The Boston Globe from Boston, Massachusetts • 21

THE BOSTON GLOBE WEDNESDAY, FEBRUARY 3, 1993 Court hears husband in Salem murder case New England News Briefs and then panicked when she did not respond to resuscitatiton attempts. Her body was found six days later by a Marblehead lobsterman with an anchor tied around her legs and a diver's weight belt around her waist. Salem Police Detective Sgt. Conrad Prosniewski said Maimoni first denied seeing Martha Brailsford the day of their sailboat ride until the proprietor of a boat shop said he had seen them getting into the sailboat. Prosniewski testified that Maimoni then said that Brailsford had embarked with him at Salem Willows Pier, but that he had dropped her off at Winter Island in midafter-noon.

Maimoni's neighbor, James Brown, said Maimoni called him on the phone and gave him another ver sion of events, admitting that Martha Brailsford had gotten on the boat, but saying she was knocked overboard in choppy seas. "He said, 'I just want you to be aware the place is going to be crawling with Brown recounted. 'I had a little accident on my boat over the weekend and I'd like you to be a character Prosniewski said Maimoni finally told investigators that his sailboat was swatted by a rogue wave and Brailsford went overboard. He gave police a location for where the events occurred, Prosniewski said, but Bradford's body was found 10 miles from that point. Material from the Associated Press ivas included in this report though he had never heard of Martha Brailsford, said he never would have gone sailing with her without Brian Brailsford being present.

Brailsford testified that after he told Maimoni his wife was missing, Maimoni said he would pray for her. Maimoni's defense lawyer, Jeffrey A. Denner, insists that Martha Brailsford suffered an accident aboard Counterpoint, Maimoni's sailboat, when they went sailing on July 12, 1991. She hit her head on the mast in rough weather and was knocked unconscious, Denner asserts. He said Maimoni, a man given to fabrications about his life, pulled Brailsford back aboard, tried to revive her, wrapped her in warm towels after removing her wet clothing No verdict yet in Seguin case CAMBRIDGE Jurors in the Kenneth Seguin triple murder r-case deliberated for a fourth day 1 yesterday without reaching a ver- diet.

The panel of eight women and four men has not yet decided er Seguin was sane when he killed 1 his wife and two children last Seguin, 35, a former computer ex- ecutive from Holliston, says he was mentally ill at the time and therefore -not criminally responsible, Some say they find problems with managed care for Medicaid 4 die in Conn, fire NEW LONDON, Conn. -Four people were killed, including a 63-year-old firefighter who suffered an apparent heart attack, when a fire Monday night destroyed the home of a landlord who had twice before been the target of arsonists. Fire officials said late Tuesday they had not determined how or where the fire started, or positively identified the three victims who died inside the house. Firefighter John M. O'Connor, a 35-year veteran and acting lieutenant of the first engine company on the scene, collapsed while pulling a hose and was dead on arrival at a nearby hospital.

(AP) Vandals damage Monson cemetery MONSON Police were chasing leads yesterday to identify cemetery vandals who overturned 87 stones up to 150 years old and spray-painted others with swastikas and obscenities. A group of residents, meanwhile, offered a reward of at least $700 for useful information on the two separate attacks within a week at the town cemetery. The first attack was discovered Jan. 25, when 56 mostly marble stones were upended at the 10-acre town-run Hillside Cemetery. (AP) Tire dump owner pleads guilty Carl Trant, the proprietor of an 18-acre used-tire pile in a wetlands area in Brimfield, yesterday pleaded guilty in Hampden County Superior Court to 14 counts of violating state environmental laws by operating the unlicensed dump.

State prosecutors, stressing "the calamitous fire possibility at the site" and the state's unsuccessful six-year effort to get Trant to comply with environmental regulations, recommended a sentence of two years' incarceration, with six months suspended if Trant begins appropriate clean-up measures and two additional years in prison if he fails to do so. Judge Daniel Ford postponed sentencing until March 2. Boston student arrested with gun A 17-year-old sophomore at Hyde Park High School in Boston was arrested yesterday after carrying an unloaded gun into the building, school officials said. Larry W. Faison, spokesman for the Boston public schools, said that the young man, whom Faison did not identify, had no bullets in his -r 'l- 'u Mary Bruce, playing a video game with her two sons at their home in Marshfield, is battling Medicaid for a waiver to continue taking the children to their doctor at Children's Hospital, despite the distance.

By Andrew Blake GLOBE STAFF NEWBURYPORT Brian Brailsford, the husband of alleged murder victim Martha Brailsford, told a Superior Court jury yesterday that Thomas J. Maimoni, 47, the man accused of killing her, denied any knowledge of her presence aboard his boat when Brailsford confronted him hours after his wife's disappearance on July 12, 1991. Brailsford, 42, a captain aboard cruise ships in Boston, said he went to Maimoni's Salem home and asked him, "Have you seen my wife?" Hp told the court he asked Maimoni whether she had gone sailing with him and said that Maimoni, after first shaking his head as Two keep seats in recall election By Jerry Taylor GLOBE STAFF WILMINGTON -Two members of the Wilmington School Committee who spoke out against a football camp hazing retained their seats yesterday in a recall election by large margins. Critics who had collected more than a thousand signatures to force the recall election accused the two committee members of making a "media circus" out of the hazing. "Truly we've been vindicated," Linda T.

McMenimen said at the Town Hall after embracing her colleague on the board, Shirley F. Cal-lan. "We're on the side of right and good, and we prevailed tonight." "Now we have education first, and let's move on," Callan said. "I'm proud of this town. I knew people cared about children and the issues.

Education is more important than politics to the people of this town, as it is to me." McMenimen received 71 percent and Callan 69 percent of the votes in their recall elections, according to unofficial results announced by Mark Haldane, chairman of the town's Board of Selectmen. The tabulations were 1,033 votes for recalling McMenimen and 2,508 against; 118 for recalling Callan and 2,446 against One-third of Wilmington's II, 700 voters participated, town clerk Kathleen Scanlon said. Callan, 56, is adult education director in Methuen and serving her third term on the Wilmington board. McMenimen, 50, bilingual and Title I director at the Greater Lowell Regional Vocational Technical School, is serving her fourth term in Wilmington. During the hazing at the Wilmington High School football team's preseason training camp in New Hampshire in August and September, 10 offenses apparently constituting indecent assault and battery were found to have been committed by upperclassmen against freshmen.

The high school principal, Paul Fleming, gave 14 students the maximum penalties allowed by the student handbook suspension from class for five days and from the team for the remaining seven games in the season. But the former school superintendent, William J. Fay who remarked at the time that "boys will be boys," exonerated three students on appeal and suspended the others from class for three days and from the team for one game. Last month Geraldine A. O'Donnell succeeded Fay.

The committee in October banned further overnight football camps. Hazing, including instances of older boys urinating on younger ones, occurred at the same camp in New Hampshire more than a decade ago, according to school officials and Wilmington High players who attended those training sessions. McMenimen and Callan said they spoke out as they did in September because they feared Fay would try to cover up the hazing. More than 1400 voters signed a petition demanding the recall. The state Department of Education called the hazing of younger football players "acts of child abuse" and faulted the coaching staff for not reporting the incidents to proper 3 sought in death of Lynn man, 34 as LYNN Police are looking for three males in the shooting death of 34-year-old George Hosking of i Neptune Boulevard in an apparent drug-related episode Monday night.

Lynn Police Lt. Kevin F. Coppinger said the man was found on the floor of a second-story apartment at Washington Street shortly after 10 p.m. Conrail to limit idling of engines Conrail agreed yesterday to dis- continue its practice of ly idling locomotives at seven Mass-achusetts railyards, which Attorney General Scott Harshbarger charged was a violation of the state Clean Air Act. The settlement could set a precedent for the railroad industry na- tionally since most lines keep diesel locomotives running at all hours cause of the difficulty of restarting them.

Conrail agreed to limit most idling to less than 30 minutes at lyards in Readville, Middleborough, Framingham, West Springfield, Pittsfield, Brighton, and Worcester. Teachers' union 'Z files complaint An imbroglio over 14 Boston pub-lie schools that have been target-; ed by school officials for help from outside intervention teams prompted the Boston Teachers Union to file a formal complaint with the School Department yesterday. Union president Edward Doherty said language in the 1989 teachers' contract calls for "unsatisfactory" schools to be -given at least a year to improve. dammit 2384636) TDJlnM JJr I I FULLSlRVICE I 1 JVlT111" I AUTOMATIC DELIVERY I ijiHj I NEW CUSTOMERS I 1-800-442-0808 I MEDICAID Continued from Page 19 the federal government to play." But Bruce Bullen, deputy commissioner for the state Department of Public Welfare and in charge of Medicaid, said he welcomed Clinton's plan. "This can only help in our implementation of the managed-care program," Bullen said.

"It appears to us that he would like to give the states the ability to innovate." Added Bullen, "We would expect to be held accountable for quality, access and cost under the waiver," as under the current federal approval process. The state's managed-care waiver allows Massachusetts to change Medicaid from a program that once allowed people to freely choose their health care providers to an HMO-type program that restricts the patient's choice. The move, part of a national trend toward managed care for Medicaid, is intended to save money and connect people who do not get routine, preventive care with a local doctor to call their own. Approximately 40 states, including Utah, New Hampshire and Ohio, have some form of managed care for Medicaid. Federal Health Care Financing Administration officials who oversee Medicaid say that even at this halfway point through the state's two-year managed-care waiver, it is too early to tell whether Massachusetts will get the $27 million it originally projected in savings the first year, and too soon to say definitively how Medicaid recipients are being affected.

State officials say they are optimistic that the switch to managed care will eventually mean more care for more people. Bullen said, "We do think this is going to be a better system for Medicaid recipients. It's going to improve access and quality." But Mary Bruce of Marshfield and dozens of advocates and officials from community health centers, hospitals and health-maintenance organizations say they already see the adverse effects of managed care on Medicaid recipients. They tell of patients being turned away at hospital clinics, even though they have always gotten care there, because the state believes that care in hospital clinics tends to be expensive or disjointed; and of months-long delays in enrollment in health-maintenance organizations. Approximately 250,000 of the state's 400,000 recipients eligible for managed care have been sent mailings so far, telling them to choose an HMO, community health center, or private physician near their home to coordinate their primary care.

If recipients do not make these choices, the mailings say, they will be assigned to a local health center or physician who the state believes meets their needs. (A Medicaid managed-care arrangement for substance abusers, people with disabilities or with mental health problems is still in the early stages.) 1 Seeing the positive For Bruce and her husband, the order to find local care has had one benefit Bruce and her husband had never had a primary-care doctor of their own, but since receiving the list of providers, tney have started seeing a doctor with an office in a neighboring town. But the new system still threatens to end her children's relationship with their longtime doctor simply because Dr. Shari Nethersole is based at Children's Hospital in Boston. Bruce isappealing the rule.

Bullen, of Medicaid, said situations like the one faced by the GLOBE STAFF PHOTO JONATHAN WIGGS year-old mother of two, with serious depression and a child with some medical problems," who was reassigned to a community health center as part of the managed-care process. "She doesn't have a phone. I've written a letter to her, saying, 'That was wrong. You can come back to said Kohlenberg. But the teen-ager has not returned to Boston City for care for six or seven months, and the last time Kohlenberg checked, she had not gone to the health center for care, either.

Every day, instances like that are reported at Boston City Hospital, where 25 percent of those receiving outpatient care are on Medicaid. Other hospital outpatient clinics are also seeing such situations. "We're actually very worried about our patients and ourselves," said Judith Kurland, Boston commissioner of health and hospitals. "This disrupts continuity of care." The road to managed care for Medicaid recipients is a rough one, Medicaid officials acknowledge, but in the end, they say, the care and the access will be better. "It's a big change, and there are going to be some issues," Bullen said.

"But we're really doing our best to minimize the disruption." In some instances, changes brought about by the mandated switch may be all for the good. Said Bailit, Medicaid's director of managed care: "You want to disrupt where it's appropriate, not where it's not" iJOnQBL? Braces are unusual. Of approximately 250,000 Medicaid recipients who have received mailings so far, only 300 to 400, or less than 0.2 percent, have filed appeals, according to Michael Bailit, director of managed care for Medicaid. The state will have to decide whether the Bruce children's health problems are enough to allow them to continue seeing Nethersole for their basic care or whether they can see a local primary care doctor, who could then refer them to Children's for occasional specialty care, Bullen said. There have been success stories under the new system, say patients, providers and advocates.

Some Medicaid recipients who had been accustomed to getting care in a haphazard fashion, perhaps in hospital emergency rooms, now have their own doctors, these observers point out. Dr. William Callahan, a Greenfield obstetrician-gynecologist and president of the Massachusetts Medical Society, said his experience with Medicaid managed care has been positive. Some Medicaid recipients who had been getting care in a "willy-nilly" fashion have been assigned to Callahan's group practice, he said, a situation that makes more sense for them. But there have also been other "reports of difficulties.

Dr. Teresa Kohlenberg, director of a Boston City Hospital program for teen-age mothers and their children, related the story of one of her patients, "a very overwhelmed 19- 14M vEARYIN copies deeply basketful 8 ffiHIiiffio To help protect your home and business, you need a professionally installed system. Terrific Value! And here's what you get: 1 Professionally installed ADT Safewatch Security System: 2 door contacts Most break-ins occur through front or back doors Electronic motion detector Helps detect intruders inside your home Interior sounder Helps alert you to intrusion Electronic control unit with keypad As simple to operate as your telephone Window Stickers Warns intruders before they attempt a break-in Central Station Monitoring 11 519.95 per month aj I ADT is the leader in home and business myJk II security, so call today. 1-800-ADT-INFO THURSDAY, FEBRUARY 4 12:00 1:00 pm Copley Place, Boston -MAGIC JOHNSON will be signing of Ms autobiography "My This is a personal account of Magic Johnson's boyhood, legendary area; family and relationships, and fight against AIDS. (limit one per person.

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