Regional October 23, 2009 8:44 AM

Can We Afford to Lose Two Health Clinics on Buffalo's East Side?

Can We Afford to Lose Two Health Clinics on Buffalo’s East Side?

County Executive Chris Collin's 2010 budget plan calls for primary health care services to be cut at the Jesse E. Nash Health Care Center and Pediatrics, at 608 William Street, and the Dr. Matt Gajewski Human Services Center, at 1500 Broadway, the county's only two remaining health clinics.

The county executive has proposed to transfer these non-mandated clinical services to the Sheehan Health Network of Buffalo.

The Jesse Nash Health Care Center offers women's health services, family planning (including free family planning services to those who qualify), GYN and prenatal services, dental and mental health services, the latter through Mid-Erie Counseling and Treatment Services, to low-income women and teens. All health insurances are accepted, and free family planning services can be received by anyone meeting income requirements through the Family Planning Benefit Program.

The Dr. Matt Gajewski Human Services Center offers primary care, including adult medicine, pediatrics, podiatry and women's health care services and free family planning services for those who qualify. All health insurances are accepted, and free family planning services can be received by anyone meeting income requirements through the Family Planning Benefit Program.

"This reduction of health and medical services is targeting those people who are most in need of such services and whose voices need to be heard loud and clear by the administration," according to County Legislator Barbara Miller-Williams. "Senior citizens and people of lower economic status have fewer alternatives for their health care, and this action will further reduce them."

Legislator Miller-Williams noted that the patients, community and the Ellicott Neighborhood Advisory Council are opposed to this change due to many years of success these centers have had reaching out to thousands of clients living nearby.

"Senior citizens, who have worked hard their entire lives, are now being told that they have to find a new facility to receive some or all of their medical care, and they will have to find transportation to get them there," Legislator Miller-Williams added. "People have been utilizing the services at these clinics for over 10 years, and should not have this important part of their lives uprooted. The county budget should not be balanced on the backs of the people seeking health care at these clinics. I will fight to keep these services available to the people who need and deserve them."

Does it make sense to cut these clinics and redirect health care to Sheehan?  With extra money going to culturals from the county, should health care take the bite?

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I believe Chris Collins is going to open a new clinic in the Spaulding Lake community and a second in Williamsville. These inner city clinics just aren't making money and we all know health care is about profit. I am not even sure if Chris knows that Buffalo is part of Erie county or that East Side residents are part of his constituency.

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He does but he doesnt seem to care. And why would he? The larger suburban vote loves his corporate tough guy act. Thats more than enough voters to negate any backlash in the inner city.

replied to Blackrocklifer
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He won't open one in Spaudling Lake because people there work and make money.

Who cares if two places in the East Side shut down. Nothing is open down there. People do not generate much money.

Chris Collins is good for WNY

replied to Blackrocklifer
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People on the East side work too, they didn't inherit their money like half of the Spaulding Lake folks.
Chris Collins is good for suburban WNY, so far he has been bad for Buffalo.

replied to ohnobuffalo
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"I believe Chris Collins is going to open a new clinic in the Spaulding Lake community and a second in Williamsville"
Keep it coming...love the hyperbole!!!

Health care facilities open, close, and move all the time in the "evil" suburbs. It just doesn't get the same whiny press as when it happens in the city. Is it really THAT awful if they have to go to Sheehan to get the same services?

Much ado about nothing

replied to Blackrocklifer
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Yeah, I know, I work in health care in facility planning. Difference is when they close a facility in the burbs people just drive to the new location, in the city many don't own cars limiting their options, especially for the elderly and disabled.

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That chip on your shoulder is showing again! I know you don't like the suburbs and absolutely despise places like Spaulding Lake because in your eyes the people who live there are doing so at the expense of the poor who use clinics like this. I know that somewhere in that aging liberal hippy douche mind of yours you have to know that isn't true. You have to know that there are many people living on the East Side who are truly and genuinely not interested in working and that there are many in Spaulding Lake who are putting in 70+ hours a week to run their businesses so others can bring home a paycheck. Somewhere in your mind you have to know that the far left conspiracy theories are as insane as the far right ones. I truly hope you have the emotional intelligence to realize that your irrational banter about how the suburbs is victimizing the helpless city needs to be countered with some rational thought and a balance that keeps the conversation grounded in reality.

replied to Blackrocklifer
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Sorry you don't understand sarcasm, BRO would be pretty dull if your "blame the city first" crowd was all we heard. My point was that Collins has shown nothing but contempt for our city and the poorest among us.
As for Spaulding Lake, I feel sorry for those people and their materialistic values. They must not have been paying attention in Sunday school when we were taught that happiness does not come from the acquisition of excessive wealth.

replied to O'Brien
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I understand sarcasm, but your comments aren't sarcastic, they are bitter.

I know only one person who lives in Spaulding Lake and a few who live nearby and they all seem pretty damn happy, content, and aren't all that materialistic focused. The people that I know are very community minded, spiritually grounded, and are raising their kids with good values. I think you should probably get to know at least one of them before you start making assumptions about their values. Isn't this what you recommend when someone makes a derogatory comment about the poor? Maybe you should follow your own advice.

replied to Blackrocklifer
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O'B:"I truly hope you have the emotional intelligence to realize that your irrational banter about how the suburbs is victimizing the helpless city needs to be countered with some rational thought and a balance that keeps the conversation grounded in reality"

Everybody has their biases including yourself. You talk about temepering opinons for the sake of reality while the rest of that post smacks of your anti City of Buffalo bias, an unfounded belief that BRL wants to see the suburbs "end up like the city", and resentment of the left and other "liberal hippie douches".

Its okay to have these opinions but dont try to claim the moral high ground by coming off as impartial.

"Maybe you should follow your own advice"
-O'Brien 10/25

replied to O'Brien
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IluvPB - Please tell me where I have an anti-city bias in my post. Unless you equate the city with poverty, then I could see your point. The fact is that we have wealth in the city, and we also have poverty. Same in the suburbs. If I am anything, I am advocating for the city to learn from the success of the suburbs and not repeat the same mistakes we have made in the past. If this makes me anti-city or pro-suburb then that is only due to your own myopia. We have the opportunity to significantly improve the city, but that won't be done by remaking 1950s Buffalo, that will be done by taking advantage of the city's core competencies and leveraging them to bring in new residents from other cities. Our growth should not be done at the expense of the region, but as an integral part of the whole.

replied to Armchair MBA
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O'B:"Please tell me where I have an anti-city bias in my post."
Right here.
" He won't be happy until the suburbs suffer the same fate as the City, and probably won't settle until all of Erie County becomes the same wasteland of vacant houses and crime ridden streets that make up our East Side and much of our West Side"

Kinda refects a poor attitude on two large portions of the city. The East and West sides have their problems but to many of us they are more than just "wasteland".

O'B"I am anything, I am advocating for the city to learn from the success of the suburbs and not repeat the same mistakes we have made in the past. If this makes me anti-city or pro-suburb then that is only due to your own myopia."

Well we can agree to disagree on this. The situation we have now of some suburbs prospering and the city declining has less to do with suburban success and city mistakes and more to do with monumental policy changes, the city's age, and deindustrialization. Just saying the city needs to mimic the burbs doesnt do anything to correct these problems.

replied to O'Brien
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ILPB - Much of the East and West sides of Buffalo are vacant wastelands. That is not anti-city, this is reality. I drive these streets almost daily, I see the issues first hand. I live in a struggling neighborhood in North Buffalo, just on the other side of the tracks (literally) from the rapidly declining University Heights. I have a vested interest in making the city a better place to live for all. I also understand that many of the issues that we are facing today are self inflicted, and we continue to perpetuate the same mistakes year after year, administration after administration. We cannot fix Buffalo by destroying the suburbs, we can only fix Buffalo by honestly and actively taking a critical look at our City and working together to improving our flaws. This is what is needed to bring people back to the City, not policy or directive, we need to make Buffalo, and I mean all of Buffalo, a better place to live.

replied to Armchair MBA
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I am not saying that we mimic the suburbs, I am saying we could learn from their success. The suburbs are growing while the city is declining, primarily because of conditions in the City. We have an apathetic police force, a dysfunctional school system, a corrupt City Hall, a disjointed common council, and a government that is best characterized as non-responsive and disinterested in the needs of the citizens. There are many people in the suburbs who would love to live in the city, but they just don't want to put their families and especially their children at risk by doing so. There are a few pockets of prosperity and great neighborhoods in Buffalo, but they are eclipsed by the growing devastation of the East Side and West Side of Buffalo. We cannot improve this by mimicking the suburbs, but we can improve this by improving the responsiveness of the services we provide to residents.

replied to Armchair MBA
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man last time i drove down bailey i saw a lot of people not work, many abandon homes, and sign of productive life.

I think you need to stop hating people that make money. Maybe he has some good ideas. Maybe closing these places will allow this crappy county to not run up a deficit, if only.

replied to Blackrocklifer
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"He won't open one in Spaudling Lake because people there work and make money".

"Who cares if two places in the East Side shut down. Nothing is open down there. People do not generate much money."


Jeesh talk about high and mighty.

replied to ohnobuffalo
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Give it a rest. According to you anyone who lives in the Suburb is an idiot and destroying the basic fabric of humananity. Maybe you two should just sleep with each other, since you're mirror images just with a different drum. Pot, kettle

replied to Armchair MBA
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Can We Afford to Lose Two Health Clinics on Buffalo's East Side?

Answer: YES.

Does it make sense to cut these clinics and redirect health care to Sheehan?

Answer: YES.

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As a former practitioner for Erie County I agree with the downsizing of these 2 clinics when duplicate services are available only a few miles away. The cost of maintaining a whole staff is not justified. The adult care and pediatric programs are a mis-managed mess. I can't count the days that we sat around the pediatric wing at the Matt Grajewski center waiting for anybody to come in. To pay 4 nurses, a doctor and support staff for 1-2 children a day does not makes sense when those children could go to Sheehan. Not sure how it is now- but for families that could not afford transportation, bus tokens were provided for free (to encourage parents to get their kids healthcare).

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What a biased one sided article... The simple answer is YES to shut them down when duplicate services are available nearby. Everyone complains how ridiculously high our taxes are but every time something is cut and union jobs are lost it's "the end of the world"! And to reference the lack of cuts in the suburbs...I would venture to guess there are very few (if any) clinics like these that could be shut down.

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Although many of Erie County's clinic-using clients are still in Erie County, they no longer reside exclusively in the city. But then, who doesn't know that?

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Based on rheumpa's comment, it sounds as though medical care would be improved by the change - not reduced. It will be a win-win if Sheehan can provide better medical care while reducing long term costs to county taxpayers.

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That could be true but we really don't know and can't rely on one anonymous ex employees opinion.

replied to whatever
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Whatever, you know that facts and anonymous testimonials only matter when they are supporting the far left perspective. Any other commentary is just a conspiracy orchestrated by the rich and the republicans to keep the poor and minorities down. Even if Rheumpa's comments were absolutely factual, BRL would still carry the chip on his shoulder because they are taking something away from the East Side. He won't be happy until the suburbs suffer the same fate as the City, and probably won't settle until all of Erie County becomes the same wasteland of vacant houses and crime ridden streets that make up our East Side and much of our West Side. He sure would feel vindicated when that happens! Regionalism to him means drive it all down to the lowest common denominator until everyone is living in squalor and poverty.

replied to whatever
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As an American you should be embarrassed that so many live in your words "squalor and poverty". Our country has the wealth to provide all citizens the opportunity to prosper. Problem is that wealth is concentrated in the Spaulding Lakes and other communities that appeal to the base instincts of greed and arrogance.
I would much rather see a return to the days of a strong middle class when most citizens lived modestly and decently.

replied to O'Brien
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As an American I am proud that we still live in a land of opportunity where just about anyone can make a decent life for themselves and their families through education, hard work, and calculated risk. This is a country were a new immigrant (legal, because illegal immigrants have no rights or opportunity in America) can start a restaurant or business and provide his family with opportunities that did not exist in their old country. I am proud to live in a country where children are provided with outstanding educational opportunities, if they care to take advantage of them. A country were almost any child who graduates from high school has the opportunity to continue education in college, or to pursue a career of their choosing, instead of having their future set for them by the government or their family. I am proud to live in a country where forced marriages are not the accepted norm, and where women have nearly equal access to educational and job opportunities as men. Where women can start their own business, run an existing business, and earn as much as she can without limits being placed upon her. I am proud to live in a country where opportunities exist for all, regardless of race, religion, country of origin, gender, etc. I am proud that a kid who grows up in the lower middle class can provide an upper middle class lifestyle for her family.

Granted, you have to work for what you have, or someone in a previous generation had to work for what has been inherited, but it is still largely a system that rewards work and education over apathy and ignorance. The poor who drop out of school, join gangs, go to prison, focus on the greed of the here and now over the long term, will struggle no matter what. Their poverty is not a result of the wealth of someone in Spaulding Lake, rather it is a result of their own apathy. I recommend you spend some time working in a Buffalo High School, it is eye opening. The values are skewed towards what can be taken rather than what can be earned. These students are not instilled with the values of hard work and education, that there are opportunities beyond poverty. The way out of the ghetto is not just professional sports, and one of the organizations that I am heavily involved in is working hard to make this clear for students and parents. It is an uphill battle, but it is a worthwhile fight.

So yes, I am proud to live in America, because of the opportunities for someone to move beyond the poverty and squalor. The embarrassment that I feel is for those who cannot see beyond their own self defeating ways to improve their position in life. I am embarrassed that we have so many able bodied men and women who fail to take advantage of the numerous opportunities that are dropped in their laps time and time again, and still claim that the deck is stacked against them. If you are poor in America, you have opportunities that far exceed opportunities offered to poor in almost any other country. When we finally figure out health care system, we will again be a leader in opportunity for all Americans. I am also embarrassed by our treatment of immigrants, especially those from Mexico and Central America, who apparently do not have the same basic human rights as others in America, but that is a different argument all together.

So yes, I am proud to live in this country and proud to know that if I had kids, they could aspire to live in a place like Spaulding Lake, or Miami Beach, or the East Side of Buffalo. We have choices in America that other countries do not have, and I am proud of that.

replied to Blackrocklifer
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O'Brian, that sounds great! If only Buffalo's poor people worked harder and took advantage of the boundless opportunities in America, they could all live in Spaulding Lake!

My only question for you is... who will scoop my fries?

And that's not a joke, it's a serious question about our society. If the answer to poverty is for all the poor people to just get better jobs, then who will be left to do all the jobs that the poor currently do? Seems to me like our system is designed to have poor people stuck at the bottom of the pile.

I'm not even saying you're wrong about the culture of poverty that cultivates apathy and ignorance. What I'm saying is that it's part of the system, and blaming the victim doesn't help them.

replied to O'Brien
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Jsmith - I hope my fries will not be served by a 45 year old high school drop out who has been unable to achieve anything greater in life despite the numerous opportunities to attain a GED, free college through Empire or ECC, or the numerous free or reduced vocational training programs offered throughout the city. Did you know that most of the vocational programs close due to lack of enrollment? They do, and that is just sad given the number of able bodied men and women who have lost hope that they can achieve something greater in life. It is even sadder that they pass on the despair and apathy to their kids.

replied to JSmith
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O'Brien- Your "land of opportunity" is not the reality for those at the bottom and few are able to rise out of the so called permanent underclass. That's why they make movies about the people that do "make it big" when starting with nothing. Decades of downsizing, rightsizing, and outsourcing has reduced the earning potential for the less skilled or talented. Those at the top have continued to take a bigger piece of the pie by squeezing it out of the bottom.

I think your comment about your children having the choice of "aspiring to live in Spaulding Lake, Miami Beach, or the East Side" is where we see things differently. My children have learned that happiness cannot be purchased at Spaulding Lake or Miami Beach and they instead value family, friends and community. They have adopted my "aging hippie values" and are better for it balancing work and pleasure and living modestly. They are successful and content without being greedy or materialistic. That makes me proud.

replied to O'Brien
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I agree with you about not living in Spaulding Lake, that is why I live in North Buffalo. That said, there are others who drive through Spaulding Lake daily to show their children how the wealthy live, and I don't see anything wrong with that.

There are still plenty of opportunities out there for everybody, as long as they at least try for them. It is the generations of apathy and uncaring, those who have given up hope that there is anything better than where they are, and those who have learned that getting the most out of the system is sometimes better than getting the most from yourself. A few months ago I asked the young boys at Web Middle School what they want to be when they get older, and the majority will tell you either a professional athlete, actor, or musician. I asked them what they will do if these dreams don't materialize, and the majority did not have an answer, some shrugged and said "live here, I guess".

America is still a land of opportunity, but it is no longer a country where opportunity is granted or guaranteed for everyone. This is where the working class / aspire to be middle class conversations come in. Many remember the 60s and 70s when all you had to do was know someone at the factory to get a job and once you were in the union, you were set for life. That world doesn't exist here anymore, and waiting for it to return or complaining about it going away doesn't help anyone. We have to embrace the new opportunities that are out there, and guide our children in those directions.

replied to Blackrocklifer
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'Chris I hate the city of Buffalo Collins' hates the city of Buffalo and it's people 'O'Mick' hates the city of Buffalo and it's people 'whatever I'm taking my ball and going home' hates the city of Buffalo and it's people 'karl I got a 13 year old girl pregnant malone' hates the city of Buffalo and it's people 'ohnoIhatebuffalo' hates Buffalo and it's people 'cazin must have been something in the water' hates the city of Buffalo and it's people. If you hate the city of Buffalo and it's people so much then don't waste your time on 'BUFFALO RISING' start your own page maybe 'we are better than you because " "(insert how special you are here) and we are going to take OUR country back. Or just comment here - http://www.foxnews.com/opinion/index.html

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"O'Mick"? Nice racism! For the record, I live in the city of Buffalo and don't hate it's people. But go ahead and continue your rant....

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BRA - I love your binary thinking. If you don't love the city completely and accept all the flaws and issues, then you must hate it. If you say something positive about the suburbs, then you must hate the city. If you don't agree with the one issue that you strongly believe in, then you are against it. I don't understand how you can survive in a world of only black or white, because there is an entire spectrum of thoughts and perspectives between the love and hate extremes that characterize your thoughts. It is great to have strong convictions on one or a few political issues, but that doesn't mean that other perspectives are not valid or just as important as yours.

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Though we usually agree, cazian is correct, no need to use ethnic slurs, stick to the argument.

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How embarrassing and so wrong at the same time. Although I can't stand BRL's thought process, again, he is fighting to help his neighborhhod, so his/her heart is in the right place. But for you to go bigotry, very shallow.

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This is not the first Erie County Clinic that is downsizing. One year ago a family planning/women's health clinic in Hamburg closed its doors and a few months after that a county clinic in Lackawanna was shut down. The clinics in the suburbs were cut first. The idea is to have a central hub for all of Erie County and to locate it in the city of Buffalo. Services are still available to any resident of Erie county. Sheehan has women's health, pediatrics, and adult medicine. The Grider street clinic located at ECMC has adult medicine too. Travel may be more difficult depending on where you live, but seniors often qualify for free transportation through Medicare/Medicaid and as I said before bus tokens are dispensed to lower income/no income individuals to encourage continuation of care. I lost my per diem job as a practitioner when the Hamburg site closed and I completely understand why it closed- too many sites offering the same services. It just makes sense to consolidate.

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How can we afford to close them? There is such a need on that side of the city.

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how about a mobile medical unit that would make schedule rounds to both the 'burbs and the city neighborhoods that need it most?

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I know I am very late on this conversation but some of the views here are skewed. OB you said "America is still a land of opportunity, but it is no longer a country where opportunity is granted or guaranteed for everyone." But earlier said "I am embarrassed that we have so many able bodied men and women who fail to take advantage of the numerous opportunities that are dropped in their laps time and time again, and still claim that the deck is stacked against them. If you are poor in America, you have opportunities that far exceed opportunities offered to poor in almost any other country." Which is it???? Do you realized that there a many people that don't meet this specific guidelines that this so called poor people who live in their own apathy. It is true what they say that the rich get richer and the poor get poorer. I mean you talk so badly about the city of Buffalo and its disgusting!!!! I lived on the East Side of Buffalo, I am a product of the Buffalo School system and I am successful. The piece of this puzzle that is missing that was there when i was a kid is a sense of community. When people cared about who was living next to them and looked out for each other. You guys are so stuck in your ways that you don't realize that you live in the more segregated city in the world. You want us to learn from the Suburbs but most of those people that live out there came the City!!!!!!! You can't take on the world by yourself you need a whole community to do so. And when you have a divide which is clearly displayed on this page you will never achieve what once a great city to live in. Yes the policies suck but voted the politician that made those policies into office. We all did and we all need to take responsibility for it. The fact of the matter is health care is always going to be an issue. I dont know if any of you know anybody personally who uses those clinics but they are needed in that community. And the part that bothers me the most is when people say oh they can just catch a bus or walk there!!! What about the disabled or the elderly. People forget about them and throw them to the side. Yes rheumpa seniors can qualify for REDUCED bus fare through Medicare/Medicaid not free only if they meet certain guidelines. They still have to pay. Most of the poor don't want to be that way, many of them are trying to make a better life for themselves and their families. But when you say lets close down some well needed facilities in the community how do you expect the people in the community to feel when they are being forgotten? We all need to take a long look in the mirror. This is my city and that's why I have not run to greener pastures elsewhere.

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