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Press Coverage

State's push to insure children has its roots in Silicon Valley

San Jose Mercury News
May 2, 2005
By Michael-Ray Mathews and Debbie Weatherspoon

California is trying to launch a historic new campaign to provide health insurance for all low-income children in the state. Sound familiar? It should. This bold idea started right here in Santa Clara County, initiated by People Acting in Community Together (PACT) and Working Partnerships USA.

Five years ago this June, more than 500 people from religious congregations around Santa Clara County gathered at the Mexican Heritage Plaza for an event organized by PACT to encourage local elected officials to create the Children's Health Initiative. That lovely June morning, county supervisors committed themselves, and just seven months later, in early 2001, the dream became real: Through a program called Healthy Kids, all low-income children in the county became eligible for high-quality, low-cost health insurance.

This was the first program of its kind in the country, and more than 70,000 children have enrolled since then. Children are healthier now in this county than they have ever been. Using our local program as a model, counties around the state have created their own similar programs.

But growth in funding for the county program has not kept pace with demand, so there is now a waiting list of eight months for children ages 6-18 to enroll in Healthy Kids (all eligible children up to 5 years old are covered by First 5 Santa Clara County). In other words, we no longer offer universal coverage for children. Ailing kids in the county are again being told that they must wait. Likewise, other counties that have started similar programs are capping enrollment.

But help is on the way. More than 4,200 people recently traveled to Sacramento from cities and towns across the state to give a clear message to Gov. Arnold Schwarzenegger and state legislators: Make children's health a priority.

These were not professional lobbyists. They were ordinary people, all volunteers, from PACT's 20 sister organizations around the state, representing the basic needs of hundreds of thousands of families through our statewide interfaith network called PICO California. Three hundred people in our county traveled by bus to join the event, led by a bright-yellow Hummer sporting a banner reading "Californians for Healthy Kids.''

What distinguished the rally was not just its size, but also that it, like the campaign as a whole, was non-partisan and led by "everyday'' people from diverse communities--new immigrants, longtime Californians, veterans, college students. Twenty legislators attended, too, Democrats and Republicans, including Senate leader Don Perata, D-Oakland, and Assembly Speaker Fabian Nuñéz, D-Los Angeles.

In a show of bipartisan cooperation, Schwarzenegger's top health official, Secretary of Health and Human Services Kim Belshe, attended. She and the legislators were greeted with thunderous applause when they committed to making 100 percent coverage for children a top priority.

The good news is that this audacious goal--particularly so in this tough budget environment--is not that expensive. With cost savings from federal matching funds and state programs that would become unnecessary if all children had insurance, the estimate is $120 million to $300 million. This is not even one-half of 1 percent of the state budget.

Five years ago in Santa Clara County, we showed the truth of the statement, "When the people lead, the leaders will follow.'' This can happen at the state level, too, if enough of us make our voices heard.

The Rev. Michael-Ray Mathews and the Rev. Debbie Witherspoon are co-chairs of the People Acting in Community Together (PACT) board of directors.