UPDATE: On Friday, September 8, the OHS granted Sharon Hospital an extension to appeal the OHS's Proposed Decision. The hospital, and its parent company Nuvance Health, now has until October 18, 2023 to file a brief and exceptions seeking a Certificate of Need to close the hospital's Labor and Delivery Unit.
SHARON — Sharon Hospital’s application to close its Labor and Delivery Unit was denied by Connecticut’s Office of Health Strategy (OHS) on Tuesday, Aug. 29.
The “proposed final decision” granted Sharon Hospital and its parent company, Nuvance Health, 21 days to appeal the decision. An appeal would continue a five-year battle between Sharon Hospital and members of the local community, led by Save Sharon Hospital, over maintaining the hospital’s labor and delivery services.
Sharon Hospital filed a Certificate of Need to close the maternity unit with OHS in January 2022, citing financial concerns, declining birth rates in Litchfield County, and underutilization of its obstetrics unit.
The hospital, which has cited losses of more than $20 million in a single year, estimated that closing the maternity unit would save $3 million in large part by enabling the hospital to employ some 18 fewer staff members, and cut down on physician fees incurred by after-hours surgery and anesthesia services.
The hospital also described a decline in births at Sharon Hospital, citing fewer than one delivery per day in 2021, and difficulty attracting and retaining trained staff in a rural community.
At an OHS hearing in December 2022, doctors, advocates, and local families rebutted the hospital’s claims that closing the maternity unit would not impact access to adequate care in the region, and raised questions about the hospital’s claim that underutilization of the unit was causing irresolvable financial and safety concerns.
In its Aug. 29 decision, OHS found that Sharon Hospital had not adequately met five of eight applicable criteria to qualify for a Certificate of Need, repeatedly citing testimony from the December hearing, as well as supplementary materials provided by Save Sharon Hospital and others.
Primarily, the decision to reject Sharon Hospital’s application rested on concerns about the closure’s impact on the accessibility of adequate care for pregnant women in the region. OHS emphasized the disproportionate effect this closure would have on people of color, the fastest-growing demographic in the region, and indigent people (more than 48% of Sharon Hospital’s labor and delivery patients paid through Medicaid in 2021).
The decision stated repeatedly that the burden of proof rested with the hospital and that the hospital had not succeeded in providing adequate evidence of either financial or safety concerns, nor adequate plans for alternatives for women in labor seeking care, especially for high-risk and emergent deliveries.
Though the hospital is non-profit, OHS took care to point out that its parent, Nuvance Health, provides financial support to Sharon Hospital, and, having ended 2021with a net increase in assets of $242 million and $1.7 billion in net assets, Nuvance is “by all accounts financially stable,” despite its operating losses at Sharon Hospital.
While there are other five other hospitals within an hour from Sharon, all able to accept women in labor, these options would require patients to make longer drives (the nearest hospital is Charlotte Hungerford in Torrington); OHS also cited concerns about these hospitals’ higher costs and lower safety ratings.
Gregg Pulver (R), Chairman of the Dutchess County Legislature, said that OHS’s decision was responsive to arguments from “representatives on both sides of the state line.” Patients at Sharon Hospital are more often from Dutchess County than from the Northwest Corner.
“Access to rural health care here is in crisis or at risk across the board,” said State Rep. Maria Horn (D-64). Though “it will always be a battle,” she said, “[We need] to keep this thriving hospital alive and vibrant and and helping all of us.”
Andrea Rynn, spokesperson for Nuvance Health, called the decision “concerning and disappointing.”
Sen. Richard Blumenthal (D-CT), State Sen. Stephen Harding (R-30), U.S. Rep. Jahana Hayes (D-5), Rep. Horn, and State Comptroller Sean Scanlon all spoke in support of OHS’s preliminary decision at a press conference in Sharon Town Hall on Wednesday, Aug. 30.
Blumenthal called on Nuvance not to appeal OHS’s “well-reasoned, fully researched decision.”
“Nuvance has an obligation to listen to its customers, its patients, its community,” said the senator. “I am hopeful that meetings like this one will convince [Nuvance] that it can and should do the right thing.”
Horn drew a contrast between the diverse, fact-based testimonies provided by local healthcare professionals, and Nuvance’s “one single argument, that ‘this is just unsustainable,’ and ‘we can’t afford it.’”
Harding said, “I want to applaud the Office of Health for taking the time, not only with reading the testimony, but the whole process in general. I think they did a great job of listening to all sides of the story.”
Hayes noted that the threatened closure is indicative of national trends in rural and women’s healthcare access. “We have seen women’s reproductive health attacked all over the country,” she said. “So I am excited about today, but also looking forward and committed to […] bringing this 20 year battle [over the future of Sharon Hospital] to an end.”
Nearly all of the speakers thanked the local 501(c)(3) Save Sharon Hospital (SSH) for its instrumental work in preventing the closure of Sharon Hospital’s labor and delivery unit by marshaling skilled testimony from health care workers.
SSH President Lydia Moore, who gave birth to her youngest daughter in Sharon Hospital about two months ago, acknowledged the community for contributing “almost 12,000 pages of public comment,” overwhelmingly in favor of keeping labor and delivery open, as critical to the movement’s success.
Acknowledging that Nuvance can still appeal the OHS decision, Scanlon said, “We’re here today to say that this is good news, but the fight to maintain access to affordable, quality health care, especially when it comes to labor and delivery, is going to continue beyond this morning.”
As of Sept. 4, Nuvance has not yet announced if it will appeal the decision.
“As part of a nonprofit health system, Sharon Hospital faces financial and operational challenges moving forward,” said Rynn in a statement. “We will be considering all options available as we reassess our path forward.”
Top row (left to right): Panelist Shadei Williams; Dana Hopkins, Dutchess County All Abilities Program Director; panelist Johnny Vacca; Dutchess County Executive Sue Serino. Bottom row: (left to right): Panelist Wayne Robinson; panelist Tracy Wallace; panelist Samantha Van Alstyne
HYDE PARK, N.Y. — On Thursday, Dec. 5, the annual ThinkDifferently conference was held at the Henry A. Wallace Visitor and Educational Center in Hyde Park, New York. The conference strived to enlighten participants on evolving protocols for addressing and collaborating with individuals with challenges.
Hosted by Dana Hopkins, program director of All Abilities at the Department of Behavioral and Community Health, ThinkDifferently is an initiative first launched in 2015 by former county executive Marc Molinaro with a goal to provide services to individuals with varying abilities and guidance for others such as businesses and communities to help create a more inclusive society.
The conference, which is in its eighth year, has evolved throughout its existence. Hopkins said while the one consistent has been its daily duration, the presentation and subject matter has varied. “Each year has been a full-day conference which has included discussions with authors, clinical professionals, et cetera. Previous conferences included a ‘services across the lifespan’ session, which covered birth to death,” she said. “We adjusted our format based on feedback from attendees as the services through the lifespan [session] was often redundant.”
This year’s conference was broken into a morning session which included opening remarks from county executive Sue Serino to welcome participants and show her support for the initiative followed by personal experiences from panelists and preferred protocols while interacting with individuals with challenges. The afternoon session featured speaker Emma Arnoff, a licensed social worker, who further elaborated on protocols, the subject of neurodiversity which is described as varying manners of how the brain works, and ableism which is defined as discriminatory practices and prejudicial attitudes towards individuals with challenges. The audience consisted primarily of educators, social services workers, and providers to individuals with varying abilities.
According to Hopkins, ThinkDifferently has less to do with individuals and is more supports-oriented. “ThinkDifferently is not direct programming for people with disabilities and/or their families,” she said. “Rather, a key component of the work we do is helping individuals and families navigate the often-complicated network of providers, as well as resources available at various levels of government. We also create and host inclusive events throughout the year, but most services and programs are contracted out to our local nonprofit agencies.”
Respectful speech and courteous behavior as well as consideration for personal preferences were amongst the themes for this year’s conference. According to both Hopkins and Arnoff, while there are no set rules of etiquette, and the vernacular is constantly evolving, it’s important to consider the individual and their desires. As Hopkins explained, the vernacular can vary between person-first and identity-first language, a more recent trend which began only a few years ago.
“Disability etiquette is individually based and constantly changing,” she said. “When we are speaking about people who have disabilities (and we do not know their preferences) we use person-first language (meaning we say ‘person with a disability’ versus ‘disabled person’ which is identity-first language). Only in instances when someone has specifically told us they prefer identity-first language do we utilize that. For individuals with mobility devices or other aides (canes for those that are blind or have low vision), never touch their devices or aides, unless they ask you to, and/or if you ask and they say yes. Think of the devices and aides as extensions of their bodies.”
While sensitivity towards others is always appropriate, terminology is fluid. Words and phrases which were once socially acceptable such as ‘special needs’, ‘handicapped’, ‘impairment’ and ‘differently abled’ are now to be avoided, which is proper and correct. “Language always is and should be evolving,” Arnoff said. “This move to first-person language comes from neurodivergent people finding pride in who they are and not seeing themselves as deficient. As the language evolves, it is our job to learn and listen.” Hopkins agreed, saying, “Some of these phrases/words are euphemisms to make those without disabilities feel better when talking about disabilities, but they aren’t helpful to people with disabilities.”
While attitudes and language has trended more toward sensitivity toward individuals with varying abilities, both Arnoff and Hopkins emphasized the importance of two-way communication, and also, of being mindful of lessons from previous years. “People with disabilities are just that: people,” Hopkins said. “To find out more about what is appropriate and what isn’t, talk with the disability community.”
Arnoff, too, reinforced the need for understanding and awareness, saying, “It’s important that we don’t beat ourselves up for what we did in the past and rather learn from it to be different in the future. It is critical we do this by listening ... It is not our job to change or fix [them] but rather to learn about what makes them who they are, so we can see what makes them amazing.”
The conference is only one event on ThinkDifferently’s very active calendar. Upcoming happenings include a sensory-sensitive performance of “The Nutcracker” on Friday, Dec. 13, the Dance Forever/Rhythm Works hip-hop dance program for young people of varying abilities on Saturday mornings, twice-monthly workshops on applying for social security disability programs and a retreat in mid-January for neurodiverse young adults. For more information, visit www.thinkdifferently.net.
Martin Tandler
"What I really feel lucky about is having had the chance to meet and photograph so many people who had a real impact on our lives,” said Christopher Little whose new memoir, “Shooting the Breeze: Memories of a Photojournalist” was just released. The book is as eclectic and colorful as the man himself and offers an intimate look into Little’s globe-trotting career spent behind the lens, capturing some of the most iconic figures, events, and human stories of the past half-century.
In 2021, the Dolph Briscoe Center for American History at The University of Texas acquired Little’s photographic archive.
“I had two young women who spent three months in my basement cataloging this stuff,” said Little. “So, while they were working, I was scanning as much as I could for this book.” After the three months, Little described that a “big blue truck” came to take away his 371,574 images which are now a permanent addition to the Briscoe Center’s internationally significant photojournalism collection. “It’s very bittersweet,” shared Little. “It was literally a life’s work driving away, but I’m so glad to have it there. And I’m in good company.”
Little has always kept good company; his career is a testament to a charmed life and relentless curiosity. Born and raised in Manhattan, Little’s father was a journalist with The New York Herald Tribune writing a five-day-a-week column covering the theater. His mother was a playwright, and the couple often had famous people to their apartment.
Little’s father was beloved and dropping his name not only helped open doors early on but put his subjects at ease. “He taught me a lot about journalism and the basic idea that I should look for another angle.”
This “other angle” is what makes Little’s photographs so evocative—he’s able to capture an entire story in a static image. “There’s a picture by Nat Fein, a really famous picture,” said Little about one of his early influences. “It was the first sports photograph to ever win the Pulitzer Prize. It’s a picture of Babe Ruth on his last day at Yankee Stadium and it’s shot from behind. It’s always stayed with me.”
Little studied psychology at Yale, another element that seems to have guided him to a deeper understand of his subjects. It was while he was still a student at Yale that Little began working for Newsweek. “I was at Yale from ’67 to ’71 and the campus was one news story after another with the student movement, the Bobby Seale (co-founder of the Black Panter Party) trial, and all that. So, I’d photograph stuff and then I’d get on my motorcycle and drive to New York. I had a loose relationship with Newsweek and I would give them my film, they’d process it, and if they liked something, they’d buy it. And then they started giving me assignments.” After college, he worked for Time Magazine and by 25, he was working with People magazine, beginning a 21-year stint during which he shot more than 350 assignments.
“The early days were incredible,” Little recalled. “I couldn’t have been a freelance journalist now. It almost doesn’t exist.” From covering the Watergate hearings for Time magazine to serving as official photographer for the Aga Khan and working with William F. Buckley Jr. on bestselling sailing memoirs, Little’s assignments brought him into the orbit of world leaders, celebrities, and everyday heroes. His work has been published in Life, Time, Newsweek, The New York Times, Vanity Fair, Esquire, GQ, and Architectural Digest, to name a few. Little’s work also went beyond famous faces. Some of his favorite assignments were stories about “ordinary people doing extraordinary things,” such as the first million-dollar lottery winner whose life fell apart under the weight of sudden wealth. “It was heartbreaking to witness,” he said.
The self-designed book, laid out in Adobe InDesign, gave Little the creative freedom he craved. “Nobody told me what to do,” he said. The cover, a playful collage, mirrors the book’s non-linear structure and personal touch.
Beyond photography, Little has led a vibrant life. A father and grandfather, he recently retired from serving as an EMT in Norfolk, Connecticut, after tearing his rotator cuff. “It seemed like a good time to retire,” he said. He spends his time now with his wife Betsy and takes digital photographs in the woods with his dog, Ruby.
Reflecting on his multifaceted career, Little shared, “I have no regrets and no bitterness. It’s a great luxury to look at it all from afar.”
With “Shooting the Breeze,” Little has ensured future generations can explore the remarkable life and work of a photojournalist who truly captured the world.
To purchase a copy of “Shooting the Breeze” visit: www.christopherlittle.com
“Cold Spring, NY” depicts life in a notable Hudson River town with a rich history and much natural beauty.
According to Alissa Malnati, co-creator of the new coffee table tome, “Cold Spring, NY”, after twenty-five years in the urban jungle, it was time to go in search of a cure for the angst which, for some, can come with metropolitan living. “My husband and I were soul sick,” explained Malnati of the couple’s move to Cold Spring, a Hudson River town located in leafy Putnam County. “We were seeking restoration and quiet, and to be in nature, away from the hustle and bustle of the city.”
The time was right for a move in 2021. The Malnatis relocated from busy Brooklyn to a tranquil mountaintop abode which allowed them to decompress without the intrusion of cell phones and ceaseless city noise. With the shift to the Hudson Valley, Alissa, a writer and fashion executive, and her husband, Will, a podcaster and television producer, found the peace they were searching for in Cold Spring, a semi-rural town known for its boutiques, antique shops, and world-class hiking trails.
While modern Cold Spring offers an array of unique independent retailers as well as specialty restaurants and coffeehouses, it is also a destination point for nature-lovers and an historical town.
Many of its current and decaying sites have been documented in “Cold Spring, NY”, coauthored and co-photographed by both Alissa and Will. It served as the home of the West Point Foundry – now enshrined as the West Point Foundry Preserve – which produced artillery for the U.S. government starting in 1818, and it also became known for its Parrott rifles during the Civil War. The town was once visited by Abraham Lincoln back in 1862. In 1970, as part of an effort to raise environmental awareness through the Clearwater Organization, Pete Seeger’s boat, the Clearwater, was once docked at Cold Spring during a music festival at which Seeger performed. Cold Spring remains actively committed to preserving its small-town character, its waters and historic sites. The Putnam History Museum is also located in Cold Spring.
“We never intended for it to be a book,” the couple explained of the process that came about very organically. “At first, it was just photographs that we framed, then photographs that became photo albums, and eventually we decided to print it into a coffee table book.”
Their collaboration proved to be a very positive one which brought them closer. “We loved working on this together and hope that we are able to do more as a duo,” Alissa said, noting that future shared projects along the same lines as “Cold Spring, NY” are already being explored by the couple.
“Cold Spring, NY”, which contains over one hundred pages of vivid black-and-white photography, highlights the town’s very active Main Street as well as its Hudson riverfront, local mountainous terrain, nearby woodland wonders, and sites of antiquated interest.
“There is much beauty in the town that no matter where we were, there was a photo to take.”
While the Malnatis captured as many historical and modern sites as possible for the book, there was an omission of a more recent occurrence. “There was one photo we didn’t take that haunts us to this day,” Alissa recounted. “There was a massive rainstorm in the summer of 2023 and the streets of Cold Spring were flooded. The stairs that take you underneath the railroad from Main St. were alsocompletely submerged in about ten feet of water that had accumulated below. It was like a scene from a movie, and, unfortunately, we were in such shock that we didn’t think to grab the photo.”
Among the photographs they were able to capture, Will Malnati’s preference is for the Bannerman Castle snaps on pages 23-24. Said Will, “The Bannerman Castle shots are a favorite – how much history it has and how beautiful it is up close. People don’t travel there very often or at all, so it was special to see it from the base of it. I also love the human portraits – so much character and love in each of them.” Alissa is most enthusiastic about the photo on page 31 titled “Optical Illusion”, saying, “You can flip the photo upside down and it would look the same, unless you are present with the photo and notice a small ripple in the water.“
The Cold Spring experience proved so refreshing for the Malnatis that while they eventually had to return to Brooklyn, they felt very strongly about leaving a parting gift for their adopted community in the form of the book. They’re also hoping they can eventually return to the community again someday on a more permanent basis. And while some Cold Spring residents prefer for the town to remain a hidden gem of the Hudson Valley, the Malnatis have a different take. Said Alissa, “Cold Spring is a special town and like anything special, it’s difficult for it to remain a secret for too long.”
