Whitcomb: Too High End in Providence? CVS and Health-Care Transformation; Pawtucket's Future

GoLocalProv

Whitcomb: Too High End in Providence? CVS and Health-Care Transformation; Pawtucket's Future

Robert Whitcomb, columnist
“The dead piled up, thick, fragrant, on the fire escape.

My mother ordered me again, and again, to sweep it clean.

All that blooms must fall. I learned this not from the Dao,

GET THE LATEST BREAKING NEWS HERE -- SIGN UP FOR GOLOCAL FREE DAILY EBLAST

   but from high school biology.’’

 

-- From “Autumn Leaves,’’ by Marilyn Chin

 

“We have acquired a false self-confidence, a false self-sufficiency, because we have heeded no successes or failures but our own.’’

 

-- Woodrow Wilson, in March 1901

 

 “The way to deal with [the media] is to flood the zone with shit.” 

 

-- Trump adviser Stephen K. Bannon

 

The summit last Thursday in the Oval Office between rapper Kanye West and our leader was an unforgettable display of the richness of American popular culture and the vast potential of its oral tradition to enlighten and inspire.

 

xxx

 

Providence Place
Nordstrom’s announcement that it will close its store in Providence Place didn’t surprise me.  I was always skeptical that a large high-end department store could succeed in Providence; I’m surprised that it has lasted this long. There aren’t all that many very affluent people around here, and some of them do their expensive shopping in relatively near – and very big – Boston and New York. Boscov’s, which will take Nordstrom’s place, is mid-to-down-market.

 

Further, the rise of the Internet has posed a huge threat to large department stores in general, except for very down-market chains such as Dollar General.


As I’ve written before, what will survive and, in some places prosper, are some smaller specialty stores with close connections with affluent neighborhoods – e.g., Wayland Square, in Providence, and Main and Water streets in East Greenwich – or in destination/resort towns such as Newport.

 

Nordstrom’s exit is a blow to Providence Place, and more are likely to come. But the huge building does have something big going for it: It is a very attractive and solid complex made of good materials and all or part of it could be retrofitted for other purposes, such as education, health clubs (with swimming pools!), state and/or city offices and even a hotel or two. It’s not your typical big-box-based suburban mall.

 

Maybe a company called Scape, which runs student housing in the United Kingdom, Australia and Ireland, should look at Providence Place. The Boston Globe reports that the company says, in The Globe’s words, “that it will spend $1 billion over the next few years to develop privately run student housing in Boston, and it will also locate its North American headquarters in the city.’’

 

The Globe continues: “It’s a move that could help meet the huge demand for college housing in Boston, where an estimated 36,000 undergraduate and graduate students live in off-campus apartments, and establish a new model for student housing here — independent of any particular school and less taxing on universities’ already-tight budgets.’’ Lots of college kids in Providence, too.

To read The Globe’s story,  please hit this link:

 

What is Pawtucket's strategy?
Pawtucket Must Think Small

 

Now that the Pawtucket Red Sox are leaving,  Pawtucket and state officials and others are urgently looking for a big fix to turn around the city’s fortunes. Some big store, some new professional sports team, some…. But the fact is that the city must rely on many small institutions and the decisions of innumerable individuals to return it to prosperity. It’s never going to be a major manufacturing center again, nor a high-tech center.

 

It should take as much advantage as it can of its location on the main street of the East Coast – Route 95 -- and on the scenic Blackstone River, and its still large collection of the sturdy old stone and brick buildings that have so far escaped the arsonists. More of these buildings can be converted into residential housing for refugees from the astronomical housing prices of Greater Boston, and maybe into small light-assembly operations in much cheaper digs than in and around Boston.

 

What may help tremendously is the planned Pawtucket-Central Falls MBTA station, which will make it easier for commuters working in the Boston area to live in a house or converted mill building in the two cities. The station may open by 2020 and will have far more long-term impact on Pawtucket than any baseball stadium could! Anything that makes it easier to avoid having to drive on Route 95 between Rhode Island and Greater Boston is much to be desired.

 

Indeed, as usually happens in places with mass-transit improvements, the area around the new train station will likely see considerable retail and residential development. And it may lure people from the nearby and generally affluent East Side of Providence. They may want to avoid the congestion and parking challenges around the Amtrak/MBTA station on Smith Hill.

 

CVS CEO Larry Merlo
Start of a Health-Care Transformation?

 

Woonsocket-based CVS’s purchase of Aetna, the huge insurance company, could at least start to make fragmented and exorbitantly expensive U.S. health care a bit more coherent as well as cutting costs for consumers, both in medical-visit bills and insurance premiums.  (We’ll see if that happens in our profit-obsessed system.)

 

Of course, other pharmacy chains and insurers will also tie the knot.

 

By putting together the insurance function and the direct provision of care, the merger will help create better, more complete patient medical records, thus facilitating better, especially preventive, care. And by helping to make many CVS drugstores even more of the primary-care/preventive-care centers that they’ve been becoming the past few years, the merger should take the pressure off astronomically expensive hospital emergency rooms, whose overuse is one reason that America’s health-care system is so expensive and inefficient.

 

Much of the treatment in CVS’s Minute Clinics is provided by nurse practitioners and physician assistants, who are less expensive than U.S. physicians --  the world’s highest paid. The American Medical Association has opposed the merger in part because it fears that the competition will cut doctors’ pay.

 

Importantly, the merger will strengthen CVS in negotiating with drug makers, which, protected by massive lobbying operations in Washington, charge by far the highest prices in the world – indeed sometimes engage in price-gouging. Those prices are yet another reason why health-care costs threaten to bankrupt the country.

 

(Happily, Trump signed two bipartisan bills into law last week to ban so-called gag clauses at the pharmacy counter. The bills, the Patient Right to Know Act and the Know the Lowest Price Act, would let pharmacists tell patients that they could save money by paying cash for drugs or try a lower-cost alternative.  The existence of gag clauses was an outrage.)

 

We won’t know for several years what the full effects of the CVS-Aetna merger will be but it’s obvious that this experiment could profoundly affect many millions of Americans.

 

Multi-Crop Fishermen

 

A wonderful story and video by Maine Public Radio’s Fred Bever describes how Maine fishermen are diversifying to address the challenges posed by overfishing and global warming.

 

Mr. Bever writes:

“These days it’s mostly lobster, but he {fisherman Marsden Brewer} has fished cod and shrimp, and carted urchin to market. They were all once-vibrant species, but now they’re mostly off-limits after being overfished and weakened by climate change.’’ And Mr. Brewer has moved in a big way into scallop aquaculture.


Jon Gorman, who works at Bangs Islands Mussels, told Mr. Bever:


“I see a lot of growth and you never know. We’re going to be doing scallops, then we’ll be back to mussels, and then the springtime and fall we’re into kelp. It’s fun.”

 

There are some good ideas in the story for southern New England fishermen.

 

To see and hear Mr. Bever’s report, please hit this link:

 

As global warming intensifies, and extreme  storms, drought and floods ravage some areas, some predict a reverse migration of people from the southern and western U.S. to such places as the Upper Midwest and inland (!) New England, whose climates are expected to remain relatively moderate and that will continue to have lots of fresh water, which is actually better to have than oil, coal and natural gas!

 

The big population move to the Sunbelt, with all its socio-economic and political effects, may reverse in the next couple of decades – or before.

 

By the way, water temperatures in the Gulf of Mexico are four degrees warmer than “normal’’. They’ve often been warmer than “normal’’ for some years now, and at the moment are about 85 degrees. This means more fuel for hurricanes – e.g., Hurricane Michael. Keep burning those fossil fuels and maybe we can get the Gulf up to 95 degrees in the summer in a couple of decades. There won’t be much sea life left, but it will be perfect for a soothing swim. To read more, please hit this link:

 

xxx
 

The damage done by Hurricanes Michael and Florence will total billions of dollars, and federal disaster and reconstruction funds will cover a lot of it,  even as huge tax cuts mostly benefiting the rich are swelling the federal deficit. This will help raise interest rates, and eventually, help cause a recession.

 

The storms will at least remind some people of why we need “Big Government’’.  Still, how many of the houses on the Gulf swept away by Michael will be rebuilt in the same places, assisted by federal taxpayers?

 

xxx
 

A paper published by the St. Louis Federal Reserve Bank cited a study saying that when the ratio of the projected federal deficit to gross domestic product increases by one percentage point, long-term interest rates rise by a quarter of a point.

 

And the cited study, by economist Thomas Laubach, said: “{W}hen the private sector's purchase of government bonds does not increase one-for-one with the higher deficit, the government must borrow more money, which leaves less money for financing private projects, such as investment in residences or factory equipment. This is sometimes referred to as the ‘crowding-out’ effect.’’

 

Bigger Roads, Bigger Traffic

 

The Feds are considering replacing, in the next few years, the two highway bridges – the Bourne and Sagamore  (there’s also a quaint railroad bridge) over the Cape Cod Canal, necessitating mini-Big Dig construction on the approaches on each side of the canal. Each new bridge would, as  with the bridges now, have two lanes in each direction, but with an additional lane at each end to, it is hoped, ease merging.

 

Prepare for massive summer traffic jams during construction, when, you’d hope, the two existing bridges, built in the Depression, would continue to be open.

 

But get ready for even bigger summer traffic jams than now after the “improvements’’. Highway expansions quickly serve to lure more traffic, in a variant of Parkinson’s law: Expenditure rises to meet income. The fragile, eroding, increasingly suburbanized giant sandbar will get chewed up even more by development. And officials of its towns will probably feel compelled to widen local roads to deal with more cars coming over the bridges.

 

Far better if a lot of people could travel to and from the Cape by train. And how about, for example, trains to take people to Woods Hole and Hyannis to meet the ferries to Nantucket and Martha’s Vineyard?

 

Another Trump Pal Is at It

 

Consider the  apparent kidnapping or murder of Saudi journalist Jamal Khashoggi by agents of Saudi dictator/Crown Prince Mohammed bin Salman in the brutal monarchy’s Istanbul consulate; the brazen murders at Putin’s orders of Russian dissidents in and outside of that country, and the ongoing killings by North Korean dictator/mass murderer Kim Jong-un. Trump has lauded all three dictators. Our capo di capi’s notably un-American lack of interest in human rights can only encourage the dictators he sucks up to step up their brutalities.

 

If America doesn’t stand for human rights anymore, what does it stand for?

 

Trump is obsessed with bringing down Iran, and often cites the nastiness of its theocratic regime, while expressing friendship with the Saudi monarchy, whose human-rights record is far, far worse. Some of this may simply be due to the fact that Saudi Arabia has more oil than even oil-rich Iran. But it may also have something to do with Trump’s business activities. Please release your tax returns, Mr. President….

 

Yet more reasons to get out of fossil fuels.

 

Minority Rule in America


As we approach what will be the most important mid-term elections in many years, Americans might ponder the state of our semi-democracy. The Electoral College, originally envisioned as an institution whose distinguished members would actually exercise independent judgment in choosing presidents (and, especially, in thwarting demagogues) now takes orders from state political party chairmen. (Reminder: The number of Electoral College members from each state is the number of congressional districts plus the two senators. And the House has been increasingly distorted by extreme GOP gerrymandering.)

 

For example, The Huffington Post reported, “from 2012 to 2016, the GOP took 13 of Pennsylvania’s 18 congressional seats, even though the party’s candidates only got around half of the vote. In Ohio, the party consistently won 12 of 16 congressional seats, but 50 percent of the statewide vote. In Wisconsin, they won at least 60 of 99 state assembly seats, with about half of the popular vote.’’ State legislatures do congressional redistricting.

 

40 million Californians get two votes in the Senate -- as do 740,000 Alaskans.  The 18th Century Electoral College results in, for example, each individual Wyoming vote weighing 3.6 times more than an individual Californian’s vote. Thus Trump, like George W. Bush, became president after receiving considerably fewer votes than their Democratic foes.

 

The Senate imbalance has a huge impact on the placement of federal judges, as we have just seen in the installation of right-wing GOP operative and serial perjurer Brett Kavanaugh to the U.S. Supreme Court. It is the Senate, of course, that gets to confirm presidents’ nominations to the federal courts.

 

One increasingly corrupt and ruthless party now runs all three branches of government.
 

The effect of the GOP, er, rigor is that the majority of Americans are disenfranchised by a  system in which a minority carries out the wishes of certain rich people and big businesses to maximize their wealth and power, using hot-button appeals on race,  immigration and abortion, as highly productive diversions.

 

Meanwhile, cynical Republican operatives often divert their followers by denouncing “elitist intellectuals’’ in colleges and elsewhere because these eggheads tend to be “liberals’’. But maybe a lot of them are “liberals’’ because they have more knowledge of how the world actually works, especially including science, than Fox News addicts at Trump rallies egged on rich elitist demagogues such as  Scott Hannity and Rush Limbaugh. (You’ll find few right-wing scientists.)


Wrong as they may be from time to time,  most scholars pursue truth and undergo “peer review’’ and other disciplines that compel them to seek, review and correct facts, as opposed to recirculating emotions,  misinformation and brazen lies in order to make money off suckers. It ’s gotten to the point that scientists are denounced as  “left-wing elitists’’ for arguing, based on overwhelming evidence, that burning fossil fuel plays a major role in global warming.

 

A nation in which many citizens do not respect knowledge and expertise, and the rigorous development of them, and instead feeds off misinformation, assorted bigotries and wishful thinking is doomed. As John Adams famously said:

 

“Facts are stubborn things; and whatever may be our wishes, our inclinations, or the dictates of our passions, they cannot alter the state of facts and evidence.’’
 

xxx

 

Two of America ’s best governors are Maryland’s Larry Hogan and Massachusetts’s Charlie Baker, both the sort of mildly conservative, pragmatic and honest Republicans that would be such a relief to have on Capitol Hill.

 

 

Frenzied Mobs Indeed

 

I have enjoyed the, er, paradox, of Trump and his servants denouncing “angry left-wing mobs’’ even as his frenzied followers at his Red State rallies scream “Lock Her Up!” about Hillary Clinton, who remains their favorite person to hate. Of course, it would be nice if everyone lowered his/her voice…
 

Ambiguous Worker Gains at Amazon

 

Amazon czar Jeff Bezos doesn’t want to get carried away with generosity. After all, it’s hard for him to feel secure with a paltry net worth of $153 billion. So, while his company promises to increase employees’ minimum wage to $15 an hour, at the same time Amazon will end hourly workers’ monthly bonuses and stock awards. So some workers’ pay might actually fall.

 

Two Good Guys

 

I wish I had known about the Sept.  21 memorial service for Robert Reichley, who died May 15 at age 91. I would have canceled pretty much anything to be there. I had many dealings with Bob when I was editorial page editor at The Providence Journal as well as in other roles over the years. 

 

Before coming to Brown, he was a sports editor and then ran public relations for Culver Military Academy. After running Brown’s alumni magazine for several years, Bob became Brown’s chief spokesman, a post he held, eventually with the title of executive vice president, until his retirement from full-time work, at the end of 1995. He continued high-level but part-time work at Brown for years after that. He was a brilliant, ingenious and relentless promoter of the school. As much as, or perhaps more than, any Brown president, he made Brown internationally known.

 

He could be brusque (or maybe “very direct”) and tough but was fair and maintained a sense of humor and an appreciation of the absurd. He was not shy about complaining about what he saw as unfair coverage of events at Brown.  I much enjoyed running into him and engaging in sometimes acerbic conversation as he held his two friendly but seemingly manic English setters.

 

He was also devoted to his community – indeed a real booster for Providence in particular and southeastern New England in general. He often seemed to be everywhere at once in town.

 

For instance, he served as a trustee at Trinity Repertory Company; chairman of the Providence Foundation; president of the Providence Preservation Society; a member of the Capital Center Commission and the Rhode Island Convention Center Authority; chairman of the Rhode Island Committee for the Humanities, and on the board of the  Rhode Island Philharmonic Orchestra.

 

Ray Fogarty, lead RI on International Trade
Another big contributor to Rhode Island was Ray Fogarty, who died Sept. 27 at age 61. He was the long-time executive director of the Chafee Center for International Business at Bryant University. In that role, he very energetically promoted foreign business for large and small companies around here in various ways, including well-crafted conferences,  online and printed material and consulting services. (I attended a couple of the conferences he ran.) He, directly and indirectly, got a lot of foreign business for companies around here, including plenty that were initially timid about getting into international trade. (An irony: The first great  Rhode Island fortunes were made in foreign trade, with Europe, China, the Caribbean and Africa.  That includes, of course, the horrific slave trade.)

 

Ray was also a very nice man–accessible and helpful.

 

Coastal Chronicle

 

New England: Its Life and Past, by William F. Robinson, is the best popular history I’ve read of our shoreline and its offshore from Eastport, Maine, to Greenwich, Conn., from about 1500 to the 1980s. This coffee-table tome tells  sociological, political, economic and environmental stories with scholarly rigor combined with mass-market accessibility and droll (and sometimes dark and snarky) humor, showing the beautiful (such as coastal vistas and artists) and the ugly (wars, slaves, smugglers, drownings, etc.) and the full range between. It has a delightful assortment of illustrations – maps, illustrations and photos.


The 50 Greatest Living Rhode Islanders

Enjoy this post? Share it with others.