Jul 1, 2007


Pope Urges Reconciliation for China’s Catholics
Pope Benedict XVI acknowledged the faithful Saturday at the Vatican, on a day when he released an open letter to Chinese Catholics.
By ELISABETH ROSENTHALPublished: July 1, 2007
ROME, June 30 — In an extraordinary open letter directed to Chinese Catholics and released Saturday, Pope Benedict XVI acknowledged the suffering experienced by Catholics under Communist rule but also concluded that it was time to forgive past wrongdoings and for the underground and state-sponsored Catholic churches in China to reconcile.
Openly hoping for a renewal of relations between China and the Vatican, which were suspended in the late 1950s, Pope Benedict reassured the Chinese government that the Vatican offered no political challenge to its authority, while urging the state-sponsored Catholic Church to acknowledge the Vatican’s control on religious matters.
“The misunderstanding and incomprehension weighs heavily, serving neither the Chinese authorities nor the Catholic Church in China,” the letter said.
It was the pope’s long-awaited first official and explicit statement on China’s estimated 12 million Catholics, the majority of whom worship in underground churches to avoid having to register with the government and swear loyalty to it.Months in preparation, and dated May 27, the 28-page letter was issued in multiple languages, including Chinese, along with an unusual accompanying “Explanatory Note” highlighting main points.The pope praised China for “the splendor of its ancient civilization” and noted with approval that it had greater religious freedoms and decisive movement toward socio-economic progress. He underlined that the Roman Catholic Church “does not have a mission to change the structure or administration of the State.”Gerolamo Fazzini, editor of Mondo e Missione, a magazine for the Pontifical Institute for Foreign Missions, said: “This is a step forward because it states the Vatican position clearly and holds out a hand to civil authorities. It says the church and authorities can be allied in dialogue. That you can be good Chinese citizens and Catholics at the same time. That the church is not looking for political legitimacy.”But the pope’s message to the Patriotic Church Association, the central government body that oversees the state churches, was that no Catholic Church should operate independently of the Vatican, and he said Catholics should seek to worship with priests who accepted the guidance of Rome. He criticized “grave limitations” in religious practice that “touch the heart of faith.” Still, he said, sacraments administered in state churches were holy.He officially revoked a set of 1988 directives, promulgated by the previous pope, John Paul II, that gave bishops and priests in China special powers that allowed them to operate without the mandate of the Vatican. The directives were intended to allow underground clerics to operate secretly and independently to avoid persecution; the Vatican says it sees that as no longer necessary.The letter included a reaffirmation of the Vatican’s right to appoint bishops, a point of deep contention between Rome and the Chinese Patriotic Church. In 2006, the Chinese church enraged the Vatican by appointing three new bishops without consultation.The Chinese government offered no immediate reaction, and the Patriotic Church Association had been meeting in the past few days, probably to discuss the content of the letter, Mr. Fazzini said.Cardinal Joseph Zen Zi-kiun, the bishop of Hong Kong and a passionate advocate for the underground church on the mainland, issued a written statement late Saturday evening. “The voice of our bishops and priests in China is often prevented from reaching our leaders; now that the letter of the pope is in the hands of our leaders, our bishops and priests can thus refer to it directly as a common starting point for dialogue,” he said.Beginning in the 1950s, China expelled missionaries, closed churches, confiscated church property and imprisoned almost all clerics. Tremendous persecution continued until the 1980s when Deng Xiaoping, then the Chinese leader, allowed worship to resume slowly— though within limits set by government. Underground churches held fast in their loyalty to the pope, but their secret meetings have been violently dispersed by the police, and practitioners arrested.Still, over the last 10 years, the practices of the official states churches and underground churches have converged to some extent, depending in part upon the tolerance of local authorities. And in the countryside, it is not unusual to find official state “patriotic” churches where the pope is openly revered and that hang pictures of him near the altar. An increasing number also get money from Catholic charities abroad to pay for church-building, schools and hospitals.
Pope Urges Reconciliation for China’s Catholics
Published: July 1, 2007
(Page 2 of 2)
“The first and by far most important aspect is that for the pope, the church in China is one — definitely one,” Bernardo Cervellera, editor of Asia News, a Catholic missionary news service based in Rome, said of the letter. “He stresses it is time to consider the church one church. To reconcile the bishops from the two churches and the faithful as well.”
Others remained skeptical that the overture would improve relations between the Vatican and the Chinese.“I doubt that this will help overcome the impasse with the Chinese authorities, because the letter says that it’s up to China to recognize the church should operate in China as it does in 173 countries, even places like Cuba, which is Communist, or Japan, which has strong nationalism — in all of which the pope nominates bishops,” said a priest from Hong Kong, who asked not to be named.He and others noted that the reaction to the papal letter could be complex among Catholics in China, and some could even feel betrayed by the pope’s message.“I think that this will have strong repercussions, within the church,” Mr. Fazzini, the magazine editor, said. “Imagine a priest who spent 30 years in jail and now you are told that you have to dialogue with people that have been nominated by authorities. Asking them to reread history with charitable eyes, that won’t be easy.”The pope’s letter said firmly that cooperating with Chinese Communist state requirements did not constitute a betrayal of Catholicism. The practice of Catholicism and the “safeguarding of the faith,” he said, is “not itself opposed to dialogue with authorities.”Still, he noted that Catholics in China walked a delicate line between faith and political expedience, and he urged the bishops and priests in Catholic dioceses in China to make the decision about whether to register their churches with Chinese authorities, based on “local conditions and circumstances.”The pope acknowledged the suffering of Chinese clerics — their persecution and “shedding of blood” — but urged them to show charity toward those “who think different from us in social, political and religious matters.”“The purification of memory, the pardoning of wrongdoers, the forgetting of injustices suffered and the loving restoration to serenity of troubled hearts, all to be accomplished in the name of Jesus crucified and risen, can require moving beyond personal positions or viewpoints, born of painful or difficult experiences,” he wrote. “These are urgent steps that must be taken.”
Posted by whatabc at 5:35 PM 0 comments

Britain on Edge After Car Slams Into Airport
Britain on Edge After Car Slams Into AirportBy ALAN COWELL and RAYMOND BONNERPublished: July 1, 2007LONDON, June 30 — One day after uncovering what they called a double car-bomb plot in London, British officials raised the country’s terrorism threat assessment to its highest level after two men slammed a Jeep S.U.V. into entrance doors at Glasgow Airport Saturday and turned the vehicle into a potentially lethal fireball.One of the attackers was ablaze from head to foot, and as he struggled with the police, “was throwing punches and shouting ‘Allah, Allah,’ ” a witness said on BBC television.Britain’s threat level is now at “critical,” meaning that another attack is considered imminent. The threat has not been as high since last year, after authorities discovered an alleged plot to attack trans-Atlantic airliners with liquid explosives in August.A British security official, who like other officials who disclosed information on Saturday insisted on anonymity, said the heightened level reflected an assessment that the London and Glasgow cases were “linked in some ways and, therefore, there are clearly individuals who have the capability and intent to carry out further attacks.”The links related to the way the foiled car-bomb attacks in London and the airport attack in Glasgow had been conceived and planned using vehicles and gasoline, the official said.Within an hour of the announcement, authorities said the airport in Liverpool had also been closed until further notice, apparently reflecting a fresh area of concern as an increasingly jittery nation braced for further possible episodes.In the United States, the Department of Homeland Security issued a statement from Secretary Michael Chertoff saying there were no plans to raise the national threat level because there was “no specific, credible information suggesting that this latest incident is connected to a threat to the homeland.”Still, a spokesman for the Port Authority of New York and New Jersey said additional security measures were being taken at the region’s airports, and the New York City police were taking steps that included sending officers into parking garages with sensors that detect the presence of chemical, biological and radiological agents. A police spokesman said the department was also closely monitoring tourist areas, including nightclubs.Although there were questions throughout the day about whether the driver of the Glasgow vehicle crashed it intentionally, by Saturday night, Sir William Rae, the chief constable of the Strathclyde area around Glasgow, called it attack was an act of terrorism.Mr. Rae said one of the two men was found to be wearing a “suspicious device” at the hospital where he was being treated. The hospital was evacuated, the police official said, but he declined to comment on reporters’ suggestions that the assailant — said to be in critical condition — had been wearing a suicide bombers’ belt. A person with knowledge of the investigation said that the device was a suicide belt, and also that the car contained propane canisters.Mr. Rae said the attack at the airport, Scotland’s largest, was linked to the car bombs in London, but he did not elaborate.In July 2005, coordinated transit bombings killed four attackers and 52 others, and another set of attacks failed two weeks later, bringing home to Britain fears of homegrown terrorist attacks among its disenfranchised South Asian population. Witnesses to the Glascow attack said the two men involved were South Asian.In office for only four days, a somber Prime Minister Gordon Brown appeared briefly on national television from 10 Downing Street late Saturday. “I want all British people to be vigilant and I want them to support the police and all the authorities in the difficult decisions that they have to make,” he said. “I know that the British people will stand together, united, resolute and strong.”The Glasgow attack came on the first full day of the school summer vacations, when thousands of people were awaiting flights. The sight of the dark green Jeep Cherokee smashing into the building and bursting into flame spread panic and terror among people awaiting flights.Hours after the attack, hundreds of passengers remained on stranded airplanes on the tarmac. The authorities said they could not be allowed into the terminal because of potential further dangers.Britain on Edge After Car Slams Into AirportPublished: July 1, 2007(Page 2 of 2)The events in London and Scotland deepened foreboding among security experts that Britain was confronting a new threat: the use of relatively unsophisticated, homemade explosive devices to claim lives and spread mayhem.Britain’s newest terrorist alert began in the early hours of Friday, when two Mercedes sedans filled with gasoline, gas canisters and nails were found parked in the central West End theater and nightclub district.On Saturday in Scotland, accounts by witnesses gathered by news agencies were confused, but some spoke of the two occupants of the car smashing bottles of gasoline and struggling with police officers and others who tried to restrain them.The man on fire may have immolated himself. The police said two men were arrested.The events at Glasgow Airport also came as London — already worried by the discovery of the rigged cars — braced for a weekend of high-profile events, including a concert to honor the memory of Diana, Princess of Wales; a Gay Pride March; and the Wimbledon tennis tournament.The police in the capital stepped up foot patrols as counterterrorism officers hunted suspects linked to the cars found in London.But the attack in Scotland seemed to have taken the authorities by surprise. Mr. Rae, the Scottish police officer, said there had been no intelligence warning of an attack.Prime Minister Brown, who is himself a Scot, summoned two emergency meetings of the high-level security committee called Cobra to try to come to grips with the attacks.In London, counterterrorism experts suggested that the bombers who abandoned the two explosives-laden Mercedes might have been what a senior Western official called “less directed from Al Qaeda and more a matter of a homegrown group,” although the attack seemed to be modeled on terrorist attacks in Iraq.A British official, speaking in return for anonymity, said the level of sophistication in the attacks was “at the lower end of the scale, but you don’t have to be sophisticated to kill people.”Several experts and officials said the technology behind the foiled bombings in London seemed to be amateurish. While the attackers apparently tried to detonate the bombs using cellphones, “they didn’t go off because there were not top-grade people putting them together,” one Western official said.If the plot turns out to be the work of a small, hitherto undetected cell, that could raise alarms that Britain’s terrorism threat is broader than the 2,000 suspected radicals known to the authorities, according to British and Western officials. The Western official said British investigators were pursuing several “good leads.”The attack in Scotland also seemed marked by improvisation.BAA, the company operating the airport, said a vehicle “drove into a front door at the check-in area” and “caught fire on impact.”One witness, Scott Leeson, said the Jeep sped up to the building at around 30 miles per hour in an area where people usually drive much more slowly.“Then the driver swerved the car around so he could ram straight into the door,” the Press Association news agency quoted Mr. Leeson as saying. “He must have been trying to smash straight through. Luckily he did not get the car too far in. He just managed to get the nose of the Jeep inside.”Another witness, Lynsey McBean, 26, said, “We saw a green Cherokee drive straight into the front door of the airport but it got jammed. They were obviously trying to get it further inside the airport as the wheels were spinning and smoke was coming from them. One of the men, I think it was the driver, brought out a plastic petrol canister and poured it under the car. He then set light to it,” she said, according to the Press Association.“At that point a policeman came over, the passenger got out of the car and punched him. At that point I began to run away. But when I looked back several people had run over to try and stop the men,” she said.There were no claims of responsibility publicly for the car bombs on Friday, which were uncovered almost by accident when an ambulance crew and traffic wardens on Friday separately discovered the sedans.But an online forum monitored by the SITE Institute, which tracks jihadist Web sites, asked whether London had been “craving explosions from Al Qaeda” after authorities in June bestowed a knighthood on the author Salman Rushdie, reviled by some radical Muslims for his book “The Satanic Verses.”No “established link” exists between the knighthood and the foiled bombings, a British security official said.The Times of London reported Saturday that the police had warned nightclub operators a few days ago of the threat of such attacks.The two cars were parked around a corner from each other. The first to be discovered and disarmed was found outside the Tiger Tiger nightclub in the Haymarket near Piccadilly Circus. The second was towed away for a parking infraction about 90 minutes later from nearby Cockspur Street leading to Trafalgar Square, the police said.Sajjan M. Gohel, a security expert, said the police were pursuing a theory that the two bombs had been designed to explode one after the other — the first to bring people into the street and the second to cause great loss of life. The fact that Thursday night at Tiger Tiger was ladies’ night, he said, recalled a conspiracy in 2004 in which British-born bombers said they wanted to attack women at a nightclub, whom they viewed as promiscuous, in conversations monitored by British intelligence.

2 U.S. Soldiers Charged With Murder of 3 Iraqis

2 U.S. Soldiers Charged With Murder of 3 IraqisBy STEPHEN FARRELLPublished: July 1, 2007BAGHDAD, June 30 — Two American soldiers have been charged with premeditated murder and planting weapons on dead Iraqis, the United States military said Saturday.The soldiers, Staff Sgt. Michael A. Hensley and Specialist Jorge G. Sandoval Jr., were detained after fellow soldiers reported they had been involved in the deaths of three Iraqis near Iskandariya, a stronghold of the Sunni Arab insurgency south of Baghdad, in separate events between April and June this year.Also on Saturday, the United States military mounted an early morning raid into the Shiite district of Sadr City in Baghdad. Officials with the American-led forces said soldiers had killed 26 militants, but some residents and Mahdi Army militia commanders accused them of killing civilians.In the murder case, American military officials said Sergeant Hensley, 27, from Candler, N.C., faces three charges of premeditated murder, obstruction of justice and wrongfully placing weapons with the remains of deceased Iraqis. Specialist Sandoval, 20, faces one charge of premeditated murder and one of wrongfully placing a weapon on one of the three Iraqis killed.Both were serving with the First Battalion, 501st Infantry, of the 25th Infantry Division, which has its headquarters at Fort Richardson, Alaska. Specialist Sandoval was picked up while at home on a two-week leave in Laredo, Tex., the military said. Charges were filed Thursday, and both men are in confinement in Kuwait.The military said in a statement that an investigation was under way.The area, part of the so-called Sunni Triangle, is no stranger to controversy.Two American soldiers have admitted to raping a 14-year-old and killing her and her family in Mahmudiya, a town near Iskandariya, in March 2006, and others also face trial in the killings. Tension has been high since May 12, when an insurgent ambush on a patrol near Mahmudiya killed four American soldiers and one Iraqi, and led to the abduction of three Americans. One soldier’s body was later found but the other two soldiers are still missing.In Baghdad, Lt. Col. Christopher Garver, an American military spokesman, said the raid in Sadr City on Saturday was against a militant cell that was smuggling weapons, explosively formed penetrators, a particularly lethal type of bomb, and money from Iran to aid Iraqi militias.He said soldiers killed about 26 fighters and detained 17 suspects, but came under attack from small arms, rocket-propelled grenades and roadside bombs as they withdrew from the area. The Americans returned fire against militants shooting from behind buildings and cars.“Everyone who got shot was shooting at U.S. troops at the time,” Colonel Garver said. “It was an intense firefight.”But Iraqi officials said that the death toll was much lower, around eight, and some said that civilians were killed, including a man, his wife and their daughter, who had left their home to check on the disturbance.Sadr City residents said the American operation was directed at more than one part of the district. Abu Jamal, 50, said he heard troops outside his house in the Sabee Qusoor area early in the morning.“We were sitting on the roof, all of a sudden the helicopters started throwing flares,” he said. “We were afraid, so we left and went downstairs. The whole family went into one room because we started hearing the sound of firing from the helicopters. We couldn’t hear any firing from machine guns, only the aircraft firing. It was a horrible night.”In Najaf, a spokesman for the anti-American cleric Moktada al-Sadr, the nominal leader of the Mahdi Army, condemned the raid Saturday and insisted that the militia was not involved in the fight.“We reject these repeated assaults against civilians. The allegation that Mahdi Army members were the only ones targeted is baseless and wrong,” said the spokesman, Sheik Salah al-Obaidi. “The bombing hurt only innocent civilians.”The battle prompted an immediate statement from the office of Prime Minister Nuri Kamal al-Maliki, saying that he would demand clarification from the military.On the political front, Mr. Maliki appealed for Iraq’s largest Sunni bloc, the Iraqi Consensus Front, to end its boycott of his Shiite-dominated government. The boycott began last week as a protest of an arrest warrant issued against one of its members, Culture Minister Asad al-Hashimi, in a murder investigation.Mr. Maliki said boycotts would only “complicate” matters, and urged them to embrace dialogue as “the only way to solve all the problems now and in the future.”In Diyala Province, a suicide bomber killed three police recruits and wounded 34 lined up outside a police station in Muqdadiya.Meanwhile, the American military said it killed Abu Abdel Rahman al-Masri, a senior figure in Al Qaeda in Mesopotamia, in a raid east of Falluja on Friday. Colonel Garver said that Mr. Masri, an Egyptian, had worked closely with Abu Ayyub al-Masri, the military leader of the group, and that his body had been identified by known associates.American commanders also said that on Friday night a tip from an Iraqi led them to a grave containing dozens of bodies near Ferris, 20 miles south of Falluja. The military said in a statement: “Coalition forces uncovered 35 to 40 bodies at the site. The remains were bound and had gunshot wounds. This incident is currently under investigation.” It is unclear when or how the victims were killed.Separately, an American command sergeant major, the most senior enlisted member serving in a major command, was sentenced to four months in detention after being convicted of possessing alcohol and pornography, engaging in an inappropriate relationship with a female soldier in his unit, and maltreating a soldier.The command sergeant major, Edward Ramsdell, of the 411th Engineer Brigade, was working in Diyala Province at the time, and he was given a court-martial in October. Prosecutors said he had possessed a “large quantity” of alcohol and pornography in his quarters, tried to conceal the evidence when discovered and then tried to escape from investigating officers.Wisam A. Habeeb contributed reporting from Baghdad, and Iraqi employees of The New York Times from Baghdad, Najaf and Diyala.

Bush to Press Putin on Iran Sanctions

Bush to Press Putin on Iran SanctionsBy JIM RUTENBERG and DAVID E. SANGERPublished: July 1, 2007KENNEBUNKPORT, Me., June 30 — President Bush, seeking to change the tone of an increasingly caustic, fraught relationship with President Vladimir V. Putin of Russia, will urge him on Sunday to support a major escalation of pressure on Iran, administration officials said.On Friday, just 48 hours before Mr. Putin was to arrive at the Bush family compound on the edge of this historic seaside town swelled with summer residents, the administration discussed for the first time with Russia and other members of the United Nations Security Council a proposal to require all nations to inspect cargo to or from Iran for illicit nuclear-related material or arms.The meeting took place by telephone, and the United States was represented by R. Nicholas Burns, the under secretary of state for political affairs. The proposal was cast as preventive, but American officials know that, like a proposed asset freeze on some Iranian banks, the effect could be to slow Iran’s economy.Two successive resolutions have resulted in less punitive actions against Iran, with modest economic effect. None has achieved the goal of forcing the country to suspend its enrichment of uranium.While Mr. Bush is not expected to discuss the specifics of the American plan with Mr. Putin, a senior official, who would not speak for attribution because the conversations with Mr. Putin have yet to take place and will be surrounded in secrecy, said Mr. Bush was increasingly intent on stopping the Iranian nuclear program. The International Atomic Energy Agency says it is progressing.“He will make the point that this is the third set of sanctions against Iran, and now we have to make them really count,” the official said.For the Americans, the effort to squeeze Iran is the most immediate issue on the table with Mr. Putin. Washington needs Russia’s support as it presses the Security Council to pass new sanctions, the third round this year, by mid-July.But it is uncertain how Mr. Putin will react. He has sharply criticized the proposed new American missile defense system, which would include installations in Poland and the Czech Republic, former Soviet satellites, and made inflammatory characterizations of the United States as an unrestrained power.American officials say he may be aiming those comments at a domestic audience and seeking to cement an influential role in Russian affairs after he leaves office in the spring.Some proposals by Britain, which leaked out before Gordon Brown succeeded Tony Blair as prime minister on Wednesday, would deny Iranian airlines and ships permission to take off from, land in, or fly over the territory of other nations. A measure that harsh bears little chance of passage.Mr. Bush has told aides he has doubts about how willing Mr. Putin would be to put his country’s trade with Iran at risk. Russia supplies much of the equipment and expertise for Iran’s main civilian nuclear reactor, and has other ties with Iran, including in the oil sector.“We imagine that the Russians and the Chinese are going to play slowball here,” said a senior official involved in the sanctions talks. “They don’t want Iran to get nukes, but they worry what happens if the diplomacy here does not work.”White House officials have portrayed Mr. Putin’s visit with Mr. Bush as a chance to rebuild their relationship. It now holds little of the warmth displayed after their first meeting in early 2001, when Mr. Bush said he had “looked the man in the eye” and gained “a sense of his soul.”In fact, it may be the last chance for Mr. Bush and Mr. Putin to cement a common legacy, with Mr. Bush entering the last 19 months of his term and Russia preparing to choose Mr. Putin’s successor.The agenda for the visit includes social encounters with the former president George H. W. Bush, including a dinner and possibly some fishing. American officials said that Mr. Putin would probably seek to avoid any public disagreements.The American plan for a missile defense plan in Europe, which it says is largely to deter Iran’s growing missile forces, will certainly be under discussion here.Speaking with reporters on Friday, Dmitri Peskov, a Putin spokesman, said the Russians were dissatisfied with the United States’ continued interest in building the system.Mr. Peskov said a surprise Russian proposal to cooperate on a similar system in Azerbaijan two weeks ago was meant as an alternative to American plan, not, as Defense Secretary Robert M. Gates has suggested, a potential complement to it.He portrayed the Russian plan as polite acquiescence with the overheated and questionable fears the United States has expressed over Iran’s nuclear capabilities.But American officials dismissed that, and said there was in fact a coming together of American and Russian views on Iran.A senior administration official, speaking on condition of anonymity before the meetings, said Russia was coming to agree with the United States’ assessment of Iran.“I do think we see the threat very much the same,” the official said. “It’s why we’ve been able to cooperate very well in terms of the nuclear issue, why we’ve had their support for two U.N. Security Council resolutions. I think when the time comes we’ll have their support for a third.”Technical experts for both sides have quietly moved forward in seeking a compromise on the defense system, according to senior Defense Department officials.Lt. Gen. Henry A. Obering III, director of the Missile Defense Agency, and senior aides held an unannounced meeting on Friday with Russian counterparts to begin preliminary technical discussions that included the Azerbaijani radar, according to an agency official.Officials at the White House and at the Kremlin played down expectations of any breakthrough agreements on Iran or the defense system during Mr. Putin’s stay. Both sides said they considered it an unofficial visit, not a summit meeting.Administration officials said it was Mr. Putin who had initially suggested the timing to meet in the United States, since he was heading to an Olympics committee meeting set in Guatemala. Mr. Bush decided upon his family compound here. Both sides portrayed that as a show of respect for Mr. Putin.Thom Shanker contributed reporting from Washington

Massachusetts Universal Care Plan Faces Hurdles

Volunteers, from left, Lisa Vinikoor, Rosina Belcourt and Raina Wallas tell Boston residents about a new Massachusetts health care law.
Massachusetts Universal Care Plan Faces Hurdles
By PAM BELLUCKPublished: July 1, 2007
BOSTON, June 30 — With the mandate that everyone in Massachusetts have health insurance taking effect on Sunday, more than 130,000 people — about a third of those who were uninsured a year ago — now have coverage, officials say.
But most of those who have signed up are poor enough to qualify for free or state-subsidized insurance.People who must pay the full cost themselves, who are crucial to the success of the nation’s most ambitious effort to achieve near-universal coverage, may now be a majority of the state’s uninsured and not all are rushing to get coverage. Many of them are healthy young people in their 20’s and 30’s, state officials say.“A lot of the population we’re trying to reach right now are young folks who don’t have insurance for a lot of reasons, not the least of which is they don’t think they’re ever going to be sick,” Gov. Deval Patrick said.Other hurdles include the fact that some businesses, especially small ones, are struggling with the requirement that employers with more than 10 workers offer insurance.“For a long time we thought in Massachusetts that we had only two choices — between a perfect solution and no solution at all,” Mr. Patrick said in an interview. “We’ve decided to try something and do it just as we go and be very candid about what does work and very frank about what doesn’t work.”Despite the July 1 rollout, these are early days for the 160,000 to 200,000 people not entitled to state subsidies. Although they have been able to buy insurance privately, moderately priced state plans were not available to them until May 1. Free and subsidized plans have been available considerably longer. People have until Dec. 31 to obtain coverage or face a state penalty.Observers of the state’s progress since the health care law was passed in April 2006 say they are impressed that the varied constituencies — including health insurers, businesses, advocates, medical providers and taxpayers — largely continue to support the law and have worked to resolve differences. They say, and officials acknowledge, however, that there is still a long way to go.“I would give it a B plus,” said John McDonough, executive director of Health Care for All, an advocacy group. “There’s an incredible amount of progress that’s been made. There are some things going in ways that leave us concerned, and there are some important issues that confront us in the future.”Health care experts view the Massachusetts effort more favorably than one begun in 2005 in Maine, a state with about 130,000 uninsured. Unlike Massachusetts’s program, Maine’s is voluntary, relies on a controversial financing formula and features more expensive premiums. Fewer than 20,000 people enrolled in the program, many of whom already had insurance.Still, Massachusetts’s model may not work everywhere. When the law passed, the state’s 370,000 to 500,000 uninsured represented less than 10 percent of its population, a smaller proportion than those of many states. And it does not have a scarcity of large employers, like Maine, or a huge number of immigrants, like California.Massachusetts is deliberately taking things slowly. In 2008, the penalty for those not insured will be a loss of state tax exemption, worth about $219; later the penalty will be up to half of a monthly insurance premium for each month a person is uninsured. Also, while any insurance is acceptable at first, by January 2009, everyone must have drug coverage.Officials estimate that 60,000 people will be exempt from getting insurance altogether because they will be ineligible for subsidies but unable to afford other options.“There was a calculation made about how to phase this in in ways that didn’t frighten people off,” Mr. Patrick said. “Ultimately we are going to have to explain to people that this is an obligation, that it is not optional.”A $3 million advertising campaign includes postcards to millions of residents, announcements in pharmacies and supermarkets, and television advertisements shown on the Red Sox cable network to reach younger people. The Commonwealth Health Insurance Connector Authority, which oversees the law, has a Web site where people can compare and buy 42 plans offered by six insurers.
Jon Kingsdale, executive director of the authority, said about 50,000 inquiries were received last week, double the number before advertising began in late May. Mr. Kingsdale said he expected enrollment to be gradual and “nothing sort of magical is going to happen on July 1.”Some people buying unsubsidized plans already had insurance but found the authority’s policies to be a better deal. Kathleen Knox, 63, of Arlington, switched from a $650-a-month plan that did not cover drugs to a $450 policy with some prescription coverage. Sam and Barbara McGee, both 58, of Brewster, chose a $915 policy, more expensive but with better benefits than the $750 plan they had.Martin Avila of Plymouth is the kind of enrollee officials really want — 31, relatively healthy, uninsured. Sobered by his fiancĂ©e’s recent heart attack, Mr. Avila just bought a $218 insurance plan. “Obviously getting everyone insured is a positive,” Mr. Avila said. “I’m just not sure if the people who aren’t insured right now are helped all that much by my adding $200 a month. I don’t know if it’s a long-term solution.”Joan Meister, 25, an uninsured film production assistant from Brighton, may not buy in, saying she may choose the penalty if insurance proves too costly. “It would really for me be whatever would be the cheapest and easiest,” Ms. Meister said.Linda Impemba, 58, a marketing company employee in Wakefield, said she would remain uninsured, pay penalties, and, as soon as her ailing mother dies, will leave Massachusetts. “There’s no way in heaven I can possibly survive in this state,” Ms. Impemba said. “Now not only is my cost going to go up, everything’s going to be raised so I can pay for the other people” to be insured.A poll released Wednesday by the Harvard School of Public Health, the Kaiser Family Foundation, and the Blue Cross Blue Shield of Massachusetts Foundation found that about two-thirds of Massachusetts residents surveyed supported the law, although two-thirds also think it will ultimately mean higher taxes.About half of those polled thought small businesses would be hurt. While some will offer insurance to compete for employees, others are daunted by the requirement to include part-time employees working 35 hours or more a week.“This is going to bring me to my knees,” said Deb Maguire, who runs Liam Maguire’s Irish Pub and Restaurant in Falmouth.Ms. Maguire said she had offered health insurance, costing employees $42 a week and her $45, but only about 10 of 30 employees purchased it. Now the others will enroll, she said, an expense significant for them and “just astronomical for me.”Sandy Reynolds, executive vice president of Associated Industries of Massachusetts, representing 7,500 employers, said some businesses were considering limiting part-time employees’ hours to below 35. She said others believe offering insurance might actually hurt low-wage employees because people with employer-offered plans cannot qualify for cheaper state-subsidized plans.Other concerns about the health overhaul include medical costs that are spiraling upwards and fears that “the influx of new patients who will need to get access to primary care” will strain what is already a shortage of primary care physicians, said Dr. David Torchiana, chief executive of the Massachusetts General Physicians Organization. A $10 million loan forgiveness program to lure primary care doctors was created recently. For now, the focus is on getting people insured.“We’re attempting to implement a sizeable significant cultural change,” said Mr. McDonough of Health Care for All. “This may blow up in our face, but it’s not going to be for lack of effort.”