too much money—74 percent

When asked about possible strategies for tackling high health care costs, residents expressed strong support, across party lines, for government to take action.

• Show what a fair price would be for specific procedures – 95 percent
• Authorize the Attorney General to take legal action to prevent price gouging or unfair prescription drug price hikes – 94 percent
• Set standard payment to hospitals for specific procedures – 89 percent
• Set standard prices for drubs to make them affordable – 89 percent

The survey found relatively little statistical difference in the responses of individuals indicating their political party affiliation as Democrat, or neither.

In the poll of 900 Connecticut adults, nearly 9 in 10 people (88%) who take prescriptions regularly worry they won’t be able to afford their medication.  And 20 percent reported that they were so worried about drug prices that they did one or more of the following:  not fill a prescription, cut pills in half, or skip a prescribed dose. 

Half of Connecticut adults indicated that they experienced a problem with health care affordability in the past year, and nearly as many, 43 percent, delayed or did not get care due to cost, with one-third indicating that they delayed going to the doctor or having a procedure done.

Universal Health Care Foundation is supporting IVote4Healthcare, a nonpartisan voter registration, education and engagement effort, with Protect Our Care CT, to highlight those findings and changes in the health care system.

National Startup Analysis Sees Potential, Standout Efforts Underway in Hartford

A new analysis of the status of the business startup community in six American cities – including Hartford – has found that Connecticut’s Capitol City has “strong startup potential,” and in some ways is already standing out among peers and competitors. Startup Genome, with support from the Kauffman Foundation, selected six U.S. metropolitan areas that are not in the top 40 most populous and which have been faring less well economically than the country as a whole for a deeper analysis.  In addition to Hartford, the analysis includes Albuquerque, Fresno, New Orleans, Reno and Springfield, MA.

“In each of these metros, efforts are underway to support entrepreneurs, create more startups, and generate stronger economic trajectories. Like many other American cities (and elsewhere), they’ve been through economic ups and downs and now see startups as their next best hope for sustainable and broadly-shared growth,” the report, released this week, points out.  Startup Genome works to increase the success rate of startups and improve the performance of startups across more than 30 countries.

“Every startup ecosystem shows room for growth and improvement, and Hartford has key strengths to build on. The city's strong heritage in insurance is already being leveraged by many stakeholders and the ecosystem is clearly attracting experienced talent to start and join companies,” Dane Stangler, president & chief policy officer of Startup Genome told CT by the Numbers.

In Hartford, reSET, which specializes in encouraging and assisting entrepreneurship and social enterprise, was among several local partners with whom Startup Genome worked to gather data from more than 300 respondents.  Additional partners were the MetroHartford Alliance, Wesleyan University, UConn’s Connecticut Center for Entrepreneurship and Innovation, Upward Hartford,  as well as Launch EZ, the West Hartford Chamber of Commerce and others.

“More broadly, Hartford shows greater diversity than peer ecosystems and already has a few hundred startups operating. By continuing to strengthen the local culture and focusing on startup success in key areas, the Hartford economy will enjoy higher levels of job creation and growth,” Stangler added.

Hartford and the other cities were determined to be in the Early Activation phase of the Ecosystem Lifecycle, with a mix of prominent attributes and areas with potential yet to be realized.  In its analysis, the report indicates that “just in the span of a few years the startup scene has exploded,” in Hartford, noting that:

• investors and experts in Hartford provide more hours of help to founders than in the other cities, and more than the global average. (Experts include university faculty, corporate employees, mentors, and others.)
• nearly four in 10 founders in Hartford are women, which is twice the global average across all ecosystems in the Startup Genome database.
• 11 percent of startup founders in Hartford are immigrants, the second-highest in the sample.

“We’re so grateful that Startup Genome was able to include Hartford in its recent analysis of early-stage ecosystems, thanks to support from the Kauffman Foundation,” said reSET Managing Director Ojala Naeem.  “Our great city is too often overlooked, and with local and state funding being what they are, national attention on all of the amazing businesses making an impact here is more important than ever. We have so many smart and motivated entrepreneurs who are worthy of investment consideration. They just need a spotlight.”

The comprehensive assessment of Hartford’s ecosystem also noted that “Hartford’s [startup] founders claim to have the right ambition to go global,” concluding that “Hartford’s startups have more potential to strengthen Global Market Reach and Global Connectedness.” In a number of areas analyzed in the assessment, Hartford is seen as having potential to strengthen the local startup community, its reach beyond Hartford, and the demographic of startup teams.

During the past seven years Startup Genome has provided a way for entrepreneurs everywhere to “tell us about their journeys and their regions - giving their local expertise a voice at the policy-making table.” The organization’s primary research with founders, supplemented with secondary research and data from global and local partners, helps create the world’s most comprehensive research on startups. Approximately 10,000 startup founders fill out global survey providing direct input each year.

“Hartford has some record of successes – generating more will help ecosystem size and performance,” Startup Genome observed in its assessment of Hartford.