Letters: NBH Board of Trustee Letter to Community

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NORTH ADAMS, Mass. — The following is an open letter to the community received Friday afternoon from the Board of Trustees of Northern Berkshire Healthcare:

March 28, 2014

To the members of our community:

As trustees of Northern Berkshire Healthcare, we share your deep sense of sadness on this day.  We are an all-volunteer, local board; we live in this community and, like you, have depended on NARH and its affiliated practices for our medical care. We are heartbroken that so many of our friends and neighbors are losing their jobs, and that many more members of our community are facing disruptions in their medical care.

As a board, working together with our talented administrators and a team of expert advisers, we have pursued every avenue to stabilize NBH's finances. We have made difficult – and in some cases unpopular – decisions to reduce costs, including layoffs, consolidation of services, and closure of high-cost units.



But in recent years, and especially in recent months, declines in revenues have continued to accelerate. Cuts in state and federal reimbursements have had a particularly harsh effect on hospitals, like ours, that care for a high percentage of Medicare and Medicaid patients. Even reimbursements from private insurers have not kept pace with our costs.  For whatever reason, patient volumes in virtually all parts of our operations have declined, making our financial position still more precarious.

We are not alone: both nationally and in our state, a large number of hospitals – particularly small community hospitals – are in similarly difficult circumstances. Recognizing the long-term challenges, we have for more than five years been actively seeking affiliations with larger, more financially stable organizations. These efforts have been particularly intense in the past few months, and until earlier this week, we had reason to hope that such an arrangement would be possible.  When those efforts failed, our only remaining option was to close.

If, in the days ahead, members of our local and state communities can find other solutions and restore at least some of the services we are losing, we would be elated. But whatever happens, we want to say – plainly and sincerely – that we are profoundly grateful to everyone who has worked so hard and so effectively to support this organization's mission over the years, and we are particularly indebted to the hundreds of dedicated employees who – with remarkable skill and unflinching loyalty – have provided the highest quality health care to our community. You have every reason to be proud.

Yours sincerely,

The NBH Board of Trustees
Julia Bolton, Chair

The other trustees are Jane Allen, Ellen Bernstein, Dr. Chi Cheung, Dr. Jonathan Cluett, Stephen Fix, Bruce Grinnell, Richard Jette, Bryon Sherman, Dr. Susan Yates, Martha Storey, William F. Frado Jr., Dr. Jeffrey Bath, Bill Bowden and Tim Jones.

 


Tags: board of trustees,   letters to the editor,   NARH,   

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Guest Column: Full Steam Ahead: Bringing Back the Northern Tier Passenger Railroad

by Thomas HuckansGuest Column

You only need a glance outside to see a problem all too familiar to Berkshire county: closing businesses, a shrinking population, and a stunning lack of regional investment.

But 70 years ago, this wasn't an issue. On the North Adams-Boston passenger rail line before the '60s, Berkshires residents could easily go to Boston and back in a day, and the region benefited from economic influx. But as cars supplanted trains, the Northern Tier was terminated, and now only freight trains regularly use the line.

We now have a wonderful opportunity to bring back passenger rail: Bill S.2054, sponsored by state Sen. Jo Comerford (D-Hampshire, Franklin, and Worcester), was passed to study the potential for restoring rail from Boston to North Adams. In the final phase of MassDOT's study, the project is acquiring increased support and momentum. The rail's value cannot be understated: it would serve the Berkshire region, the state, and the environment by reducing traffic congestion, fostering economic growth, and cutting carbon emissions. The best part? All of us can take action to push the project forward.

Importantly, the Northern Tier would combat the inequity in infrastructure investment between eastern and western Massachusetts. For decades, the state has poured money into Boston-area projects. Perhaps the most infamous example is the Big Dig, a car infrastructure investment subject to endless delays, problems, and scandals, sucking up $24.3 billion. Considering the economic stagnation in Western Massachusetts, the disparity couldn't come at a worse time: Berkshire County was the only county in Massachusetts to report an overall population loss in the latest census.

The Northern Tier could rectify that imbalance. During the construction phase alone, 4,000 jobs and $2.3 billion of economic output would be created. After that, the existence of passenger rail would encourage Bostonians to live farther outside the city. Overall, this could lead to a population increase and greater investment in communities nearby stops. In addition to reducing carbon emissions, adding rail travel options could help reduce traffic congestion and noise pollution along Route 2 and the MassPike.

The most viable plan would take under three hours from North Adams to Shelburne Falls, Greenfield, Athol, Gardner, Fitchburg, Porter, and North Station, and would cost just under $1.6 billion.

A common critique of the Northern Tier Rail Restoration is its price tag. However, the project would take advantage of the expansion of federal and state funds, namely through $80 billion the Department of Transportation has to allocate to transportation projects. Moreover, compared to similar rail projects (like the $4 billion planned southern Massachusetts East-West line), the Northern Tier would be remarkably cheap.

One advantage? There's no need to lay new tracks. Aside from certain track upgrades, the major construction for the Northern Tier would be stations and crossings, thus its remarkably short construction phase of two to four years. In comparison, the Hartford line, running from Hartford, Conn., to Springfield spans barely 30 miles, yet cost $750 million.

In contrast, the Northern Tier would stretch over 140 miles for just over double the price.

So what can we do? A key obstacle to the Northern Tier passing through MassDOT is its estimated ridership and projected economic and environmental benefits. All of these metrics are undercounted in the most recent study.

Crucially, many drivers don't use the route that MassDOT assumes in its models as the alternative to the rail line, Route 2. due to its congestion and windy roads. In fact, even as far west as Greenfield, navigation services will recommend drivers take I-90, increasing the vehicle miles traveled and the ensuing carbon footprint.

Seeking to capture the discrepancy, a student-led Northern Tier research team from Williams College has developed and distributed a driving survey, which has already shown more than half of Williams students take the interstate to Boston. Taking the survey is an excellent way to contribute, as all data (which is anonymous) will be sent to MassDOT to factor into their benefit-cost analysis. This link takes you to the 60-second survey.

Another way to help is to spread the word. Talk to local family, friends, and community members, raising awareness of the project's benefits for our region. Attend MassDOT online meetings, and send state legislators and local officials a short letter or email letting them know you support the Northern Tier Passenger Rail Project. If you feel especially motivated, the Williams Northern Tier Research team, in collaboration with the Center for Learning in Action (CLiA), would welcome support.

Living far from the powerbrokers in Boston, it's easy to feel powerless to make positive change for our greater community. But with your support, the Northern Tier Rail can become reality, bringing investment back to Berkshire County, making the world greener, and improving the lives of generations of western Massachusetts residents to come.

Thomas Huckans, class of 2026, is a political science and astronomy major at Williams College, originally from Bloomsburg, Pa.

Survey: This survey records driving patterns from Berkshire county to Boston, specifically route and time. It also captures interest in the restoration of the Northern Tier Passenger Rail. Filling out this survey is a massive help for the cause, and all responses are greatly appreciated. Use this link.

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