►
From YouTube: Public Health, Homelessness & Recovery on May 12, 2023
Description
Public Health, Homelessness, & Recovery Hearing- Docket #0257-Order for a hearing to discuss the need for a health center in Nubian Square.
A
And
the
lead
sponsor
counselor
Tanya,
Fernandez
Anderson
is
on
her
way
up
the
elevator.
As
we
know,
we
have
some
elevator
issues
going
on
in
City
Hall,
so
she
will
be
here
momentarily.
This
public
hearing
is
being
recorded.
It
is
being
live
streamed
at
boston.gov,
backslash,
City,
Dash,
Council,
Dash,
TV
and
broadcast
on
Xfinity
channel
8,
RCN
channel
82
and
FiOS
channel
964..
A
We
will
be
taking
public
testimony
at
the
end
of
the
hearing.
If
you
are
here
with
us
in
the
chamber,
please
sign
up
on
the
sheet
near
the
chamber.
Entrance
I
know
I
already
do
have
some
signatures
here
already
for
public
testimony,
if
you're
interested
in
testifying
virtually
please
email,
Ron,
Cobb,
boston.gov,
that's
r,
o
n
dot
c-o-b-b
at
boston.gov
for
the
link
for
all
testimony.
Please
state
your
name
in
neighborhood
or
affiliation
and
try
to
keep
your
comments
to
two
minutes.
B
B
C
Thank
you,
Madam
chair,
thank
you,
Dr
jacuzzi
for
being
here,
I
think
that
we
can
have
a
very
robust
conversation
with
the
rest
of
our
panel
panelists
Madam
chair.
If
you
don't
mind
for
us
to
bring
them
on
board,
our
panelists
are
sitting
outside
where
there
should
be
here
with
Dr
jakutu,
and
if
Dr
dukus
is
here
for
an
hour,
can
we
take
advantage
of
that
and
be
able
to
get
some
questions
answered.
A
C
But
I
think
that
the
floor
this
platform
will
be
open
to
the
conversation
to
be
able
to
discuss
what
exactly
is
the
need
and
how
we
should
shape
it
together.
The
wonderful
thing
about
government
and
being
able
to
be
on
this
platform
is
that
we
can
do
that
so
I
look
forward
to
the
conversations
I'm
not
going
to
talk
a
lot
because
I
need
to
hear
from
you
and
I.
Thank
you
so
much
for
holding
this
hearing.
Thank
you.
Council.
B
You,
madam
chair
I,
obviously
look
forward
to
the
dialogue
and
I
had
signed
on
as
a
co-sponsor,
just
knowing
the
great
benefit
and
I
say
it
all.
The
time
we
post
of
having
the
best
hospitals
a
network
of
Community
Health
centers
in
the
world
anytime,
someone
is
looking
to
propose
one
for
their
neighborhood
I
wholeheartedly
supported
I,
understand
the
benefits
that
it
provides
all
of
our
neighborhoods
to
have
access
to
great
quality
health
care.
B
It's
also
about
the
patient,
doctor-patient
relationships
and
also
you
think,
about
the
neighborhoods
and
the
communities
that
have
those
Health
Centers
and
all
of
the
spin-off
that
happens
around
them
with
the
restaurants
and
the
coffee
shops
and
the
pharmacies
Etc.
So
there's
a
tremendous
amount
of
economic
development
that
you
know
is
inspired
and
given
the
number
of
people
that
visit
those
Health
Centers
and
or
spend
their
how
to
earned
money
in
those
respective
neighborhoods.
B
So
it's
a
always
a
win-win-win,
but
interesting
I
know
that
there's
a
there
was
a
communication
here
that
talks
about
you
know
not
having
it
be:
Health
Center,
but
having
it
be
a
health
clinic.
So
I
do
have
some
questions
at
the
appropriate
time
as
to
what
does
what
is
the
difference?
I
guess.
What
does
that
mean
and
also
so
you
know:
will
they
fall
into
that
Network,
because
the
network
of
Community,
Health,
centers,
I,
think
they're
in
the
20
something
Doctor
Who?
B
B
If
you
will,
or
would
it
be
a
standalone
so
I'd
like
to
get
into
the
details
at
some
point,
but
either
way,
whether
it's
a
community
health
center
or
it's
a
community
clinic
tremendous
opportunity
for
us
all
to
collectively
get
folks
onto
Mass
health
and
or
have
their
respective
Health
Care
insurance
companies
participate
in
this
discussion
as
well.
So
we
can
get
people
to
get
a
primary
care.
B
A
D
D
Thank
you
for
calling
this
hearing
and
for
drawing
attention
to
the
health
needs
and
health
inequities
that
are
persistent
throughout
Boston.
What
I
would
like
to
do
today
is
provide
you
with
the
most
updated
newest
data
in
regards
to
a
number
of
chronic
diseases
and
key
health
indicators,
specifically
in
Roxbury,
and
to
update
you
on
some
of
the
commission's
efforts
in
Nubian
Square.
D
Just
today,
the
Boston
Public
Health
commission
released
a
series
of
health
of
Boston
reports.
You
should
have
that
press
release
in
your
email
inbox.
This
is
the
first
of
several
comprehensive
releases
that
will
occur
over
the
course
of
the
next
couple
of
months
and
it's
the
first
since
the
Advent
of
covid-19.
D
D
So
as
a
result
of
the
kova
19
pandemic,
average
life
expectancy
in
Boston
decreased
by
2.4
years.
The
pandemic
also
exacerbated
racial
and
ethnic
Health
inequities.
Latinx
residents
experienced
the
greatest
decrease
in
life
expectancy
four
years,
followed
by
black
residents
3.3
years,
followed
by
Asian
residents.
Three
years
white
residents
had
the
smallest
decrease
in
life
expectancy
1.1
years.
D
The
report
also
notes
concerning
disparities
in
life
expectancy
along
neighborhood
and
census
tract
so
census
tracts
are
smaller
subdivisions
of
neighborhoods
I'm
going
to
just
explain
why?
That's
so
important
here,
because
we
have
these
very
large
neighborhoods
across
Boston,
the
23
neighborhoods
and
oftentimes.
When
you
look
at
Health
Data,
it
gives
you
information
by
neighborhood
and
it
tends
to
sometimes
conceal
what
may
be
happening
in
smaller
areas,
so
we
have
to
zoom
in
and
get
information
by
census
track,
most
notable
when
looking
at
census.
Tract
data
are
a
number
of
facts.
D
While
this
difference
is
lower
than
previous
estimates
that
you
may
have
heard,
you
may
have
heard
that
data
dating
back
approximately
20
years
noted
a
33
year,
disparity
between
census
tracts
in
those
same
two
neighborhoods.
These
findings
indicate
that
significant
challenges
obviously
remain
to
Advance
Health
Equity
across
the
city
of
Boston
Health
inequities
in
Boston
are
also
pronounced
in
regards
to
premature
mortality.
D
That's
death
before
the
age
of
65.,
from
2017
to
2021,
black
residents
in
Boston
experienced
the
greatest
increase
in
premature
mortality,
37
percent
compared
to
other
racial
and
ethnic
groups
in
2021.
Premature
mortality
was
more
than
twice
as
high
in
Dorchester
and
in
Roxbury
neighborhoods,
with
higher
concentrations
a
black
and
latinx
residents
and
lower
median
income
compared
to
Back
Bay
Downtown
Beacon
Hill,
which
are
aggregated
together.
D
I
as
a
doctor
will
say-
and
it
I
think
it's
incredibly
important
for
us
to
acknowledge
that
health
care.
What
happens
in
our
clinics.
What
happens
in
our
wonderful
hospitals
is
incredibly
important
and
I'm
gratified
to
see
the
focus
here
on
developing
and
thinking
about
what
the
needs
are
in
terms
of
health
care
and
Health
Care
access.
But
we
need
to
keep
in
mind
that
inequity
does
not
begin
or
end
in
the
Health
Care
System.
D
We
need
to
acknowledge
that
it
is
a
collaboration
between
the
health
system
and
communities
that
ends
up
being
most
successful
in
decreasing.
These
disparities
in
life
expectancy,
because
health
and
Equity
is
actually
primarily
determined
by
social
determinants
of
Health,
not
necessarily
what
happens
in
the
health
system,
so
just
to
be
clear
for
everyone's
social
determinants
of
Health,
our
conditions
and
the
environments
in
which
we
exist.
D
These
are
factors
apart
from
Medical
Care
and
numerous
Studies
have
demonstrated
that
they
strongly
influence
health
and
we're
talking
about
socioeconomic
status,
income,
food,
ACCESS,
food
security,
Transportation
housing,
access
to
Green
spaces
spaces
that
people
feel
comfortable,
utilizing
for
exercise
and
Recreation.
These
factors
actually
really
shape
our
choices,
behaviors
and
our
health
outcomes.
D
It
is
a
historical
fact,
but
it's
also
a
current
reality.
So
it's
important
for
us
to
understand
what
the
dynamic
is.
Structural
racism
is
a
system
in
which
public
policies,
institutional
practices
and
other
Norms
perpetuate
racial
inequity.
It's
led
to
residential
segregation
around
our
city.
That
I
think
we
all
recognize
it's
really
about
resource
allocation,
who
has
more,
who
has
less
what
neighborhood
has
more?
What
neighborhood
has
less
I
think
we
all
care
about?
D
Equity
I
think
we're
all
trying
to
mitigate
these
issues
to
Advance
Health
Equity,
but
it's
important
to
understand
root
cause,
because
that
is
what
we're
seeing
the
impact
of.
As
we
look
at
some
of
these
data
regarding
Roxbury,
you
can
review
the
findings
in
more
detail
in
the
report,
but
it's
not
just
a
difference
in
life
expectancy
and
mortality
that
we're
seeing
we're
actually
seeing
differences
that
are
concerning
across
other
chronic
diseases.
For
example,
during
2017
to
2011
2021
combined,
the
percentage
of
adults
with
diabetes
was
higher
in
Roxbury
compared
to
the
rest
of
Boston.
D
Nine
percent
of
adults
were
living
with
diabetes
for
Boston
overall,
whereas
15.5
or
essentially,
16
percent
of
Roxbury
residents
are
living
with
diabetes.
That's
one
example.
The
examples
are
throughout
the
report.
I
think
we
can
also
just
comment
or
I
can
just
comment
on
some
of
the
actions
that
we're
taking.
So
obviously
Equity
is
the
core
of
what
we
do
within
the
Boston
Public
Health
commission.
Certainly
it's
what
the
city
councilors
you
all
have
also
been
working
on.
D
I
just
want
to
mention
that
we
have
been
focusing
our
efforts
on
Roxbury
as
a
neighborhood
and
specifically,
if
you
look
at
the
census,
tracts
that
I'm
talking
about
you
know,
we've
opened
up
the
the
Bruce
bowling
building
for
our
code,
19
response
that
is
an
established
standing,
vaccination
and
testing
site.
It
will
remain
a
standing
site
even
though
the
emergency
has
ended.
D
We
partner
with
Whittier
Street
Health
Center,
which
is
the
federally
qualified,
Health
Center
for
this
area.
In
a
number
of
ways.
In
Partnership,
we
developed
a
low
threshold
day
space
for
individuals
living
with
substance
use
disorder.
Our
Boston
Healthy
Start
initiative
is
there
at
Whittier
Street,
providing
Services
maternal
Health
Services
to
women.
In
addition,
back
in
2012,
when
that
First
Data
was
produced,
the
33-year
age,
Gap
Whittier
launched
the
Boston
Health
Equity
program.
D
In
addition,
you
all
know
we
have
the
aho
mobile
van,
that's
in
the
area,
our
neighborhood
trauma
team
service
Roxbury.
We
work
with
Madison
Park
High
School,
where
we
have
a
school-based
health
center,
and
certainly
that's
not
a
comprehensive
list
of
the
services
that
the
city
and
the
Boston
Public
Health
commission
provides.
So
in
closing,
I
just
wanted
to
give
you
a
brief
overview,
a
snapshot.
All
of
this
is
in
these
detailed
reports.
We
do
not
do
this
work
in
a
vacuum,
as
I
mentioned
our
some
of
our
partners.
D
Certainly
the
folks
here
at
the
table,
I
look
forward
to
hearing
what
the
community
is
presenting
here
today
and
learning
more
about
strategies
that
they
would
like
to
implement.
I
think
one
of
the
things
we
have
to
consider
that
it's
often
said
that
Boston
is
resource.
Rich,
yet
coordination
poor,
we
have
to
think
about
what
we
have
and
how
we
could
work
together
to
strengthen
systems
and
I'd
like
to
put
some
thoughts
into
that
as
we're
here
today.
A
Thank
you,
Dr
ojukutu.
We
have
been
joined
by
President
Flynn,
so
just
to
clarify.
Thank
you
for
joining
us,
the
other
panelists,
but
before
we
move
on
and
hear
from
your
important
testimony,
I
do
want
to
give
my
colleagues
a
chance
to
ask
Dr
ojokuto
any
questions.
They'd
like
before
we
move
on
to
the
next
panel.
E
A
B
You,
madam
chair,
it
was
interesting
to
hear
doctors
analysis
from
the
you
know.
The
Back
Bay
Beacon
Hill,
with
with
Roxbury
and
I've,
been
saying
it
since
I've
been
on
the
city
council,
where
actually
it's
timely,
because
we're
being
forced
via
the
federal
court
to
revisit
the
redistricting
I've
said
from
a
long
time
that
Mission
Hills,
shouldn't
necessarily
be
in
District
8,
should
either
be
in
District,
six
or
District
Seven
because
of
the
attention
and
the
focus
that
it
would
get.
B
Those
Health
Care
disparities,
but
a
lot
of
those
Health
Care
disparities
and
the
mortality
rates
that
in
life
expectancy
that
you
outlined,
get
lost
in
that
discussion
because
of
the
other
things
that
happened
within
that
District.
That
kind
of
either
overshadow
it
or
prevent
the
appropriate
attention
from
getting
it
so
I.
B
There
was
because
of
the
lack
of
attention
to
those
things
and,
if
they're
in
the
appropriate
District
of
either
six
and
seven
they'll,
get
the
attention
that
they
need
and
that
we
all
can
collectively
work
together
to
close
those
gaps
and
I've
said
it
for
a
long
time.
Not
just
because
of
the
recent
Federal
Court
decision.
The
last
redistricting
I
was
involved
with
was
around
20
years
ago
and
I
said
the
same
thing.
I
couldn't
figure
out
why
Mission
Hill
Roxbury
was
into
into
the
district
8
District.
B
So
in
light
of
that,
I'm
glad
that
my
colleagues
are
here
to
to
hear
your
presentation,
and
hopefully
our
colleagues
will
share
it
with
our
other
colleagues
who
are
not
here
to
give
them
a.
You
know
a
unique
perspective
as
it
pertains
to
the
healthcare
disparities
and
how
resources
are
redistributed
throughout
our
city
and
I.
Look
forward
to
further
discussion.
I
really
would
like
to
get
a
sense
as
to
what's
the
difference
between
a
Health,
Center
and
a
clinic
and
how
they
dovetail
Under.
B
The
Umbrella
of
our
network
of
Community
Health
centers,
which
are
very
strong
and
very
popular
and
and
how
that
would
I
guess
fall
under
the
embroidery
fall
under
the
umbrella
of
the
Boston
Public
Health
commission.
So
if
someone
could
educate
me
a
little
bit
on
Health
Center
versus
Clinic,
that
would
be
helpful.
F
They
have
a
great
relationship
South
done
in
Roxbury,
but
but
regardless
of
the
great
relationship
it
has
I.
Think
it's
the
right
thing
to
do
to
put
a
health
facility
in
Roxbury
and
I
would
do
everything
I
can
to
support
it,
including
including
advocating
for
it
in
in
the
budget
this
year
or
any
other
year.
F
So
I
don't
necessarily
have
any
questions,
but
just
want
to
say
thank
you
to
the
Council
Fernandez
Anderson
for
the
her
work
on
addressing
public
health
concerns
and
challenges
not
only
in
her
District
but
throughout
the
city,
but
also
thanking
the
public
health
Advocates
as
well.
So
thank
you,
Council
Murphy
thank.
A
A
G
Cdc's
were
emerging
in
the
city
of
Boston
and
he
was
concerned
that,
because
they
were
like
eight
or
nine
different
groupings
that
were
vying
to
become
the
CDC,
that
it
would
never
happen,
and
so
he
asked
us
to
support
him.
So
I
I
don't
want
to
get
into
the
details,
but
we
brought
the
eight
or
nine
different
entities
together
that
led
to
the
formation
of
the
NDC
Grove
Hall,
resulting
in
the
building
of
the
what
is
called
the
mecca
Mall
in
housing
in
the
area.
G
We
also
work
with
Northeastern
students
use
years
ago
to
help
them
to
save
the
John
D
O'brien
Institute
of
they
were
being
threatened
with
the
possibility
of
losing
that,
with
the
cooperation
of
the
Washington
Sewer
Commission,
we
were
able
to
send
down
a
couple
of
Trail
truckloads
of
water
to
Flint
Michigan.
We
have
our
own
building
Imani
house
on
516
Warren
Street
in
Dorchester,
which
is
our
headquarters,
but
also
it's
a
location
for
nine
units
of
housing
for
formerly
homeless,
elders
and
folks
with
mental
health
issues.
G
G
And
so
you
know,
based
on
the
momentum
of
that
piece,
the
Nubian
Square.
Well,
the
Nubian
Health
Clinic.
Quite
a
history
in
regards
to
where
that
is
right.
Now
back
in
2006,
I
was
down
in
who
was
in
called
Dudley
station,
the
busiest
Transportation
portal
in
the
state,
and
so
while
I
was
standing
there
waiting
for
a
bus.
A
couple
of
young
ladies
came
across
each
other,
who
evidently
hadn't
seen
each
other
for
quite
a
while
one
had
her
little
five-year-old
girl
with
her.
G
So
you
know
they
did
the
greetings
and
said
well
what
you
up
to
she
says.
Oh,
my
baby's
got
a
cold
and
she
said
I'm
getting
ready
to
get
on
this
bus
to
take
her
to
get
get
her
checked
and
so
I
said,
wait
a
minute.
I
said
this
is
the
busiest
Transportation
portal
in
the
state
and
the
density
of
the
population,
which
actually
was
evaluated
by
Tufts.
G
A
professor
emeritus
James
Jennings
in
terms
of
population
density
density
within
the
immediate
commercial
District
was
like
120
000
residents
in
like
a
one
one
mile
square,
one
square
mile
radius,
and
let
me
just
clarify,
there's
a
lot
of
confusion
out
here
in
terms
of
the
borders
of
Nubian
Square:
it's
not
just
the
commercial
District
itself.
Actually,
you
go
up.
G
Hampton
Street
across
Dudley
go
up
blue
hill,
make
a
right
on
Quincy,
go
across
Lauren
to
Townsend
back
over
to
Columbus
down
the
Tremont
down
the
millionaire
castle,
that's
the
actual
borders
and,
interestingly
enough,
that
encompasses
the
area
where
the
former
Roxbury
Comprehensive
Health
Center,
which
closed.
Unfortunately,
some
years
ago,
around
the
issue
of
the
difference
between
a
health
clinic
and
a
health
center,
we
were
very
centered
on
that
aspect
because
of
the
fact
that
you
know
we
have
optimum's
Corner,
Whittier,
Street,
hybrid
dimmick,
and
so
in
our
discussions.
G
So
you
know
we're
pleased
to
be
here
today
with
the
hope
that
we'll
get
the
support
from
the
city
that
we're
seeking,
along
with
the
state
from
a
funding
perspective,
and
what
I
would
like
to
do
right
now
is
to
turn
it
over
to
my
colleague
there
Mr
Matt,
Fishman
and
we'll
go
from
there.
I
appreciate
the
time.
H
E
H
It's
diabetes,
whether
it's
heart
disease,
if
we
look
down
the
corridor
that
stars
at
Roxbury
goes
down
to
Dorchester
Mattapan
is
parallel
data
right.
We
have
some
clearly
identified
challenges,
not
only
around
immediate
health
needs,
but
also
around
the
social
determinants
of
Health.
They
choose
apropos,
went
ahead
and
went
through
at
the
beginning
of
this
presentation,
so
brother
Siddiqui
mentioned
go
two
slides
over
for
me
Godfrey.
Thank
you
one
more!
Oh,
keep
going
the
other
way
opposite
direction.
H
There
we
go,
you
can
go!
You
can
go
to
the
next
one
we
could
talk.
I
can
put
them
in
the
same
place,
one
more
right
right,
brother,
right
right!
Yes,
this
is
a
wonderful
map
of
our
current
of
our
current
health
centers.
It
is
really
small
up
on
this
screen,
but
there's
a
huge
vacuum
right
in
the
heart
of
new
being
Square
when
it
comes
to
care.
H
If
you're,
a
young
person
I
have
two
young
boys
myself,
I
I've
been
working
out
of
Nubian
Square
for
what
the
past
10
years
and
I
know
that
when
I
go
and
bring
my
boys
I
can't
bring
them
to
a
health
facility
in
that
area.
When
I
go
to
the
Boston,
Public,
School,
building
or
I
go
to
just
ever.
Do
everyday
work
eat
a
Dudley
cafe
or
Soleil.
H
You
know
it'd
be
great
to
have
the
opportunity
for
our
family,
which,
as
Roxbury
residents
to
be
able
to
receive
Services
right
there
in
the
Square
without
having
a
couple
of
buses
or
or
going
out
outside
of
where's
a
quick,
quick
jaunt
to
go
ahead
and
access.
So
now
we're
going
to
go
through
next
to
the
next
slide.
H
Please
our
vision
and
the
reason
why
this
is
kind
of
pertinent
And
Timely,
is
that
as
brother
Siddiqui
said,
there
are
over
20
000
individuals
in
the
Roxbury
neighborhood
that
experience
poorer
Health
outcomes
than
the
rest
of
Boston.
Our
Nubian
health
clinic
will
focus
on
a
walk-in
health
clinic
that
will
be
owned
and
operated
by
the
black
Community
Information
Center
and
next
Slide.
The
catchment
area
will
be
exactly
0.75
miles
around
the
heart
of
Nubian
Square.
You
could
basically
map
the
bowling.
J
J
Me,
okay,
so
I'm
Matt,
Fishman
and
I'm.
The
executive
director
of
the
Equitable
care
collaborative,
which
is
a
partnership
of
Mass
General
Brigham
and
the
mass
League
of
Community
Health
centers,
so
I
have
the
Good
Fortune
to
work
for
Michael
Curry
and
for
Dr
Elsie
Tavares
at
Mass,
General
Brigham,
and
want
to
start
by
going
back
to
what
Dr
ojikutu
said.
We
are
very,
very
fortunate
to
have
extraordinary
health
centers
in
Boston,
while
there
are
gaps
as
sadiki
and
Brandon
have
been
describing.
J
The
point
of
this
work
from
the
beginning,
as
as
saidiqi
said,
was
to
offer
additional
access
in
Nubian
square.
That
would
work
closely
with
the
community
health
centers
and
just
to
give
a
little
bit
of
background
about
why
Mass
General
rigm,
previously
known
as
partners
Healthcare
is
involved
in
this,
is
that
roughly
four
years
ago,
many
years
after
sadiki
had
started
this
journey.
Elmer
Freeman,
whom
some
of
you
will
know,
is
a
long-term
Community,
Health
Advocate
from
his
base
at
Northeastern.
J
At
that
time,
having
earlier
been
the
executive
director
of
the
Whittier
Street
Health
Center,
he
convened
a
session
on
racism
and
health
and
I
was
there
to
speak
for
what
was
then
Partners
Health
Care
and
said
that
we
wanted
to
do
our
wishing
that
we
could
to
support
increased
access.
So
Elmer
introduced
me
to
sadiqi
and
sadiqi
said:
are
you
serious,
or
are
you
just
talking?
J
That
I
think
sadiki
did
a
very
good
job
of
explaining
in
very
concrete
terms
and,
frankly,
that's
what.
What
captured
me
personally
about
this
is
that
for
that
Mom,
who
maybe
has
work
responsibilities
and
is
worried
about
whether
her
daughter
can
go
to
school,
and
there
might
be
an
older
adult
in
that
family's
life
as
well.
J
That
that's
a
problem
and
it
felt
like
a
problem
that
the
the
hospitals,
I
work
for
in
collaboration
with
the
health
centers,
would
would
want
to
work
on
so
that
if
there's
a
quick
solution,
a
quick
assessment
and
a
quick
solution
that
enables
that
family
to
go
on
with
their
day.
They
can
do
that.
But
if
anything
further
is
needed
that
that's
an
immediate
or
referral
what
people
sometimes
refer
to
as
a
warm
handoff
to
a
community
health
center.
J
But
if
we're
concerned
that
there's
any
chance
that
that
this
little
girl
has
something
more
serious,
could
you
guys
fit
her
right
in
that's
what
we
mean
by
the
kind
of
collaboration
that
we
hope
would
happen
between
this
walk-in
clinic
and
the
health
centers?
Some
of
you
are
familiar
with
the
work
that
some
of
the
for-profit
pharmacy
organizations
have
done
with
these
walk-in
clinics,
but
there's
nothing
like
that.
Whatever
the
pleasures
and
minuses
of
that
for-profit
model
may
be
that's
a
different
hearing.
J
Perhaps
the
fact
that
there
is
nothing
that
you
can
walk
into,
write
anubian
square
is
where
sadiqi
focused
me
right
from
the
beginning.
So
that's
why
we
got
involved
and
happy
to
answer
questions
as
we
go
forward
about
what
you
know
anything
further
about
the
difference
between
a
a
walk-in
clinic
and
a
health
center.
But
this
is
a
very
tightly
focused.
J
J
We
recognized
that
it
might
be
helpful
to
have
some
guidance
from
people
with
expertise
on
how
you
set
something
like
this
up.
So
at
that
point,
Matt
Seeley
from
some
of
you
know,
runs
an
entity
called
a
health
law.
Advocates
was
able
to
ask
the
folks
at
ropes
and
gray
if
on
a
pro
bono
basis,
they
would
be
willing
to
help
think
about
if
something
like
this
were
to
come
to
be.
J
Is
there
a
way
to
balance
the
community
control
that
is
important
from
the
community's
perspective,
as
as
sadiki
has
explained,
and
as
Brandon
has
explained,
with
the
requirements
of
licensure,
so
you
wouldn't
necessarily
set
up
a
clinic
that
was
completely
independent.
You
would
want
to
draw
on
the
clinical
and
claims
processing,
expertise
of
other
Healthcare
organizations.
On
the
other
hand,
it's
been
clear
from
the
beginning.
That
said,
DQ
wants
this
to
be
controlled
by
the
Nubian
Square
community.
So
how,
from
a
legal
perspective,
do
you
set
that
up?
J
I
think
the
to
be
a
little
bit
more
specific,
so
that
you
all
have
this
we're
thinking
about
something
where
there
would
be
someone
who
would
greet
patients
and
understand
a
quick
version
of
what
their
needs
are
be
able
to
understand
whether
they
have
insurance
or
may
need
help
getting
Insurance,
perhaps
with
MassHealth
or
Medicaid.
Redeterminations
that
are
going
on
may
need
referral
to
maintain
insurance
coverage
that
they
have
or
perhaps
have
a
private
insurance.
J
J
So
that
there's
not
the
kind
of
weight
that
you
would
find
in
an
emergency
department,
not
the
kind
of
risk
that
you
find
by
having
to
wait
in
a
space
where
there
can
be
a
lot
of
other
people
who
have
more
serious
illnesses,
but
but
but
that
girl
and
and
and
and
her
mom,
can
get
a
quick
assessment
and
perhaps
a
prescription
or
other
guidance
and
then
be
on
their
way
or
get
the
referral
they
need
to
care.
That
would
be
more
comprehensive
at
one
of
the
community
health
centers.
J
So
that
is
the
vision
that
we
would
have.
Saidiki's
commitment
is
to
be
working
with
the
community.
What
does
the
community
think
about
what
hours
the
clinic
would
need
to
operate
so
that,
if
you
need
that
help
at
the
very
beginning
of
your
day
or
at
the
very
end
of
your
day,
you
come
home
and
you're,
not
feeling
well
or
your
your
child's,
not
feeling
well
so
that
we're
not
having
this
have
to
be
something
that
it
takes
away
time
again
from
other
important
commitments.
J
The
revenue
sources
would
be
billing,
the
insurers
that
would
be
covering
patients
with
insurance.
If
patients
don't
have
insurance,
then
there
would
be
a
commitment
to
take
care
of
them
without
that
insurance,
because
the
question
here
is:
what
help
do
you
need
and
how
can
we
help
you,
and
yet
we
need
to
pay
attention
to
bringing
the
revenue
in,
but
that
is
a
secondary
consideration.
J
You
know
that
that
your
the
revenue
that
comes
in
from
the
patient
care
is
not
going
to
fully
cover
those
expenses,
unfortunate
problem
in
the
Health
Care
System
beyond
our
scope
today,
but
we
know
that
to
be
true
from
the
beginning.
Sadiqi
has
focused
us
on
raising
philanthropic
support.
We've
had
a
little
bit
of
success
with
that.
Certainly
further
work
to
do
in
that
realm.
A
Thank
you.
So
thank
you
for
that.
It
was
very
informative.
I
think
answered
some
of
the
questions.
I
had
and
I
know.
Council
father
already
said:
I
do
know
that
Dr
ojokuto
has
a
hard
stop.
I
do
have
one
question:
Dr
jakutu
for
you,
and
you
mentioned
and
I
know
it's
true
that
many
times
people
use
our
emergency
departments
for
kind
of
check-ins.
A
I
mean
obviously
for
more
serious
things,
but
if
they
don't
have
health
insurance
or
don't
have
a
health
care
provider
or
not
already
set
up
at
a
health
center.
What
is
that
I
know?
People
talk
about
it,
but
do
you
have
an
idea
of
how
many
people
do
really
fill
our
emergency
departments
with
those
needs,
and
you
did
mention
that
many
times
it
exposes
you
to
other
illnesses?
Is?
Is
that
really
a
concern
across
the
city?
So.
D
We
are
actually
producing
a
report
with
Mass
Health
Quality
Partners
that
is
going
to
come
out
in
probably
about
a
month.
That'll
answer
your
question
about
who
doesn't
have
a
PCP
who
actually
is
using
the
the
emergency
department
for
care?
I
can
make
some
general
statements,
but
I
think
I'd
rather
wait
until
we
had
the
date
the
data
for
Boston,
because
this
is
an
important
question
that
I
think
will
influence.
Some
of
this
discussion
do.
A
You
Loop
in
our
school
nurses,
I
know
as
a
school
teacher
for
many
couple
decades.
Many
times
families
would
come,
their
child
would
come
to
school
ill
and
the
nurse
would
absolutely
it
would
kind
of
be
their
co-pay,
like
you
know
the
check-in,
which
was
necessary
not
that
it
should
be
the
way
we
deal
with
sick
children,
but
that's
also
a
concern.
I
know
that
we
have
absolutely.
D
And
as
you,
you
know,
we're
working
with
BPS
to
try
to
help
support
more
services
within
the
school-based
health
centers.
We
do
support
eight
high
schools
with
a
school-based
health
center,
but
you
know
looking
just
across
the
spectrum
of
BPS.
We
certainly
are
working
with
them
to
fortify
some
of
the
services
that
are
offered.
C
C
D
I'm
just
wondering
is
the
goal
to
see
if
we
could
potentially
offer
similar
services
in
the
surrounding
areas
and
and
quite
honestly,
the
data
that
we
produced
in
regards
to
life
expectancy
that
wasn't
Nubian
square,
that
wasn't,
that
particular
census
tract.
It
was
an
adjacent
census
tract
where
there
are
a
lot
of
challenges,
and
it's
in
the
report
that
we
produced
so
I
just
want
to
get
a
sense
of
what
you're
hoping
you
know
long
term
to
achieve,
and
then
questions
about
you
know
just
sustainability.
H
I
think
this
is
a
great
small
box
model,
for
how
can
you
offer
a
comprehensive
clinic-based
care
in
community-based
settings
right,
like
I,
think
that
we
could
look
at
this
as
something
that
could
be
replicated
in
other
neighborhoods
throughout
the
city
as
a
as
a
you
know,
a
care
precedent,
that's
more
affordable
by
its
infrastructure
investment
requirements,
but
overall,
overall
has
a
has
a
dramatic
impact
and
just
increasing
the
level
of
access
right.
That's
where
we
think
is
going
to
be.
The
real
value
is
hey.
H
We
know
and
have
been
active
in
Nubian
Square
for
a
long
time,
so
we're
like
working
from
Community
member
perspectives
where
it's
like
you
see
this
I
used
to
work
out
of
the
bowling
building
running
an
executive
director
of
an
entrepreneurial
program
there,
and
you
see
the
disparity
that's
there,
especially
for
our
seniors
I,
think
that
that's
a
particular
area,
you
know
I
think
there's
wonderful
work,
that's
being
done
in
schools,
but
I
think
that
there's
a
pivotal
role
that
this
Clinic.
That
model
can
play
when
it
comes
to
seniors
and
specific,
specifically
as
well.
G
G
We
want
to
support
whatever
you're
trying
to
do
with
this
Clinic
because
of
the
fact
that
they
said
that
they
were
overwhelmed
in
terms
of
their
emergency
clinic
and
that
a
lot
of
the
clients
or
patients
that
they
got
came
from
the
Nubian
square
area,
and
so
they
put
on
the
table.
What
can
we
do
to
support
you
in
terms
of
making
this
a
success
because
of
the
fact
like
I
said
before
they
said
it,
and
anybody
who's
been
down
to
the
emergency
room
at
BMC,
which
I
have
I'm
a
former
Hospital
associate
worker?
G
When
you
go
in
there,
you
can
go
in
there
in
the
beginning
and
come
out
four
hours
later
and
the
same
people
are
sitting
there,
and
so
we
see
this
as
an
extension
of
services
service
provision
that
would
help
to
give
some
relief
to
the
area
like
BMC.
That
have
said
you
know
what
our
emergency
room
we're
overwhelmed.
What
can
we
do
to
support
that?
So
I
just
want
to
put
that
out
there
to
understand
the
fact
that
there
is
a
need
out
there
that
we're
trying
to
fulfill.
C
Thank
you,
I
guess,
I'd,
add
that
you
know
to
the
point
of
I
mean
I
I,
think
that
we
still
have
to
answer
the
sustainability
part
to
Dr
Jacob's
question,
but
I
I
would
add
that
you
know.
Yes,
it's
it's
a
western
approach.
You
know
it's
a
reactionary
thing.
It's
you
know,
there's
a
need.
We
see
the
need.
C
Although
Whittier
Street
happens
to
be
way
over
the
other
side
on
Tremont
Street
folks
do
not
go
all
the
way
over
there
if
they're
in
Nubian
square
and
so
there's
obviously
a
need
the
population.
Is
there
there's
a
lot
of
inequities
and
all
in
your
and
you're
speaking,
specifically
to
Roxbury,
so
overall
in
general,
we
can't
say
specifically
that
it's
just
Nubian
square,
but
if
there's
a
need
there
and
there's
a
population
there,
we
need
to
that.
That
needs
to
be
served
and
that's
what
this
will
address.
C
How
and
also
so
I
would
add
that,
in
terms
of
preventative
measures,
looking
at
systemic,
you
know
racist
structures.
We
are
talking
about
centers
that
traditionally
do
give
access
and
coordination
to
those
additional
resources
that
tackles
social
determinants
of
health
or
improving
social
determinants
of
health.
So
I
think
that
a
clinic
is
also
going
to
be
resourceful
in
in
connecting
to
services,
but
also
in
coordination,
right
case
managers
and
other
services
that
could
go
from
one
place.
C
What
where
what's
happening
right
now
is
that
a
lot
of
these
sort
of
pop-up
services
and
resources
are
looking
for
one
central
location
and
they've
asked
me:
where
do
we
go?
Where
do
we
meet
so
we
go
to
the
library
we've
met
at
the
bowling
we
pop
up
in
Dudley
Cafe,
but
there
is
no
Center.
There
is
no
clinic.
So
there
is
definitely
a
need,
but
we
don't
want
to
set
precedence
to
where
every
time
there's
something
and
we
react
in
it
as
a
clinic,
but
this
is
more
comprehensive
than
just
a
reactionary
pop-up.
C
H
I
mean
I
think
that
the
big
thing
with
you
know
doing
this
work,
while
servicing
at
risk
populations.
Our
greatest
challenge
is
going
to
be.
We
have
a
negative
cash
flow
model,
especially
for
the
initial
three
years,
we're
going
to
be
having
a
deficit
anywhere
from
353
000
to
271
thousand
dollars
as
a
as
a
community
and
as
a
coalition
we're
committed
to
going
and
making
making
that
Gap
in
that
shortfall
through
social
Enterprise
funding,
philanthropic
funding,
as
well
as
just
looking
at
expanding.
H
You
know
we
have
a
a
per
visit
model,
that's
displayed
within
this.
Within
this
model,
there's
there
can
be
an
extension
of
our
of
our
health
models,
Beyond
just
being
within
the
framework
of
being
in
a
healthcare
setting
right.
So
extension,
extending
Healthcare
from
just
being
in
clinical
settings
but
also
to
the
home,
could
help
to
add
to
the
fiscal
viability
of
our
model,
and
so
I
think
that
that's
going
to
be
long
term
I'm
pushing
internally
for
have
taking
more
of
a
sustainable
social
Enterprise
model.
H
And
if
we're
looking
at
this
as
a
social
Enterprise
from
the
beginning
as
to
where
it
becomes
a
much
more
sustainable
model,
but
our
estimates
as
far
as
our
Revenue
basis
are
very
conservative.
If
you
look
at,
we
basically
have
a
low,
medium
and
high
Revenue
basis
within
the
presentation
this
this
year,
where
we're
looking
at
serving
servicing
annually
anywhere
from
twelve
thousand
fifteen
thousand
unique
patient
visits
per
year.
Right
and
so
I
think
that
that's
reasonable.
H
D
C
B
I
I
view
this
as
adding
a
health
care
team
member
slash
partner
in
an
underserved
Community,
pretty
simple,
it's
I
know
the
doctor
had
just
left.
I
know
it's
very
similar
to
what
we're
looking
to
do
with
EMS,
which,
by
we
have
sort
of
our
more
skilled,
EMS
and
paramedics,
making
sort
of
immediate
triage
decisions
and
then
diverting
those
individuals
instead
of
putting
them
into
the
ambulance
and
taking
them
to
the
emergency
room.
B
They'll,
maybe
divert
them,
they
could
treat
them
there
or
they
could
divert
them
to
maybe
one
of
our
local
community
health
centers.
So,
given
that
it's
and
the
presentation
was
very
thorough,
there's
reimbursable
care
there,
there's
acceptance
of
mass,
healthy
and
or
private
insurance
you've
already
factored
in.
We
term
it
the
free
care
pool
very
similar
to
what
we
see
in
our
health
centers
and
our
city
hospitals,
and
that
you've
already
sort
of
starting
the
process
connecting
with
fundraisers
in
in
philanthropic
support.
B
My
question
really
lied
in,
and
you
answered
just
a
few
moments
ago
is
I.
Guess
you
know
how
does
it
and
Council
of
Fernandez
Anderson
acid
as
well?
How
does
it
sustain
itself?
And
my
question
was
going
to
be:
what
does
year
two
look
like
three
El
three
year
five
year,
ten
seems
like
you've
already
sort
of
facted
in
some
additional
losses
out
of
the
gate.
B
So
you
know
I
I
talk
a
lot
about
our
city
and
our
success
stories
and
a
lot
of
our
success
stories
are
resulted
Partnerships,
and
it
seems
as
though
this
seems
like
that.
There's
a
great
partnership
in
the
making
you've
got
incredible.
Community
Support
you've
got
Partnerships
with
our
one
of
our
best
hospitals
and
one
of
the
best
hospitals
in
the
country.
We
obviously
a
doctor,
put
your
kudu
here
from
cities:
Boston
Public,
Health,
commission.
You
have
a
city
council
that
has
always
been
United
around
Health
Care.
B
We
don't
always
agree,
as
you
can
see,
from
reading
in
the
papers
at
times,
but
we
always
agree
when
it
comes
to
the
health
of
our
citizens
and
working
together
to
support
some
of
the
greatest
hospitals
in
the
world.
Some
of
the
greatest
health
centers
in
the
world.
No
reason
why
we
couldn't
be
both
so
about
clinics,
particularly
in
some
of
our
underserved
communities,
so
Count
Me
In.
As
a
supporter
of
how
we
can
get
to
the
next
level,
I'll
obviously
work
with
the
chair
and
with
the
lead,
sponsor
I.
B
You
know,
people
that
may
have
bigger
and
more
contagious
illnesses,
but
you
know
going
to
a
clinic
and
to
be
able
to
get
a
rapid
strep
test
to
you
know
alleviate
something
or
you
know
it
could
be
a
you
need
a
splint
who
knows
in
some
instances
it
might
just
be.
You
need
a
pack
of
ice
and
and
take
some
Tylenol
or
it
could
be
much
worse
than
that,
but
you'll
be
have
a
front
row
seat
and
you'll
be
able
to
direct
that
situation
to
the
appropriate
location
it
could
be
at
the
clinic.
B
It
could
be
at
a
local
community
health
center
or
it
could
be
at
the
hospital,
so
I
again,
I
view
it
as
a
as
adding
a
health
care
team
member,
a
partner
and
I'm
all
for
Partnerships.
Our
greatest
success
is
here
in
the
city.
Our
result,
the
partnership.
So
thank
you
for
the
time
and
attention
in
the
thorough
presentation
that
you
all
get
today
and
and
we'll
continue
to
work
with
my
colleagues
here
to
see
if
we
can
make
this
a
reality.
Thank
you
very
much
and
enjoy
your
weekend.
A
What
are
your
thoughts,
knowing
that
many
people
will
come
in
not
just
with
a
scrape
or
a
strep
throat,
but
also
maybe
need
for
food
or
mental
health
supports
or
housing
and
all
those
other
issues
which
you
probably
already
support
on
a
daily
basis?
But
how
do
you
see
the
Center?
Slash
not
clinic
right,
supporting
that
differently
from
other
non-profits
in
the
area.
G
And
maybe
Matt
fisherman,
my
colleague
here
can
Andrew,
but
essentially
what
we've
talked
about.
You
know,
because
folks,
who
are
saying
that
what
we're
proposing
from
a
community
perspective
is
actually
a
model,
in
fact,
I've
talked
about
rock
spray
comp
having
full
clothes,
and
so
I
was
talking
to
a
group
of
folks
up
there.
Oh,
who
basically
were
raising
the
issue,
they
said.
Well,
we
we
hear
about
your
clinic.
Is
there
a
possibility
that
we're
going
to
have
a
clinic
in
our
area?
G
And
so
we
said
well
we're
trying
to
build
the
prop
the
possibility
of
that
happening
down
the
line,
but
to
address
what
you're
saying?
We've
talked
about
the
possibility
of
adding
on
additional
Services
as
we
move
along
like
a
food
pantry
right.
You
know
something
of
that
nature
so
that
it
can
be
a
One-Stop
drop-in,
addressed
in
terms
of
having
the
resource
there
or
being
able
to
refer
them
to
where
they
can
go
to
get
what
they.
A
Need
because
I
in
envisioning,
like
the
need,
is
there
but
you'll
also
be
so
successful
that
families,
when
they're
successful
you
have
the
burden
of
you
know
then
needing
to
provide
more.
So
you
know
thank
you
for
that.
I
do
know
that
we
have
Christine
pajarillo
and
Bob
Edwards
with
us,
and
if
do
you
want
to
give
public
testimony
I
know
Christine.
You
had
submitted
a
letter,
but
do
you
want
me
to
read
the
letter
or
do
you
want
to
come
up
and
do
it
yeah
yeah
come
on
up
to
the
microphone
yeah?
I
Morning,
I'm
Christine
padgirillo
from
Whittier
Street,
Health,
Center,
I'm,
I'm,
the
vice
president
of
programs
and
Social
Services.
Thank
you
for
the
opportunity
to
be
here
to
discuss
and
introduce
the
services
that
we
are
providing
in
Roxbury,
so
Whittier,
Street,
Health,
Center
Whittier
is
a
joint
commission.
I
Whittier
has
expanded
its
services
to
more
than
50
different
programs
and
services
in
2012,
Whittier
opened
its
its
building
on
1290
Tremont
Street.
In
addition
to
expanded
medical
and
Behavioral
Health
Services,
the
building
provides
ample
space
for
whole
person
and
holistic
care,
including
a
Community
Education
room
for
community
events
and
educational
sessions
and
expanded
and
affordable
Eye
Care
dispensary
expanded
oral
health
services
to
meet
increasing
demand
and
on-site
340b
Pharmacy
with
discounted
medications
specialized
clinics
to
address
wellness
and
the
chronic
disease
is
prevalent
in
the
patient
population
that
we
reviewed
this
morning.
I
Whittier
provides
Health,
Care
Services
to
30
000
patients
and
annually
provides
approximately
20,
000
Community,
Education
and
Outreach
visits.
Whittier's
patients
are
a
device
diverse
minority
and
low-income
residents
of
Roxbury,
Dorchester,
Mattapan
and
Boston
south
end.
These
communities
often
face
significant
barriers
to
access
and
Care.
Forty
five
percent
of
whittier's
patients
have
been
diagnosed
with
at
least
one
of
the
following
conditions:
diabetes,
hypertension,
cancer,
asthma
or
obesity.
I
I
The
health
issues
of
the
communities
within
Whittier
service
area
are
typical:
pop
of
populations
living
in
poverty
and
or
with
limited
access
to
health
care.
The
area
specific
indicators
of
poor
health
tend
to
be
chronic
in
nature,
with
high
mortality
and
morbidity
rates
in
establishing
its
Boston
Health
Equity
program,
which
Dr
ojikutu
mentioned
this
morning,
and
this
is
a
population
management
system
that
we
started
in
2012
and
it
we
have
the
capacity
to
become
a
Center
for
Health
Equity
in
Boston
by
directly
and
continuously
addressing
the
most
common
disparities
in
our
community.
I
I
The
services
provided
on
the
mobile
Health
Vans
include
diagnostic
screenings.
Oral
health,
behavioral
health
screenings,
Social
Service
screenings
and
Primary
Care
by
working
with
families
in
the
community.
Whittier
helps
to
break
down
some
of
the
most
prevalent
barriers
driving
these
disparities
and
helps
to
connect
residents
to
long-term
care,
focused
on
wellness
and
prevention
by
educating
the
population
on
risk
factors
prevalent,
Community
diseases,
the
benefits
of
primary
care
and
the
importance
of
chronic
disease
management.
Whittier
helps
to
improve
levels
of
Health
knowledge.
I
I
I
Since
opening
the
engagement
Center
has
served
approximately
500
unduplicate
unduplicated
individuals.
We
are
also
opening
a
school-based
clinic
at
the
Boston
day
and
evening.
M
Academy
Whittier
is
committed
to
closing
the
gaps
in
healthcare
inequities
and
providing
trauma-informed
care
with
cultural,
competency
and
cultural
humility.
Our
staff
mirror
the
community.
We
serve
with
a
senior
management
team
that
is
100
by
POC
representation.
I
We
value
the
many
Community
Partnerships,
particularly
the
support
from
the
Boston
Public
Health
commission
and
the
City.
Through
our
combined
efforts,
we
have
seen
the
life
expectancy
got
for
Roxbury
close
to
23
years
from
30
33
years.
We
are
committed,
we
are
compassionate
and
we
are
present
to
Stand
United
for
Health
Equity.
Thank
you
so
much
for
allowing
me
to
present.
Thank
you.
A
A
This
Health
Service
myself
and
my
family
we've
always
been
Health
Center,
family
members
and
every
Health
Center.
They
all
offer
so
many
wonderful
things
about
some
focus
in
on
others
and
do
great
things
I
know
Charles
Murphy.
Does
you
know
a
lot
of
the
veteran
Outreach
and
you
know
I
I
live
near
the
Neponset
Health
Center,
where
I
was
a
patient
for
many
years
and
then
have
recent.
Probably
the
past.
10
years
myself
and
my
family
have
gone
over
to
the
South
Boston
Health
Center,
which
just
has
so
many.
A
They
are
on
two
sides
of
the
street.
Now
they
have,
you
can
get
Eye
Care,
Dental,
Care,
Mental
Health
care.
If
the
food
pantry
has
expanded
so
much,
and
we
just
know
that
health
centers
are
so
vital
and
important,
but
then
also
there
is
this
idea
of
this
health
clinic
that
could
also
just
be
life-saving
and
provide
services
for
a
community
that
obviously
needs
more
services.
So
with
that
being
said,
I
just
want
you
to
know
that
you
have
my
commitment
to
work
alongside
you
and
I
know.
A
C
The
health
disparities
and
implicit
bias
found
in
the
Boston
Health
Care
system
is
a
major
concern
and
where
it
has
been
well
substantiated
that
black
and
brown
communities
experience,
increased
sickness
mortality
and
lower
Quality
Health
Care
than
our
white
counterparts.
Not
only
that
you
heard
Dr
jakutu
today
presenting
along
with
that
study
that
it's
not
just
about
a
health
clinic
or
the
need
of
a
health
clinic,
but
that
these
that
our
health
is
determined
by
by
social
determinants
of
health,
and
that
this
was
perpetuated
by
systemic
racism
and
structures.
C
C
The
issue
with
that
is
that
the
black
communities,
especially
in
brown
and
poor
white
communities
working
class
as
well,
is
always
put
in
a
position
to
compete
or
to
fight
over
the
crumbs
that
is
funded
in
our
communities.
We
have
to
be
very
transparent
and
focused
on
the
conversations
that
show
the
numbers.
You
see
that
there
is
a
radius
that
Brandon
presented
today
in
terms
of
the
catchment
area
where
the
clinic
will
address
and
or
the
people
the
cashmere
where
the
people
will
be
served,
and
so
there
is
no
competition
here.
C
If
there,
if
Whittier,
Street
or
BMC
or
dimmick
and
I
looked
it
up,
Dimock
Woody
street
is
1.7
miles
away
from
dimmick
and
then
new
BMC
is
1.7
miles
away
from
Nubian
square.
And
so,
if
that's
the
case,
then
there
would
be
no
need
for
dimmick.
If
Whittier
was
addressing
all
of
it,
there
would
be
a
no
need
for
BMC
if
dimmick
was
addressing
all
of
the
issues.
The
fact
of
the
matter
is,
is
that
Whittier
is
about
1.4
miles
away
from
Nubian
square
and
there
was
still
the
need.
C
C
I
have
had
first-hand
experience
in
terms
of
with
clientele
for
over
20
years
in
public
health
field,
in
bringing
people
there,
but
also
collaborating
with
you
on
Mental
Health
Services.
All
all
types
of
services
I've
never
had
an
issue
with
Whittier,
Street
I
think
you
guys
are
awesome
and
I
think
that
what
we
have
to
do
then,
is
again.
C
Have
the
conference
the
the
fiscal
conversation
with
our
city
in
our
state
and
our
representatives
and
folks
who
hold
the
purse
to
be
able
to
say
look
the
black
community
or
poor
communities
cannot
be
put
in
a
position
where
institutions
have
to
compete
for
funding
the
need.
Is
there
to
support
Whittier
Street
greatly.
The
need
is
there
to
support
they
make
the
need.
Is
there
to
support
PMC?
The
need
is
there
to
support
a
clinic
specifically
in
Nubian
square,
or
else
we
would
need.
We
would
have
no
need
for
pop-up
fans.
C
We
would
have
no
need
for
Pine
Street
to
pop
up
with
their
Outreach
workers.
We
would
have
no
need
for
Nation
of
Islam
to
be
there.
We
would
have
no
need
for
the
Nubian
Square
Coalition.
We
would
have
no
need
for
the
Nubian
Square
task
force.
We
would
have
no
need
for
BMC
Outreach
workers
and
social
workers.
This
is
all
of
the
different
pop-up
services
that
exist
currently
in
Nubian
Square.
The
reason
why
we're
doing
that
is
because
we
are
doing
patch
up
work.
We
are
essentially
being
reactionary.
C
We
this
this
organization
or
this
Coalition,
has
presented
or
has
been
working
on
not
only
fundraising
but
also
have
collaborated
with
a
location
with
a
hospital
to
be
able
to
bring
a
full
comprehensive
plan
and
a
sustainable
plan
to
be
able
to
bring
this
to
fruition.
I
hope
that
this
conversation
chin
has
I
believe
that
it
was
a
productive
one.
C
I
really
appreciate
hearing
from
the
Whittier
Street
Health
Center,
and
not
to
be
confused
with
a
smaller
Clinic
Nubian
Square
Health
Clinic
in
Nubian
square,
and
we
look
forward
and
I
think
there's
a
opportunity
here
for
collaboration
and
Partnerships
with
Whittier
and
others,
and
so
I.
Look
forward
to
that
conversation.
C
I
am
happy
to
create
the
and
hopefully
work
with
Dr
chikutu,
to
make
an
amendment
in
the
budget
for
in
the
Capital
to
be
able
to
move
two
hundred
thousand
dollars
to
support
with
the
funding
to
continue
this
project,
and
hopefully
that
my
Council
colleagues
will
support
the
amendment
and
if
it
gets
vetoed
by
the
mayor,
hopefully
that
we
will
have
eight
votes
to
be
able
to
override
that
veto.
So
I
look
forward
to
for
more
conversation.
C
I
think
that
our
mayor,
there
will
absolutely
agree
with
supporting
the
work,
but
will
she
support
it
in
terms
of
this
particular
project
is
yet
to
be
seen.
Let's
continue
to
do
this
transparently,
let's
continue
to
be
hopefully
courageous
in
our
approaches
and
how
we
advocate
for
our
community
and
I.
Thank
you
so
much
for
having
the
foresight
and
the
creativity
to
be
able
to
do
all
of
this
work.
I
just
wanted
to
with,
through
Madam
chair's
permission.
Allow
you
the
floor
to
close
out
and
thank
you
again.
Cool.
A
G
G
A
H
Absolutely
I'm,
this
has
been
absolutely
phenomenal.
I
mean
I'm
a
public
health
practice
actually
he's
working
at
the
Boston
Public
Health
commission
as
a
nutritionist,
and
what
community
Wellness
programmer
so
to
see
this
merger
of
public
private
and
as
well
as
our
community
health,
centers
kind
of
working
together,
I
think
it
sets
a
wonderful
precedent
for
providing
the
soily
needed,
Services
right
right
there
in
Newman
Square.