From left, Chris Klingner, first lieutenant of the Rescue Squad, Dawn Marie Klingner, Rescue Squad captain, and Zachary Klingner, second lieutenant, and Chris and Marie’s son. The 100%-volunteer EMT squad operates within the Amenia Fire Company.
Story reprinted courtesy of The New Pine Plains Herald
POUGHKEEPSIE — “Over 400 times last year, an ambulance never got to the patient’s side; the patient had to get to the hospital another way,” said Dana Smith, commissioner of Dutchess County Department of Emergency Response (DCER). “What’s happening is unacceptable, and we need to do something about it.”
The critical state of Emergency Medical Services (EMS) in Dutchess County is sounding alarms among local and state officials. On March 7, Smith presented an eye-opening report before the county’s Public Safety Committee that indicated the crisis is part of a broader statewide issue. He reported that across New York, only half of the 70,000 certified EMS personnel are regularly available to answer calls, and that 30% of them plan to leave the force over the next three years due to the strenuous nature of the work and insufficient compensation.
County Legislator Chris Drago, who represents District 19 (Stanford, Pine Plains, Milan, Red Hook, North East and Millerton), is one of 12 members of the Public Safety Committee. Elected to his first term in November, he campaigned on EMS reform.
“Our EMS volunteers are doing incredible work; they’re asking for help, and that is hard for them to do,” said Drago. “We owe it to them to find solutions.”
A well-documented crisis
In his March 7 presentation titled “The EMS Crisis in Dutchess County,” Smith referred to three studies that analyzed EMS operations, documented failures and proposed fixes. “All the recommendations that we’re talking about, that we’ve done to date and our plans moving forward, come from these reports,” he said.
The 2017 Dutchess County EMS Task Forces, spearheaded by then-County Executive Marc Molinaro and a panel of 28 experts, produced a data-intensive report that established five benchmarks for the system: It must be “patient-centered, consistent, reliable, affordable and sustainable.” The task force recommended the formation of the Citizens Advisory Committee (CAC) on EMS to aid collaboration between towns and emergency service providers. The CAC, established in 2018, works closely with Smith, who said, “These are competent, capable people advising us; they know what they’re talking about.”
The 2021 Profile of Dutchess County EMS and Options for the Future is also rich with data, like 911 calls enumerated by town, season, month, week, day and hour. The study proposed incentives like tax credits and subsidized training to attract and keep EMS workers. It also advocated a regional approach to EMS in which towns would share costs of equipment and personnel, and the county — after obtaining a state-approved county Certificate of Need— would provide extra ambulances to fill in gaps.
The New York State 2023 Evidence Based EMS Agenda for Future made more than 20 key recommendations, including declaring EMS an essential service to assure dedicated state funding; adding 10,000 certified EMS providers in New York by 2025; and implementing measurable performance metrics that would be transparent to the public and standardized across the state.
“With the results of these studies and advice from the CAC, our plans are being made for the future,” Smith told the legislators. “The county has to come up with stopgap money right now. We’re looking at how to do that.”
Smith believes that the answer to fixing the county’s troubled EMS system lies in regional management. “It will help the taxpayer without putting small ambulance companies out of work and standardize the system so every town is doing the same thing,” Smith said. “It will give us time to figure out long-term funding.”
Two months ago, Smith distributed surveys to ambulance service providers in Dutchess County, seeking input about supplementing existing EMS coverage. “This way we’ll know where to place stopgap ambulances,” he said. Survey responses, due this month, will shape a formal proposal for extra ambulance service units under the direction of DCER.
“We’ve looked at Greene, Columbia and Montgomery counties,” said Smith, who is investigating different EMS models around New York. “We’ve seen Nassau County’s EMS: They spent a lot of money and they have a very fragmented system, I wouldn’t recommend it.”
Lawmakers beginning to act
With EMS stretched to its limits, elected officials, both at the county and state levels, are taking steps to help. The Public Safety Committee, DCER and Dutchess County Executive Sue Serino are working together on long-range regional EMS planning that would address each community’s needs.
Drago told the Herald, “In the short term, I’m advocating for county-staffed ambulances to be placed to supplement existing service, with one ideally placed in District 19. This will help alleviate the struggle that exists town by town and ensure we have a way of getting people to care faster.”
The 2024 Dutchess County budget includes a sales tax increase from 3.75% to 4%, in part to subsidize EMS. It has yet to be approved by the state.
Gov. Kathy Hochul signed legislation last year to make it easier for ambulance services to get paid: Reimbursement will go directly from the health insurance company to the EMS provider. Mark Browne, president and chief operating officer of Northern Dutchess Paramedics, said: “It used to be that payment went to the patient, making it more difficult for ambulance companies to get their money. It took a lot longer than it should have. Unfortunately, this change won’t even take effect until January of 2025.”
Hochul’s 2024-2025 proposed executive budget sets aside $8 million to revitalize the state’s EMS and $36 million toward improved Medicaid reimbursement for ambulance transport. It also grants Certificates of Need for county ambulance service, as recommended by the 2021 Dutchess County EMS study.
On Jan. 30, the New York state Legislature, in cooperation with EMS professionals and the New York State Association of Counties, released a package of bills called Rescue EMS, which contains seven proposals to revamp the system. “We are all aware that we need to help the emergency service [workers]” said Didi Barrett, assemblymember for New York’s 106th District, which includes parts of Dutchess and Columbia counties. “They put themselves in harm’s way every day. Finally, there’s enough critical mass in the legislature to get something done.”
Rescue EMS covers a wide variety of needs. The proposals are described by Barrett as “game changers.” One bill, if passed, would recognize EMS as an essential service, securing state and federal funding. It would also allow the creation of special tax districts to subsidize EMS services.
Barrett’s proposed legislation would allow volunteer firefighters and EMS workers to claim both state income and local property tax credits. “It will incentivize volunteer firefighter and EMS recruitment and retention,” Barrett said.
State Sen. Michelle Hinchey, who represents New York’s 41st District (which includes Northern Dutchess and Columbia counties, and portions of Ulster and Greene), is sponsoring a bill that provides Medicaid reimbursement for on-the-scene emergency care and ambulance transportation to non-hospital destinations, like urgent care centers and mental health facilities. It also would provide funding for telemedicine.
“Currently, EMS can only be reimbursed for treating Medicaid enrollees if they transport patients to a hospital ER, even if EMS has already provided the necessary care,” Hinchey told the Herald. “We cannot allow this status quo to continue.”
The remaining bills focus on funding and increasing the emergency workforce. Proposals include removing EMS from the property tax cap so towns can raise taxes more than 2% annually; increasing personal income tax credits for volunteer firefighters and ambulance workers from $200 to $800 for individuals and $400 to $1,600 for joint filers; creating a way to increase the amount of Medicaid ambulance reimbursements paid; and dispensing with tolls for emergency transport on New York thruways.
Lawmakers on both sides of the aisle are pushing for the Rescue EMS package to be included in the state budget, which is due April 1.
DCER supports the legislative package. “The bills address the major roadblocks faced by EMS; it’s a good start,” Smith said. “We still have a lot of asks, so we’ll just keep advocating. EMS needs recognition and support. We need to develop solutions that are patient-centered, consistent, reliable, affordable and sustainable for Dutchess County residents. It’s neighbors helping neighbors.”
This is the second article in The New Pine Plains Herald’s two-part exploration of the challenges facing local EMS systems, reprinted with permission of The New Pine Plains Herald. To see the first part in the series, visit www.newpineplainsherald.org
Maxon Mills in Wassaic hosted a majority of the events of the local Upstate Art Weekend events in the community.
WASSAIC — Art enthusiasts from all over the country flocked to the Catskill Mountains and Hudson Valley to participate in Upstate Art Weekend, which ran from July 18 to July 21.
The event, which “celebrates the cultural vibrancy of Upstate New York”, included 145 different locations where visitors could enjoy and interact with art.
On Saturday, July 20, The Wassaic Project hosted numerous community events. Will Hutnick, the director of artistic programming, said “We’ve been a part of it since the beginning, this is the fifth year of UPAW.”
Most of the action was based at Maxon Mills, the seven-floor grain mill located in the heart of Wassaic. On exhibit was work from 30 artists, 18 of whom were past residents of The Wassaic Project. “Artists can come and do a residency here, meaning they live and work with one another for a couple months at a time,” Hutnick stated.
The first floor held work by Petra Szilagyi, who uses dirt and linseed oil to construct images of paranormal concepts, most of which include bats. They reflected that a recent trip to a fifth sense competition in Vietnam was the influence behind the exhibit.
Across the floor was Tiffany Smith’s interactive installation which incorporated plants and wicker chairs, all of which were objects associated with her Carribean upbringing. “The room being filled with plants is symbolic of hurricane prep which often included bringing the plants from outside into the house,” Smith said.
As visitors made their way up the narrow wooden stairs, music could be heard from behind the walls. The echoing music was Daniel Shieh’s installation, entitled Mother’s Anthem, which played a recording of the American Anthem in 30 languages. The languages ranged from Spanish and Italian to Navajo and Bengali.
Each floor was filled with artwork of all mediums, including painting, fibers, collage and photography. Rachel Bussières, who switched her concentration after watching the 2017 solar eclipse, uses varying light sources to produce lumen prints. During the wildfires, she recounted that she “made a new exposure each day to capture the changing air quality”.
Luciana Abait also incorporates the natural world into her pieces, instead using maps. An environmental activist originally from Argentina, Abait’s work highlights “environmental fragility, specifically the impacts it has on immigrants.” Her installation that is currently on display at Maxon Mills, takes the form of a mountain range built solely from maps of the US and Argentina.
Throughout the day, visitors could “Arm Wrestle 4 A Popsicle”. Winners had the choice of 3 playfully flavored trout-inspired popsicles - Nightcrawler, Power Bait, and Salmon Roe. Artist Katie Peck, who spent the day in costume as a rainbow trout, encouraged guests to step up and try their hand at an arm wrestle.
Shibori Indigo dyeing, group meditation, and dance workshops were open for community members of all ages as well.
While the daytime activities fostered appreciation of fixed art, a dance party until midnight at The Lantern Inn offered guests a space for performative art.
When describing the environment of The Wassaic Project, Smith emphasized, “It’s all community, it’s all love.”
A serene scene during the Garden Tour in Amenia.
AMENIA — The much-anticipated annual Amenia Garden Tour drew a steady stream of visitors to admire five local gardens on Saturday, July 13, each one demonstrative of what a green thumb can do. An added advantage was the sense of community as neighbors and friends met along the way.
Each garden selected for the tour presented a different garden vibe. Phantom’s Rock, the garden of Wendy Goidel, offered a rocky terrain and a deep rock pool offering peaceful seclusion and anytime swims. Goidel graciously welcomed visitors and answered questions about the breathtaking setting.
Amenia Finance Director Charlie Miller welcomed visitors to his Bog Hollow Road garden in Wassaic, a manicured expansive yard with well-placed garden beds framing a far-reaching view. He said he plans carefully each winter for the next spring’s improvement.
The organic, environmentally responsible Maitri Farm was next, a lesson in coordinating agriculture with natural balance. The farm stand and a walk among the greenhouses brought visitors together.
Near the center of Amenia was the garden of Polly Pitts-Garvin, offering a chance to visit a robust vegetable garden with raised beds to be envious of and a remarkable absence of any insects or usual vegetable garden problems.
At Chez Cheese, the vast garden acreage surrounding the 1850s historic home of Joan Feeney and Bruce Phillips in Millerton, visitors could begin at refreshment stations where walking tour maps of the 15-acre property were available. There were streams and ponds with docks, and a dozen bridges arranged around the landscape. In the 19th-century, the property had been the home of the Wilson Cheese Factory, inspiring the name of the estate.
The Amenia Garden Tour was supported this year by Paley’s Garden Center in Sharon.
Gary Dodson working a tricky pool on the Schoharie Creek, hoping to lure something other than a rock bass from the depths.
PRATTSVILLE, N.Y. — The Schoharie Creek, a fabled Catskill trout stream, has suffered mightily in recent decades.
Between pressure from human development around the busy and popular Hunter Mountain ski area, serious flooding, and the fact that the stream’s east-west configuration means it gets the maximum amount of sunlight, the cool water required for trout habitat is simply not as available as in the old days.
This is not a new phenomenon. It does seem to be getting worse, though.
Gary Dodson and I convened where the creek makes its final run into the Schoharie reservoir, part of the New York City water supply system, on a semi-broiling Thursday afternoon, July 11.
The goal was simple. Catch smallmouth bass, which abound in the lower section of the river.
This was hot stuff — as in an 80-degree water temperature.
The air temperature was actually slightly less at 77.
After negotiating the intensely slippery rocks, festooned with treacherous algae, the first major pool presented several difficulties, with a back eddy competing with a main flow and several large trees draped about the whole thing.
I hit on the simplest strategy, which was to flip a weighted attractor fly called a Tequilley into the start of the eddy so it would proceed slowly but steadily into the maelstrom, sinking all the while.
This worked. A proper adult smallmouth, with bronze coloring and vertical stripes, took the thing.
The point-and-shoot camera finally died, however, and I was not going to try to fumble my phone out for a nice but routine fish photo.
Why not?
Because I guarantee the fish would have made a sudden, last-moment bolt for freedom, causing me to drop the device into the drink.
Gary moved downstream while I continued trying to annoy the residents of the pool, succeeding a couple of times with different colored Wooly Buggers.
Then we all got bored and I moved off, where Gary was catching rock bass and cussing them out for not being something else. I have to admit, they are not the most compelling critters. Something about the red eyes.
This latest trip was dominated by extremely tedious and distasteful Harry Homeowner activities, but on both Wednesday and
Thursday mornings I prowled Woodland Valley Creek. By “morning” I mean “dawn,” because that was when the water temps were down to a barely acceptable 64.
I made the acquaintance of several stocked browns and of a handful of their wild cousins. The wild fish are smaller and nimbler.
The successful ploy was an Adams wet fly, size 16, drifted behind something big, like a Parachute Adams or Stimulator.
