Opponents of Med-Care cite long-term debt plan
By Terry Karkos
,
Staff Writer
Monday, May 5, 2008
RUMFORD - Opposition to Med-Care Ambulance Service's second 10-year extension to its 1988 agreement with its 11-member towns continues to stream out of Andover and Rumford.
Last month, a majority of town meeting voters in Andover rejected the contract but formed a committee to gather options for ambulance coverage for a special town meeting revote.
Rumford selectmen have publicly opposed Med-Care's $2 million ambulance barn expansion project. Med-Care's directors OK'd the project in September.
Rumford voters, however, won't decide the contract issue until a June referendum.
"I'll be damned if I'll commit the taxpayers of Rumford to 30 or 40 years unless the taxpayers themselves vote for it. Then, I'd go along with it," Rumford Selectman J. Arthur Boivin said regarding Med-Care's funding option of taking out a 30- to 40-year federal loan to pay for the new station and land.
"I do feel they want to build the Taj Mahal. There are other options, but Med-Care seems to have tunnel vision. I will not support the 10-year interlocal agreement and that Taj Mahal either. But, if the taxpayers say yes, then I won't have a problem," Boivin said.
Rumford Selectman Mark Belanger opposes the expansion project and the interlocal renewal.
"I've had no trouble with Med-Care in its performance, but the interlocal agreement is flawed because only a few people on the board right now have the ability to tie the hands of all 11 towns by putting us in debt for a long period of time," Belanger said.
"The building's a sticky issue," Rumford Selectman Brad Adley agreed.
"In my opinion, Med-Care's level of service is awesome. I'd hate to see us lose that. We've got a good thing with Med-Care. ... I see their regionalization as one of the really good things we've got going."
Adley said the Med-Care issue must become the Rumford board's No. 1 issue to resolve. "What happens on June 11 if our citizens vote it down? We need to straighten this out. It's there. We need it. It works. It's pretty critical for us," Adley said.
Many people in Andover also object to the loan commitment and want a shorter extension.
"The town voted not to renew the interlocal agreement, and it's not because we dislike Med-Care or the service it provides," Wayne Delano of Andover said.
Med-Care Director of Operations and Chief of Service Dean Milligan of Peru and Med-Care Board of Directors President Steve Brown of Carthage said the federal loan is just an option that hasn't been finalized.
"Losing it is not a deal breaker for the project, but the biggest negative of that is that if we turn down the loan, then it's all on the taxpayers," Milligan said.
Neither Delano or former Andover Selectman David Percival want Andover to incur a multi-year debt which, they say, their children or grandchildren would be stuck paying.
"We're very satisfied with the service, but the town doesn't feel we want to enter a 30- to 40-year commitment for the building," Delano said.
"I was not aware of the interlocal agreement in the past until this came to a head," Percival said.
"I don't see why they have to make the towns commit for such a long period of time. There is no mechanism in place with which to cap anything. Whatever they spend, you pay. The whole overall picture doesn't seem to make efficient economic sense to me."
Like Belanger, newly-elected Andover Selectman Susan Merrow objects to the expansion project and the contract extension.
"The interlocal agreement was written 20 years ago when Med-Care was a brand new young organization, and now they're a mature organization and that agreement needs to reflect that maturity," Merrow said.
She wants to see checks and balances inserted into the agreement that would prevent Med-Care board members - all of whom are representatives of the individual towns excepting two Rumford Hospital officials - from "having free rein" on monetary matters that would drive taxes up.
She, Delano and Percival also said they didn't like learning at a March 18 meeting with Milligan after Andover rejected the contract, that Andover would be financially obligated to pay Med-Care $16,000 of debt owed by Andover people who've used the service but not paid their bills.
Additionally, Milligan told them Andover could lose $50,000 worth of its 20-year share of assets in Med-Care, the town's first-responder program, and two ambulances kept in Andover. They would also have to pay $188,000, or its share of the 30-year debt that Med-Care would incur by taking out a loan to fund the expansion project even though that loan has yet to happen.
"Those threats really turned people off. For Dean to walk around saying we're on the hook for something didn't sit well," Merrow said.
"What's unfortunate is that Andover wants an ambulance service, and most of the people want Med-Care, but they can't ram something down people's throats and that's what they're doing," Delano said.
Delano also objected to statements Milligan made in a lengthy letter to the editor in a recent edition of the Rumford Falls Times.
"Dean said, 'In closing, please understand that the interlocal agreement vote is for the continued ownership and delivery of your medical services and not a vote on the facility.' He's telling a half truth. He is right that it's not a vote for the building, but if you vote on the interlocal agreement, you've just given up all of your rights. The Med-Care board has already decided they're building the building regardless of what anybody thinks.
"We're hoping that some of the other towns like Rumford will see through this ruse, turn it down and force them to negotiate," Delano said. |
CLICK HERE To Show/Hide Discussion Thread - (12 Comments)
Comments
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Posted By:Debtof$2.2Mil at May 5, 2008 6:42 AM (Suggest Removal) This is just wrong. They are planning on buying something 4 times the value or more of the company! Dean has said its worth almost a million, but add it up. It just doesn't make sense. My guess is that its worth $500K tops. If Med-Care was listening, they would have gotten together and rethought this. They hadn't even met since Andover voted no, don't you thing they might have called a special meeting in the face of that issue?
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Posted By:Ernest at May 5, 2008 7:14 AM (Suggest Removal) How many unit's does Med-Care have? How many people are on duty at any one time? I'm an outsider that has been watching this issue for some time. Over 2 million to house 6(?) units at 3(?) crews at any given time seems a bit pricey to me. I realize thre has to be offices and other incidentals however We are talking about a garage for the units to sit in and a place for the crews to rest and sleep in, not a vacation paradise. Just my $.02 worth and probablt worth a lot less than that.
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Posted By:Alli at May 5, 2008 11:56 AM (Suggest Removal) Yes, a garage for the units to sit in. Those very costly units that need to be kept warm so the equipment inside doesen't freeze or get too hot, and they need to be protected from the enviroment so they will last longer. And yes to housing 3 crews right now, but remember people, this station has longevity built in and over time more crews will be needed to serve the needs of the fine River Valley as the baby boomers are getting older and call volume increases. It is not a vacation paradise either, it is a comfortable place to take a break in and perform the duties that are not necessarily seen outside of the station doors. There is alot more to EMS than you may think. And to "Debtof$2.2Mil" Just the ambulances alone are worth well over the "$500K tops" you stated. It's clear you don't know what you are talking about. Maybe you should get your facts together before publishing false statements. That is my $.02 worth also...
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Posted By:tax payer at May 5, 2008 2:31 PM (Suggest Removal) As Rumford and the River Valley populations increases with new industry and commerce we will then ... And as new families and business move to our area then we will...
Reality check please - we are not getting bigger, older yes. What we are doing is making an argument to "pay a tax subsidy" for Medcare to do "non-emergency transportation" from CMMC Rumford to CMMC Lewiston. The Medcare growth is based on non ambulance service calls. Their growth is for non emergency transports - read the Inter-local amendment and see what you are being asked to pay for. Wow.
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Posted By:Facts at May 5, 2008 3:04 PM (Suggest Removal) Question: Are the threats only coming from one side? Or are both sides making them?
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Posted By:Steve at May 5, 2008 7:49 PM (Suggest Removal) I hope the folks of Rumford don't believe this Milligan guy. There are very good options out there and they will be well taken care of. Really there are other ambulances ready to move into Rumford.
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Posted By:Alli R at May 5, 2008 7:55 PM (Suggest Removal) Yes, some of the the Medcare growth is due to an increasing amount of non-emergency transfers, for the CITIZENS OF THE RIVER VALLEY! And how do you think they got to the ER for them to be transferred out in the first place??? Rumford Hospital can only hold so many patients, so in order for them to get more patients in, they need to get more patients out... and have you ever heard the saying "Mainecare doesn't pay for taxi rides"? So how do you suppose Rumford Hospital gets those patients out who need care above what RCH can provide??? Hmmm, this is not a trick question here people... yea, that's right, they use Medcare. They bring them in, they bring them out. If you think that other EMS services are ready to come in and save the day you are sadly mistaken. Northstar can't keep their act together long enough to keep their system running. United management has already said no. Bethel and Tri-Town already have their hands full at their own level. PACE will cost WAY more as we've already seen with the Andover deal, and knowing the guy who runs it, you'll be lucky if he keeps trucks in the area and doesn't have them respond from the Norway area. Lets see, who else is there... Oh yea, maybe Buckfield or even Turner? Yea, don't think so... you are getting a great deal and all you want to do is piss and moan about it because that's what Rumfordians do. You really don't know what you are talking about, maybe you should learn a little more about the system you are criticizing so much.
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Posted By:T at May 5, 2008 9:07 PM (Suggest Removal) "Really there are other ambulances ready to move into Rumford."...Name one.
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Posted By:trisomethingelse at May 6, 2008 5:40 AM (Suggest Removal) So Allison Ross, at least I assume that is who you are. Lets sum up what you have said: North Star, Bethel, Tri-Town, Pace, & United all bad. Med-Care good. You speak like you are so well versed on this topic. Do you work for any of these services? Perhaps have family that does? Could you elaborate on what you know about each service and enlighten us all?
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Posted By:Read it Right at May 6, 2008 5:52 AM (Suggest Removal) trisomethingelse, I don't think I saw anywhere is the comment post that said those services were bad. As far as putting a name to the screen name, be careful. That has caused problems in the past. Unless you are willing to put your own name up there.
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Posted By:norway resident at May 6, 2008 12:52 PM (Suggest Removal) Alli, did you realize why PACE could cost so much more then medcare? Oh yeh that's right, when you call 911 and Pace comes you are GUARRENTEED a paramedic on any truck that goes out. Maybe Bethel and Tri-town can't do it, because they are busy handling their response area AND getting called to cover for medcares area. hmmm maybe you need to think before slamming two services who cover you when YOU (as in medcare) need help covering your response area.
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Posted By:you fools at May 6, 2008 3:04 PM (Suggest Removal) Med-Care has also helped cover Tri-Town and Bethel Rescue. Med-Care aso sends paramedics to Andover. The reason PACE made such a high bid is because that is what it would cost them to staff just one truck to cover the area. ONE TRUCK. That is a business decision on their part. They figured the cost and made a bid. Same coverage. Not greedy. Just a business decision.
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