Plan For Massive Hospital Complex Provokes Even Bigger Controversy

Plan For Massive Hospital Complex Provokes Even Bigger Controversy

One might think that something as pleasant sounding as the construction of a hospital might be relatively uncontroversial in San Francisco.

But, as the picket line in front of California Pacific Medical Center's Davies Campus in the Duboce Triangle demonstrates, the issues surrounding the Sutter Health affiliate's plan to develop a massive, 15-story, 555-bed health center on Cathedral Hill--complete with a three-story underground parking complex--are among the most contentious of any development project in all of San Francisco.

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The protesters are striking over a disagreement with management over their pay scale: CMPC's offer is lower than what union members earn at other Bay Area hospitals owned by Sutter and they want to get paid the same as their union siblings on the other side of the Bay.

"They told us they need the money to build their new hospital," union rep Joseph Klein told the San Francisco Bay Guardian. "[CPMC negotiators] don't even question whether they can afford to pay us comparable salaries. They just say they want to spend the money on that project."

The amount of money CMPC plans to spend on a new hospital at the site of the old Cathedral Hill Hotel on Van Ness Avenue is substantial. While the exact number has bounced around a bit, the most recent projection has pegged it at $1.9 billion. That figure is only a portion of the overall $2.5 billion system-wide renovation project that CMPC has planned, which includes a complete rebuild of St. Luke's Hospital in the Mission.

San Francisco's Planning Commission gave CMPC's proposal its preliminary approval on Monday, but the project still faces a whole host of obstacles before getting the final go ahead (despite the full-throttle support of Mayor Ed Lee). Lee largely backs the plan due to CMPC's promise that the project would create 1,500 new jobs (five percent of which are required to go to San Francisco residents) and bring $2.5 billion into the local economy. CMPC is already the second-largest private employer in the city.

The San Francisco Examiner reports:

[CPMC] CEO Dr. Warren Browner said he was "very pleased" with the vote. He called some of the criticisms “fundamental misunderstandings” of the deal, but conceded that other areas may need “additional clarification.”

“This is an incredibly important project for the folks who live and work and visit here, and we want to see it happen,” he said.

To get officially approved, the deal must go before a highly skeptical Board of Supervisors, many of whose constituents have expressed concerns about the drain the giant development, expected to draw 10,000 cars per day to one of the busiest intersections in all of San Francisco, will have on city services.

While City Hall is confident the project will eventually become a reality, a measure approving the hospital's construction has yet to receive the official sponsorship of a single supervisor.

Due to a deal negotiated between Lee and CMPC leadership, the hospital would provide care for 10,000 of the new Medi-Cal beneficiaries projected to be covered under the new federal health care law for a full decade, give $86 million in annual charitable care to low income patients, put $64 million towards affordable housing ($29 million of which will go to CMPC employees), give $20 million to community health clinics and another $31 million toward public transportation and pedestrian safety improvements.

These concessions weren't enough for some activists, who staged a protest on the steps of City Hall on the same day the deal was announced. The coalition of union and community leaders, calling itself San Franciscans for Healthcare, Housing, Jobs and Justice, expressed doubt that these were the most favorable terms the city could have gotten on the deal.

"The proposed development agreement as we understand it is a special deal that is good for Sutter/CPMC, but bad for San Francisco," said coalition spokesperson Leighton Woodhouse in a statement. "[It's] a deal that falls far short of the Mayor’s original 'asks'; that relieves Sutter/CPMC of responsibilities met by other private non-profit hospitals; that does not provide the healthcare and jobs City residents need; that fails to address the affordable housing, traffic, and neighborhood impacts the project will produce; and that leaves City taxpayers to foot the bill for the project’s failures in each and every one of these areas."

Others joined the chorus of criticisms. The San Francisco Chronicle reports:

That [10,000 Medi-Cal patients] figure was derived as an average of the CPMC's charitable care over three years, even though the medical group has been criticized for spending proportionately less on care for poor residents than other private nonprofit hospitals in the city.

"They're using as a baseline CPMC's history, which is lousy," said Bob Prentice, a former deputy director at the city's Public Health Department. "They're letting them get away without that past, without some kind of correction."

Others voiced concerns that St. Luke's Hospital, which largely serves lower-income and minority patients, will no longer be able to adequately fill the needs of the surrounding community as its renovation plans call for decreasing the number total of beds at the facility by more than half.

For its part, CMPC asserted to Bay City News that the remodeled facility will offer its patients a higher level of care.

In an editorial in the Examiner, Chamber of Commerce President Steve Falk waived off all these criticisms as just the typical griping that accompanies virtually every development project in the city.

"In this case, CPMC critics claim the agreement does not 'go far enough' in providing benefits to the community. Yet, beyond providing two new hospitals at no cost to taxpayers, the CPMC agreement guarantees $1.1 billion in added investment for San Francisco," wrote Falk. "By any measure, CPMC’s investments are sure to benefit thousands of residents and visitors."

The project returns to the Planning Commission for a final vote on April 26th. If all goes according to plan, CMPC hopes to open its new Cathedral Hill campus in 2016.

Check out this slideshow of pictures showing what the new hospital is going to look like:

CPMC Cathedral Hill

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Source: www.huffingtonpost.com

Sara Calabro: 7 Acupuncture Points To Ease Your Allergies

Sara Calabro: 7 Acupuncture Points To Ease Your Allergies

Spring is in full swing. For some, it's time for warm air! Fresh flowers! Longer days! For others, it's time for runny noses! Itchy eyes! Sinus headaches!

But people with seasonal allergies should know that spring need not be an unavoidable period of suffering. Nor does it require dependence on Claritin or fear of leaving the house without Kleenex.

Acupuncture offers tools for both preventing spring allergy symptoms and getting rid of them. Specifically, there are seven acupuncture points that can work wonders for preventing and relieving spring allergies.

Seven Points, Seven Fingers Is All It Takes

Acupuncturists use these seven points all the time to alleviate seasonal allergies. It's ideal to go for acupuncture before allergy symptoms kick in. Now is a great time since not everything is fully bloomed yet.

If you miss the preventive window, the same points can be used to eliminate symptoms, especially nasal drip, itchy eyes and sinus headaches. It is not uncommon for people to notice an immediate clearing of the nasal passages after receiving these seven acupuncture points.

But the best part is, you can alleviate allergies with these seven acupuncture points all by yourself. All it takes is seven fingers and a little concentration and coordination.

In most cases, stimulating the points yourself is not a substitute for real acupuncture. However, as a preventive measure, it can delay the onset and lessen the severity of allergy symptoms. It also can prolong the effects of acupuncture treatments so that you're able to allow more time between appointments. And it comes in really handy as an on-the-spot remedy for sudden allergy attacks.

The New Face of Spring

Imagine a world where the first thing that comes to mind when we think of seasonal allergies is not someone running through a field in a drug commercial, but rather someone poking themselves in the face. How sweet it would be.

So, where to poke?

You're aiming for six points on the face: Large Intestine 20, Stomach 2 and Bladder 2. All three points are pressed twice, symmetrically on both sides of the face, equaling six points. (The seventh is explained below.)

The picture shows how it should look when you're pressing all six face points. You're going for just outside the nostril, just below the eye (you'll feel a little indentation in the bone there -- that's the point), and the inner end of the eyebrow.

In addition to point location, you also want to pay attention to the direction you're pressing. This is where concentration and coordination come in.

Large Intestine 20, the points outside the nostrils, should be pressed diagonally upward, as if you're aiming for your eye on the opposite side. Stomach 2, the points below the eye, should be pressed downward toward the mouth. Bladder 2, the ones on the eyebrow, should be pressed upward toward the top of the head.

Maintaining the right point locations and directions may feel awkward at first but it gets easier with practice. For myself and most people I've recommended this technique to, the pinkie, ring and middle finger combo seems to work best. But everyone's fingers and hand coordination are different, so play around with it and do whatever feels most comfortable for you.

Lucky Number Seven: Spleen 5

The six points on the face are considered a local acupuncture approach. In other words, needles (or fingers) are placed at the site of the problem -- in this case, near the nasal passages and frontalis muscle on the forehead since this is often where allergy symptoms occur.

But as is true of all conditions, allergies from an acupuncture perspective derive from an underlying imbalance. In addition to the six points on the face, acupuncturists often incorporate a seventh point to address the root cause of seasonal allergy symptoms.

This point is Spleen 5, located below and distal to (toward the toes) the medial malleolus (the prominent bone on the inner ankle). It is done only on the left side.

So why Spleen 5? Many reasons, depending on who you ask, but the primary logic behind using Spleen 5 to treat allergies has to do with its role in resolving what acupuncturists refer to as "Dampness."

We could spend a whole article -- book, actually! -- talking just about Dampness. But for the purposes of this article, suffice it to say that Dampness in the body creates fixed, heavy obstructions. Also, when Dampness accumulates, it can turn into Phlegm, which is not exactly but close enough to the phlegm we're all familiar with and afraid of during allergy season.

Holding Spleen 5 at the same time as the six face points is kind of ambitious. You don't have to do them all together. Spleen 5 is easy to press while watching TV, reading or doing anything seated that doesn't require use of both hands.

For me, sitting cross-legged is best. It comfortably exposes the inner left ankle and allows me to access the point with my right index finger. From a desk chair, you can prop your left foot onto your right thigh, which also allows for easy access. Again, it's important to find the position that is comfortable for you.

It's unfair that so many seasonal-allergy sufferers view spring as time to stay indoors. No more, thanks to acupuncture. It's merely time to put on a new face.

For more by Sara Calabro, click here.

For more on personal health, click here.

Photo credit: Sara Calabro

Source: www.huffingtonpost.com