Bay Staters Urged to Leave Final Directions

By Monique CoppolaCommonwealth News Service
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BOSTON — Most Bay Staters won't leave home without their cell phones, day planners or to-do lists, but less than 70 percent have their own end-of-life health-care wishes documented.

This Thursday, April 16, is National Healthcare Decisions Day. It's a time to focus on those difficult decisions and discussion, says James Conway, "End of Life Subcommittee" chairman at the Health Care Quality and Cost Council.

"We hear many, many stories from families and from patients who are frustrated over the lack of having these conversations," he said.

Conway says it's important for patients to be clear about what their wishes are, and to make sure that their decisions are documented, using advance directives to ensure better quality care.

Dr. Mark Yurkofsky is the medical director of hospital programs for Harvard Vanguard Medical Associates. He says not only should every adult designate another adult in their life to be there to help make medical decisions, should he or she become incapacitated, but also that doctors can and should play an integral role in discussions about end-of-life care.

"It's important that physicians normalize the discussion of an advance directive as something that's part of everybody's routine health care education," said Yurkofsky.

The executive director of the Better Ending Partnership, Christine McCluskey, says that in addition to discussion and the designation of someone that you trust to make sure that your wishes are followed, it's important that those wishes be in writing.

"The best way to ensure that your wishes are followed is to fill out an advance directive, and in Massachusetts that's called a health-care proxy form," she said.

Health-care proxy forms are available free of charge and give a clear explanation of the responsibilities of a health care agent, and simple directions on how fill out and sign the form.

More information is available at partnershipforhealthcare.org.
If you would like to contribute information on this article, contact us at info@iberkshires.com.

Lanesborough Town Meeting to Vote Budget, Bylaws & Vehicle Purchases

By Breanna SteeleiBerkshires Staff

LANESBOROUGH, Mass. — Tuesday's annual town meeting includes a $14 million operating budget, new short-term rentals, accessory dwelling units and sign bylaws, and free cash article appropriations.

Voters will gather at Lanesborough Elementary School on June 9 at 6 p.m. to decide on 20 warrant articles.

The fiscal 2027 budget is up a little over 10 percent. Some of the main increases are the Mount Greylock Regional School District and McCann Technical School: the McCann assessment is up more than 30 percent based on factors including enrollment and the school renovation project, and Mount Greylock's is up 11 percent.

Article 11 is for the town to vote to approve from free cash the sum of $16,298.48 for the McCann Technical School roof and window replacement project so as not to impact the budget. Article 3 is  appropriate $7,586,284 for Mount Greylock Regional School assessment.

Another notable increase was in life and health insurance, showing an increase of about 26 percent.

Ambulance Director Jen Weber is planning 24-hour coverage, which means more staff and a hike in her budget. One of the articles asks the town to appropriate $234,100 to operate the Ambulance Enterprise Fund for salaries and expenses.

Many town departments are looking for new vehicles. The Fire Department is looking to replace its outdated 1996 fire engine. There are two articles related to the truck at a total of $813,366. Article 12 would transfer $225,000 from free cash into the Fire Truck Stabilization Fund; Article 13 would transfer $605,000 from the fund and authorize the borrowing of $208,366.08.

The total includes a $100,000 contingency cost to cover any additional costs if a 2026 model-year chassis cannot be secured before new emissions standards go into effect in 2027.

The board at its last meeting moved the $225,000 transfer to come before the borrowing article, changing the stabilization number. If the $225,000 is not voted on, then they will amend the next article's number on the floor, subtracting the $225,000. This shows the borrowing number significantly lower.

Article 17 asks for the transfer of $80,000 from free cash to replace a police cruiser.

Police Chief Rob Derksen's aim is to replace one vehicle every other year, meaning the oldest vehicle gets replaced about every 10 years. 

He stressed that if delayed this year, the town may have to double up in a future year to get back on schedule, and that paying later usually costs more. The article will ask for $80,000 from free cash, the vehicles used to be funded by the BHRD.

Lastly, the Highway Department is looking to replace a 2014 International dump truck that will be a total of $330,000 and will take two to three years to receive.

Money will be used from last year's approval of $250,000 from free cash for the replacement of a 2012 highway front-end loader that was underspent $49,261. Town meeting is being asked to approve  a transfer of $53,274.85 from free cash and the use of $227,464 from funds from the Sale of Town Real Estate to fund the balance.

Other free cash proposals include $1,200 to purchase software to support tracking and ongoing maintenance schedules of town-owned vehicles; $42,000 for the replacement of the Highway Department's storage shed roof, $200,000 to reduce the tax levy.

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