►
From YouTube: Disability Commission Advisory Board Meeting 09-20-23
Description
Disability Commission Advisory Board Meeting 09-20-23
A
A
A
A
B
A
The
public
that
this
meeting
is
recorded,
therefore
Please
be
aware
that
an
audio
and
visual
recording
of
this
meeting
is
being
made
by
Boston
City
TV,
a
part
of
the
city
of
Boston
office
of
cable
communications
and
is
being
broadcast
on
Xfinity
channel
24.,
RCN,
channel
13.
and
FiOS
channel
962..
With
that
I
will
hand
it
to
our
chair.
C
I'm,
the
board
chair
and
I'm
calling
the
meeting
to
order.
Please
I'm,
going
to
begin.
First
I
think
we
should
introduce
ourselves
please
if
I
could
have
each
board
member
introduce
themselves
and
note
your
role
and
which
area
of
Boston
you
currently
live
in
and
I'll
start
with
myself
again.
My
name
is
Wesley
Ireland
I
am
a
man
and
I'm
using
sign
language
for
the
entire.
The
entirety
of
this
meeting
and
I
have
two
female
interpreters.
So
you'll
hear
female
voices
when
I'm
saying
something
I
live
in
the
North,
End
and
I'm.
C
H
C
C
C
C
C
Seeing
none
great
okay,
any
abstentions,
all
right.
The
meetings
minutes
from
the
July
meeting
have
been
approved.
As
read
now,
I'd
like
to
go
ahead
and
recognize
another
board
member
who's
here
are
there
any
other
board
members
here
who
have
joined
us
I?
Think
Paul.
Could
you
introduce
yourself
and
let
us
know
what
area
of
the
city
you
live
in?
Please.
K
C
C
L
L
I
know
some
of
you
like
Jerry,
almost
too
well
just
kidding
Jerry's
been
a
great
board
member
with
bcil
I've
known
Olivia
for
years
and
many
of
you
Kristen
and
on
and
on
it
goes,
as
you
may
be
able
to
hear
those
who
can
hear
my
apology.
Leslie
I
have
a
call
I'm
a
little
bit
of
hoarse
it's
hot
in
this
office
and
I.
Don't
want
the
AC
blowing
the
dry
air,
so
I'm
a
little
more
casual
than
I
would
be
normally
in
a
presentation
in
a
t-shirt.
L
L
Lisa
is
probably
the
national
expert
on
access
to
health
care
for
people
with
disabilities.
She's,
not
the
bcil
expert
she's,
the
country's
expert
I
think
so
I'm
glad
she's,
not
speaking
tonight,
I
would
have
nothing
to
say
if
she
was
preceding
me
or
following
me,
because
she
knows
things
inside
and
out
and
has
been
a
tremendous
Advocate
by
means
of
outstanding
academic
research,
publication
of
numerous
articles
and
books.
L
Talking
about
health
care
access,
I
think
is
something
really
critical.
I
think
it's
something
that
a
lot
of
people
have
a
challenge
talking
about
for
themselves.
Personally,
some
people
will
speak
up
and
be
rather
loud
about
it
appropriately
raise
the
issues
but
Health
Care
in
this
country
anyway,
and
that's
the
only
country
I
really
know,
is
a
very
personal
thing
for
all
of
us.
So
if
you're
talking
about
health
care
and
barriers,
you
might
be
talking
about
intimate
care,
and
most
people
don't
want
to
broadcast
that
in
the
typical
form,
like
an
advocacy
forum.
L
Many
of
you
may
not
want
to
talk
about
any
specific
barriers
you've
experienced
today.
You
don't
want
your
personal
health
out
on
TV.
This
is
being
televised.
No
one
wants
to
talk
about
such
things.
It
can
be
very
intimate.
The
medical
setting
can
be
very
intimate.
I
think
we
all
know
that
you're
going
for
a
checkup
I
go
in
for
a
Chuck
up
a
maple
body,
but
they
say
you
know
I'm
dressed
put
on
this
little
Johnny,
that's
about
as
flinty
as
any
article
of
clothing
ever
created.
L
Her
head,
the
last
thing
you
want
to
do
is
say:
Dr,
Smith,
Dr,
Jones,
whatever
he
doesn't
listen
to
me,
doesn't
provide
access
because
he
may
be
the
best
surgeon
in
the
world
or
no
be
the
only
neurologist
who
knows
your
disability
or
health
condition
in
the
whole
New
England
area.
So
we
have
had
as
a
community
of
Advocates
challenges,
raising
advocacy.
L
You
know
if
there's
an
issue
with
the
city
streets
not
being
accessible
as
Kristin
knows
people
file
access,
board,
complaints,
people
sue
the
city
of
Boston
city
of
Boston
settles
lawsuits,
there's
been
you
know.
Even
when
we
got
along
great
with
the
city,
people
still
sue
the
city.
You
know
it's
the
way
it
is
we
we
Advocate
with
the
state
around
things.
We
want
better
rates
for
pcas,
but
boy
when
it's
Health
Care
it
becomes
much
harder
for
the
disability
community
and
it's
very
understandable
gosh.
L
Some
of
the
biggest
variants
we've
seen
over
the
years
are
in
women's
health.
Think
about
it.
Women's
Health,
inaccessible,
mammography
in
an
inaccessible
gynecological
exam
tables.
Things
like
that.
It's
taken
special
people
to
speak
up
and
I'm,
not
decrying
or
putting
down
anybody
who
hasn't,
because
we
respect
that.
But
with
all
that
said,
we
have
been
able
to
advance
some
changes.
L
Probably
I
think
it
was
around
2008
2009..
Excuse
me:
we
were
able
to
organize
a
number
of
people
who
received
their
services
and
what
was
then
called
the
Partners
Health
Care
System.
It's
now
Mass
General
Brigham
MGB
to
speak
up
and
we
threatened
partners
with
a
lawsuit,
and
it
was
a
major
Ada
lawsuit
for
failing
to
comply
with
accessibility
requirements.
L
We
never
did
file
the
suit
we
went
into
from
a
legal
term.
What's
called
structured
negotiations
and
I
might
have
to
cough
a
minute,
I'm,
sorry,
but
and
came
to
a
binding
legal
agreement,
and
what
this
did
was
prescribed
a
whole
bunch
of
improvements
that
Mass
General
that
Brigham
and
Women's,
and
that
other
hospitals
in
the
system
such
as
Faulkner
in
Boston,
would
undertake
just
want
to
add
I'm
from
Hyde
Park.
L
Everyone
got
to
tell
where
they
are
from
Boston
I'm,
a
resident
of
Hyde
Park
by
the
way,
so
very
much
part
of
the
city.
Again.
Excuse
me,
and
what
that
did,
is
it
probably
put
pumped
in
maybe
150
200
million
dollars
in
Access
improvements
to
hospitals,
the
the
flagship
hospitals,
especially
in
you
know,
accessible
doors,
bathrooms
automatic
doors?
J
I
was
just
going
to
add
on
to
Bill's
comments
that
I
also
worked
with
bcil
back
in
those
years
on
some
agreements
with
Boston
Medical
Center
I,
don't
remember
them
being
structured
negotiations,
but
we
definitely
came
to
some
agreements
which
improved
accessibility
in
patient
access
at
BMC.
So
it
was
a
wide
range
of
Boston
area,
hospitals
that
did
receive
training
and
made
some
accessibility
improvements
several
years
ago
that
many
of
which
are
still
in
place
today.
This.
L
L
We
didn't
just
go
in
and
say:
oh,
we
want
wider
bathroom
doors,
which
is
important.
Wheat
or
you
know
better
disability
parking
all
very
important.
We
said
you
have
to
look
at
your
policies
and
practices
as
well
and
be
sure
that
they
comply
with
the
Ada.
So
that
means
lots
of
things.
It
means
looking
at
scheduling
to
scheduling
appointments.
L
One
of
the
things
that
hospitals
are
classic
at
doing
is
giving
you
bang
bang
appointments
or
appointments
whenever
it
works
for
them
early
in
the
morning
or
appointment
here,
an
appointment
on
the
other
side
of
the
campus.
Those
things
don't
necessarily
work
for
people
with
disabilities.
Younger
folks,
older
folks,
who
may
have
a
Mobility
challenge,
may
have
a
site
challenge,
may
not
be
able
to
follow
the
past
in
the
hospital
for
cognitive
reasons.
L
You
name
it
and
what
we
started
to
do
was
get
better
scheduling,
for
instance,
and
you
start
to
try
to
change
your
culture
and
a
lot
of
it
was
around
communication.
It's
communication
access,
ensuring
or
raising
the
bar
and
providing
interpreters,
ASL
interpreters,
but
it's
also
trying
to
get
people
to
listen
to
as
you're
called
in
the
hospital
a
patient.
L
We
I
don't
like
the
term
when
referencing
people
with
disabilities,
because
it
Harkens
back
to
that
old
medical
model
where
folks
with
disabilities
are
kind
of
a
specimen
but
and
it's
very
disempowering,
but
that's
the
reality
when
you're
in
a
medical
facility,
you're,
typically
a
patient
unless
you're
visiting-
and
you
know
you
try
and
change
the
culture.
I
think
Zari
who's
on
the
commission
could
talk
a
lot
about
this.
L
L
We
also
took
this
concern
to
Boston
Medical
Center
and
raise
the
issues
and
received
a
very
positive
reception
there
as
well
I.
You
know
and
I
will
say
it
was
tense
for
a
while
with
the
Mass
General
and
Brigham
plugs,
but
the
presidents
of
those
institutions
at
that
time
came
to
bcil.
They
heard
from
people
who
would
face
barriers.
Pam
Daly
was
one
of
them.
Great
member
bcil
active
in
Boston
I
think
she
lives
in
maybe
Charlestown
or
the
North
End
other
people,
late,
Stacy,
burloff
and
a
few
others.
L
They
were
just
great,
and
then
we
went
down
to
BMC
Sergio
gonkovs,
the
late
former
chair
of
bcil
was
one
of
the
leaders
and
they
did
the
same
thing.
At
BMC
we
even
made
some
great
videos
for
training
and
our
members
really
highlighted
Sergio
Barbara
Rivero
lives
in
South
Boston
highlighted
the
importance
of
communicating
with
people
with
disabilities,
and
those
were
big
changes.
I
think
what's
important
is
that,
in
order
to
sustain
this,
we
have
to
keep
at
it
because
staff
change
priorities
change.
L
There
is,
very
importantly,
in
this
state
and
effort
to
highlight
Health
Care
Equity.
Today,
bcil
was
at
a
hearing
at
the
State
House
on
establishing
Health
Care
Equity
within
you
know,
legislation
that
would
require
more
reporting
of
data
based
on
race,
disability,
ethnicity,
to
track
underserved
disenfranchised
populations,
how
they
get
their
health
care
and
I
think
we,
as
a
community
need
to
keep
raising
these
issues.
These
were
the
some
of
the
big
things
that
bcil
did,
but
we
have
continued
to
raise
the
issue
at
the
broader
state
level
and
a
bit
nationally.
L
We
did
get
really
good
news.
Probably
10
days
ago
now,
U.S
Secretary
of
Health
and
Human
Services
announced
new
proposed
regulations
that
would
increase
accessibility
of
diagnostic
medical
equipment.
Among
a
number
of
sweeping
proposals,
no
coincidence
on
the
committee
that
helped
design
these
proposed
standards
was
Lisa
iozoni
serving
as
a
representative
of
bcil,
so
we're
very
proud
of
that
and
we
hope
those
get
approved.
But
what
we've
asked
the
State
Medicaid
office
to
do?
L
Mass
health-
and
this
is
about
10
years
ago
now-
was
to
look
at
all
of
the
programs
for
which
they
provide
funding,
which
is
just
about
every
medical
facility
and
facility
in
the
state.
Every
doctor's
office,
Community
Health,
Center
hospital
and
check
them
out
for
Access,
and
we
were
prepared
to
sue
them,
and
this
was
right
after
Charlie,
Baker
became
Governor
says
about
2
000.
What
was
it
2015
and
we
then
we
agreed
to
talk
it
through
with
them,
and
many
of
us
think
this
was
probably
a
mistake.
L
Why
was
it
a
mistake?
A
lot
of
good
people
at
the
start
of
the
Administration
very
interested
in
working
with
us,
but
over
time
priorities
shifted,
notably,
of
course
the
pandemic
came
around.
That's
where
all
the
attention
had
to
go
in
this
good
effort
to
start
incentivizing
medical
providers
to
increase
their
access
kind
of
got.
Pushed
aside,
no
one,
you
couldn't
say
anything
I
mean
we
were
all
focused
on
just
trying
to
get
through
the
pandemic.
L
You
know:
bcil
worked
closely
with
the
commission
acquiring
masks
when
no
one
had
masks
getting
tests
from
the
Public
Health
commission
out
to
members.
You
know
if
that
was
the
priority,
but
you
know
if
we
had
had
a
lawsuit,
some
things
might
have
still
been
in
place.
You
know
it
requires
the
accountability,
but
sometimes
you
make
a
mistake
and
your
advocacy
decisions
and
the
fact
was
we
had
good
support
and
cast
in
the
administration.
Just
some
of
them
moved
on
and
again
the
pandemic
intervened.
L
But
what
we're
trying
to
do
is
get
the
state
to
really
start
requiring
the
providers
to
do
access
surveys
and
we're
starting
small,
focusing
on
diagnostic
medical
equipment.
We
still
believe
people
may
not
be
weighed
heard.
Somebody
say
that
today,
up
at
the
State
House
that
they
you
know,
if
you're
not
wait
when
you
go
to
the
doctor's
office,
well,
one
that's
a
classic
marker
of
wellness
and
health
and
two
to
being
prescribed
meds.
Well,
some
number
of
meds
are
based
on
the
doses
based
on
your
weight.
You
know,
is
the
table
accessible?
L
Does
it
adjust
to
the
person?
The
full
medical
exam
for
somebody
you
can
get
on
an
exam
table
is
done
on
an
exam
table
for
a
reason.
It
allows
the
exam
to
be
run
in
the
best
way
same
for
equipment
such
as
X-rays
I
mentioned
already:
mammography
MRIs,
CAT
scans.
You
know,
I'm
known
doctor,
no
medical
expert,
but
I.
Think
all
of
us
have
interactions
with
the
health
care
system
and
are
there
people
when
you
need
them?
Will
you
get
the
interpreters
too?
Very
very
important
I.
L
L
You
know
years
ago,
when
I
was
working
on
Cape
Cod
I'm,
going
to
just
tell
this
story
because
I
like
to
tell
stories
and
I've
got
a
bevy
of
them
because
I've
been
around
a
long
time,
but
there
were
a
group
of
deaths,
Advocates
and
Ted
cloud,
and
we
were
working
with
them.
I
was
with
tape
Organization
for
rights
of
the
disabled.
At
the
time
we
couldn't
get
interpreters
at
Falmouth
Hospital,
and
there
was
a
large
deaf
community
in
Falmouth.
There
was
a
program
down
there
for
deaf
people
and
we
decided
Well.
L
You
know
the
story
was
like
you
know
the
janitor's
brother
and
stuff,
so
he
knows
some
sign
which
of
course,
is
woefully
frightening
as
a
response.
So
we
went
in
and
asked
for
a
meeting
with
the
hospital
president
small
time
we
got
a
meeting
with
the
president
and
we
just
had
10
deaf
people
walk
into
the
office
and
start
signing
and
talking
to
them
and
really
laid
home.
The
point
of
this
is
what
it's,
like
you
don't
know.
L
For
the
reasons
I
said,
I've
heard
it
from
people
again
and
again
we
totally
get
it,
but
what
we're
looking
to
do
is
to
go
back
to
Mass
health,
and
we
we've
had
some
hard
time
finding
folks
to
speak
up
and
start
saying.
You've
got
to
do
that.
Some,
you
know
nothing's
more
humbling.
Sometimes
you
know
I've
been
around
a
while,
as
I
said,
and
you
think
you
know
what
you're
doing
sometimes
with
advocacy.
L
But
you
know
I've
been
doing
this
for
a
long
time
and
we
work
closely
with
Linda
Landry
who's
on
the
bcil
board
in
a
you
know,
been
an
attorney
with
the
disability,
Law
Center
for
30
years,
a
great
attorney,
and
we
had
Dan
Manning,
who
was
with
greater
bust
in
legal
services
for
50
years
Mastermind
of
a
lot
of
lawsuits
to
help
people
with
disabilities.
We
would
talk
to
Mass
health,
and
you
know
three
HotShots
right.
We
go
nowhere.
L
L
I
was
thrilled
by
it
because
it
proved
what
you
try
to
do
at
BC
IL,
which
is
give
voice
to
people
with
disabilities
on
these
issues
and
I
think
that's
what's
really
needed
to
Advance
Health
Care,
you
know,
I
can
talk
about
lawsuits
or
legal
agreements
or
things
like
that,
but
make
no
mistake.
They
were
driven
by
the
personal
stories
and
the
personal
power
conveyed
by
the
people
who
were
denied
Equitable
health
care.
We
weren't
using
Equitable
as
a
term,
but
that
is
a
current
term
and
it's
a
valid
term.
L
It's
a
wise
term
and
I
think
that's
where
we
are
right
now
in
the
state
in
the
city.
Obviously
this
is
the
mecca
of
health
care
for
New
England,
not
to
put
any
other
Medical
Institution
down.
But
what
happens
in
this
city
tends
to
drive
what
happens
in
New
England,
sometimes
the
country
as
we
know,
so
there
remains
lots
of
things
to
do
and
because
it's
so
personal,
because
these
things
happen,
the
barriers.
What,
frankly
is
discrimination,
cut
and
dry?
You
know
we're
32
years,
33
years
beyond
the
sighting
of
the
88's
discrimination.
L
It's
you
know.
There's
no
sugar
coating
of
this.
It
will
still
go
on.
You
could
say
it's
ignorance.
You
can
say
it's
awareness,
but
it's
discrimination.
It
violates
the
law
and
enough
is
enough.
So
we
we
look
to
go
back
to
Mass
health
but
and
try
and
raise
these
issues,
but
we're
not
going
to
do
it
until
we
get
some
more
folks
who
can
speak
up
and
give
power
to
it
all
my
talking's
not
going
to
do
a
blessed
thing
that
was
proven,
but
one
we
can
align
with
community
members.
L
We
can
go
somewhere
on
these
issues
and
again
these
issues
affect
all
people
with
disabilities,
people
with
intellectual
disabilities,
people
with
physical
disabilities,
mental
health
conditions,
you
name
it
so
that's
the
couple
times
up
and
down
the
elevator
on
Health
Care
access
from
bcil,
but
I'm
happy
to
discuss
it
further
answer
any
questions.
I
gotta
jump
on
to
a
meeting
at
6
30.
Maybe
you
want
to
move
on
soon
or
whatever,
but
I
really
appreciate
the
opportunity
to
talk
about
this
in
the
interest.
G
Thank
you.
Thank
you,
Mr
running
for
coming
and
actually
discussing
this
and
and
kind
of
giving
a
history
and
all
the
work
that
you've
done.
Historically,
it
was
about.
Maybe
within
this
month
there
was
a
McKinsey
report
that
came
out
about
Equitable
access
and
the
disparity
with
they
did
a
global
study
and
then
it
kind
of
talked
about
in
the
road
maps
and
the
steps
to
to
reduce
that
gap
of
healthcare.
Equity
specifically,
it
was
called.
G
The
McKinsey
report
specifically
came
out
and
talked
about
the
lack
of
data
and
the
lack
of
collection
of
data,
and
you
had
mentioned
that
now.
They're
doing
surveys
to
to
collect
information
on
Race
on
disability
and
all
that
quick
question.
Is
that
a
requirement
by
law?
And
are
you
pushing
for
for
legislation
to
do
that?
Or
is
this
sort
of
a
voluntary
thing
that
hospitals
are
doing
because
I
think
part
of
accountability
is
to
be
able
to
have
access
to
to
very
clean
and
and
good
information
and
data?
L
That's
a
great
question:
what
we
were
asking
Mass,
health
and
I
said
it's
been
stalled
for
about
two
years
now
a
year
and
a
half
maybe
was
to
ask
medical
providers
to
report
on
accessibility,
broadly
Mass
health
had
asked,
would
ask,
go
out
and
ask
providers
hospitals,
specifically
questions
on.
Is
your
Radiology
accessible
or
is
this
accessible,
but
they
would
just
check
one
area
they
weren't
doing
the
whole
180
360
Degrees
I
mean
of
a
facility.
L
Obviously
there's
more
and
more
data
collection
in
health
care.
You
know,
can
Health
Care
Providers
will
say
we
have
to
report
too
many
things
I'm
entering
data
and
medical
records
instead
of
looking
my
patients
in
the
eyes
because
I'm
typing
into
a
system.
But
that
said,
we
don't
know
outcomes.
You
know
we
understand,
there
are
problems
for
underserved
communities,
but
we
don't
know
the
depth
till
somebody
zeroes
in
and
then
we'll
read
in
the
globe
now
or
see
it
on
TV
McKinsey
may
come
out
with
a
report
that
people
of
X
and
X
background.
L
You
know.
Let's
say
African
Americans
will
have
a
higher
rate
of
heart
disease
or
disability,
diabetes
or
asthma.
Those
things
have
been
documented.
We
might
know
that
intuitively
from
living
in
the
city,
but
once
you
get
the
data,
it
can
start
to
shape
public
health
programs.
It
can
shape
initiatives
on
where
to
go.
There
was
concern
about
high
death
rate
and
Culvert
among
people
of
color.
There
was
a
great
focus
on
the
city
of
Chelsea
with
lots
of
immigrants.
L
So
that's
where
the
data
comes
in
the
legislation
being
heard
today
at
a
hearing
and
it
hasn't
passed,
was
Advanced
by
the
equity
compact,
which
would
require
data
collection
on
numbers
of
categories.
I
think
they
would
probably
establish
a
board
to
consider
what
those
are
for
all
various
races
and
ethnicities
and
added
to
that
was
the
request
that
would
include
people
with
disabilities.
So
we
understand
things,
I
think
oftentimes,
it's
been
my
experience.
L
People
with
disabilities
may
not
live
as
long
and
people
just
say:
oh
they're,
disabled,
you
can
almost
see
it's
dismissal.
What
would
you
expect,
but
there
may
be
underlying
reasons
for
that.
You
know
inadequate
care
deficiencies
and
care.
So
that's
why
it's
important
so
I
think
the
data
collection
really
can
start
to
identify
issues
which
is
critical
to
identify
Solutions.
L
C
F
F
She
talked
about
her
study,
which
is
more
a
national
study
and
not
really
a
vocal
one,
yeah
and
I'm
wondering
is
this
to
sort
of
fill
that
in,
in
other
words,
to
ascertain
where
the
needs
are.
You
mentioned
in
your
presentation,
inaccessible
tables,
for
example,
and
I.
Remember
that
was
a
piece
of
Lisa's
presentation
and
I
think
there
may
have
been
comments
too
from
Commissioners
and
others
about
how
that
some
of
them
literally
had
appointments,
and
they
couldn't
be
fully
examined
because
the
table
was
not
accessible.
F
L
L
So
those
are
the
reasons
you
know
you
focus
on
diagnostic
medical
equipment,
part
of
a
strategy
there
too,
as
well,
is
just
if
you
can
focus
on
this
area.
It
starts
to
incorporate
the
concept
of
accessibility
and
looking
out
for
these
things
into
the
practitioners.
You
know
you
could
have
a
survey
and
they
could
have
all
the
equipment
right.
L
L
Let
me
just
lift
you
which
the
Dignity
of
lifting
an
adult
like
that
is
us
to
charge
so
and
what
also
happens-
and
this
is
the
real
important
thing
that
sometimes
gets
overlooked
when
people
encounter
the
barrier
and
it
may
be
humiliation,
it
can
really
be
humiliation,
they
don't
go,
get
the
medical
except
and
you'll
find
people
I
haven't
had
an
OB.
I
haven't
had
a
GYN
exam
in
10
years,
because
it
was
so
such
a
nightmare.
You
know,
I
I
think
we're
better.
L
Now,
I
think
we've
developed
awareness
more
broadly
in
the
community,
but
that
that's
the
thing
that's
hard
to
measure.
So
maybe
you
know,
if
you
collect
data,
you
start
collecting
how
many
people
with
disabilities
actually
get
this
kind
of
exam
versus
that
kind
of
exam.
How
many
with
disabilities
are
actually
getting
vaccines
versus
not
getting
vaccines
during
a
pandemic?
You
know
I'm,
not
a
data
expert
on
how
to
set
up
systems
to
collect
it
or
anything
like
that.
L
Think
that's
where
the
data
comes
from,
so
that
good
people
know
what
to
do
and
where
to
go
and
make
the
changes,
but
I
I
wouldn't
want
to
get
totally
caught
up
in
the
data
because
some
of
this
stuff
we
know-
and
we
have
to
speak
it
up
loud,
it's
kind
of
a
little
bit
of
each,
but
we
would
love
to
see
Mass
health
reinvigorate
this
right.
Now,
it's
a
choice
and
it's
you
know
these
systems
are
just
extraordinarily
taxed.
L
They
have
many
things
going
on
they're
not
going
to
let
to
do
it,
not
because
they
don't
want
to
it's
because
they've
got
so
many
pressures.
So
we've
got
to
be
a
squeaky
wheel
is
what
it
really
comes
down
to
I,
don't
decry
any
of
the
systems
I,
don't
think
they
want
to
do
anything
wrong,
they're
in
the
business
of
helping
people,
but
if
they
got
all
the
pressures,
if
we're
not
on
that
list,
we
we're
left
out.
N
I
Yes,
please
thanks
Bill,
thanks
for
presenting
the
history,
as
well
as
the
advocacy
by
bcil
in
so
many
ways
that
this
touches
upon
health
issues
touch
upon
the
lives
of
people
with
disabilities,
one
in
addition
to
the
importance
of
continuing
to
gather
the
data
or
the
interest
in
our
commission
of
trying
to
get
an
update
on.
What's
going
on,
not
just
both
at
the
major
hospitals
as
well
as
in
smaller
practices
in
the
Metro
Boston
area.
I
I.
Think
one
of
the
issues
you
brought
up
as
a
barrier
and
certainly
is
one
is
this
situational
I
know:
doctors,
don't
I,
don't
like
the
fact
that
they're
often
in
this
revolving
door
situation
going
from
room
to
room
of
that
appointments
are
only
20
minutes
long
and
so
as
a
practical,
short-term
solution
in
trying
to
get
the
word
out
on
on
some
changes
that
could
be
made
if
it's
not
I
knew
one
Doctor
Who
Would
try
to
double
book
appointments
when
she
could
that
something
was
a
quote.
I
Extended
visit
was
a
40-minute
visit
again,
not
all
in
all
practices.
This
is
someone
who
had
been
in
practice
for
a
long
time
had
a
subset
of
people
with
disabilities,
so
for
patients
had
complex
medical
problems
and
that
just
couldn't
be
addressed
in
a
20-minute
visit.
So
that's
one
way
she
handled
it.
Another
way
is
that
sometimes,
if
they
could
be
scheduled,
you
know
like
if
something
is
going
into
a
lunch
hour
and
isn't
going
to
affect,
isn't
something
that
requires
staff
assistance
of
people
who
are
going
to
be
at
lunch.
I
But
you
know
it's
already
in
use
whether
it's
in
use
by
someone
who
even
needs
it,
you
know
remains
often
perhaps
you
know
just
it
was
first
come
first
serve,
rather
than
that
it
was
separated
out.
So
I
think
what
we're
hoping
both
in
working
with
bcil
and
others
is
making
inroads
both
in
educating
Physicians
and
their
staffs
about.
I
L
So
thanks,
Elizabeth,
I
I
think
there's
a
couple
ways
to
assist.
One
is
you
know
when
we're
done
people
can
I
I
know
a
few
of
you
have
my
somebody
can
put
my
contact
information
in
the
chat,
the
BC,
my
email,
I
know
more
than
a
few
of
you.
Have
it
because
I'm
happily
communicating
with
a
lot
of
you
so
that
I
I
won't
do
it.
L
Andrea
can
do
it
she's,
not
and-
and
we
would
we're
looking
for
people
to
pull
together
to
just
talk
about
some
of
these
things
and
share
some
experiences
with
Mass
health.
They
don't
have
to
be
intimate.
They
can
be
veiled,
but
just
to
give
that
true
voice
to
it.
As
far
as
educating
people
there's
a
growing
effort
to
educate
practitioners,
I
think
some
of
the
Met
teaching
hospitals
have
reached
out
to
us.
L
So
you
know:
we've
had
people
our
members,
I
I've
done
it,
but
I
don't
think
I'm,
nearly
as
effective
as
the
individuals
themselves
talk
about
working
with
people
with
disabilities.
A
lot
of
it
comes
down
to
communication,
asking
people
what
they
need.
Trying
to
understand.
I
think
you
touched
on
a
real
important
point.
L
Some
people
know
Linda
long
out
of
UMass
in
Shrewsbury
used
to
be
chair
of
bcil
in
the
80s,
I
think
or
90s
has
done
a
tremendous
amount
of
medical
education
with
local
teaching,
hospitals
and
I
I.
Think
we
I
think
it's
multi-faceted
and
one
thing
I've
said
as
an
advocate
all
these
years.
Sometimes
you
know
I
I
work
for
an
organization.
I
can
talk
about
the
systemic
advocacy
we
do
along
with
the
services
we
provide,
and
we
do
a
lot.
L
L
We
have
in
our
office
on
Dorchester,
Ave
and
Fields
Corner,
and
we
have
one
at
Downtown,
Crossing
and
I'm
at
Downtown,
Crossing
now
and
when
I
look
out
and
see
somebody
get
on
a
silver
line:
bus
with
some
kind
of
disability,
I
go
man
they're,
just
making
a
statement,
they're
kind
of
changing
the
world.
Still
all
these
years
later.
L
You
know
it's
what
you
do
in
your
own
life
sometime
probably
does
more
than
anything,
and
you
know
some
people
younger
folks
say
what
do
you
think
the
Ada
did
and
it
you
know,
established
civil
rights.
It
gave
Advocates
a
whole
set
of
rules
and
regulations
and
laws,
but
most
of
all,
it
said
it's
okay
to
be
disabled
in
America
and
people
started
to
go
out
into
the
community
and
say:
I
have
a
disability.
N
N
B
L
You
know
the
challenge
will
be,
will
take
five
years
to
set
up
the
data
to
be
collected
in
the
systems
and
will
they
do
it
and
will
it
be
funded
and
will
the
Department
of
Public
Health
effectively
take
the
data?
Will
the
health
policy
commission
for
the
state
of
Massachusetts
look
at
it
and
you
know
suggest
initiatives
we
have
to
undertake
that's
a
pretty
negative
spin.
Some
of
that
will
happen.
What
it
will
require
is
The
Advocates
who
push
for
the
legislation
to
stay
on
top
of
it.
L
I
think
one
of
the
hardest
things
for
Advocates
is
we
get
all
excited
in
a
campaign
we
push
for
a
couple
years
for
say
a
bill
or
a
new
policy.
Then
we
walk
away
and
think
it's
done,
and
actually
the
real
hard
work
begins
because
then
the
kind
of
you
know
the
the
clean
lights
are
gone.
There's
no
more
headlines.
It's
just
this
mundane
slog
through
who's
doing
this.
Are
they
going
to
enforce
it?
We've
got
this
Lodge,
anyone
enforcing
it.
L
It's
just
the
way.
It
is
it's
tough
sometimes,
but
you
know
the
Ada
lives,
because
people
go
out
in
the
community
and
demand
it
does.
There's
some
neat
systemic
lawsuits
or
rallies.
You
know
City
got
sued
on
sidewalks,
but
it's
mostly
people
showing
up
and
just
saying
I
want
to
be
part
of
the
community
and
I
demand
equity
and
one
of
the
last
places
where
this
is
a
big
challenge.
For
all
the
reasons
I
said
is
Healthcare.
L
C
L
C
C
B
C
The
anti-discrimination
work
that's
happening
in
health
care.
You
all
know
that
there
was
a
hearing
today
at
the
State
House
pertaining
to
that
bill
and
I
want
to
let
let
you
all
know
that
there
was
testimony.
I
did
submit
a
testimony
and
a
letter
I
represent
as
a
representative
of
as
a
chair
of
the
the
mission
here
and
I.
Actually,
in
my
testimony
letter
I
wanted
to
show
my
strong
support
to
the
state,
Bill
and
I'm,
hoping
that
this
will
pass
quickly,
so
we'll
see
we'll
see
what
happens
next
now.
C
Thirdly,
I
wanted
to
follow
up
on
our
July
meeting
when
we
talked
about
the
possibility
of
writing
a
letter
in
an
advocacy
for
the
bill.
The
house
bill
pertaining
to
the
ACT
relatively
to
the
end
of
life
options
and
I
know
that
John
Kelly
had
expressed
some
concern
about
the
bill
back
in
July.
Now
we
at
that
July
meeting
the
board,
didn't
have
a
majority
vote.
C
So
with
that
said,
I
would
I'd
like
to
find
a
way
see
if
we
could
have
someone
who
might
want
to
share
a
perspective
to
The
Advisory
board
on
this
other
position
and
so
I'm
I'm.
Kindly
asking
that
we
put
this
topic
on
hold
for
the
time
being
when
until
we
find
that
person
who
can
speak
to
this
at
the
same
time,
there
has
not
I
think
there's
some
concern
because
there
hasn't
been
any
movements
on
this
state
Bill,
thus
far.
So
that's
what
I
have
for
my
chairs
report.
G
Thank
you.
It's
just
more
of
a
administrative
procedural
question.
Does
this
continue
to
sit
on
Old
business
or
what?
How,
where
does
this
stand?
I
I
know
that
it's
a
request
for
a
letter
and
everything,
but
we
took
a
vote
but
I
just
the
reason
why
I'm
asking
procedurally
in
order
to
keep
this
going
in
Old
business,
rather
than
continue
just
to
roll
it,
because
I'm
sure
people
have
opinions
on
it,
so
they
would
like
to
see
us
as
a
board.
Not
just
move
things
around.
G
C
Yeah,
thank
you
very
much
Charlie
for
that.
For
that
follow-up
and
that
question
there
was
a
decision
in
the
executive
committee
meeting
that
was
recently
held
to
not
include
this
in
Old
business
for
the
purpose
of
discussion,
because
we're
thinking
that
it'll
be
best
for
the
board
to
have
some
other
perspective.
Some
other
view
on
the
issue
and
that's
why
they
Advanced.
They
asked
that
I
included
in
the
chairs
report
that
we're
seeking
alternate
View.
A
C
This
is,
this
is
Wes
sure
I'd
also
like
to
add
that
we
attached
the
letter
and
what
I'll
do
is
I
think
we
should
just
hold
on
this
until
we
find
someone
who
can
give
us
some
sort
of
opposing
view
to
what
we
had
heard
previously.
So
we
have
some
balanced
information
to
share
with
members
of
the
board.
Okay,
and
we
can
include
the
bill
with
that.
C
J
C
J
J
J
and
we
also
have
one
more
neighborhood
event
this
year,
which
is
in
East
Boston.
It's
going
to
be
Sunday
October
15th
from
10
to
3
30..
So,
like
I,
said
it's
a
great
way
to
experience
the
city
with
no
car
traffic
and
they're
great
events.
If
anyone's
interested,
please
plan
to
attend
another
update
actually
in
City
Hall
is
that
the
first
floor.
J
Coffee
shop
entered
into
a
license
agreement
with
a
new
vendor
through
the
mass
commission
for
the
blind
in
the
Randolph
Shepard
act,
and
they
will
be
running
the
first
floor
Cafe
for
the
foreseeable
future.
So
that's
exciting
if
you're
in
City,
Hall
drop
in
and
pay
them
a
visit,
some
updates
from
my
department.
First
of
all,
we've
scheduled
our
Civic
engagement.
Day
event:
it's
going
to
be
on
Tuesday
October
17th
from
10
a.m,
to
12
noon.
This
is
going
to
be
an
in-person
event
in
City
Hall.
J
It's
going
to
happen
on
the
fifth
floor,
which
is
the
seat
of
our
local
government.
The
fifth
floor
has
the
mayor's
office,
the
city
council
chamber
and
all
the
counselor
offices.
So
what
this
event
is
is
it
invites
people
with
disabilities
to
come
into
City
Hall
and
see
what
the
accessibility
is
like
get
to
see.
J
The
city
council
chamber
get
a
chance
to
meet
staff
who
work
on
Civic
engagement,
office
of
neighborhood
service,
Liaisons
city,
council
staff,
the
city
clerk
and
people
will
get
to
learn
how
to
testify
at
a
hearing
or
register
to
vote
and
try
out
a
mock,
voting
booth
and
learn
about
the
Automark
machine.
So
it's
a
great
event
for
the
community
to
learn
how
to
exercise
the
civil
rights.
As
bill
was
saying,
civil
rights
can,
as
we
know,
they
can
all
be
lessened
if
we're
not
actively
promoting
them.
J
So
we
encourage
everybody
to
attend
if
you're,
free
and
spread
the
word
to
your
networks,
we'll
have
an
updated
flyer
out
very
soon.
Another
event
we're
having
this
month
next
month
in
October
October
is
National:
disability,
employment,
Awareness
Month.
So
every
month
we
do
every
year
during
ndeam.
We
do
an
event
to
promote
employment
or
people
with
disabilities,
so
we'll
be
having
a
webinar
called
Pathways
to
employment
in
the
city
of
Boston.
This
webinar
will
bring
together
Human
Resources
staff
from
the
six
different
agencies
that
post
jobs
for
the
city
of
Boston.
J
One
thing:
that's
a
little
bit
new
this
year
is
a
national
disability.
Employment
awareness
month
is
a
national
initiative
and
they
do
promotional
materials
to
talk
about
the
accomplishments
of
people
with
disabilities
in
employment
and
also
to
promote
employment
among
people
with
disabilities.
So
in
their
promotional
materials
this
year
we
have
an
opportunity
to
put
our
own
pictures
on
the
Flyers
and
posters.
J
So
if
anyone
on
the
board
is
interested
in
being
showcased
on
an
ndeam
poster
or
flyer,
please
send
an
email
to
disability,
boston.gov
and
let
us
know-
and
we
can
go
to
the
next
page.
So
I
mentioned
that
we
were
going
to
get
some
Transportation
updates,
probably
quarterly
from
BPS
about
a
special
ed
Transportation.
So
we
did
speak
with
Dan
recently
and
he
gave
us
these
updates.
J
So,
as
we
mentioned
before,
the
responsibility
of
bus
drivers
falls
to
transdev
the
company
that
the
city
has
outsourced
drivers
to
So
transdev
currently
has
743
active
bus
drivers
and
an
additional
25
drivers
in
training.
They
were
expected
to
be
fully
staffed
for
the
staff
of
the
school
year,
which
would
have
required
734
drivers
for
632
routes.
So
we
have
a
lot
of
drivers
and
a
lot
of
routes
to
cover,
but
they
were
expecting
to
be
fully
staffed
in
comparison.
J
J
However,
bus
monitors,
as
we've
told
you
before,
are
the
responsibility
of
the
Boston
Public
School
System,
so
BPS
currently
has
601
active
monitors
and
they've
recruited
approximately
100.
They
had
recruited
approximately
100
monitors
over
the
summer,
we're
working
with
their
Human
Resources
office
to
prioritize
the
hiring
and
onboarding
of
the
monitors
before
school
starts.
Bps
was
doing
that
in
comparison.
J
J
So
that
is
something
that
BPS
has
internal
oversight
of
and
they
report
out
to
the
public
as
part
of
the
BPS
systemic
Improvement
plan.
Ernst
young
has
audited
the
BPS
on
Time
Performance
calculation,
so
that
we
could
trust
that
it's
accurate
and
people
may
have
questions
about
this.
But
we'll
I'll
go
through
the
rest
of
my
report
and
then
we'll
take
questions
afterwards.
J
He
will
be
focused
on
focusing
on
track
renewal,
station
repair
and
Slow
Down
slow,
Zone
rejections.
During
this
time
the
team
will
have
shuttle
services,
they'll
be
producing
a
Rider's
guide
which
will
be
published
soon.
All
shuttle
stops
will
be
accessible
and
a
portion
of
the
shuttle
vehicles
on
the
road
will
be
low
floor.
Buses.
J
Some
sections
of
sidewalk
will
require
patching
and
minor
repair
for
accessibility.
Our
staff
has
already
made
a
list
of
side
lock,
sidewalk
locations,
along
with
the
preferred
remedies
to
increase
accessibility
and
we've
already
seen
Public
Works
getting
on
some
of
the
locations.
We've
identified,
making
repair
work
and
we'll
keep
the
disability
Community
updated
on
any
specific
accessibility
concerns
related
to
the
shutdown
either
about
sidewalk
patching
or
the
diversion
in
general
next
slide.
J
Okay,
just
some
updates
on
boards
and
commissions
I
wanted
to.
Let
you
all
know
that
we've
heard
directly
from
the
mayor
and
from
our
cabinet
Chief
what
great
work
this
board
does
and
Charlie.
It
was
very
interesting
that
you
noted
the
priority
of
the
board
to
keep
work
moving
and
not
to
just
table
things.
So
I
think
that
the
sport
does
get
a
lot
of
work
done
and
your
work
is
noticed
by
the
administration
and
appreciated.
J
So
on
that
note,
we
do
want
to
emphasize
that
disability
representation
representation
is
a
key
piece
of
the
city's
Equity
work
and
we
want
to
be
sure
that
you're
all
putting
your
experience
and
expertise
to
good
use.
So,
if
you'd
like
to
learn
about
opportunities
to
serve
on
other
boards,
what
commissions?
Please
let
us
know
it
doesn't
mean
you
have
to
give
up
your
seat
on
this
board,
but
the
city
has
over
40
bullets
and
commissions
in
all
areas
of
local
government,
from
housing
to
education,
to
voting
to
development
projects.
J
So
if
you're
interested
in
serving
on
another
board
or
potentially,
when
you
step
off
this
board,
if
you'd
like
a
new
opportunity,
please
let
us
know,
because
we
know
that
all
of
these
boys
need
a
disability
lens
and
people
with
disabilities
care
about
all
issues,
not
just
disability
ones
and
another
thing
about
our
local
board.
Our
particular
board
I'd
like
to
ask
board
members
to
think
about
your
interest
in
returning
to
in-person
meetings
at
some
point.
J
Maybe
next
year
we
can
put
this
on
the
agenda
for
early
2024,
although,
as
I
write,
this
I
know
that
covet
is
creeping
back
up
covet
numbers
so
again,
we'll
see
how
it
goes
over
the
winter
and
we
can
put
it
on
an
agenda
in
the
spring
and,
of
course,
we'll
be
looking
into
the
logistics
of
having
fully
hybrid
meetings
before
we
have
this
discussion
because
we
do
definitely
want
to
leave
the
online
option
open.
We've
always
had
it,
but
before
it
was
more,
people
could
call
in
on
the
phone.
J
But
since
covid
we've
really
seen
the
the
benefit
of
having
these
interactive
Zoom
meetings.
So
we
want
to
definitely
look
at
keeping
that
in
place
and
then
potentially
having
a
hybrid
situation
where
people
could
come
in
person
if
they
were
so
interested,
and
that
is
my
report,
so
I'm
happy
to
take
any
questions.
If
any
board
members
have
them.
N
J
Can
we
go
back
to
the
slide
for
a
minute
Andrea,
so
bus
monitors
ride
on
the
school
buses
a
lot
of
I
shouldn't
say
a
lot.
Some
special
ed
students
have
bus
monitors
as
part
of
their
IEP
or
504
plan,
which
means
that
they
are.
The
BPS
is
required
to
provide
a
bus
monitor
on
the
bus,
either
for
the
whole
bus
or
particularly
for
individual
students,
if
it's
part
of
their
plan
and
BPS
currently
has
601
active
monitors
and
to
be
fully
staffed
up.
J
F
N
G
Thank
you,
commissioner,
thanks
again
for
continuing
to
to
follow
up
with
EPs
and
have
that
Cadence
of
of
them
reporting
and
I
did
see
that
there's
some
addictions
of
items
that
we've
kind
of
been
asking
on
hey.
How
do
we
trust
the
data
and
all
that
so
we're
seeing
Auditors
come
in
and
I
still
think
back
to?
G
G
There's
the
training
I
know
that
you're
working
on
the
training
and
the
maintenance
and
checking
that
out,
but
ultimately,
a
lot
of
the
data
that
that
seems
to
be
coming
in
is
aggregated
data
in
the
sense
of
how
are
they
doing
on
on-time
percentages
but
I,
think
and
I
think
Olivia's
on
here,
and
she
asked
this
question
diligently.
One
of
the
meetings
back
big
question
is
how
many
of
these
kids
are
getting
on
and
why
are
they
not
getting
on?
G
But
I
don't
know
if
that
falls
into
our
purview
right
if
it's
mechanical
100
right
and
that's
what
we're
doing
with
the
controls
on
checking.
If
these,
if
people
are
trained,
if
if
the
buses
are
actually
working
but
I,
think
it
ties
into
Richard's
question
two
of
the
monitors
they're,
giving
us
an
aggregate
number.
But
we
don't
have
the
disaggregated
number
of
how
many
of
those
monitors
are
one-to-one
that
are
required
for
the
student
right
and
that
have
that
are
disabled
or
have
a
disability
and
I.
G
G
Is
that
question
of
you
know
great
with
with
the
on-time
percentage,
but
how
many
of
those
kids
that
we're
asking
about
are
actually
on
the
bus
to
get
to
get
to
school,
because
that's
where,
ultimately,
that
we're
trying
to
achieve
right
is
understanding
that
and
and
their
access
to
being
able
to
get
to
school
and
in
the
first
part,
is
that
Transportation.
So.
J
Yeah
I
think
you
know
this
is
the
information
that
Dan
reported
to
me.
You
know
when
I
asked
for
an
update.
He
voluntarily
listed
these
items,
but
I
can't
Circle
back
with
him
and
ask
him
if
he
does
have
data.
That's
public
on
like
reasons
for
like
buses
not
being
on
time,
like
you
said,
is
it
mechanical?
Is
it
training
I
know
we
had
discussed
that
with
him.
J
I
didn't
ask
him
for
those
data
points
for
this
report,
but
I
can
ask
him
if
he
has
those
moving
forward
and
I
think
you
know
you've
asked
a
few
times
about
what
is
the
relationship
between
this
board
and
BPS
and
I?
Think
we
can
focus
on
like
ways
that
we
can
have
an
impact
and
things
like
mechanical
buses
and
things
like
that.
There
probably
isn't
a
lot
we
can
do
about
that.
J
But
if
it's
issues
of
driver
training-
and
you
know
like
interacting
with
students-
I
know-
there
have
been
some
instances
where
you
know
it's
been
reported
that
a
monitor
is
not
available
for
a
child
101.
But
the
parent
says:
oh,
it's,
okay,
if
they
go
without
the
monitor,
but
you
know
a
monitor
is
willing
to
take
a
child
who's
supposed
to
have
an
individual
monitor,
but
only
has
a
general
bus
monitor
like
how
are
those
interactions
going?
J
I
could
see
us,
you
know
potentially
having
some.
You
know
interactions
with
that
as
far
as
like
what
information
Dan
would
have
on
that
and
what
type
of
training
monitors
are
getting.
You
know
to
ensure
that
all
the
children
are
safe
and
their
needs
are
being
met
because
Dan
did
emphasize.
The
the
main
thing
that
they
are
focusing
on
is
every
child's
individual
IEP
504
plan
being
met
as
far
as
transportation
and
monitoring.
J
So,
like
I,
said
the
mechanical
issues
we
may
not
be
able
to
do
much
about,
but
Staffing
and
training
of
monitors
would
be
something
we
could
potentially,
if
not
help
directly.
We
could
kind
of
you
know,
find
out
more
information
about
what
types
of
training
monitors
are
receiving.
So
I
can
definitely
you
know
Circle
back
with
Dan
and
see
if
he
has
that
information
as
public
information
and
if
you
can
share
with
us
and
in
what
ways
we
can
work
together
moving
forward.
J
L
N
And
boards
from
different
organizations
and
I
know
that
board
meetings
typically
provide
food
and
I'm
thinking
that
that
may
be
some
kind
of
an
incentive
to
bring
people
into
a
physical
space
to
be
willing
to
be
either
half
in
person
or
fully
in
person.
I
think
providing
food
before
the
meeting
offers
folks
an
opportunity
to
socialize
as
well
as
be
fed,
and
members
of
the
public
may
also
be
more
interested
in
joining
us
for
these
meetings,
if
there's
that
social
part
as
well
as
the
meal
beforehand.
N
N
O
O
So
there's
some
two
kinds
of
boats:
one
is
the
official
boats
that
go
to
the
two
main
islands
from
the
Boston
Harbor,
the
Georges,
Island
and
spectacle
Island.
So
the
the
official
boats
operated
by
the
National
Park
Service
and
by
DCR
they
leave
from
the
Long
Wharf
in
Boston
on
these
live
from
from
the
longboard
Boston
and
the
the
pier
is
a
flat
large
wind
area,
the
ticket
booth
and
ramps
down
to
the
boat.
O
O
The
staff
of
the
boat
is
available
to
assist
by
lifting
the
person
and
helping
them
on
the
ramp
and
again
there's
a
stairs
only
between
the
first
floor
and
the
second
floor
and
the
roof
deck.
So
no,
no
vertical
circulation,
no
elevator,
and
also
when
you
are
in
the
boat
and
trying
to
get
to
the
outside
of
The
Boat
Boat,
there's
a
curb
separating
that
outside
level,
the
outside
deck
from
the
inside
deck.
So
there's
a
curb
and
there
are
some
portable
ramps
that
are
helpful
to
mitigate
that
curve.
O
When
you
get
to
Georgia's
Island,
the
main
pathways
are
accessible.
So
there
is
a
restaurant,
that's
accessible,
the
picnic
areas
are
accessible
and
the
water
fountains
are
accessible.
There
are
some
potholes
and
some
cracking
in
these
accessible
and
in
Georgia's
Island,
there's
a
fort
and
the
fort
itself
has
two
levels.
O
O
O
O
Okay,
thank
you.
Once
you
get
to
spectacle
Island,
there
is
a
long
flat,
concrete,
concrete
area
with
shade
that
you
can
use
for
fishing
and
other
activity.
It's
pretty
large
and
comfortable
a
day.
The
pathways
are
not
paved,
the
materials
are
dirt
and
gravel
and
the
swimming
beach
is
Rocky
and
does
not
have
any
Mobility
mats.
O
O
More
so
the
gist
of
this
description
of
all
the
boats
is
that
the
boats
at
multiple
levels
and
there's
no
vertical
circulations,
there's
no
elevator
in
there,
it's
just
stairs,
and
then
they
issue
that
when
you
get
in
and
out
of
the
boat,
it's
kind
of
unpredictable,
whether
you're
going
to
need
to
boarding
one
level
and
D
board
on
another
level.
And
that
depends
on
the
tides.
O
N
N
It
couldn't
get
over
the
get
over
it
couldn't
get
onto
the
boat
because
it
couldn't
get
over
the
lip
and
there
were
people
who
were
watching
this
whole
thing
happen.
This
person's
struggling
to
get
over
the
lip
onto
the
boat
and
I.
Don't
know
what
kind
of
disability
the
person
had,
but
the
person
tried
to
stand
up
and
walk
over
the
lip.
N
And
she
wasn't
able
to
get
over
the
lip
she
couldn't
get
onto
the
boat,
and
it
was
really
surprising
for
me
and
I
wanted
to
ask
you
Patricia
about
why
those
four
inch
lips
exist,
why
the
ramps
aren't
flat
to
begin
with,
but
why?
If
there
is
a
lid,
why
would
it
be
so
large
because
it
really
is
hampering
people's
ability
to
enjoy
themselves?
It's
certainly
an
accessibility
issue,
and
so
I
wonder
if
we
know
why
those
four
inch
lips
exist.
O
O
And
an
example
is
the
kind
of
portable
ramps
that
we
used
for
the
outdoor
dining
pilot
in
past
year.
It's
basically
a
piece
of
metal
that
you
can
carry
a
person,
can
carry
and
deploy
and
put
down,
and
it
is
designed
for
a
wheelchair
users.
My
guess
is
that
those
ramps
that
right
now
are
being
used.
They
may
be
designed
just
for
carrying
things
and
stuff
supplies
for
the
boat
in
and
out,
but
they're
not
really
intended
or
designed
for
for
Wheels.
E
Don't
think
I've
made
it
out
since
the
pandemic,
but
I
look
forward
to
taking
advantage
again
I
I
wasn't
here:
I
wasn't
able
to
make
July's
meeting
so
I,
don't
know
what
prompted
what
prompted
the
accessibility
report
or
and
whatnot,
but
I'm
a
little
bit
confused
because
I
know.
Patricia.
You've
said
that
that
some
of
the
ferries
are
available
from
leader,
Bank
Pavilion
and
some
of
the
ferries
are
are
available
at
other
locations.
E
That's
not
where
I've,
that's,
not
where
I've
ordered
to
go
on
on
go
to
the
islands
before
so
I
didn't
know
whether
this
is
something
new
or
there
are
different
companies
that
that
go
out
to
the
go
out
to
the
islands
or
or
not.
Maybe
again,
maybe
I'm
can
maybe
I'm
a
bit
confused,
but
I
just
checked
too
online
and
the
same
company
Boston,
Harbor
Cruises
says
they
do
did,
did
offer
the
same
service
this
year
and
all
those
votes
boats
depart
from
Long
Wharf.
E
A
Patricia,
do
you
want
me
to
take
this
one
since
yeah
great
thanks
Jerry?
This
is
Andrea
with
the
commission,
so
there
are
probably
a
dozen
or
more
boat
operators
that
operate
in
and
around
Boston
Harbor.
There
is
one
that
has
a
contract
from
DCR
to
run
the
quote
official
Ferry
out.
So
if
you
go
to
like
the
national
parks
website
and
say
how
do
I
get
to
the
islands,
it's
a
20
ticket
on
Boston
Harbor,
now
cruises.
A
A
Some
are
just
cruises
around
and
some
have
a
destination
of
spectacle
or
Georges
they're
able
to
do
that
for
free,
because
at
least
three
different
Cruise
companies
donate
their
boats
to
the
program,
and
so
the
different
Cruise
companies
have
permits
to
operate
off
different
piers
and
different
wharfs
and
different
sections
of
the
harbor.
So
that's
why
there
are
different
way
places
that
Patricia
mentioned.
E
H
So
my
question
isn't
to
do
with
the
the
the
presentation
you
just
gave
I'm
just
wondering
last
I
heard
the
architectural
dashboard
which
obviously
the
the
variances
that
are
admitted
by
developers
and
complaints
that
are
submitted
by
people
in
the
community
was
not
meeting
because
they
didn't
have
enough
people
appointed
to
the
board.
Is
that
still?
Okay.
O
Oh
hi
Carl.
Thank
you
for
your
question.
So
the
architectural
access
board
has
been
meeting
regularly.
There
was
one
Monday
that
we
didn't
have
Quorum,
but
that
was
just
one
time
actually
another
time
over
the
summer.
So
this
summer,
two
times
the
meetings
were
canceled
because
of
lack
of
work.
This.
A
Is
Andrea
Carl?
Just
to
add
we
heard
from
our
intergovernmental
relations
team
that
the
governor
was
finalizing
appointments
for
the
three
empty
seats
and
I
I
was
told
they
were
expecting
those
appointments
to
be
finalized
this
week
and
then,
of
course
those
folks
would
need
to
be
sworn
in,
but
I.
We
just
got
that
news
like
yesterday,
so
I
hadn't
had
a
chance
to
share
it
with
you.
H
H
Just
want
to
announce
that
back
on
July
26th,
the
33rd
anniversary
of
the
Ada
that
Governor
Moore
Haley
signed
a
new
executive
order
requiring
that
the
state
of
Massachusetts
and
all
the
state
agencies
have
digital
accessibility
as
a
priority
and
is
higher
in
the
process
of
hiring
achieve
accessibility
officer
to
oversee
that.
So
we
should
start
paying
some
improvements.
This
Father's
Day
website
date
electronic
nude.
H
K
K
Laughing
because
at
all
no
it's
all
over
the
city-
and
it's
ridiculous,
so
I'm
wondering
maybe
Richard
is
an
attorney-
might
be
able
to
help
with
this
maybe
start
to
go
after
the
contract
is
not
just
call
3-1-1
and
say:
hey
they
misplaced,
you
know
the
bricks
or,
but
this
is
really
I
mean
walk
by
the
state
house.
As
you
know,
Carl
they've
been
working
on
that
section
of
road
now
for
over
two
years
they
did
they
redid
now
who's
accountable
for
this.
K
Now,
whether
it
be
someone
with
mental
physical
disabilities,
blind
earring,
I
mean
this
is
this.
This
affects
everybody
in
people
without
disabilities,
also
wondering
if
there's
just
a
way,
maybe
through
the
disability
boy,
we
can
start
focusing
on
these
Bond
practice,
because
they're
supposed
to
be
repairing
things
and
they're,
leaving
them
worse
than
they
were,
and
I've
noticed
people
in
motorized
chairs
trying
to
get
up
and
down,
ran
to
the
brick
sidewalks.
K
It's
tough
to
begin
with
on
Beacon
Hill
or
concrete
sidewalk
in
Dorchester
the
other
day
when
I
was
there
and
it's
just
the
unevenness
the
way
they
put
back
together,
just
shoddy
craftsmanship
and
it's
it's
the
it's!
The
contract
is
faults.
There
are
a
lot
of
them.
I've
noticed
like
a
Feeney
Brothers
Maverick
sharing
some
of
these
I
just
noticed
the
names
on
the
back
of
the
trucks,
the
same
ones
that
are
always
there
and
they're,
not
they're,
not
just
there
for
a
few
weeks,
they're
there
for
years.
J
J
Contractors
have
to
give
a
deposit
when
they
work
on
sidewalks
and
they
don't
get
the
deposit
back
until
the
sidewalks
are
put
back
into
an
accessible
condition.
There
are
all
kinds
of
checks
and
balances
through
the
public.
Improvement
commission
through,
like
I,
said
our
regular
work
through
complaints
that
we
get
so
we
are
on
top
of
it.
That
being
said,
it
is
a
very
big
responsibility.
J
It's
a
big
job
because,
like
you
said
it's
a
big
city,
we
have
over
1600
miles
of
sidewalks
in
the
city
that
get
worked
on
every
day,
at
least
April
through
November.
So
I
really
appreciate
your
comments
and
we
take
them
seriously.
I
would
not
want
to
recommend
going
down
a
board
where
we
bring
in
a
lawyer
at
this
point.
I
think
that
we
can,
you
know
Circle
back
internally.
J
In
fact,
we
just
had
a
meeting
internally
about
this
today
about
conditions
of
sidewalks
and
how
we
can
look
at
them
systemically
with
Public
Works,
to
be
sure
that
the
big
picture
issues
are
addressed,
because
not
only
the
big
picture
issues
but
the
actual
blocks
that
are
inaccessible
conditions
because
of
contractor
work
are
addressed,
so
we
are
on
top
of
it.
The
exact
meeting
came
up
today,
okay,.
K
J
D
H
C
D
H
C
Okay
Carl:
this
is
Wes
again
we
can
put
that
under
old
business
for
our
next
meeting
for
discussion
and
I
just
want
to
also
respect
everybody's
time,
because
we'd
only
get
a
few
more
less
than
15
minutes
to
get
through
what
we
need
to
finish
getting
through
so
I'm
going
to
continue
with
the
agenda
of
the
meeting
so
I'm
just
going
to
push
on
that.
I
see
that
Richard
had
a
hand
up
as
a
hand
up.
Is
it
an
announcement
because
we're
at
announcements
Richard?
Is
that
what
this
is
about?
No.
F
It's
about
it's
about
the
the
issue
that
just
reads
it
just
wanted
to
mention
that
the
answer
is
probably
in
the
contract
was
the
father
with
the
contractors.
So
if
we
were
to
do
a
letter,
it
probably
ought
to
be
addressed
to
asking
somebody
to
review
the
contract,
make
sure
it
has
the
appropriate
language
and
do
something
about
it.
If
there's
something
that
can
be
done.
C
C
H
Yeah,
although
it
hasn't
been
publicly
enough,
I
have
it
on
Authority
that
the
two
captains
built
the
one
prompted
by
Senator
Barrett,
Michael
Barrett
and
the
one
sponsored
by
representative
Denise.
Garlic
is
going
to
be
heard
at
the
children
family
from
person
with
disability
committee
meeting
and
I
believe
the
date
is
October
4th.
H
What
the
media
noted
to
go.
Public
I
will
send
a
link
to
Andrea
to
share
with
the
committee
so
that
people
can
register
online
to
testify
either
remotely
in
person
or
they
can
submit
testimony
and
write
them
and,
however,
they
feel
about
this
bill.
But
this
bill
is
basically
going
to
rep.
Well,
hopefully,
will
replicate
that
Boston
had
with
the
captioning
bills.
H
We
were
basically
trying
to
mirror
what
Boston
did
and
hopefully
make
this
Statewide
so
I'm
on
top
of
it
and
as
soon
as
the
notice
goes
public
and
it
should
go
public
family
soon
within
the
next
week.
I
will
send
that
out
to
everybody
and
I
hope.
Everybody
will
help
Fred
the
word
so
that
we
can
get
members
of
the
community
to
support
this
bill.
C
H
C
C
All
right,
so
some
of
you
may
or
may
not
be
aware
of
this
new
law,
but
it
was
something
that
I
had
actually
just
had
to
learn
and
absorb
from
myself
recently,
because
I
have
a
personal
story
related
to
this.
Previously
Governor
Baker
had
signed
into
a
new
law
this
this
law
in
January
2021
and
now
all
hospitals
in
Massachusetts
have
until
January
20
January
1st
2024
to
improve
the
lighting
and
the
signage
and
the
way
finding
and
monitoring.
C
That
was
on
her
third
night
because
she
had
Extreme
Weight
Loss
and
she
had
what's
called
decreased
output
and
jaundice
everything's.
Okay.
She
only
had
to
stay
overnight
one
night
and
we
ended
up
getting
a
modified
feeding
plan,
and
you
know
right
now:
she's
a
beautiful,
thriving
baby.
She's
got.
You
know
plenty
of
milk.
Sleep
and
she's
got
her
diaper
changes,
but
so
the
incident
that
happened
was
after
I
had
dropped
off.
C
My
wife
and
the
newborn
at
the
ER
I
went
to
park
my
car
and
as
I
pulled
the
car
in
I
saw
that
there
was
what
looked
like
a
ram
next
to
the
lunder
building,
which
is
part
of
MGH,
and
so
I
thought
it
was
an
incline
ramp.
So
I
hurried
to
get
over
there
to
the
ER
after
parking,
but
I
ended
up
tripping
over
another
path.
C
That
really
was
a
low
step
path.
It
looked
like
a
ramp
and
they
were
near
each
other,
so
it
was
part
of
the
ranch.
So
I
was
I
bruised
my
toe
and
there
was
no.
What
was
actually
I
was
really
disappointed
because
there
was
no
obvious
signage
showing
where
to
get
to
the
ramp
or
warning
that
there
was
a
step
up
like
caution,
Step
Up
between
the
stairs
there
and
it's
a
danger
and
so
I.
You
know,
I
was
told
that
this
happens.
C
A
lot
in
that
area
near
the
hospital,
so
I
was
doing
some
thinking
about
it
and
I
think
the
architectural
design
is
just
really
poor.
They
need
to
sort
of
revisit
many
of
their
sort
of
areas
like
this
and
I.
Think
there's
there
should
be
some
sort
of
a
warning
sign
that
there
are
two
paths
there
and
they're
right
next
to
one
another.
So
there's
got
to
be
some
signage,
so
I
brought
this
up,
because
I
want
to
draw
some
attention
to
the
fact
that
this
obviously
is
related
to
signage
and
this
Lara's
law.
C
C
D
C
I
Yes,
this
will
be
quick.
First,
congratulations
on
the
birth
of
your
daughter,
but
I'm
very
sorry
to
hear
that
story,
but
for
that
particular
for
MGH,
we
happen
to
have
the
Good
Fortune
of
having
Zari
as
a
board
member.
So
she
might
have
some
helpful
insights
on
ways
to
move
forward
for
that
particular
setting.
But
obviously
there
are
issues
throughout
the
city
and
given
the
time
in
the
meeting-
and
that
is
an
important
issue.
C
M
Thank
you
for
unmuting
me.
I
was
disappointed
that
the
commission
did
not
plan
to
discuss
assisted
suicide
at
this
meeting
after
having
a
tie.
Vote
in
the
July
meeting,
I
think
that
there
are
real
dangers
to
people
with
disability
that
need
to
be
explored
and
I
would
just
say
that
the
leading
National
disability
organizations
all
support
every
National
major.
M
M
And
so
this
is
a
threat
to
people
through
misdiagnosis,
mistaken
prognosis,
people
lose
months
years
or
decades.
Many
disabled
people
themselves
have
experience
with
terminal
diagnosis
and
I'll,
leave
it
there,
but
I
do
hope
that
enough
board
members
would
like
to
have
a
discussion
on
this
important
topic
and
a
future
month's
meeting.
Thank
you.
M
C
You
thank
you.
John
I
do
recognize
that
you
were
not.
He
I
believe
that
you
were
not
here
for
the
beginning
part
of
the
meeting
when
we
did
address
this
I
had
shared
some
information
about
in
my
chairs
report
regarding
this
bill
and
that
we,
the
executive
committee,
had
made
a
decision
that
we
were
going
to
hold
on
discussion
of
this
topic
for
the
time
being
because
we're
in
the
process
of
pursuing
a
more
balanced
set
of
information
from
different
viewpoints.
C
Of
course,
this
is
a
controversial
issue
and
because
it's
so
controversial,
we
need
to
have
balanced
viewpoints
so
we're
looking
for
people
who
are
presenting
people
who
have
information
from
maybe
a
different
different
opinion
so
that
we
can
share
balanced
information
to
the
to
the
members
of
the
board,
and
so
we
do
have
this
listed
for
ongoing
discussion
and
I
do
recognize
that
this
bill
is
still
it's
inactive.
Currently
in
the
State
House,
there
hasn't
been
much
movement
on
it.