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.”
NORTH EAST — Habitat for Humanity of Dutchess County will conduct a presentation on Thursday, May 9 on buying a three-bedroom affordable home to be built in the Town of North East.
The presentation will be held at the NorthEast-Millerton Library Annex at 5:30 p.m.
Any first-time home buyer interested should attend the information session.
The application for this pilot program home-buying opportunity must be made between May 1 and June 10.Minimum household income for the pilot program is $55,000 while maximum income is determined by family size.
Applications are available at the North East Town Hall.Habitat for Humanity describes itself as a nonprofit with global reach, working across the United States and in approximately 70 countries.
‘Migration Collage' by ransome
If you claim a single sobriquet as your artistic moniker, you’re already in a club with some big names, from Zendaya to Beyoncé to the mysterious Banksy. At Geary, the contemporary art gallery in Millerton founded by New Yorkers Jack Geary and Dolly Bross Geary, a new installation and painting exhibition titled “The Bitter and the Sweet” showcases the work of the artist known only as ransome — all lowercase, like the nom de plume of the late Black American social critic bell hooks.
Currently based in Rhinebeck, N.Y., ransome’s work looks farther South and farther back — to The Great Migration, when Jim Crow laws, racial segregation, and the public violence of lynching paved the way for over six million Black Americans to seek haven in northern cities, particularly New York urban areas, like Brooklyn and Baltimore. The Great Migration took place from the turn of the 20th century up through the 1970s, and ransome’s own life is a reflection of the final wave — born in North Carolina, he found a new home in his youth in New Jersey.
‘Square Quilting painting' by ransomeAlexander Wilburn
Map fragments of North Carolina feature heavily in a large collection of eight-by-eight collage and acrylic paintings, sold individually but together mounted on Geary’s wall resembling the stitched patterns on quilts, like the quilts by the late Black American artist Arlonzia Pettway. Along with artists like Annie Mae Young and Mary Lee Bendolph, Pettway was a renowned artist associated with the quilts of Gee’s Bend, generations of women in the town of Gee’s Bend, Alabama who preserved African American culture in beautiful and vibrant textile art with bold combinations of stripes, textures and colors. The influence is also wonderfully clear in ransome large-scale collages and acrylic paintings like “Square Quilt painting” on display at Geary. It’s a powerful symbol of Gee’s Bend’s legacy continuing on, even under a new artistic medium.
In the smaller works, called “Migration Collages,” painted portraits are combined with pieces of floral and pastel paper, evocative of the tradition of “Sunday Best” splendor worn in Black churches in the South. “The women elders at my Baptist church often greeted each other that way on Sunday mornings when one hat was more elaborate, colorful, or wider brimmed than another,” New York Times veteran Lena Williams wrote in her 1996 essay, “In Defense of the Church Hat.” “It was traditional to put on one’s newest finery for church, and in many historically black churches, the wearing of fancy hats by women carried both spiritual and cultural significance.”
“The Bitter and the Sweet” is on view at Geary through Sunday, June 2.
Hospitality, ease of living and just plain fun are rolled into one for those who are intrigued by the leisure-time Caravana experience at the family-owned Four Brothers Drive-in in Amenia. Tom Stefanopoulos, pictured above, highlights fun possibilities offered by Hotel Caravana.
The month-long process of unwrapping and preparing the various features at the Four Brothers Drive-In is nearing completion, and the imaginative recreational destination will be ready to open for the season on Friday, May 10.
The drive-in theater is already open, as is the Snack Shack, and the rest of the recreational features are activating one by one, soon to be offering maximum fun for the whole family.
Tom Stefanopoulos, the second generation helping to guide the Stefanopoulos family’s recreational complex, brings a deep understanding of hospitality and business sense in support of the multi-faceted enterprise, begun in the 1970s, that is now a mainstay of the town of Amenia, located on a corner in the heart of the commercial district. He paused for an interview on Friday, April 26.
Two luxury camping trailers, each with an attached wooden deck and fire pit, make up Hotel Caravana, and each offers a different fun vibe, Stefanopoulos explained. The larger of the two, offers a California lifestyle, retro to 1967, although its modern where it should be. It can sleep four.
The smaller Caravana sleeps two and offers a lifestyle of the future dating to about 2041. It’s a brand-new Airstream, Stefanopoulos noted. It also has an attached deck with firepit.
“We get a lot of New York City people,” Stefanopoulos said when asked what sorts of people are apt to be attracted to Hotel Caravana. “They want to experience the upstate life,” he added. The idea of sitting out on the deck while watching an actual drive-in movie appeals to them, as does room service offered by the restaurant.
The lobster rolls prepared by the Snack Shack, are served on brioche hot dog rolls, either Maine-style or Connecticut-style, and the lobster can be topped with caviar. Four Brothers version is praised by customers for the generous portion of lobster in each, and the price is competitive.
Caravana guests may book for a single night, or maybe two, or even longer, taking advantage of the bicycles to pedal along the nearby rail trail, a local amenity, Stefanopoulos noted.
“We make our guests feel like movie stars,” Stefanopoulos said of the hospitality. And, if they like miniature golf, it is just a few steps away from their Caravana deck.
Asked how and why the Caravana idea began, Stefanopoulos recalled that as the drive-in theater grew in popularity, people were traveling from greater distances away. The last film of the night might start at midnight, he said, so the idea grew that Four Brothers might be able to offer an accommodation to stay the night.
In addition to Caravana, Four Brothers offers an alternative of two or three tent camping sites.
Future plans may include a third Caravana, Stefanopoulos said. Also, there is a giant mastodon skeleton, presently in storage, that should be on display, he said.
“It’s pretty big,” Stefanopoulos added.
The playground might be enlarged in the coming seasons, and perhaps an old-fashioned arcade added for retro amusement.
The community that surrounds Four Brothers remains important to the Stefanopoulos family as they offer substantial summer employment opportunity. Stefanopoulos said that a goal is to contract locally for business needs, such as musical entertainment and advertising. The drive-in also schedules occasion fundraisers to benefit local organizations, including the Amenia Fire Company and area schools.
If you’ve been thinking that you have a constitutional right to happiness, you would be wrong about that. All the Constitution says is that if you are alive and free (and that is apparently enough for many, or no one would be crossing our borders), you do also have a right to take a shot at finding happiness. The actual pursuit of that is up to you, though.
But how do you get there? On a less elevated platform than that provided by the founding fathers I read, years ago, an interview with Mary Kay Ash, the founder of Mary Kay Cosmetics. Her company, based on Avon and Tupperware models, was very successful. But to be happy, she offered,, you need three things: 1) someone to love; 2) work you enjoy; and 3) something to look forward to.
Like a lot of advice — to lose weight, for example, eat less and exercise, that’s one I’ve heard a few times — this is deceptively and falsely simple. It’s pretty hard, really, to be lucky enough to enjoy your work day in/day out. And given divorce rates, it seems that someone to love can be a bit scarce on the ground, too, and so this category may need to be expanded to include whatever else you might be able to love. The last condition — something pleasing on the horizon— is, perhaps the one most able to be made to happen. Vacations on the high end, looking out the window or a good night’s sleep on the low.
What Mary Kay failed to mention is how very difficult it is to have all three of these things working for you at the same time. It’s tough. So best not to think about that too much, but instead just close our eyes and focus on what might be possible. Small small, that’s the ticket.
Based on what makes some days better for me, and on what is realistic, here’s a suggestion for a low key approach to adding an attainable, achievable something to look forward to to your life. If there’s one thing I don’t look forward to, it’s having to face an evening of standing at the sink and the stove at the end of a long day. Fast food and take-out fortunes have been made by people who figured out how to capitalize on this, to the detriment of neighborhood bank accounts everywhere. Much better to plan ahead, bothering in advance to fix something that’s good and ready to eat at the end of the day, so that all that’s needed is a quick heating up. Look at it as one step taken on the road to a happier few moments as shadows lengthen at the end of the afternoon. Works for me. Well, along with a toast to those who are with us, and to those who are not.
This recipe can be put together from items you may already have on hand. You might want to give it a try, it’s simple and good.
This stew, though served hot, is light, and fine for this still between-seasons time of year.
And, happily, you will find it to be easy and economical. If you are feeling pinched these days, you can leave out the fish and add more beans. In that case, you might want to add fish stock cubes instead of the vegetable stock cubes specified, for a bit of extra flavor. You can, of course, use fresh fish instead of frozen, but that defeats the convenience of having a pantry-available meal. Regardless, and by the way, this is more than good enough to serve to a table of friends, if you choose to do that, and no one, including the cook, will feel hard done by. Or, if it’s just you or a few at the table, make a potful, dip out what you need for a meal, and heat it in the microwave for a few minutes. Keep the rest for an easy tomorrow, it keeps well.
8-10 servings
2 or 3 TB olive oil. A neutral oil is fine. I use Berio.
2 TB unsalted butter
2 sticks celery, halved lengthwise and very finely sliced, just a bit more than paper thin
Some celery leaves from the center of the bunch, rinsed and dried
4 medium shallots, peeled and quartered, OR 1 medium onion—red or yellow—roughly chopped
4 or 5 garlic cloves (small to medium), peeled and very finely sliced. And no, it won’t taste too garlicky: it isn’t smashed or pressed, which intensifies that.
1 1/2 tsp. fennel seeds
A bunch of parsley, washed and dried. You will use the stems for the stew, the leaves for garnish. You want about 3/4 cup finely chopped parsley leaves. Medium chop the stems, 1/4” to 1/3” long.
1/2 c. dry white wine. I used what remained of a bottle; it may have been a bit more than half a cup, and had been sitting in the fridge for several weeks.
2 28-oz.cans of peeled plum tomatoes. I use Cento, and you needn’t buy the more expensive San Marzanos. With my washed hands, I take the tomatoes out of the can one by one and put them in a bowl, having removed the stem end and any stringy bits hanging from it, and any overlooked pieces of skin. Check the remaining tomato liquid for random bits of skin, too, before adding it to the bowl. All of these are indigestible, basically, and removing them improves the end product. But if you don’t care about that, just dump in the can as is. The tomatoes will need to be broken up a bit as you stir, with a wooden or silicone spatula.
One 15.5-oz. can of small white beans, rinsed and drained; Roman, flageolet, navy. I buy Goya.
One 15.5-oz. can of larger white beans, rinsed and drained. Butter beans are good, cannellini would do, too. Again, Goya.
2 cubes of vegetable stock. Mince these into small pieces before adding, they’ll dissolve more quickly.
Two pounds of frozen fish, thawed, rinsed, and cut into largish pieces, as they will break apart when cooking. Use a flaky fish, not a meaty one. I used one package of cod, and one of bay scallops, both bought on sale, which were in my freezer. The scallops (and by the way, in the past bay scallops were considered a delicacy compared to sea scallops, and were much more expensive; the reverse is true now, go figure) were very good, but all cod would be fine, too. If you’re not using fish, rinse and drain another can of beans, add that, see if one additional can is enough. This is not a thick stew, it should be a somewhat thinner, soupyish one. Add another can if you think it might be a good idea. The beans will swell as they cook, and will thicken the broth a bit; so if you’re uncertain, be conservative. You can always add more beans later.
Lemon wedges to serve, with Maldon salt and freshly ground pepper, and hot pepper flakes or oil
Melt the oil and butter in a large pan (a six or seven-quart Dutch oven, for example) over low heat. Add the celery, shallots, fennel seeds, and chopped parsley stems, with a pinch of salt. Cook slowly, stirring frequently, until the shallots and celery are very soft, but not browned at all. When they are nearly soft, add the garlic slices, being careful not to let them burn, and cook to soften. Raise the heat to medium, add the wine and let it simmer for 3 or 4 minutes, and then add the tomatoes, beans, and chopped vegetable stock cubes, which will dissolve. Add a cup of water, if things look too thick. Bring to a boil, turn down the heat, and simmer for about half an hour, stirring periodically.
Add the fish pieces, nestled into the top of the stew. Reduce the heat to low. Cover the pot and let this cook for about ten minutes, no more, until the fish is opaque and flaking. If you are using bay scallops, add them later, cook only 3 to 4 minutes. Once the fish is cooked, you can stir it in.
This should be prepared several hours ahead, so that the beans have mellowed and the seeds have softened. If serving the same day, I leave the base on the stove, covered, and reheat it slowly at dinner time. In that case, don’t add the fish until the base is hot, shortly before you’re serving it. If you have leftovers, keep the casserole in the refrigerator, and dip out and reheat only what you will need at that time.
Wrap the chopped parsley and celery leaves in waxed paper, wrap that in a damp paper towel, and wrap that loosely in plastic wrap. This will keep for several days in the refrigerator, and should be sprinkled over the stew. Serve with lemon wedges, etc., as above, along with some good bread. If you aren’t serving this to a crowd, you will have some easy evenings ahead, with very little to clean up. Cheers!
Sun all day, Rain all night? A friend once told me he’d had a perfect childhood, and this evocative short description of it was the only one offered. So peaceful and simple, and a guide.
Pamela Osborne lives in Salisbury.
