Housing report

This report is for the whole Greater Boston area, and has good news for the demand for any housing that gets built at the former Medfield State Hospital site.  There is pent up demand, especially for small units suitable for one to two people, which are perfect for housing either millenials or seniors.  This matches precisely what the speaker from the Smart Growth Alliance told the Medfield State Hospital Master Planning Committee about a year and a half ago – build small units of 900-1,000 sq. ft. and those units will suit either group.

20170615-Senior Housing Study Committee-draft report

2017 HousingReportCard(1)

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Senior Housing Study Committee Report

Given the meeting about senior housing this Thursday, people may want to see the Senior Housing Study Committee Report via the link below.

20170615-Senior Housing Study Committee-draft report

Medfield Board of Selectman 459 Main Street Medfield, MA 02052 Re: Senior Housing Study Draft Report Dear Medfield Board of Selectman: June 15, 2017 The Medfield Senior Housing Study Committee hereby submits its Draft Report for your consideration and comment. Our Committee has quantified the growing senior 50+ population in Town, collected Senior home assessments and income, conducted a Medfield Senior Housing Survey, evaluated the financial aspects of selling and buying Senior friendly housing, and made recommendations to address what we see as a major housing issue among Medfield Seniors. Our Senior Housing Survey shows that a significant majority of Medfield Seniors have lived in Town for over 30 years and have a very strong attachment to friends and neighbors built up over the years. fu addition Medfield Seniors overwhelmingly wish to stay in Medfield if they can find reasonably priced - $300,000 to $450,000 and appropriate Senior housing. Over two thirds of Seniors we surveyed envision a condominium or single family as their next home. Our recommendations focus on solutions that can expediently make these wishes come true. While we see little opportunity for Seniors through the State's 40b Affordable Housing program, we suggest developing a 40b variant - Local fuitiative Project (LIP). To accomplish this LIP we suggest that we follow a recommendation of the recently completed Housing Production Plan (HPP). This involves the Town placing Town owned land such as Lot 1 and 3 off Ice House Rd. near the Senior Center into the recently created Affordable Housing Trust. The LIP project would be specifically for 55+ ranch style or apartment housing. We perceive that by making all or a portion of this land available in a LIP project appropriate Senior housing could be developed with price points between $300,000 to $450,000. Please do not to distribute this Draft beyond those for whom it was intended until the Committee is satisfied that it is ready to be distributed as a Final Report. Very truly yours The Medfield Senior Housing Study Committee ~~ Tony Centore, Chair

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BoS Senior housing meeting 12/7

TOWN OF MEDFIELD MEETING NOTICE I POSTED: TOWN CLERK fOWJJ ·r'lf:U.i'ttu I u MEDFIELD. NASS POSTED IN ACCORDANCE WITH THE PROVISIONS OF M.G.L. cliaftrRJN3JfjE

Disturbing medical news

From Medpage Today

https://www.medpagetoday.com/blogs/revolutionandrevelation/69125

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Who Actually Is Reviewing All Those Preauthorization Requests?

Milton Packer thinks you should know how the system works

  • by Milton Packer MD

Several months ago, I was invited to give a presentation about heart failure to a group of physicians who meet every month for a lunch meeting.

Don’t worry. No company sponsored the talk, and I did not receive any payment. I accepted the invitation, because it seemed like to good thing to do.

However, the audience was a bit unusual for me. Among the 25 physicians in the room, nearly all were in their 70s and 80s. All were retired, and none were actively involved in patient care. I guess that explains why they had time in the middle of the day for an hour-long presentation.

I gave my talk, but there were no questions.

I had a few moments afterwards to speak to my audience. Since the physicians were not involved in patient care, I wondered why they wanted to hear a talk about new advances in heart failure.

The response surprised me: “We no longer care for patients, but we care about what’s going on. You see, most of us are employed by insurance companies to do preauthorization for drugs and medical procedures.”

My jaw dropped: “I just gave a talk about new drugs for heart failure. Are you responsible for preauthorizing their use for individual patients?” The answer was yes.

I was really curious now. “So did I say anything today that was helpful? I talked about many new treatments. Did I say anything that you might use to inform your preauthorization responsibilities?”

Their answer hit me hard. “Oh, we’ve heard about those drugs before. We’re asked to approve their use for patients all the time. But we don’t approve most of the requests. Nearly all of them are outside of the guidelines that we are given.”

I stammered. “I just showed you evidence that these new drugs and devices make a real positive difference in people’s lives. People who get them feel better and live longer.”

The physicians agreed. “Yes, you were very convincing. But the drugs are too expensive. So we typically reject requests, at least the first time. We figure that, if doctors are really serious, then they should be willing to make the request again and again.”

I was astonished. “If the drugs will help people, how can you say no?”

Then I got the answer I did not expect. “You see, if it weren’t for us, the system would go broke. Every time we say yes, healthcare becomes more expensive, and that isn’t a good thing. So when we say no, we are keeping the system in balance. Our job is to save our system of healthcare.”

I responded quickly. “But you are not saving our healthcare system. You are simply making money for the company that you work for. And patients aren’t getting the drugs that they need.”

One physician looked at me as if I were from a different planet. “You really don’t understand, do you? If we approve expensive drugs, then the system goes broke. Then no one gets healthcare.”

Before I had a chance to respond, he continued: “Plus, if I approve too many expensive drugs, I won’t get my bonus at the end of the month. So giving out too many approvals wouldn’t be a smart thing for me to do. Would it?”

I walked out of the room slowly. Although I had been invited to share my knowledge, it turned out that — this time — I was the real student.

The physicians in the audience taught me a valuable lesson. And amazingly, none of them showed a single slide.

Packer has recently consulted for Amgen, Boehringer Ingelhim, Cardiorentis and Sanofi. He was one of the two co-principal investigators for the PARADIGM-HF trial (sacubitril/valsartan) and currently chairs the Executive Committee for the EMPEROR trial program (empagliflozin).

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ConCom letter to MDEP re LCB

The second page of this letter did not scan as part of the meeting materials posted last week.

Medfield Conservation Commission Town Hall · 459 Main Street · Medfield, Massachusetts 02052-2009 (508) 906-3028 · Fax (508) 359-6182 · lwillitts@medlield.net November 28, 2017 Denise Child Massachusetts Department of Environmental Protection 8 New Bond Street Worcester, MA 01606 Re: Medfield LCB Senior Living Project, 561-563A Main Street, Medfield, MA DEP File No. 214-0635 Dear Ms. Child: I write on behalf of the Medfield Conservation Commission ("Commission") regarding the !September 13, 2017 letter from Massachusetts Historical Commission ("Mass Historical") regarding the referenced proposed Project. Mass Historical determined that the Project will have an i'adverse effect" on the Peak House, Clark Tavern, and Main Street Area through the inuloduction of visual elements that are out of character with and will alter the setting of a state Re~ister Property. Mass Historical indicates that it will be consulting with the MassDEP, the Applicant and the Medfield Historical Commission to explore alternatives that would eliminate, :rn:hlimize or mitigate the proposed Project's adverse effect of the visual impacts. The Commission shares the concerns of Mass Historical in addition to its concerns about the Project's impacts to the protected interests discussed below. The Commission would like to participate in ; ' these discussions as they relate to a proposed Project within its jUrisdiction. The Commission denied the proposed Project concluding that the Applicant failed to rebut the presumption that Vme Brook is perennial pursuantto 310 CMR 10.58(2)(a)l.a .. Approximately half of the Project is within Riverfront of Vine Brook and the Applicant failed to ovyrcome the presumption that the area is significant to protected interests. As a result, the PrJject fails to comply with the general performance standards at 310 CMR 10.58(4). The r Applicant filed a request with MassDEP for a Superceding Order of Conditions which the Cmpmission opposes. See attached February 3, 2017 letter addressed to Marielle Stone's attention from the Commission's Special Environmental Counsel. Given the size of Applicant's parcel, approximately 13.78 acres, adjusting the footprint loc~tion and or size of the facility footprint CQuld eliminate, minimize· or mitigate the adverse visya1 impacts identified by Mass Historical, as well as the unacceptable impacts to the wetlands resburces that resulted in the Commission's denial. Any adjustments of Applicant's plan should alsq comply with the wetland bylaw and ensure protection of the vernal pool in the Project area. i Th~ Commission requests the opportunity to discuss any proposals and to review and comment on any plans submitted by Applicant. The Commission reserves all rights and by its i participation does rrotwaive any rights, responsibilities or defenses. Please let me know at your earliest convenience how the Commission may further participate in these efforts. s£~ l;. p ~/'~ Ralph A. Parmigiane, Chairman Enclosure Cc: Brona Simon, Mass Historical Commission · Medfield Historic Commission /Medfield Board of Selectmen Mark G. Cerel, Medfield Town Counsel Margaret R. Stolfa, Medfield Special Environmental Counsel20171128-ConCom-ltr to MDEP-LCB_ConComletter_Page_2

Holiday Parade

20171202-Holiday Parade-selectmen

Photo courtesy of Pam Donner.

 

I clearly need to wear sun glasses!

 

Holiday parade

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Best,
Pete
Osler L. Peterson, attorney at Law
PETERSON | Law
580 Washington Street
Newton, MA 02458-1416
T. 617.969.1500
F.. 617.663.6088
M. 508.359.9190

66 North Street, PO Box 358
Medfield, MA 02052-0358

Osler.Peterson@OslerPeterson.com

Sent from my phone, so please excuse typos.