Thanks to the 2/3 Democratic majority in the Connecticut Legislature, Democrats in 2009 overrode the governor’s veto of a bill to create “SustiNet,” designed to be the nation’s first true public option health insurance plan. But with the Connecticut Legislature and governorship up for election in 2010, many analysts believe that this year’s voters hold the fate of SustiNet in their hands.

And the choice couldn’t be clearer – if you live in Connecticut and believe in building a public option, you need to get out and vote for Democrats. The American Prospect’s Joanne Kenen explained the situation:

Though approved in concept by the state Legislature, SustiNet at this point is only a concept. It has a board, a cadre of volunteer analysts, and task forces as well as support from foundations, advocates, and Democratic legislators. But the commission must go back to the Legislature next year for final approval -- and funding -- in an environment that is fiscally challenging and politically uncertain. The race to succeed Gov. Jodi Rell, a moderate Republican who is not seeking re-election, is competitive, and the Legislature, which passed the SustiNet bill and then overrode Rell's veto, could have a different composition post-November. For political or economic reasons, SustiNet could be delayed or scaled down. But state Rep. Chris Donovan, the speaker of the Connecticut House, says the idea has broad public support. The message he has been relaying around the state, he says, is, "Better plan, costs less. Like that beer commercial: tastes great, less filling."

We hope you caught that – even a self-proclaimed “moderate” Republican vetoed the plan last year, despite broad public support (that seems to be happening a lot lately). Which means the best way to guarantee that SustiNet stays on track is to maintain the Democrats’ veto-proof majority in the legislature.

It would take a disastrous election cycle to break State House Democrats’ 114-37 advantage, but State Senate Democrats currently sit right at the 2/3 mark with a 24-12 edge. Just like the federal health care reform bill, not a single Republican State Senator voted to pass SustiNet.

And make no mistake, if SustiNet goes online in 2012 as planned, it will be a groundbreaking achievement for health care reform:

[SustiNet Board Co-Chair Kevin] Lembo and other advocates note that SustiNet is not just a coverage mechanism. It was conceived, too, as a catalyst for delivery-system reform, aiming to improve quality while restraining costs. Various task forces are working on creating or expanding medical homes and chronic -- disease management, electronic medical records, incentives for evidence-based medicine, and public-health initiatives on obesity and tobacco. Addressing racial and socioeconomic health disparities is also an explicit goal. Lembo said the public option could end up covering about 1 million people out of Connecticut's 3.5 million, meaning it could have a big ripple effect on health-care delivery and public health throughout the state.

If the experience of Massachusetts, Hawaii, and Oregon are any guide, it could also become a model for other states to follow – and possibly the federal government as well.