Save Charity Hospital and Lower Mid-City

Surprise, Surprise: Jindal appoints cronies to oversee hypothetical hospital

Earlier this week, Governor Bobby Jindal appointed four board members to govern the LSU half of the tragic LSU/VA boondoggle, even though the facility doesn't yet exist and construction remains a hypothetical prospect given a financial shortfall of over $400 million.

Almost a year ago, LSU and Tulane Universities battled in public and behind the scenes on a power sharing agreement that would govern their proposed replacement of Charity Hospital. Then, it seemed ridiculous to have such a nasty fight over a hypothetical hospital and it is just as silly now.

But even when conditional political patronage is at stake, nothing else seems to matter.

Let's look to the Times-Picayune to see who Jindal selected to govern the Taj Mahospital:

 

Tim Barfield, who recently left the Jindal administration for an executive post at Amedisys, a home health care and hospice provider. Barfield, who holds bachelor's and law degrees from LSU, previously served in several executive posts at The Shaw Group.

 

Donald "Boysie" Bollinger, president and chief executive officer of Bollinger Shipyards Inc. A generous donor to Republican political campaigns, Bollinger also has served as a member of the Louisiana Board of Regents, the University of Louisiana System board and the Louisiana Recovery Authority board.

Dr. Christopher J. Rich, managing partner of Mid-State Orthopedic and Sports Medicine Center in Alexandria. Rich serves on the governing boards for the Central Louisiana Ambulatory Surgery Center and Red River Bank, where Blake Chatelain, chairman of the LSU System Board of Supervisors, serves as president and chief executive officer. Rich also is chairman of orthopedics at Huey P. Long Medical Center, an LSU hospital in Pineville. Jindal spokesman Kyle Plotkin said Rich is relinquishing that title.

David Voelker, president of Frantzen-Voelker-Conway Investments LLC. Voelker has occupied several public appointments in recent years, including Jindal's Postsecondary Education Review Commission. He still serves as chairman of the Louisiana Recovery Authority board. 

 

That's a plum little post for three huge GOP political donors and just one doctor.

Of course, we have always advocated the FHL/RMJM alternative plan to gut and rebuild Charity Hospital and accelerate the construction of a new VA Hospital on the land held in limbo due to LSU's inability to produce a plan capable of closing its funding gap. The alternative plan would prevent the needless expropriation and demolition of a residential neighborhood and yield two brand new medical facilities in less time and for hundreds of millions of dollars less than the proposal favored by Jindal.

Perhaps if our state and local politicians pursued the restoration of emergency healthcare services to New Orleans residents and regional veterans with the same urgency with which they seek to solidify patronage appointments, we could have adopted the alternative plan years ago.

Big Business to Little Guy in Lower Mid-City: Drop Dead!

Yesterday, several big business organizations, some of which stand to make money off of the destruction of Lower Mid-City and the construction of an expensive but still unfunded LSU/VA medical center, called for the withdrawal of a lawsuit filed on behalf of residents fighting to save their homes and community. The website of New Orleans City Business, whose publisher has consistently failed to disclose his own conflict of interest as a board member on the LSU Health Sciences Center Foundation, reported on the big business press release.

 

Those calling for an end to the litigation include the Business Council of New Orleans and the River Region, Black Economic Development Council, Greater New Orleans Inc., Greater New Orleans Biosciences Economic Development District, Hispanic Chamber of Commerce of Louisiana, Jefferson Business Council, New Orleans Chamber of Commerce, Northshore Business Council, Plaquemines Association of Business and Industry, St. Bernard Chamber of Commerce, Urban League of Greater New Orleans and New Orleans Regional Black Chamber of Commerce.

 

It's a veritable who's who of the region's rich and powerful, all calling for residents whose homes are about to be taken out from under them by the government to simply ignore the pattern of rule-breaking that has put their community at risk. These groups think it is the residents trying to keep their property who are stalling the development deal from which many of them stand to profit. Yet throughout this excruciating four year process none of these groups have ever confronted the flawed processes - the piecemeal and incomplete studies of risks and costs, the refusal to offer a single alternative site to the VA, the flaunting of municipal and federal law - that have actually caused the delays.

It is indeed quite interesting to have this big business consortium suddenly so concerned with the city's healthcare needs. They are over four years late to the party. They were on the other side of the fence when healthcare advocates demanded the immediate rebuilding of Charity Hospital, when healthcare advocates demanded the consideration alternative plans like that from FHL/RMJM, which would have resulted in the faster construction and completion of two new hospitals. How nice of them to show up now that their poorly planned, under-financed, and procedurally bankrupt chickens are coming home to roost.

Even if all of the lawsuits were to magically disappear and all of the steamrolling of citizens were to be willfully ignored, there would be no groundbreaking in Lower Mid-City and there would be no synergistic medical center complex. LSU remains half a billion dollars short of what they need to begin construction. The VA would still have to face neighborhood residents that want to stay in their homes. The city would still have to discover millions of dollars to facilitate property demolition, residential relocation, sidewalk and street deconstruction, and private utility relocation. Or worse still, the state would force residents from their homes, demolish their neighborhood, and give the land to the VA for construction while the LSU portion of the project, near to downtown and closer to being construction-ready, sits abandoned for years.

If Big Business really wanted to see construction, they would urge the adoption of the less expensive, less time consuming, and less destructive alternative proposal urged by SaveCharityHospital.com. Or, they would ask LSU to stop holding the Department of Veterans Affairs hostage, since LSU is no where near ready to begin construction, and swap their superior downtown site for the problematic one to which they've relegated the VA. Or, at the very least, they could call for everyone to be brought in for the negotiations and hearings that were supposed to have occurred in the first place.

Instead, these monopoly men would rather flaunt the law and intimidate working class Lower Mid-City residents. Their professed devotion to transparency apparently doesn't mean anything.

Their true one-and-only is greed.

As Expected, City Planning Commission Walks Away from its Responsibility

Yesterday, in what was correctly expected to be a rubber-stamp decision, the City Planning Commission voted to close public streets in the Lower Mid-City neighborhood surrendered for the LSU/VA. Though the CPC staff has stipulated that no roads can be closed while residents remain in their homes, access to individual street will be cut off as soon as those living on a specific block are kicked off of their properties. Residents who fight for their neighborhood, while permitted access to their own homes, would be slowly choked off from what was once their community. City Council will need to pass an ordinance to officially enact the recommendations adopted yesterday by the City Planning Commission. The move is reminiscent of the building moratorium imposed on the neighborhood by City Council in 2007. Lower Mid-City has been the only community in New Orleans officially barred from rebuilding.

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Courthouse calling! Show your support for Lower Mid-City residents!

At the Federal Courthouse on Wednesday, February 10th, the National Trust for Historic Preservation and residents of Lower Mid-City will hear a summary judgment after asking the court to speed up on issuing an opinion on its legal challenge. The National Trust, which filed the suit, alleges that FEMA and the VA violated federal environmental laws in evaluating the proposed LSU/VA in pieces instead of assessing the potential impacts of the entire development.

The practice of dividing unwieldy projects into "phases" became commonplace all over the country under the Bush administration as a means of shepherding development deals through longstanding environmental regulations. The purpose of 1979's National Environmental Policy Act, or NEPA, was to require federal agencies to consider and disclose the cumulative impact of a proposed development before site manipulation can begin. Under the previous administration at the Department of Veterans Affairs, officials splintered the proposed development to demolish Lower Mid-City into a separate "site selection" phase in order to skirt NEPA without evaluating the cumulative consequences of site selection, demolition, construction, and medical campus operations for nearby neighborhoods and the city at-large.

Though city and state officials continue to promote the current proposal to demolish Lower Mid-City and claim construction to be forthcoming, the last four years of obfuscation has not resulted in a rebuilt hospital infrastructure or new medical industry jobs. Instead, it has lead to ever increasing estimations of the total cost of the project, eroded public confidence in governmental processes, a ridiculously stubborn unwillingness to examine a faster, less expensive, and less destructive compromise plan, and a refusal to propose other workable alternatives.

Tomorrow's summary judgment could finally force federal, state, and city officials to begin examining more workable - and legal - plans for the restoration of emergency care, Veterans' care and biomedical jobs to downtown New Orleans.

For more information about the lawsuit and summary judgment, click here and here.

Show your support tomorrow and join us at 9AM the Federal Courthouse on the corner of Poydras and Camp. The proceedings will take place in Judge Fallon's courtroom on the 4th floor.

Special Commentary: Charity Hospital and the City Master Plan

The New Orleans City Planning Commission recently approved the final draft of the city's master plan.  The master plan includes two chapters, one on historic preservation and the other on environmental quality. The goals listed in the historic preservation chapter include "Encouraging adaptive-reuse of historic structures that contribute to overall neighborhood character and quality of life," and making New Orleans a model city of "sustainable historic preservation."  The goals listed in the environmental chapter include achieving Smart Growth patterns by encouraging mixed-use, walkable and "bikeable" neighborhoods; "renovating and reusing existing public facilities or other available buildings wherever possible" and "requiring all municipal facilities to adopt sustainable building practices."

New Orleans has always been the leader in historic preservation and sustainability.  New Orleans created the Vieux Carre' Commission in 1936, and was one of the first cities to recognize the importance of the tout ensemble of a neighborhood, that is that a collection of individual historic buildings, even buildings that would be of little significance on their own, are more worthy of preservation as a group.  This initiative has preserved the Vieux Carre' neighborhood that presently exists, and today the City of New Orleans, with its 18 National Register Districts and 13 local historic districts, has the largest number of historic districts than any other city in the United States.  The historic neighborhoods of New Orleans are often referenced and pictured in books and publication on the New Urbanism and Smart Growth, making New Orleans a leader in sustainability long before Make It Right and Global Green were established.

It is therefore discouraging to go further into the city's master plan and see that the land use plan for the area bounded by Canal Street, South Rocheblave Street, Banks Street, Tulane Avenue and Claiborne Avenue, the area known as the site of the proposed LSU/VA Hospitals, has been designated as "Mixed-Use Health/Life Sciences Neighborhood" when there is presently no such health facility located in this area.  I wonder how a proposal to build two large hospital facilities that requires eviction of residents and business owners, and the demolition and disposal of 24 city blocks of an established historic district, including the relocation of streets and infrastructure, fits into a master plan with goals of historic preservation and sustainability.  I also wonder how the abandonment of the existing Charity Hospital building, which is suitable for a complete renovation into a first class teaching hospital, and the further degradation of the current medical district into an urban ghetto of vacant buildings, fits into the master plan's goals of historic preservation and encouraging "renovating and reusing existing public facilities...wherever possible."  Some of the affected property owners repaired their Katrina damaged homes with Road Home grants, a complete waste of tax payer dollars if these same houses are to be demolished.

I cannot believe that the drafters of the master plan would have authored a master plan with goals that are contradictory to the proposed land use plan.  I can only conclude that the land use plan was purposely manipulated to suit the LSU and VA Hospital projects.  The process for establishing the land use in these blocks is vastly different than the process for establishing the land use everywhere else, which included lengthy planning sessions involving the input of residents.  In the footprint of the LSU and VA hospitals, the residents and business owners affected by the proposed hospitals have no say over the future development of their neighborhood.  It also sets up a dangerous precedent where a politically connected developer can have the master plan modified to conform to whatever the developer wishes to propose.

The City of New Orleans finds itself back where we started.

The next day I learn that a federal arbitration panel, swayed by testimony from biased architects and engineers who have a stake in the new hospital design in closed-door hearings, has awarded Louisiana $475 million dollars for the Katrina damages to Charity Hospital, and have concluded that the building was damaged beyond 50 percent.  This could have been received as great news, allowing the state to proceed with the conversion of old Charity Hospital into a first class teaching hospital, sparing the relocation of residents and businesses and the destruction of Mid City, and at little cost to the state.  Work could start immediately since the state already owns Charity and doesn't have to acquire any property.  What's more, the project could be completed in 3 years.  A study done by RMJM Hillier, a renowned architectural firm that specializes in both health care facilities and historic preservation, substantiates the claim that Charity can be renovated for less time and for less money, particularly since the building is presently closed, allowing for a single phase renovation rather than the costly multi-phased, piece-meal renovations that are typical of hospitals having to remain open during construction.  To renovate a closed hospital is a rare opportunity presented to Louisiana.  Preservationists trying to convince state and local officials to abandon the current plan in favor of renovating Charity Hospital are looked upon as "obstructionists" when in fact they are trying to encourage LSU to take the path of least resistance.

LSU and proponents of the new hospital claim that the only way to achieve a state-of-the-art teaching hospital is to build from the ground up, as if a complete gutting of Charity will only yield a hospital that is the equivalent of Pre-Katrina Charity.  If Charity were gutted in accordance with RMJM Hillier's recommendations, all that would remain is the brick and limestone exterior walls, and the concrete and steel building skeleton; everything else, the interiors, fixtures and equipment would be new and state-of-the art.  All the building's systems including HVAC, plumbing, electrical, medical gases, laboratory wastes, fire sprinkler systems, etc. would also be new and would be equivalent to new construction installations.

Unfortunately, LSU is proceeding with their original plans for construction of the new facility and the abandonment of the existing Charity Hospital facility.  The $475 million combined with $300 million still falls short of the estimated cost of $1.2 billion required for the facility, therefore requiring additional financing by the state.  The time estimate for the LSU Hospital is 7 years of construction following the time spent acquiring property, from an article in "Top Construction Projects 2009" a supplement of City Business, published in February of last year.

What is more unfortunate is that the proposed hospital design is deliberately suburban.  It could have been designed to fit on as little as four city blocks by stacking the patient bedroom floors on top of the diagnostic/treatment "podium," which is typical of urban hospitals; and stacking the physical plant and parking garages.  This would result in a hospital that is 12 to 14 stories tall, with a minimal footprint and less demolition of historic structures.  Instead, 12 blocks were assigned for the site, so the design response is a low rise facility with the patient bedroom floors connected to the diagnostic/treatment facility via pedestrian bridges.  To the east of the site, and providing a substantial buffer from the established medical district downtown, is a vast amount of surface parking that would rival in size the surface parking lots of the Esplanade Mall.

Instead of New Orleans moving forward to achieve goals of historic preservation and sustainability, we are moving backwards.

Michael Rouchell, architect

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