Guest Column: Question 1 Not a Fit For the Berkshires

By Jonathan ButlerGuest Column
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Throughout the past six months, 1Berkshire has paid close attention to the Question 1 nurse-staffing ballot initiative. Like all voters, we have heard many different perspectives, which have since come to fuel a heated and thoughtful dialogue in advance of the Nov. 6 election.
 
One thing that can certainly be acknowledged is that proponents from both sides aspire to improve the overall quality of our health-care system while also assuring better patient safety.
 
This aspiration is critical to us, as the mission of our organization is to support efforts that can genuinely improve the quality of life for those of us who live, work and visit the Berkshires.
 
After much reflection and discussion, our organization agrees with many other key stakeholders that there is no conclusive evidence that a nurse-staffing law will lead to improved care.
 
On the state level, there are several potential impacts of this proposed law that grab our attention. For starters, Massachusetts has some of the best hospitals in the world, including those within our own Berkshire Health Systems. Question 1 threatens this status, as its passage would override the judgment of doctors and nurses in favor of a one-size-fits-all government mandate.
 
Further, passage would establish a precedent for applying the blunt use of statewide referenda to industry-specific decisions that should be made through deliberation among knowledgeable stakeholders -- in this instance nurses, administrators, patient advocates and community leaders.
 
Once we see this in health care, which industry could be next? In terms of a more local impact, we all know that both working families and businesses are struggling with the ever-escalating costs of health care. The Massachusetts Health Policy Commission, an independent state agency, estimates that health-care costs will increase between $676 million and $949 million annually if this initiative passes. Those increases will be borne by the consumers, placing a further financial strain on local families and our small-business driven economy.
 
Beyond the numbers, both the commonwealth and the Berkshires are already in the midst of a nursing shortage. The Massachusetts Health Policy Commission estimates that hospitals would need to hire between 2,286 and 3,101 additional registered nurses statewide if Question 1 is passed. Berkshire Health Systems alone has indicated they will need to hire an additional 126 nurses to meet the staffing standards mandated by Question 1. Our current system is not producing nursing candidates at anywhere near the rate needed to keep up with this mandate.
 
Passage of Question 1 will force hospitals to seek costly alternatives in order to comply with the law, which will only further increase their costs while likely placing tremendous strain on the existing workforce.
 
As the largest business and economic development organization in the region, 1Berkshire has an obligation to advocate on behalf of the healthiest environment possible for our businesses, their workforces and the people of the Berkshires. Supporting the organizations that maintain the quality of our health-care system is an inherent part of that advocacy, and we oppose Question 1 because we believe it to be the wrong method at the wrong time for Berkshire County.
 
Jonathan Butler is the president & CEO of 1Berkshire, the county's regional economic development and tourism organization. 

Tags: ballot measure,   election 2018,   guest column,   nursing,   


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Pittsfield CPA Committee Funds Half of FY24 Requests

By Brittany PolitoiBerkshires Staff

PITTSFIELD, Mass. — A few projects are not getting funded by the Community Preservation Committee because of a tight budget.

The projects not making the cut were in the historic preservation and open space and recreation categories and though they were seen as interesting and valuable projects, the urgency was not prevalent enough for this cycle.

"It's a tough year," Chair Danielle Steinmann said.

The panel made its recommendations on Monday after several meetings of presentations from applications. They will advance to the City Council for final approval.  

Two cemetery projects were scored low by the committee and not funded: A $9,500 request from the city for fencing at the West Part Cemetery as outlined in a preservation plan created in 2021 and a $39,500 request from the St. Joseph Cemetery Commission for tombstone restorations.

"I feel personally that they could be pushed back a year," Elizabeth Herland said. "And I think they're both good projects but they don't have the urgency."

It was also decided that George B. Crane Memorial Center's $73,465 application for the creation of a recreational space would not be funded. Herland said the main reason she scored the project low was because it didn't appear to benefit the larger community as much as other projects do.

There was conversation about not funding The Christian Center's $34,100 request for heating system repairs but the committee ended up voting to give it $21,341 when monies were left over.

The total funding request was more than $1.6 million for FY24 and with a budget of $808,547, only about half could be funded. The panel allocated all of the available monies, breaking down into $107,206 for open space and recreation, $276,341 for historic preservation, and $425,000 for community housing.

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