Design Review Committee disapproves replacement "Sign"
Preserve Jazz Festival announces sabbatical for 2015
With much attention focused on issues that mean nothing in this upcoming, lengthy campaign to select our state’s next Governor, luckily one issue that should be front and center in the coming weeks will receive some attention today because of presumptive Democratic candidate Artur Davis‘ appearance at a summit in downtown Birmingham as its keynote speaker.
The issue is transit.
As the State Legislature begins its new session on Tuesday with a potential first step plainly in front of them, the question is whether or not transit can become the issue that symbolically and physically begins to unite this state and take it into the 21st century.
One point that has been raised again and again about the Inauguration was the ability for Washington’s Metro system to move more people than normal (4 ½ times more to be exact) and to demonstrate just what it would be like with limited access for cars. It’s also definitely been a question on some minds as my last post didn’t get any feedback except for one person wanting the discussion to look to transit.
A proposal being presented by Alabama State Representative Rod Scott (D) allows the state’s numerous transit systems (and there are several) to work together to collect funds to move all of them, large and small, forward. A task force would study whether or not a fully functioning commission would be necessary and identify how this commission would be able to work in the best interest of the entire state to include transit solutions in discussions about transportation in the years and decades ahead. For those wondering if even some of these transit providers could get along, I recently attended one of their first meetings and while there may still be a couple of questions, all agree that the issue of transit and securing adequate funding to provide the service that the people of Alabama need is a top priority.
There are monies that may be available if the President’s economic stimulus plan is passed that would provide a way for the state to take a good, hard look at transit and how it could also become a major tool in economic development, allowing not just those living in rural communities or our state’s inner cities but those living in our wealthiest neighborhoods to be able to have a relatively inexpensive, reliable and efficient method of travel to and from work. Even if those monies end up not being available, the collective bargaining power of this alliance among transit providers should allow for other funding sources to be identified.
The benefits in Birmingham are ones worth pointing out. A light rail system similar to our long departed streetcar system would provide an easy way for folks to get around town, perhaps going to work, a concert in Railroad Reservation Park, or maybe even give folks a much cheaper way to get to Birmingham-Shuttlesworth International Airport. Of course, being able to fully fund our bus system and seeing folks use it consistently will determine that future than anything else, particularly in light of Birmingham’s street paving project effectively halting any plans for it (unless the Regional Planning Commission has finally worn the mayor down on the concept of bus rapid transit, which could do many of the things a light rail system could do), though the paving needed to be done.
We could even get to the point where those in our tech community could enjoy WiFi during their commute, a service that the Bay Area’s BART system recently announced would be expanded to be systemwide within the next two years.
After speaking with some of the principals and attending the first meeting of the group supporting Scott’s measure in Montgomery (comprised in part of some of Alabama’s larger transit authorities) I believe that it’s something whose time has come. It is not a question of turning our backs on our cars as much as it is an chance to help jumpstart the future of the state and of gaining true support for it.
André Natta is the managing editor of The Terminal.
Will Mercy be shown to Cooper Green?
It was coincidental was I was starting to think about what to write about the then pending vote about the future of Cooper Green Mercy Hospital. This is because both of my parents are retired registered nurses having served at two of New York City’s busiest public hospitals. (My mother worked at historic Harlem Hospital in their NICU for nearly two decades while Dad logged 30+ years of weekday evenings in Lincoln Hospital’s triage unit.)
As a result, you grow up hearing about babies born addicted to crack and seeing them about the size of your 10-year old hand. You realize your father doesn’t talk about work that much since, when he started, it wasn’t SoBro but the South Bronx before its transformation started.
They both asked the same question – What will happen to the patients?
It’s apparently a question that former Birmingham mayor Larry Langford pondered correctly back in 2009 – and one that seems to have not been thought through just yet. It’s a question many of us here in Jefferson County are wondering right now. It’s one without an answer – at least not one publicly shared as of yet. It doesn’t look like there’s been a plan introduced to anyone to explain how discontinuing inpatient care at the county hospital will be handled. It’s something you’d think would have already been shared before such a recommendation would be made. It was back on the August 28 agenda for the Jefferson County Commission though and it passed, 3-2.
There are other questions that needed to be answered before looking at the number of beds occupied – something else both of my parents immediately asked about since they both suggested it was an unfair number to use for such decisions – and making such a rash decision.
Can the inpatient services be absorbed by other area hospitals? There seems to be an assumption this can be done, though it doesn’t seem as though the other hospitals were talked to about it. There’s no doubt that some will look at UAB, University Hospital and its various other locations and its continuing expansion and renovation as a logical replacement though it’s a lot harder than you’d think. While there is a working relationship currently between the two entities, it is one grounded in education and not necessarily in management or operations.
Does this put the inpatient beds back in play? Barely mentioned in all of this is the fact that removing inpatient care from the list of services provided by Cooper Green could technically put those beds back into play. It could turn it into a much larger battle over who gets the right to expand and provide additional services to the community. This may include a digital hospital down along Highway 280 or, thinking outside the proverbial box, a new facility that may want to locate near a completed I-22 as people start to consider moving over there to “escape the city.” Before folks start saying it’s a business community push to see this happen, the August 10 statement from the Birmingham Business Alliance (PDF), paints a different picture and echoed requests to see a plan in place before this vote as well.
How will these patients get to and from their inpatient care? Quality transportation options, including mass transit, have been long talked about in this community without any sustained progress being made. We probably need to learn more about when or whether the long vacant executive director position at BJCTA will be filled (it still hasn’t been publicly listed) before we get a straight answer here. This type of conversation needs to be broad in reach and already happening before that person arrives. This becomes more significant since even if other facilities become options, the current hub and spoke bus system in place makes it much harder for some to access health care without a car.
We seem to have placed the cart before the horse with Tuesday morning’s vote. If there is any good news though, we now have a hard date set for these questions to be answered – December 1. If we haven’t dealt with them by then, we need to start thinking about how we truly prepare for progress to be made in metro Birmingham (maybe even in the hands of new caretakers come 2014).
André Natta is The Terminal’s stationmaster.
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Posted in Commentary, health
Tagged Cooper Green, healthcare, hospital, Jefferson County, options