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Newport event on smart cities and the Fourth Industrial Revolution

Street lamps in Amsterdam have been upgraded to allow municipal councils to dim the lights based on pedestrian use.

Street lamps in Amsterdam have been upgraded to allow municipal councils to dim the lights based on pedestrian use.

From Llewellyn King, long-time contributor to New England Diary and host of White House Chronicle, on PBS

Dear Friends,


I will be speaking about smart cities and the Fourth Industrial Revolution at The Pell Center, Salve Regina University, Newport, RI, at 10 a.m. on Friday, April 5.

There is no charge, and refreshments will be served before the lecture. You are most welcome to bring a guest/s.

Here is the registration link, please feel free to share it:

https://www.eventbrite.com/e/smart-cities-gateway-to-the-fourth-industrial-revolution-tickets-57413347869

The Pell Center for International Relations and Public Policy building, in a former Gilded Age mansion.

The Pell Center for International Relations and Public Policy building, in a former Gilded Age mansion.



I would be honored and delighted if you would attend.


Cheers,


Llewellyn

Executive Producer and Host

White House Chronicle, on PBS;

Columnist, InsideSources Syndicate;

Commentator, SiriusXM Radio;

Founder/Host, ME/CFS Alert on YouTube

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Larry Ellison High School?

Larry Ellison’s Beechwood estate, in Newport.

Larry Ellison’s Beechwood estate, in Newport.

From Robert Whitcomb’s “Digital Diary,’’ in GoLocal24.com

Jim Gillis of the Newport Daily News created a bit of a flap in his Feb. 14 column, headlined “Spare Change: Here’s an idea for moneybags Larry Ellison’’. Mr. Gillis was responding to news that the Oracle mogul Ellison, ranked the fifth-richest person in America, with a fortune of over $62 billion, has bought a fourth estate in the City by the Sea, this one called Seacliff. His most important Newport property is the old Astor estate called Beechwood, on which he’s spent $100 million to turn it into an art museum.

Mr. Gillis suggests -- partly in jest? -- that a better use of Mr. Ellison’s money would be for him to spend $120 million to build a new high school to replace Newport’s aging Rogers High School. He writes:

“Heck, lots of multi-billionaires own mansions. How many build their own schools? Sure, the city would operate the place. All you need do is bankroll construction. Hey, maybe other local celebrity rich folk like Jay Leno and Judge Judy might chip in a few shekels.

“The high school has been named for William S. Rogers since before any of us were alive, predating the current location.

“We love tradition here. But for $120 million, I suppose Larry Ellison High School sounds pretty good.’’

To read Mr. Gillis’s column, please hit this link:

https://www.newportri.com/news/20190214/spare-change-heres-idea-for-moneybags-larry-ellison

Well, Larry Ellison and other new and long-entrenched Newport celebrities do pay lots of property taxes. And, God bless ‘em, the three folks whom Mr. Gillis mentioned at least made made their own money rather than being the beneficiaries of inheritance (what the late, crude Providence Mayor Vincent Cianci called “the lucky sperm club’’). And they can spend their money any damn way they want.

But wouldn’t it be nice if more very rich people contributed to public services rather than seeming to want to wrap themselves more tightly in glamour and prestige by giving money to, say, already rich museums and private colleges?

For example, MarketWatch reported that “20 colleges {most of them elite private institutions} that received the most money in donations during the last fiscal year accounted for about 28% of the total $46.73 billion donated to universities during that period. They serve just 1.6% of the nation’s 19.9 million undergraduate students. That’s based on an analysis of the annual Voluntary Support for Education survey, published by the Council for Advancement and Support of Education, a membership association for professionals working in development, alumni relations and related fields for educational institutions.’’

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Drawing out emotions

“In Trouble’’ (drawing), by David Andrews, in his show “David Andrews: Feelings of…’’ at the Augusta Savage Gallery, at UMass Amherst, through March 28. The drawings are said to confront rage, fear and confusion with hope, forgiveness and liberation.

“In Trouble’’ (drawing), by David Andrews, in his show “David Andrews: Feelings of…’’ at the Augusta Savage Gallery, at UMass Amherst, through March 28. The drawings are said to confront rage, fear and confusion with hope, forgiveness and liberation.

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25 'healthy food' groups get grants

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From The New England Council (newenglandcouncil.com)

Harvard Pilgrim Health Care has awarded 25 ‘‘healthy food’’ nonprofit organizations with grants to support their programs. The Harvard Pilgrim Health Care Foundation, which issued the grants, has awarded nearly $620,000 to groups in Connecticut, Maine, Massachusetts and New Hampshire.

In 2016, Harvard Pilgrim Health Care Foundation launched the Healthy Food Fund program, and has since awarded grants totaling $4.6 million across New England. These funds support volunteer-based community food programs that bring fresh, local food to low-income families. These organizations include Gardening the Community, Healthy Acadia, New Hampshire Food Bank, and New Haven Farms.

Karen Voci, president of Harvard Pilgrim Health Care Foundation, outlined, “Our goal for this next phase of the Harvard Pilgrim Healthy Food Fund is to mobilize the energy of local community members and corporate volunteers to grow, glean and provide more free, fresh produce for low-income families across New England, creating a movement of ‘neighbors feeding neighbors.’’’

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Former adviser to British Royal Family and scholar of the sociology of what led to Brexit will speak at March 14 PCFR

British Royal Family Coat of Arms.

British Royal Family Coat of Arms.

Mark your calendars for some exciting upcoming talks at the Providence Committee on Foreign Relations (thepcfr.org; pcfremail@gmail.com). Consult thepcfr.org for information on how to join the organization and other information about the organization.

Our speaker on Thursday, March 14, will be Miguel Head, now a fellow at Harvard’s Shorenstein Center. He spent the past decade as a senior adviser to the British Royal Family. He joined the Royal Household as Press Secretary to Prince William and Prince Harry before being appointed in 2012 as their youngest ever Chief of Staff.

Previously, Mr. Head was Chief Press Officer at the UK Ministry of Defense, and worked for the Liberal Democrat party in the European Parliament. While at the Shorenstein Center, Mr. Head is doing research into how social inequalities in Britain are fomenting the politics of division (which helped lead to the Brexit vote) and how non-political leadership, working collaboratively with traditional and digital media, can play a role in bringing disparate communities together. At the PCFR, he’ll talk about those things as well comment on the past and current role of the Royal Family, and, indeed, life with the Royals.

xxx

At the Thursday, April 4 ,Providence Committee on Foreign Relations (thepcfr.org) dinner, James Nealon, the former U.S. ambassador to Honduras, will talk about Central America in general and Honduras in particular, with a focus on the conditions leading so many people there to try to flee to the United States – and what the U.S. can and should do about it.

A career Foreign Service officer, Nealon held posts in Canada, Uruguay, Hungary, Spain, and Chile before assuming his post as Ambassador to Honduras in August 2014; Nealon also served as the deputy of John F. Kelly, while Kelly was in charge of the United States Southern Command.

After leaving his ambassadorship in 2017, Nealon was appointed assistant secretary for international engagement at the Department of Homeland Security by Kelly in July. During his time as assistant secretary, Nealon supported a policy of deploying Homeland Security agents abroad. He resigned his post on Feb. 8, 2018, due to his disagreements with the immigration policy of Donald Trump, and, specifically, the withdrawal of temporary protected status for Hondurans.

xxx

Then, on Wednesday, April 10, the speaker will be Prof. James Green, who will talk about the political and economic forces that have led to the election of Brazil’s new right-wing president, Jair Bolsonaro – and hazard some guesses on what might happen next.

Professor Green is the Carlos Manuel de Céspedes Professor of Latin American History, director of Brown’s Brazil Initiative, Distinguished Visiting Professor (Professor Amit) at Hebrew University, in Jerusalem, and the Executive Director of the Brazilian Studies Association (BRASA), which is now housed at the Watson Institute at Brown.

Green served as the director of the Center for Latin American and Caribbean Studies at Brown University from 2005 to 2008. He was president of the Brazilian Studies Association (BRASA) from 2002 until 2004, and president of the New England Council on Latin American Studies (NECLAS) in 2008 and 2009.

Speakers for May and June will be announced soon.

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Work ethic

‘‘Well, while I'm here, I'll do the work’’ (ALEPH) (acrylic/rag paper), by Tasha Robbins. (Photo by James Stark.) This is in her show “Malachim, Coming Out of Darkness,’’ at the Hampden Gallery at University of Massachusetts at Amherst.The gallery s…

‘‘Well, while I'm here, I'll do the work’’ (ALEPH) (acrylic/rag paper), by Tasha Robbins. (Photo by James Stark.) This is in her show Malachim, Coming Out of Darkness,’’ at the Hampden Gallery at University of Massachusetts at Amherst.

The gallery says that Robbins's work is “an abecedarian adventure in paint and a personal meditation on the letters of the Hebrew Alphabet.’’

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Review of the mid-term elections in New England

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From The New England Journal of Higher Education, a service of The England Board of Higher Education (nebhe.org)

Editor’s Note: New England and the nation have long suffered from an underrepresentation of women and people of color in higher elected offices. In the 2018 midterms, that began to change. Below, Carolyn Morwick, director of government and community relations at NEBHE and former director of the Caucus of New England State Legislatures, takes a state-by-state look at New England elections and some key issues. Also see From the Corner Office: New England Governors Budgets and Turning Points: Reflections on What the Historic 2018 Midterm Elections Could Mean for New England and Electing a Reflection of America. — John O. Harney

Connecticut

Four of Connecticut’s five U.S. House members easily won re-election in their respective districts, while voters in Connecticut’s 5th congressional district elected Jahana Hayes, a 2016 “Teacher of the Year” award recipient to replace Elizabeth Esty who resigned last year. Hayes is the first African-American to represent Connecticut in the U.S. House. A native of Waterbury, she enrolled at Naugatuck Valley Community College, earned her four-year degree at Southern Connecticut State University and eventually her masters’ and advanced degrees from the University of Saint Joseph and University of Bridgeport while working to support her young family.

U.S. Sen. Chris Murphy, a Democrat, easily won his second six-year term.

Under Connecticut law, there is no term limit on the office of governor. Outgoing Gov. Dannel Malloy was eligible to run for a third term but chose not to. Malloy will be succeeded by Democrat Ned Lamont who edged out Republican Robert Stefanowski by 40,000 votes.

In the Connecticut General Assembly, the balance of power has shifted slightly with House Democrats gaining seats in the November elections. Democrats control the House with a 92-59 margin. In the Senate, Democrats now have a 23-13 majority. House and Senate leaders are in agreement that the agenda for 2019 will likely address paid family medical leave, an increase in the minimum wage and implementing tolls including a proposal by Lamont to impose a toll on out-of-state trucks.

In other election news, William Tong became the first Asian-American elected to serve as attorney general. Tong is a native of Connecticut, born to Chinese immigrant parents. He served in the Connecticut House and was House chair of the Judiciary Committee. He is the first Asian-American elected to a statewide office.

Democrat Shawn Wooden was elected state treasurer. He will replace Denise Napier who served for 20 years in that post. Wooden is a partner in the law firm of Pitney Day and heads the firm’s public pension plan investment practice.

In the Legislature, the Senate re-elected Martin Looney as Senate president and Bob Duff as Senate majority leader, while the House re-elected Rep. Joseph Aresmowicz speaker and Rep. Matthew Ritter as House majority leader. Republicans re-elected Len Fasano the post of Senate minority leader and House Republicans chose Rep. Themis Klarides as House minority leader

Connecticut voters approved two amendments to the state constitution by wide margins. In Connecticut, the only way voters can ask the state to do something is by amending the state constitution. One amendment would create a transportation “lockbox,” which would protect funds for highway and mass transit. The other amendment would protect public lands.

Maine

In Maine’s 1st congressional district, Democratic Rep. Chellie Pingree easily won re-election with 59% of the vote. In the 2nd congressional district, Jared Golden, also a Democrat, won a very close race. For the first time in Maine, “rank choice voting” determined the outcome of this election, giving the edge to Golden.

So far, Maine is the only state in the U.S. to use rank choice voting. If one candidate receives an outright majority of the votes, he or she wins. Ranked choice voting lets voters rank their choices based on individual preference. First choices are counted, and if no candidate has a majority of the vote, an “instant runoff” occurs in which the candidate with the least support is eliminated. Voters that picked the eliminated candidate as their first choice have their vote counted for their next choice. In a three-person race, the winner is the candidate with the majority of support in the final round of tabulation. In a race with more than three candidates, the process is repeated until one candidate has a majority.

U.S. Sen. Angus King, an Independent, won re-election with 54% of the vote.

Former Attorney General Janet Mills defeated Republican Shawn Moody to become Maine’s first woman governor with 51% of the vote. In addition, Democrats swept both branches of the Maine state Legislature. A record 60 women will now serve in the 151-member House of Representatives.

Lawmakers re-elected Rep. Sara Gideon to a second term as speaker of the House. Rep. Matt Moonen was elected House Majority Leader and Rep. Kathleen Dillingham was elected House Minority Leader. In the Senate, where Democrats now outnumber Republicans 21 to 14, Troy Jackson was elected Senate president with Sen. Nate Libby chosen to be majority leader. Sen. Dana Dow was elected to be Senate minority leader.

With a new Democratic governor in place, Jackson and Gideon are optimistic about bipartisan support for rural broadband network initiatives, finding ways to allow local communities to pursue a local option sales tax and increasing ways to work together on the opioid crisis. Jackson is interested in addressing student debt reform by establishing incentives for out-of-state students to attend one of Maine’s public higher education institutions. Students would receive student debt relief by staying in Maine and becoming part of Maine’s workforce.

Jackson would also like to see a Medicaid buy-in option to provide low-income Mainers with access to affordable health care. He also wants to build a prescription drug importation plan to give Mainers and local pharmacies the ability to purchase

Among ballot questions, Maine voters defeated a question to adopt payroll and non-wage income taxes for home care program initiative.

Voters passed a wastewater infrastructure bond issue for $30 million general obligation bonds, a transportation bond issue for $106 million in general obligation bonds, a University of Maine System bond issue for $49 million in general obligation bonds for construction and remodeling of existing and new facilities within the University of Maine System, and a Maine Community College System bond issue for $15 million renovation and expansion of instructional laboratories, information technology infrastructure, and heating and ventilating systems at Maine’s seven community colleges.

Massachusetts

While all members of the Massachusetts delegation to the U.S. House easily won re-election, the big news was the election of the first African-American from Massachusetts to serve in the U.S. House of Representatives. In the September primary election, Ayanna Pressley, a Democrat and former member of the Boston City Council, defeated long-time Democratic Congressman Michael Capuano of Somerville. Next year will be the first time that Massachusetts will send three women to the U.S. House of Representatives.

U.S. Sen. Elizabeth Warren, a Democrat, cruised to a big win with 60% of the vote, defeating Republican state Rep. Geoff Diehl. Warren also declared herself a candidate for the 2020 presidential election, along with another New Englander, Independent U.S. Sen. Bernie Sanders of Vermont.

Voters gave Gov. Charlie Baker the nod for a second term by a margin of 67% in defeating his Democratic challenger, Jay Gonzalez, former secretary of administration and finance to former Gov. Deval Patrick.

The Massachusetts Legislature continues to have a supermajority with Democrats in control. Women made some gains in the midterm elections and hold 29% or 57 of the 200 seats in the House and Senate. Prior to the November election, members of the Massachusetts state Senate elected Democratic Sen. Karen Spilka to be Senate president. Robert DeLeo was re-elected House speaker.

Massachusetts voters defeated a question to change patient-to-nurse limits. Voters approved a question establishing a 15-member citizens’ commission to advocate for certain amendments to the U.S. Constitution regarding political spending and corporate personhood and approved a question prohibiting discrimination based on gender identity in public places.

New Hampshire

In New Hampshire’s 2nd congressional district, Rep. Annie Kuster easily won re-election for a fourth term with 55% of the vote. In the 1st congressional district, voters elected their first LGBTQ representative, Democrat Christopher Pappas, who beat Republican Eddie Edwards 54% to 45%. Pappas replaces Carol Shea Porter who decided not to seek re-election. He formerly served three terms as an executive councilor.

Despite the strong showing of Democrats in down-ballot races, Republican Gov. Chris Sununu was easily re-elected for a second term, besting state Sen. Molly Kelly, 52% to 45%.

In addition to the Blue wave that upended the majority in both the House and Senate, the race that generated the most interest was the election of secretary of state. Bill Gardner eventually won his 22nd term in office by just four votes. Both Gardner and his opponent, Colin Van Ostern, are Democrats. Van Ostern, a former gubernatorial candidate, ran a campaign based on modernizing the Secretary of State’s Office. The nation’s longest secretary of state, Gardner will begin his 42nd year overseeing New Hampshire elections.

Democrats swept out Republicans in the House and Senate. Democrats hold a 233 to 167 majority. Rep. Steve Shurtleff was elected to be the new speaker. Rep. Douglas Ley is the new house majority leader and Rep. Dick Hinch is the new house minority leader. In the Senate where Democrats now have a 14-10 majority, Sen. Donna Soucy was chosen to be the new Senate president. Sen. Dan Feltes was elected Senate majority leader and former Senate President Chuck Morse was chosen as the new Senate minority leader.

Shurtleff’s top priority as speaker is the opioid crisis. His other priorities include aid for school construction, preventing downshifting to local property taxpayers and strengthening the state’s mental health system. He also says he wants to work with the governor on passing a paid family medical leave bill.

Senate President Soucy’s priorities are part of her “Opportunity Agenda” which includes property tax relief, mental health, behavioral health, the opioid crisis and making sure people have the skills they need. She also mentioned a state version of pre-existing conditions, a new bill for paid family leave and a Senate redistricting bill.

New Hampshire voters approved a question, authorizing residents to sue their state, county or local governments, including their school boards, and another authorizing individuals to live free from governmental intrusion regarding private or personal information.

Rhode Island.

Democratic U.S. Sen. Sheldon Whitehouse won a third term, beating back a challenge from Republican Robert Flanders. Both Democratic congressmen, David Cicilline and James Langevin, won their re-election bids. Cicilline holds among the highest positions on the Democrats leadership team.

Gov. Gina Raimondo easily won re-election with a decisive 53% of the vote. She beat her opponent Cranston Mayor Alan Fung for the second time with a well-organized get-out-the- vote effort. She is also the new chair of the Democratic Governors Association for 2019. Her leadership was key in establishing tuition-free access at Rhode Island Community College.

In the Rhode Island General Assembly, Democrats picked up four more seats in the House while the Senate essentially stayed the same. Speaker Nicholas Mattiello was re-elected speaker and Sen. Dominick Ruggerio was re-elected as Senate president. Peter Neronha, a former U.S. attorney in Rhode Island, is the new attorney general.

Rhode Island voters approved a school buildings bond measure.

Vermont

The state’s sole member of Congress, U.S. Democratic Rep. Peter Welch, also coasted to victory. Independent U.S. Sen. Sanders easily won re-election for another six-year year term.

In the race for governor, Phil Scott earned a second term, beating Democratic challenger Christine Halquist, who became the first transgender woman to win the primary.

Despite Scott’s win, Republicans in the Vermont General Assembly took a big hit. They lost 10 seats in the House and, as a result, lost their ability to uphold the governor’s veto. Republicans now have 43 seats in the House, while Democrats and Progressives hold 102 seats. In the Senate where Democrats and Progressives already held a big majority, they now hold 24 of the 30 seats.

The veto-proof majorities of Democrats and Progressives in both branches bode well for their legislative agenda, which includes paid family medical leave, a $15 minimum wage and funding for clean-water projects. Up for debate will be forced mergers in Vermont’s school districts and a pro-choice amendment to the state constitution and establishing a state cannabis market.

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Exhaustion

“Guardian’’ (ceramic), by Kyungmin Park, in the show “Ceramic Sculpture Culture,’’ at the Heftler Visiting Artist Gallery, at Endicott College, Beverly, Mass. through May 24.

“Guardian’’ (ceramic), by Kyungmin Park, in the show “Ceramic Sculpture Culture,’’ at the Heftler Visiting Artist Gallery, at Endicott College, Beverly, Mass. through May 24.

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David Warsh: Pelosi might be Democrats' strongest presidential candidate in 2020

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SOMERVILLE, Mass.

The Mueller report seems ready to take over the headlines for the next month or so. However much we learn of whatever it contains, the special counsel’s report is a distraction from the main event on America’s calendar, which is the 2020 election.

President Trump’s war on the FBI will be an issue for many years to come, whether or not he is re-elected. But the path of events going forward, including the incumbent’s decision whether or not to run again, depends above all on who the Democrats nominate to run against him.

The Washington Post’s quarterly list of the top 15 Democratic presidential candidates, published Saturday was not encouraging, at least to those who consider Trump’s presidency to have been a disaster. Reporter Aaron Blake ranked Sen. Kamala Harris first among contenders, Sen. Bernie Sanders second, Sen. Elizabeth Warren third, Sen. Cory Booker fourth, former Vice President Joe Biden fifth and former Congressman Beto O’Rourke sixth.

Former New York City Mayor Michael Bloomberg ranked tenth; Hillary Clinton, who has not said whether she is running or not, ranked eleventh.

The list thus contains seven young and/or inexperienced legislators, four of them women; two governors, Gov. Jay Inslee, of Washington (ranked thirteenth), and former Gov. Terry McAuliffe, of Virginia (fourteenth); and four elderly veterans – Biden, Bloomberg, Clinton and Sanders.

So it seems a good time to point out that the Democrats have a candidate who has already beaten Trump once, and who. leading their ticket, would almost certainly thrash him again.

House Speaker Nancy Pelosi is not on The Post’s list. Maybe the political pros know more than I do. Only those close to Pelosi can gauge her stamina. Were she to run and win, she would be, at 80, the oldest president ever elected, and unlikely to serve more than a single term. That in itself might be a virtue, in that it would give voters four years to assess the current crop of hopefuls.

The conventional wisdom seems to be that the Democratic nominee will have to stand toe to toe with Trump and punch it out. Lingering over Trump’s El Paso rally the other week, Wall Street Journal columnist Daniel Henninger described what he saw as “political performance art at a high level.” He concluded, “Progressives and their media affiliates can produce all the Trump fear and loathing they want. If their candidate can’t hold a stage with him, they won’t win.” Pelosi, who has little to prove, could run a front porch campaign.

As a candidate, Pelosi would represent a more businesslike future. She would also represent the durable past – Congress’s 75-year record of legislative achievement in cooperation with the executive branch, for one thing. The long ascent of women to positions of great responsibility, always against long odds, for another. For all the talk of new social programs costing hundreds of billions, the two most pressing items on the domestic agenda are to shore up Social Security and tackle health insurance once again. An experienced consensus-builder could lay the groundwork for both.

Pelosi’s single biggest asset as a candidate would be that her campaign would be the least divisive. She wouldn’t need to dismiss the concerns of Trump voters. with questions of border security, she could embrace many of his positions and put them in perspective. Nobody is going to be able to intone the fateful sentence for a second time – “our long national nightmare is over.” Pelosi, better than anyone else, could at least begin the healing.

It may not happen. Clearly the country is ready for a new generation. Might voters delay the turning of the page for four years in exchange for a pattern-setting woman president? This much seems clear: a back-room deal wouldn’t be possible once the primaries have begun. The possibility of Pelosi’s candidacy should undergo a careful thinking over at the highest levels of the Democratic Party, whatever that means, and in the press.

David Warsh, a veteran columnist and an economic historian, is proprietor of economicprincipals.com, where this essay first ran. He’s based in Somerville.

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Tim Faulkner: Deal between fishermen and Vineyard Wind nears completion

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From ecoRI News (ecori.org)

A deal between fishermen and Vineyard Wind is nearly approved, but the revised agreement won’t give fishermen much more than what was originally offered by the developer.

Lanny Dellinger, chairman of the Fishermen’s Advisory Board (FAB), and Grover Fugate, executive director of the Rhode Island Coastal Resources Management Council (CRMC), admitted that Vineyard Wind had the leverage in negotiations and that agreeing to a slightly improved compensation offer is better than no deal at all.

“Just open your eyes and see what you are up against,” Dellinger told the fishermen crowded in a hotel banquet hall on Feb. 23. “That’s the bottom line. That's what we had to weigh and look at as a group. There is no choice here.”

Dellinger explained that federal agencies such as the National Oceanic and Atmospheric Administration, nongovernmental organizations, and environmental groups were pushing for the approval of the Vineyard Wind project.

“It’s this (fishing) industry against the world,” Dellinger said.

Fugate elaborated, saying that President Trump accelerated the approval process for energy development so that decisions on proposals must be reached within a year of the filling of an environmental impact statement. All other permits must be issued within two years.

“Never been done before, but we are all scrambling to try to do this at this point,” Fugate said. “So these are the limitations that we’re operating under and why the process has not been able to go in a much more relaxed and thoughtful process. We’re under these time constraints where if we don't make these decisions they escape us.”

FAB member Chris Brown blamed the federal Bureau of Ocean Energy Management (BOEM).

“We have so much invested in our fisheries and none of that matters to BOEM,” Brown said. “They are in an inexhaustible search for the next energy source. Years ago it was ‘drill baby drill.’ Now it’s ‘spin baby spin.’ It’s the same thing. They value nothing and we have no way to rein them in.”

FAB member Mike Marchetti said much more research is needed on fisheries impacts caused by the proposed 92-square-mile wind project other planned offshore wind facilities.

“We have five more projects coming at us, at least,” Marchetti said. “You wanna talk squid? You wanna talk scallop? You wanna talk ocean quahog? We have a lot coming at us. So I think, unfortunately, this is the best we are gong to get, and we worked hard on your behalf. I have zero self-interest in this other than to keep the ship afloat for all of us.”

In the end, the six-member FAB unanimously approved a financial package that is about the same as the original $30 million offer made Jan. 16. In the new agreement some of the money will be dispersed upfront. Instead of $6.2 million paid over 30 years, a fishermen’s compensation fund will receive $2.3 million over 30 years but with a $1 million initial payout.

A second payment stream goes to a new RI Fishermen’s Future Viability Trust. In the first offer, this fund was controlled by the state and paid for fisheries-related research. The new fund will receive $2.5 million annually for five years and will be controlled by an independent board of trustees. The board and CRMC staff will determine how the money will be spent.

FAB member Rick Bellevance noted that giving the fishermen control over the money instead of the state was a big benefit, even though the amount of money might be inadequate.

“The FAB feels strongly that this agreement is not precedent setting in the way that we determine the value of the fisheries in this area,” he said.

Many of the commercial fishermen gathered at the Holiday Inn on Route 1 were displeased with the agreement. Dockside buyers of seafood felt excluded from the process and wanted compensation for the loss of squid and other seafood moving through their fish houses.

Meghan Lapp, fisheries liaison for Seafreeze Ltd., which owns four fishing boats and two processors at Davisville Pier, in North Kingstown, said the new offer was only made known two days earlier and the fishing industry needs to comment.

“There has been no public meeting that has heard public comment on the proposal that is before the FAB today,” Lapp said before Dellinger cut her off.

Dellinger told her the meeting was public but that comments would only be taken at the CRMC meeting on Feb. 26.

At that meeting, the agreement will go before the CRMC board as it decides whether the proposed 84-turbine offshore wind project is consistent with regulations. The meeting is scheduled for 6 p.m. at the University of Rhode Island Bay Campus in Narragansett.

Tim Faulkner is a journalist with ecoRI News.

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'Traced in the shadow'

A male Red-Winged Blackbird.

A male Red-Winged Blackbird.

I

Among twenty snowy mountains,
The only moving thing
Was the eye of the blackbird.

II

I was of three minds,
Like a tree
In which there are three blackbirds.

III

The blackbird whirled in the autumn winds.
It was a small part of the pantomime.

IV

A man and a woman
Are one.
A man and a woman and a blackbird
Are one.

V

I do not know which to prefer,
The beauty of inflections
Or the beauty of innuendoes,
The blackbird whistling
Or just after.

VI

Icicles filled the long window
With barbaric glass.
The shadow of the blackbird
Crossed it, to and fro.
The mood
Traced in the shadow
An indecipherable cause.

VII

O thin men of Haddam,
Why do you imagine golden birds?
Do you not see how the blackbird
Walks around the feet
Of the women about you?

VIII

I know noble accents
And lucid, inescapable rhythms;
But I know, too,
That the blackbird is involved
In what I know.

IX

When the blackbird flew out of sight,
It marked the edge
Of one of many circles.

X

At the sight of blackbirds
Flying in a green light,
Even the bawds of euphony
Would cry out sharply.

XI

He rode over Connecticut
In a glass coach.
Once, a fear pierced him,
In that he mistook
The shadow of his equipage
For blackbirds.

XII

The river is moving.
The blackbird must be flying.

XIII

It was evening all afternoon.
It was snowing
And it was going to snow.
The blackbird sat
In the cedar-limbs.

— “Thirteen Ways of Looking at a Blackbird,’’ by Wallace Stevens (1879-1955), the Hartford-based poet, lawyer and insurance executive.

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Mike Ferner: New masterpiece of a documentary film shows what war is really like

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Via OtherWords.org

Newspapers on the other side of the world are calling it “the biggest U.S. cinema event of all time.”

Critical acclaim has poured in from all corners for the BBC production They Shall Not Grow Old, a technical and emotional masterpiece on the First World War — the war Woodrow Wilson said would “make the world safe for democracy.”

The way the film brings old footage, and therefore the soldiers, to life is almost magical and powerfully moving. But because of how director Peter Jackson defined his film, a critical element is virtually invisible: the wounded.

Jackson distilled the stories of 120 veterans who spoke on some 600 hours of BBC audio tape done in the 1960s and ‘70s. His goal was to have “120 men telling a single story…what it was like being a British soldier on the Western Front.” He artfully presents it, using no narration other than the archive of BBC interviews.

But since dead men tell no tales, nor do the severely wounded often live into their 70s and 80s, the film narrows its focus to the camaraderie and adventures of young men growing up with shared experiences of tinned rations, trench life, and rats. The dead flit across the screen in graphic but limited numbers of colorized photos of corpses.

The wounded receive mute witness with brief footage of gas attacks, and a classic photo of seven British troops carrying one wounded comrade through the knee-deep mud of Passchendaele.

Jackson’s team brilliantly turned herky-jerky, silent, monochrome youths into breathing, talking, living color, with compelling stories. But because of his cinematic goal, this assured award-winner misses the depth of feeling and realism it could have projected by giving similar treatment to the agony of the wounded.

Among the neglected images that failed to benefit from Jackson’s alchemy is footage of shell-shock victims filmed at Britain’s Netley Hospital in 1917. The footage would have retained its halting, jerking properties not from erratic frame speeds, but because the young men were tormented with nerve damage.

Nor did Jackson include footage of amputee veterans exiting Queen Mary’s Workshop, dozen upon dozen upon dozen, hobbling in rapid succession.

He might’ve added one or two photos from New Zealand doctor Major Harold Gillies’ groundbreaking book Plastic Surgery of the Face, showing how red-hot shrapnel can carve bone and muscle into monstrous forms.

My own experiences revealed the side of war that Jackson left out.

Ever since nursing GIs returning from Vietnam, I’ve firmly believed that no member of Congress should be allowed to vote on war funding until working for a month in the back ward of a VA hospital.

Let them vote only after emptying urine bags, turning sallow bodies, and daubing the bed sores of formerly healthy youths who will never move on their own again. Or after offloading wounded young people from a passenger jetliner with the seats removed and four vertical rows of stretcher hooks extending all the way down both sides of the aisle.

They Shall Not Grow Old allows the reminiscences of 70-year-old veterans to breathe life into the determined, youthful images Jackson shows us on screen. In so doing, we gain a much greater appreciation of “being a British soldier on the Western Front.”

But it could also have given movie-goers a glimpse into the part of war so rarely seen. It might then have been named, They Shall Suffer Horribly and Die Before Their Time. Hardly a formula for box office success… which is perhaps why war movies never go there, and why the next generation always signs up when their leaders beat the drum.

Mike Ferner, a former president of Veterans for Peace, served as a corpsman on the neurosurgery and psychiatric wards of the Great Lakes Naval Hospital, in Chicago, during the Vietnam war. He lives in Toledo.

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Chris Powell: Hiding criminal records doesn't help ex-cons

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Most people who go to prison in Connecticut, even for a short time, will have a hard time rebuilding their lives. At best they will be considered damaged goods, necessarily inferior to job and housing applicants who have not been in prison. At worst they will be considered criminals still, since within a few years most former convicts are sent back to prison for one reason or another.

An ex-convict who can't obtain housing and a job soon upon his release is almost compelled to return to crime. So the solutions being advocated by leading liberals in the General Assembly are to conceal criminal records, at least for nonviolent offenses, and to forbid landlords from refusing to rent to former offenders solely on the basis of their criminal history.

But the problem with convicts returning to society goes far beyond the accessibility of criminal records. For most former offenders lack education and job skills and had terrible upbringings, and many suffer learning disabilities. This is why many turned to crime and especially drugs in the first place, and just as much as their criminal history, if not more so, their lack of job skills is why they are considered undesirable employees and tenants.

By contrast, anyone returning from prison after a drug conviction who nevertheless has some education and job skills -- say, an engineer, meat cutter, plumber, or computer programmer -- won't have nearly as much trouble finding a job and a home. Employers and landlords will be far more receptive with someone who has the skills to support himself by honest work.

Keeping employers and landlords ignorant of criminal records won't confer education and job skills on ex-cons. If they come out of prison no more employable than when they went in, enforcement of ignorance about their criminal records will do them little good. Even if they find an apartment, without a job paying enough to sustain it they may be back to crime and prison soon enough anyway.

So rather than demonstrate contempt for the public by enforcing ignorance of criminal records, state government should pursue several other policies with former offenders.

First, the state should repeal drug criminalization, which ensnares most young offenders and has proven futile anyway. Second, the length of criminal sentences should be tied to an offender's gaining education and job skills. And third, state government itself should provide basic jobs and rudimentary housing to former offenders as long as they can't get them on their own.

Of course the latter policy would cost some money, but then current practice -- to release prisoners without job skills and housing and watch haplessly as most go back to prison in a few years -- already is more expensive.

xxx

A REFERENDUM ON TOLLS?: Republicans suddenly have received a great opportunity to give meaning to the five special elections being held Tuesday to fill five vacant seats in the General Assembly, three in the Senate and two in the House. All the districts are so heavily Democratic that their occupants felt comfortable abandoning them soon after their re-election so they might accept appointment to executive positions by Governor Lamont.

That is, can the Republican candidates turn the elections into referendums on the governor's reversing his campaign position and endorsing general tolling on state highways?

Are even voters in Democratic districts upset enough by how fast the governor repudiated what he told them during the campaign?

Chris Powell is a columnist for the Journal Inquirer, in Manchester, Conn.


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Robert Whitcomb Robert Whitcomb

Llewellyn King: Head's up! Delivery drones are on the way.

A delivery drone.

A delivery drone.

Here a drone, there a drone. Everywhere a drone. Drones, the light ones, not the big military ones that chase bad guys around the Middle East and elsewhere, are beginning to do heavy lifting.

Consider: Packages are already being delivered by drone in Canberra, Australia’s capital. In Rwanda — unsophisticated Rwanda, known more for its genocide in 1994 — drones are delivering life in the form of emergency blood supplies. I am told the blood is dropped where it is needed in the landlocked East African country by little parachutes. In Europe, soon drones will deliver packages between Helsinki, Finland’s capital, and Tallinn, the capital of neighboring Estonia.

If you need it quickly and cheaply, call a drone. They are the new frontier of delivery.

When the new age of unmanned civilian aircraft dawned (thanks to better batteries, cheaper computer chips and, most important, good, cheap gyroscopes), the sky became the limit. The sky is big, but not that big, and it is going to become a jungle of drones.

Enter AirMap, a Santa Monica, Calif.-based company. It is working with aviation authorities all over the world to design air traffic systems for drones, which allow them free range in the most crowded airspace.

The platform offered by AirMap, according to chairman and co-founder Ben Marcus, is the system that is being incorporated into drone control systems 85 percent of the time around the world. He tells me that Switzerland is a leader in the drone regulatory interface.

Marcus talks about drones passionately, as though they are a good cause. He wants to enable more drones to fly safely. Millions of them.

The drone control system, which is under development, is like the air traffic control system that allows small private airplanes to fly along with commercial jumbo jets. AirMap is a system that has been designed to welcome all flyers, according to Marcus.

AirMap works with air management agencies, like the Federal Aviation Administration and its equivalent in other countries, to make the drone future safe and effective for all the players who would like to enter the drone market, including recreational flyers; post offices; retailers like Amazon, an early air advocate; Google, a big proponent of the automated future; and Uber, which has big plans for its role in the cities of tomorrow. Can FedEx and UPS afford to be behind?

There is scarcely anyone who delivers anything, who does not dream of the time when drones will take it to the front door, and where you will retrieve the cargo by varying methods, including taking it from a string, as is happening in Australia, according to Marcus.

Early entrants into the commercial use of drones have been electric utilities for line inspections, broadcasters for remote photography, and police departments for a variety of their work.

“That is just beginning,” Marcus told me.

Another drone company seeking to make a place for itself in the drone space, San Francisco-based Starship Technologies, promotes how clean-and-green and quiet drones are. Certainly, as they run on electric batteries, they avoid all the noise and mess of internal combustion.

Last Christmas, the world was reminded of the need for systems of control of drones around airports when Gatwick, London’s second airport, was closed for more than a day on news of the sighting of a drone.

Marcus points out that, as practical matter, aircraft deal with birds all the time and they are not subject to the kind of control — control not limitation, advocates are keen to emphasize — take the randomness out of drone flying and the use of airspace for other things.

When you buy a drone in the United States, you must register it — and more than a million are registered. Control system technology will keep track of each drone and who is responsible without the “turn left, head 130 degrees” control that aircraft have. The control systems will keep drones at safe distances and altitudes from runways, other drones and physical objects. Delivery drones will use sensors to skip over power lines and stay away from other drones on the same mission.

You do not want your new shoes tangling with a pizza, as drones bearing both head for your door.

On Twitter: @llewellynking2
Llewellyn King, based in Rhode Island and Washington, D.C., is executive producer and host of
White House Chronicle, on PBS. His email is llewellynking1@gmail.com.

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Robert Whitcomb Robert Whitcomb

Accepting imperfection and transience

“Kintsugi Plate,’’ by Christine Palamidessi, in the “Wabi-Sabi’’ show at Atlantic Works Gallery, Boston, through March 2.This exhibition features the work of Palamidessi and Bo Petran in their experiments with classic Japanese aesthetic of Wabi-Sabi…

“Kintsugi Plate,’’ by Christine Palamidessi, in the “Wabi-Sabi’’ show at Atlantic Works Gallery, Boston, through March 2.

This exhibition features the work of Palamidessi and Bo Petran in their experiments with classic Japanese aesthetic of Wabi-Sabi, which is based on an acceptance of imperfection and transience. Artscope says that Palamidessi calls the work "irregular, intimate, unpretentious, earthy, murky, [and] simple." Palamidessi's works include broken ceramic plates repaired via the Japanese art of kintsugi, and Petran has created a suspended wax-and-paper angel sculpture called "Siddhartha’’.

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Robert Whitcomb Robert Whitcomb

Bret Murray: Colleges need to turn to enterprise risk management to face demographic threats

Chapin Hall at Williams College, in Williamstown, Mass., in the Berkshires.

Chapin Hall at Williams College, in Williamstown, Mass., in the Berkshires.

From The New England Journal of Higher Education, a service of The New England Board of Higher Education (nebhe.org).

Significant demographic changes to college enrollment projected over the next decade mean that colleges and universities need to find new ways to drive down costs as they reconfigure their approach to attracting students and generating new revenue. Drawing students from the traditional, now-dwindling applicant pool who are not keen on loading up on loan debt is one of higher education’s growing challenges.

{Editor’s note: This is a particularly important issue for famously college-and-university dense New England.}

Enterprise risk management (ERM) is a process designed to identify potential events that may harm a business and minimize their potential effects by planning for them. ERM techniques should be an integral part of an institution’s plan to ensure budgets remain in line, giving colleges and universities the financial security needed to navigate this new strategy.

The changing demographic landscape

College and university budgets face a triple threat of declining enrollment, older students and an unwillingness to accept perpetually rising tuition. For the sixth year in a row, 2018 saw a decline in the number of undergraduate enrollments in the U.S. In a recent Boston Globe review, 20% of the 118 four-year, private colleges in New England have seen their enrollment drop by at least 10% over the past 20 years. That trend isn’t likely to change if institutions continue to follow the traditional high-school-to-college playbook because the number of new high school graduates is declining and the average age of students is rising.

Statisticians widely agree that the number of high school graduates will remain relatively flat and then drop significantly by 2025, due to lower birthrates sparked by the 2008 recession and Millennials starting smaller families later in life. Fewer traditional high school grads means fewer traditional college enrollments. Further, according to the most recent analysis from The Hamilton Project, almost half of all students at for-profit schools and one in five at four-year schools are over the age of 30.

Finally, price matters. Tuition has steadily risen at a rate greater than the average cost of living for decades, and the resources of the middle class have not kept up. Fewer students can afford full tuition; loan debt horror stories abound.

Ways to buffer costs

Higher education institutions, first and foremost, need to adapt and innovate to address the shifting demographics and generational changes. Many have done so by offering or increasing the number online programs that allow students flexibility and tuition savings. Some have taken advantage of better marketing techniques, especially social media, to extend their outreach to new bases of prospective students. Others have expanded the number of articulation agreements they pursue with community colleges to fill empty seats.

In addition to finding ways to combat the downward enrollment trends and balance ever-tightening budgets, ERM is another financial tool to drive down costs, ensure financial stability and protect educational quality.

Partnering with a broker who specializes in higher education insurance can help administrators reduce financial exposures through aggressive claims management, regular benefits analysis and risk mitigation through customized modeling assessments. A good client-broker relationship goes beyond simply placing insurance for a client; it also involves the client taking full advantage of the consultation resources a broker has to offer.

Aggressive claims management can lead to substantial savings for higher educational institutions—both at the individual claims level and in the aggregate. This is especially true for institutions that have a self-insured workers’ compensation program with a third-party administrator (TPA). By adding an extra set of eyes and leveraging their substantial claim-management expertise, a higher education broker can significantly affect overall claim payments and outcomes.

For example, one college was paying over $1 million per year in workers’ compensation claims. The broker recommended that the institution’s risk management department conduct quarterly claims review meetings with the TPA, excess insurer and its environment, health and safety and human resources departments. During these quarterly meetings, the broker would challenge medical treatment plans by the TPA or provider, recommend claim settlements where appropriate, and ensure the TPA was following industry best practices and the institution’s client service instructions. After a year of holding these quarterly reviews with the broker and following up between meetings, the college was able to see its claim payments drop to $850,000 and then to $800,000 the year after. Ultimately, this resulted in substantial, cumulative expense savings, funds that can be redirected back into its operating budget.

Conducting regular employee and student benefit assessments is also sound fiduciary practice. New insurance products and insurers are constantly entering this marketplace, and it is important for brokers to keep their higher education clients updated and provided with alternative quotes.

In one instance, an institution’s current broker did not put its life and disability policy out to bid and came back with a 9% renewal increase over its existing premium. This institution, obviously not happy with the result, reached out to a second broker who completed a full market review of the program and was able to come back with a premium rate 23% less than the expiring policy, with enhanced policy conditions. Had this school’s policy not been put out to bid, it would be paying 32% more for less coverage.

Not only can alternatives lead to overall benefit plan cost savings, but also better terms and conditions. When an institution is able to offer more competitive benefit plans, it increases its ability to both attract and retain good talent.

Risk-modeling assessments are an integral tool to assess the various risks and exposures that affect higher education institutions. Such assessments are a critical component of an institution’s financial decision-making process for any meaningful project or critical operation. When an institution engages a broker to perform a risk modeling analysis, it can more accurately quantify the associated risks and make informed decisions about physical risk mitigation efforts, in addition to that project’s overall insurance needs. With natural and human-made disasters on the rise, understanding and mitigating risk exposures helps prevent significant financial and business-interruption losses.

While project costs may increase to mitigate the report’s identified risk exposures, the effective long-term risk management results in savings from lower premiums, fewer disruptions and costly building improvements that would otherwise be needed post-event and over time more than validates the value of this investment.

Colleges and universities face enormous challenges in the future. The golden days of reliable enrollments from the usual places and steadily rising tuition rates are over. Institutions need to find ways to buffer costs by implementing smarter, comprehensive ERM practices. Establishing a partnership with an experienced higher education broker to create a comprehensive ERM program can reap rewards over time and help offset these intensifying headwinds.

Bret Murray is higher education practice leader at Risk Strategies.

 

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Office politics

Rent space for Rhode Island legislators here?

Rent space for Rhode Island legislators here?

From Robert Whitcomb’s “Digital Diary,’’ in GoLocal24.com

Whatever the level of retribution and reward in Rhode Island House Speaker Nicholas Mattiello’s allocation of office space for legislators, the apparent lack of adequate space in the State House is a problem. Legislators should, among other things, have places where they can talk quietly with constituents. Could the state rent some office space elsewhere during legislative sessions for this important function?

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Robert Whitcomb Robert Whitcomb

More states requiring that physicians 'co-prescribe' naloxone

A naloxone kit.

A naloxone kit.

Via Kaiser Health News

In a growing number of states, including in New England, patients who get opioids for serious pain may leave their doctors’ offices with a second prescription — for naloxone, a drug that can save their lives if they overdose on the powerful painkillers.


New state laws and regulations in California, Virginia, Arizona, Ohio, Washington, Vermont and Rhode Island require physicians to “co-prescribe” or at least offer naloxone prescriptions when prescribing opioids to patients considered at high risk of overdosing. Patients can be considered at high risk if they need a large opioid dosage, take certain other drugs or have sleep apnea or a history of addiction.

Such co-prescribing mandates are emerging as the latest tactic in a war against an epidemic of prescription and illegal opioids that has claimed hundreds of thousands of lives over the past two decades.

The Food and Drug Administration is considering whether to recommend naloxone co-prescribing nationally (an FDA subcommittee recently voted in favor), and other federal health officials already recommend it for certain patients. And the companies that make the drug are supportive of the moves. It’s not hard to see why: An FDA analysis estimated that more than 48 million additional naloxone doses would be needed if the agency officially recommended co-prescribing nationally.

Most states have limited the volume of opioids doctors can prescribe at one time and dramatically expanded access to naloxone. In California, for example, pharmacists can provide naloxone directly to consumers who are taking illegal or prescription opioids or know someone who is.

In the states with co-prescribing rules, patients aren’t required to fill their naloxone prescriptions, and those with cancer or who are in nursing homes or hospice typically are exempted.

Kristy Shepard of Haymarket, Va., was surprised to find a naloxone prescription waiting for her recently when she went to the pharmacy to pick up her opioid meds. Her first instinct was not to fill it. She did so only after the nurse in her doctor’s office pressured her to. The doctor had never talked to her about Virginia’s new co-prescribing law, she said.

“It’s so silly. I didn’t feel like I needed it. Unless I plan to hurt myself, I’m not likely to overdose,” said Shepard, 41, a registered nurse and hospital administrator who can no longer work and has applied for disability benefits.

But it may not be as difficult as some people think to overdose on prescription painkillers.

“You can take pain meds responsibly, and you can be at risk for an accidental overdose even when you’re doing everything right,” said Dr. Nathan Schlicher, an emergency medicine physician in Washington state and a member of the state hospital association’s opioid task force.

Two million Americans have an addiction to prescription painkillers, according to the FDA. And nearly 218,000 people in the U.S. died from overdosing on them from 1999 to 2017, according to the Centers for Disease Control and Prevention. During that same period, prescription opioid deaths rose fivefold, the CDC data show.

In California, doctors wrote nearly 22 million opioid prescriptions in 2017 and 1,169 people died that year from overdosing on prescription opioids. Common prescription opioids include Vicodin, OxyContin, Percocet, morphine, codeine and fentanyl.

To counter this trend, “states are scrambling for any policy lever they can find,” said Kitty Purington, senior program director at the National Academy for State Health Policy.

Even before the state mandates, pain specialists considered it good practice to prescribe naloxone along with opioid painkillers for some patients, particularly those with a history of substance abuse.

Doctor lobbying groups typically resist government rules regarding their practice, but medical associations in some states supported or at least remained neutral on naloxone co-prescribing mandates.

The companies that make the drug have spent hundreds of thousands of dollars collectively lobbying for their interests at the state level.

Kaléo, which makes the naloxone auto-injector Evzio, spent $77,200 in 2017-18 lobbying California lawmakers on bills expanding access to naloxone, including the state’s co-prescribing law, which requires doctors to offer prescriptions for naloxone to high-risk patients who get opioids.

In December, Kaléo introduced a lower-cost generic version of the injector after a Senate investigation found the company had raised the price of its branded version 600 percent from 2014 to 2017, to $4,100 for two injectors.

Adapt Pharma, which makes the naloxone nasal spray Narcan, spent $48,000to lobby California lawmakers on the co-prescribing legislation.

One advantage of the co-prescribing rules is that they foster important doctor-patient conversations about the risks of opioids, said Dr. Farshad Ahadian, medical director at the University of California San Diego Health Center for Pain Medicine.

“Most providers probably feel that it’s better for physicians to self-regulate rather than practice medicine from the seat of the legislature,” Ahadian said. “The truth is there’s been a lot of harm from opioids, a lot of addiction. It’s undeniable that we have to yield to that and to recognize that public safety is critical.”

But some doctors — not to mention patients — have reservations about the new requirements. Some physicians say it will be nearly impossible for states to enforce the mandates. Others worry that prescribing naloxone to patients who live alone is useless, because it typically must be administered by another person — ideally one who has been trained to do it.

Patients fear that naloxone prescriptions could unfairly stigmatize them as drug addicts and cause life insurers to deny them coverage.

Shepard, the disabled Virginia nurse and a mother of four, said she worries that her naloxone prescription could affect her chances of getting additional life insurance — a pressing question, she said, as her lupus worsens over time.

Katie O’Leary, a pain patient in Los Angeles, is wary of state mandates requiring doctors to prescribe the antidote naloxone along with opioid painkillers to reverse the effects of overdosing. “So many patients already jump through so many hoops to get their meds,” she says.

And a Boston-area nurse who worked at an addiction treatment program was turned down by two life insurers simply because she carried naloxone for her patients.

The decision to prescribe naloxone “is something that should be between a doctor and a patient, because every situation is unique,” said Katie O’Leary, a 31-year-old movie production company office manager who lives in Los Angeles and was diagnosed with complex regional pain syndrome about five years ago.

“So many patients already jump through so many hoops to get their meds,” O’Leary said. “And if you live alone and don’t have family or friends to take care of you, the naloxone might not be something that could actually help.”

Opioid addiction and overdoses are a complex problem, and naloxone is just one part of the solution, said Dr. Ben Bobrow, a professor of emergency medicine at the University of Arizona College of Medicine.

“In the past, pain was the fifth vital sign; we thought we were doing a bad job if we were undertreating pain,” Bobrow said. “Inadvertently, we were harming people. We ended up getting all these people hooked. Now it’s our job to help them find other [ways] of treating their pain.”


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Robert Whitcomb Robert Whitcomb

Stoned in Vermont

“The Shelf Life of Stones’’ (mixed media), by Paul Katz, in his show ‘‘Vermont Folk Sculpture: A Recent Acquisition, Works on Paper: A Decade of Collecting, and The Mind's Eye: Paintings, Sculpture, and Books by Paul Katz,’' at the Bennington Museum…

“The Shelf Life of Stones’’ (mixed media), by Paul Katz, in his show ‘‘Vermont Folk Sculpture: A Recent Acquisition, Works on Paper: A Decade of Collecting, and The Mind's Eye: Paintings, Sculpture, and Books by Paul Katz,’' at the Bennington Museum through May 27.

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