City February 24, 2012 9:45 AM

Designer Selected for New Women & Children's Hospital

Designer Selected for New Women & Children’s Hospital

Shepley Bulfinch Richardson & Abbott of Boston, MA, one of the country's top pediatric healthcare architects, has been selected for the physician-led plan to construct a new Women & Children's Hospital of Buffalo on the Buffalo Niagara Medical Campus (BNMC).  The building is expected to be up to 10-stories tall and 400,000 sq.ft.  It will be located on approximately 2.3 acres of the approximately 3.7 acre block surrounded by Ellicott, High, Main, and Goodrich streets. The remainder of the block will be used for the Medical Office Building ("MOB") previously proposed by Ciminelli Development.

"After considering several of the most respected and experienced architect firms in the U.S., Shepley Bulfinch was selected for their expertise in designing clinically complex facilities that emphasize patient and family-centered care with operational efficiency as well as distinctive architectural forms for many other children's and women's hospitals," said Teresa Quattrin, M.D., Pediatrician-in-Chief, Women & Children's Hospital of Buffalo, and Professor of Pediatrics, Chair, Department of Pediatrics, University of New York at Buffalo.

medsites.pngWith more than a century of healthcare experience, Shepley Bulfinch is a national design leader in award-winning design for some of the country's best children's hospitals. The firm's relationship with Children's Hospital Boston began in 1914, and includes the award-winning Berthiaume Family South Building. The pediatric specialty center nearing completion at Children's Hospital of Michigan is expected to have a transformative impact in fostering a culture of wellness for the children of Detroit. The 2009 patient tower for Children's Hospital of Wisconsin, home to the regionally acclaimed Herma Heart Center, is also a distinctive and prominent Milwaukee landmark.

"Shepley Bulfinch's approach to our project at Women & Children's Hospital demonstrates their understanding that collaboration and participation are essential to its success," said Kevin Fitzpatrick, M.D., Chief of Service, OB/GYN, Kaleida Health.  "Their participatory process emphasizes collaboration with complete care teams.  These teams include patients, families, doctors, clinicians, administrators, staff and others.  Such a comprehensive approach is required to create an exceptional facility for the women and children of Western New York."

Shepley Bulfinch is ranked in the top 30 healthcare design firms by Modern Healthcare and among the country's top 100 Green Design Firms by Engineering News-Record.

"We are so pleased to be working with Women and Children's Hospital," said Uma Ramanathan, AIA, Shepley Bulfinch's principal for the project. "With this project, we will be helping transform the delivery of pediatric healthcare for future generations of children in Buffalo."

The current location of Women & Children's Hospital of Buffalo provides world class care, as evidenced by the hospital's recent rankings in U.S. News and World Report's Best Children's Hospitals list. But the facility is landlocked by its residential neighborhood, and its 120 year infrastructure is past its efficient effective age.

Coupling those factors with the emerging growth of the Buffalo Niagara Medical Campus and the planned relocation of the University at Buffalo Medical School resulted in the Physician Strategic Planning Committee (PSPC) identifying the preferred location of the future  hospital at the new Buffalo Niagara Medical Campus site, less than two miles away.

Ciminelli Real Estate (the developer) is also proposing to build approximately 300,000 sq. feet of environmentally friendly medical office space (including underground parking), 85,000 sq. feet of which will be Women & Children's Hospital space and the ambulatory care center. The ambulatory care center will serve children and adults.

Entry Image: Smilow Cancer Hospital, Yale-New Haven Hospital

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Any ideas on the actual reuse of the Bryant street location? Either make Kaleida Demolish it for potential new residential builds or have an idea in place?
It is sad that without two really good plans- there could be 2 large empty hospitals sitting within a a mile of eachother in the Elmwood village area...I have zero real data but I have to imagine this will have a huge impact on the commercial business along Elmwood - Once again its just shifting one business in buffalo to another area....

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They are planning to re-use the old building. I heard that the very tolerant and progressive residents of Oakland Place are supporting low-income housing and an out-patient substance abuse clinic.

replied to elmdog
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Ha, you never know

replied to Captain Picard
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Hospitals, like some churches, can be difficult to adapt to a new use. They may appear to be natural candidates for apartment buildings, but the challenges of shallow depth of rooms from a central hallway, along with operating rooms and labs on lower floors, are difficult to overcome. Redevelopment as a hotel might also seem like a good fit, but single occupancy patient rooms will usually be much smaller than modern hotel rooms, and double occupancy rooms will be a very tight fit.

Most projects I've seen involve reuse as assisted living or skilled nursing facilities.

replied to elmdog
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I am just saying that I think it should be mandated that they have an idea for at least one of the buildings that they are leaving...These 2 behemoths of buildings may sit empty for years to come...I dont think 1 million dollar seed money from Kaleida will tempt anyone on the Gates building. In the same sense childrens may be harder to redevelope because its cramped in between alot of residential....Someone should step up here..

replied to Dan
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I don't think it's just shifting one business to another place.

Childrens hospital will strengthen the value of the Medical Campus and UB medical school, in ways that are not possible in its current location.

This is a big difference and creates new opportunities for economic development at both sites.

Also, building a hundred new units of housing at the Bryant Street area will have an impact on Elmwood and the city much more than the hospital did. Think about spending power and taxes, for starters.

This "shifting" can have greater benefits than the existing if it is done right.

replied to elmdog
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Good firm. And I like the "Richardson" connection to Buffalo.

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I think replacing the current Children's hospital with a small park would be pretty nice. Playground for kids, picnic tables, etc., just to keep with the family/neighborhood feel. I live on Bryant, and I think that would be great.

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Good idea. It might increase values nearby because who wants to live across from a hospital?

replied to mmmmm...Buffalo
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I keep reading about the education and healthcare real estate bubble we are in in America. Many cities around the nation are pouring (stimulus) money into such corridors as ours, anticipating that it will generate efficiencies, jobs, new industries, etc.

I hope there is validity to that, and we are not just building buildings (ie programming, once you have the buildings, is more critical).

It's a nice looking design, and it is great to see some additional infill. It would seem that the two obsolete buildings (Bryant, Gates Circle) could be paired way back, kept to their historic structures and be residential/commercial mixed use.

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Correct, there is a real concern about that. Buffalo is not the only place that is banking on those two sectors, a lot of places are. In those are two things that are growing at an unsustainable rate. How much longer do you think that tuition rates can keep increasing at a rate that outstrips inflation? How long can we keep spending so much on healthcare in this country? Medicare part B is supposed to deplete its fund sometime around 2017 give or take a year, and would have to go to a pay-as-you-go system. How easy would it be to put an outlay on the federal baudget like that? How much longer can health insurance premiums keep increasing before people start getting pushed out?

replied to Travelrrr
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We need to adopt a single payer system, we can't afford to keep throwing money at a for profit system that skims of a large percentage of our dollars. Medicare is a good model and has the lowest administrative costs of any insurance provider.

replied to pampiniform
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I don't want the Feds managing this. We are not Canada who has the population of Cali, nor are we The state of mass. The private sector obviously has its problems but they have incentive to keep costs down. The government doesn't. some problems will be solved, but others will be created!

replied to Black Rock Lifer
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The private sector has a terrible record of managing health care, as I said Medicare is the most efficent and has the lowest cost of administration. You shouldn't fear the feds, you should fear the greed of the private sector insurance providers that continue to gouge us all at a cost that is twice that of single payer systems.

replied to Tim
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All you need is more govt regulation of Health Care, and a Govt option. There's no competition between health care companies which keeps the price sky high. If you let the private sector off to do as they please you end up with a system like ours where it's crazy expensive and only certain individuals have enough money for care.

replied to Tim
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I have to say that Medicare always amazed me. I always thought that since it was a government entity that it would be big and inefficient. It certainly has its quirks, but it is surprisingly agile and efficient when it wants to be. It has a lower overhead than the private health insurance, and provides a fairly adequate safety net for people who are eligible for it. It also has the heft to get healthcare suppliers to get their act together. When they say they're going to stop paying for infections caused by urinary catheters, the hospitals go on a mission to try to cut down on use of them. It also would have the power to negotiate better prices with vendors and suppliers.
It certainly can be a pain to deal with Medicare too. They have their drawbacks too, they pay less in a lot of cases than private insurance, and they won't pay for a lot of things. So it's not a perfect system.
But the fact of the matter is is that there is a finite number of resources that can be devoted to try to meet an infinite need. Healthcare winds up getting rationed in any system. Here in this country we do it by having 40 plus million people without health insurance who either risk getting wiped out if they get sick, or go without adequate preventative care until they show up in the hospital, which then is required to treat them and winds up eating the cost more often than not, which they in turn recoup by passing the cost on to everyone.

replied to KangDangaLang
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The private sector has absolutely NO incentives to keep costs down. In fact, quite the oppposite - they want to maximize profits so they can pay themselves and their stock holders large salaries and dividends.

For profit health care is over double the cost of government provided health care such as Medicare since there is no need for profits for the exorbitant multi-million dollar salaries alone.

Single payer health care LIKE THE REST OF THE WORLD is the only way to go.

replied to Tim
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CEO of United Healthcare $125,000,000 in salary and compensation

replied to JohnMarko
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1.
Interestingly Buffalo may be ahead of the curve on reducing medical excess capacity and duplication. These new buildings are being constructed as part of that big directive from the state for Buffalo to cut duplication. Now Millard Filmore is no longer operating 2 hospitals and competing with General And ECMC. Childrens will be able to use services at General etc.

2.
That is not an image of the proposed hospital. It is just another building designed by teh cmmpany

3.
The Children's site will be vastly more attractive to developers than the Gates site. It is smaller and more compact. It is in a more desirable neighborhood. I would bet that the larger buildings will be demolished. If I were the developer I think I would get rid of some or all of the highrise portions. I would extend Oakland through the block and develop the eastern portion with high density high quality townhouses with an ally ruing through the back. The western portion nearest and up to Elmwood should get some high density mixed use buildings and perhaps renovate the low rise historic buildings.

replied to Travelrrr
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"Entry Image: Smilow Cancer Hospital, Yale-New Haven Hospital"
That design?

What's the preservationist take on keeping either Gates or Childrens? Are either significant to the fabric of the city, architecturally or otherwise?

replied to Travelrrr
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My opinion would be no and no.

replied to LouisTully
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It depends on what goes back in if they are removed

replied to LouisTully
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Take Childrens down and replace with "new urbanist" infill housing, mixed income.

This is one of the most desirable residential neighborhoods in the city, and these units will appeal to many folks that don't want to live in the suburbs.

Perhaps include a new community center, with swimming pool, daycare center (for kids and elderly) and new library.

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Who is going to live there? Where are they coming from?

replied to hamp
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From the suburbs, that trend is already beginning as people seek a more diverse and interesting environment. Almost all the newcomers to Black Rock that have come from outside the city. They do not have the negative views of the city that their parents generation had and they are willing to invest their time, energy, and dollars. The suburbs are yesterdays news for many younger people, the future is in the city.

replied to longgone
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Can you give a few examples of people moving from the suburb to Black Rock?

replied to Black Rock Lifer
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It would not be appropriate to give their names but I can give some examples, 2 houses on Dearborn St that we just got listed on the National Register are both occupied by people that moved in from the suburbs. The old bakery at Dearborn and Hamilton, ditto. The firehouse at Amherst and East has tenants from the suburbs and the house behind it was recently purchased by a family from outside Buffalo. Finally the Amherst St business district is occupied by a mix of city, suburban, and rural entrepreneurs. There are obviously many more examples, it would be impossible to know the status of all neighborhood residents.

replied to KangDangaLang
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I don't know if I'm still included as one of the "younger people" (I'm 34 now), but I moved into the city when I was 19 and never had any intentions of sticking around in the 'burbs where I grew up. A lot of my friends did the same thing.

replied to Black Rock Lifer
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Did you move to Black Rock, or as my friend, his uncle, my aunt, my cousin, and my buddies friend call it....Crack Rock?

replied to sweeper716
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Wow.

Nice sentiments.

And you/they are not afraid to voice them.

Severely ignorant.

replied to KangDangaLang
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Stay classy, as always, K.

replied to JohnMarko
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I'm just bringing up a fact. I think your lack of a supporting argument, followed by your insult shows more ignorance than my comment about Black Rock Being called Crack Rock.

replied to JohnMarko
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That's clever Burch, because "Black Rock" and "Crack Rock" almost rhyme. Your "friend, uncle, aunt, cousin, and buddies" must be wonderful people with an intellect of at least the 7th grade level. Your ignorance of Black Rock is astounding, you really need to broaden your narrow horizons.

replied to KangDangaLang
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It has less to do with ignorance and more to do with reality. Im sorry you're unable to accept that,, Scott.

replied to Black Rock Lifer
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That "crack rock" swipe seems to reveal a bit of anti-city bitterness on your part. That may be the reason why you find BRL and Sweeper's comments regarding suburbanites moving into homes in the city hard to accept.

But I could be wrong. You calling the city a "toilet bowl" seemed obviously bitter as well but one of your BRO palls argued to the death that it was really some sort of abstract commentary on pollution, the 50s, the rainforest, or something like that.

If those two words can be spun into that, I'd be interested to hear the "true" philosophical meaning behind substituting two letters in Blackrock. Maybe an artistic metaphor about religion, smokers rights, corporations being people, or something.

replied to KangDangaLang
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"That "crack rock" swipe seems to reveal a bit of anti-city bitterness on your part."

Just wondering, by the same logic that says criticizing or ridiculing any part of the city seems to reveal a bit of anti-city bitterness (depending who does it of course!)... when anybody ever criticizes or ridicules any part of WNY - say for example Amherst or Clarence - does that seem to reveal a bit of anti-WNY bitterness? Same thing or different?

For what it's worth, the only times I've heard Black Rock referred to as Crack Rock was by a life long resident of Riverside. It sounded in a similar vein to negative things I've heard said by people from several parts of the city toward other parts. I'd guess if there isn't a derisive nickname in the other direction from some Black Rockers, that could be because it isn't as easy to rhyme with Riverside.

It might be revealing if we could put 100 random Elmwood Villagers & Allentowners on polygraphs and read them a list of many different parts of the city to see what they say about each. Who knows, might discover EV and Allentown are full of people with "a bit of anti-city bitterness". But that of course wouldn't be witch hunted as long as they're ummm, I'm not sure what's needed for immunity - maybe if they're p.c. about the proper stuff, lol

replied to The Kettle
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Wha> "But that of course wouldn't be witch hunted as long as they're ummm, I'm not sure what's needed for immunity - maybe if they're p.c. about the proper stuff, lol"

Yup. Clearly my inconsistency is the issue here (rolls eyes).

This coming for the guy who goes after "personalized verbal fire" comments from some but gives those with enough "reality" cred a pass. Also the guy who just got finished moving the subsidy goalposts all over the field in another discussion.

But no, other people's contradictions deserve more attention.
Pot vs Kettle.

replied to whatever
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Clearly "the issue here" at any moment is anything you and you alone say it is? Like when somebody introduced a subsidy issue to that other thread which so far hadn't mentioned subsidies? (but I, being an open minded good sport, patiently explained my viewpoint yet again about those after you, umm, I mean somebody, asked about it as if I never had before, lol)
Now in this thread long before I clicked it, "the issue" in a big bunch of comments had wandered from hospital designer to… different things… eventually to raising a possible 'anti-city' charge. But only I took it off-issue after 70-some comments, okayyyyy…..

Hmm, and no reply about if criticizing or disliking, say, Amherst or Clarence might be "anti-WNY" using the same logic that your comment said doing so about a neighborhood might be "anti-city"?

That looks like an interesting question very close to where you had steered the convo before I arrived. But sometimes great questions go unanswered, of course.

replied to The Kettle
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Wha> "Clearly "the issue here" at any moment is anything you and you alone say it is? "

Nope. Hence my typing of "rolls eyes."

Wha> "Hmm, and no reply about if criticizing or disliking, say, Amherst or Clarence might be "anti-WNY"

This seemed like another Wha red herring. Shifting the conversation to some apparent city vs suburb beef may be an easier argument than sticking up for Burchalang but I didn't feel like playing along.

But to humor you, the answer would depend on who was making the comment. If the anti-Amherst-Clarence comment was made by someone who repeatedly got on their high horse by running WNY down, I'd be inclined to think the comment would have an anti-wny slant. I'd be less likely to suspect this from someone who gave no prior indication of disliking wny or had a record of local boosterism.

I'm sure using past comments as an indicator of someone's thought process will be spun as unfair or inconsistent. Considering the "fair consistency" from the likely critic, when this happens, I'll just laugh out loud.

replied to whatever
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It's no more or no less red a herring than your point to which I was replied.
red = red

They seem identical - whether criticizing or disliking a part of a place equals being "anti-" that place. I'd say answer is no (regardless of anyone's past boosterism or lack of), but if it's yes then as I noted I'd wonder if quite a few EV-ers, Allentowners, etc might also be "anti-city" that way of looking at it...
not for disliking Black Rock necessarily, but any other part of the city. (or anti-WNYers for disliking any place in WNY)
It's very normal for residents of a city/place to like some parts of it while disliking or criticizing others parts. Criticisms can be disagreed with, sometimes might not be true, but I don't see how it makes them anti-city to have varying opinions about different parts (or anti-region for same)

Btw - if you're implying Kang is never a booster here of any part of the city or anything about it, I'd think that would be dishonest (not that I think it makes a difference in what's anti-anything, but to humor you in return!)
Now here's where maybe you might say Kang's boosterism doesn't count, is fake, not as good as yours or flll-in-the-blank's style of boosterism, … lol

replied to The Kettle
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Good quality houses in the Elmwood Village are very popular. New ones, with modern features will be very attractive to young couples and singles that want to be in the city in a really nice walkable neighborhood.

I can imagine new hires for the medical campus living here as well and empty nesters from the suburbs.

replied to longgone
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Good ideas. Personally I would go with only half of that though. Tear down the old hospital (maybe keep the smaller older buildings if possible). Put in urban designed townhomes and apartments. But I'd scrap the mixed-income part, and not include the community center and swimming pool. IMO it should be designed for more private investment and less city-owned facilities (no parks, no pools, no subsidies) This is prime land in a wealthy neighborhood. Keep it simple and get someone to redevelop it freely with urban design guidelines.

The one hitch is that probably nobody will want to touch the project unless their is some subsidy for demolition.

replied to hamp
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I'm pleased that the decision to construct a new WCHOB is well into the planning phase.

I hope that those few nosy, arrogant neighbors who hated the hospital's presence, feel good about living with a huge empty building in their midst. I do recall one report that a Bryant Street woman complained because she couldn't hear her television when a rescue chopper landed at the hospital.

Bravo for WCHOB. So, so for Kaleida though: they are quite controlling and autocratic.

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Damn that car accident victim clinging to life. I can't hear Pat Sajak announce the next puzzle.

replied to JesusChrysler
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JesusChrysler> I do recall one report that a Bryant Street woman complained because she couldn't hear her television when a rescue chopper landed at the hospital.

In planning, we call that "moving to the nuisance".

Living in a dense, vibrant urban neighborhood comes with a price: it's not going to be as quiet and bucolic as a remote subdivision in a second ring suburb.

replied to JesusChrysler
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UPMC's Children's Hospital in Pittsburgh should be used as a model: http://www.chp.edu/CHP/new_campus

Truly an incredible building.

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Regarding vacated hospitals, I've said this before. Move the psychiatric center to one of the empty hospitals. Expand the Buff State campus all the way down to Forest. Convert the main Richardson tower to a Buff State administrative building and the modern tower into dorms. This will make Buff State and the Elmwood village contiguous and an overall improvement to the culture of the area.

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really good idea.....Gates is a nice place for a pysch center..

replied to buff_roach
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I don't know if you've ever been in Gates, but it is out of date in terms of hospital designs. No way is the Psych Center going to move out of their current hospital, which is more modern, without a huge fight. So nice idea, never going to happen. I would say the neighbors wouldn't care for the place being a psychiatric hospital, except that BryLin is already next door.

replied to buff_roach
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With all these jobs coming into this area, I would like to see a high-rise condo in this area !
Also , a high-rise dorm for the medical students.

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With all the abandoned houses in this area. I would take filling those houses in, before we start building high rises.

replied to bobbyraz49
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How many, or what percentage, of med students do you think live in a dorm? My guess is about 3.4%

replied to bobbyraz49
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Probably less than that. By the time you get to medical school, you've done your time in the dorms. Not likely anyone is going to want to do that again. You're a lot more independent in medical school and have access to plenty of loans, so you can live in a much better place. If you want medical students to live down there, you'd need to build reasonably priced apartments. Nothing too fancy, though, a lot of them aren't home that much anyways.

replied to LouisTully
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40% of med students live in the elmwood/allen area and a few live DT. Building this further in the city will bring the rest from Amherst. It will help landlords fill there vacancies and increase the need for higher-end apartments in the area.

replied to pampiniform
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It'd say that investing in a cheap house for 20k and someday turning around and selling it for 100k-120k might be drawn them in also.....then again maybe not?

replied to Urban Cowboy
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Who's got time for something like that in Medical School?

replied to KangDangaLang
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......someone with a lot of motivation.

replied to pampiniform
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Womens and Childrens could become the Elmwood Village Charter schools new location - they could even add to the existing and have it K -12......

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.....best idea I've heard so far.

replied to elmdog
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It would potentially keep my family in the city and we wouldnt have to think about the awful suburbs for school...

replied to KangDangaLang
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I dont see why any of our comments received a thumbs down. I think taking W/C and turning it into a school is a great idea. This way they can have more space and can expand. Hopefully by expanding they can soak up some of the kids who would have be forced into crappier schools.

replied to elmdog
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Good idea, except that EVCS just purchased the former PS 36 on Days Parkm and the size of the to-be-former Children's Hospital campus would be too large for a school.

replied to elmdog
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Days park is not a good location...bad move on thier part....Elmwood Village school is a nice quaint size and safe location...Days Park isnt

replied to Greenca
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If we're talking redevelopment, remember that the Children's Hospital site doesn't just include the compound of buildings between Bryant and Hodge, but also a large parking ramp and surface parking lots between Hodge and Utica. Whatever use replaces the hospital won't require nearly the same amount of parking as the hospital.

Buffalo's blocks tend to be on the long side. Redevelopment of the WCH site permits the opportunity to break up a couple of the city's longer blocks.

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I don't fear them, but I do get suspicious. Once sweeping federal policies are implemented there is often no going back. Once people get used to getting things from the government, it is politically impossible to take it away. Paul Ryan proposed a reasonable fix to Medicare/caid implemented over a number of years and was demonized as 'pushing grandma over a cliff.' sometimes we need politicians to say 'guys, we can't afford this or that anymore. Its not solvent.' then people say, 'but theres rich people! Take their money!' i find it crazy. But admittedly no, I do not know all the little nuances of our current care system.

We are downsizing the military it appears, but promised cuts made after that contingency is reached, I feel, will never happen. Are there any federal agencies that are actually downsized? Not rhetorical, I'm curious.

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Sorry, was a response to blackrock's post way up.

replied to Tim
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uh oh, i think we found out where those chinese hack messages are coming from...

replied to Tim
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Yes, I just dropped some pots and pans on the floor and cut and pasted it to this site. Voila.

replied to elias
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Paul Ryan's plan was correctly criticized as being the end of Medicare. It would not provide for health care, and would end up costing people thousands per year. It would keep costs down by only providing payment for a fixed amount, no matter what the true cost of the care was. Period.

The only way to go is Single Payer or Medicare-For-All.

We need to join the rest of the world and provide health care for it's citizens thru a government plan and get rid of the insurance companies' actual "death panels"!

replied to Tim
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When people spend their own money, they are much more careful about where that money goes. The theory with ryan is that since, with his plan, it is mostly citizens' own funds on the line, people will shop for healthcare frugally. instead of patients and doctors ordering test after test regardless of the cost and billing it to the govt or the insurance companies, now patients will have to ask 'is this cost effective?' Because of this, competition and efficiency will increase dramatically to lower costs for the consumer. That's one angle, at least.

replied to JohnMarko
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I for one am glad that the Hospital is leaving Elmwood.

It was landlocked and its expansion was coming at the expense of a valuable residential neighborhood.

The mistakes that are happening in the medical district:

1) The buildings are not accepting the street grid. I think its unfortunate mistake that Roswell got built blocking off a street and newer buildings are following the same suburban mentality.

2) There is no height and density with these buildings. They are all 2-3-4 floors. The result will be that existing and future growth will be a sprawling campus that will eventually run out of room and choke itself.

3) There is no discussion of ending the Kensington at Best Street. It would be very helpful if the Best Street Exist was the eastern entrance to the medical campus because it would put traffic back on the street grid.

Downtown is choked with access ramps to expressways downtown with 4-6 blocks of each other. Its insane.

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I'd really like to see all four corners/parcels surrounding the circle/fountain to be a single cohesive development with the character of the Circus in Bath, England (not a neo-classical design, but the concept of buildings unified in design and comprising all four corners. It would be a nice "gateway" to the city from that side.

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Hpow about a Butter Lamb factory?

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I'm always taken aback by how these discussions degrade into petty fights.

This should be an occasion for celebration. It is another step in the process of redefining Buffalo's economy. I'm excited about the continued growth of Buffalo as a world class medical community. There is no reason why Buffalo couldn't be a staging point for Canadian companies that want to build a presence in the United States.

On current Women's and Children's, along with Gates, the locations should be right sized back down to its original scale. A more livable community will add to home values in the surrounding areas.

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