Point Reyes Light - January 26, 2006

The Editor
By Robert Plotkin

Your child’s life is worth far more than $16 a month

It appears that man suffers from a failure of imagination and we are maladapted to dangers that lurk beyond the immediate. Our bodies are primed for fight or flight responses, for running from a Saber Tooth Tiger or clubbing a Neanderthal on the head. We are able to appreciate the danger of a speeding car but not the less-immediate dangers of a growing gut, a warming planet or, in this case, the failure to fully fund the Bolinas Community Firehouse and Clinic. Lack of funding doesn’t engage our adrenal glands, but it should.

Point Reyes Station has the only paramedic ambulance in West Marin. In the summers there is a paramedic ambulance that waits for drowning tourists in the Stinson Beach parking lot. But right now, if you had a heart attack in Stinson Beach, you would have to wait about 35 minutes for the ambulance to wind its way down from Point Reyes Station. If the ambulance was already on another call, then good luck. The firestation would send an emergency medical technician, or EMT, who would be unable to administer drugs or perform minor surgery that could save your life.

The EMT would arrive in a firetruck, not an ambulance and be unable to transport you to the helicopter pad on the Big Mesa. If you needed a helicopter ambulance, you would have to wait for the Point Reyes Station ambulance, or if that was in use, the ambulance from Woodacre.

This also affects other West Marin residents. If the paramedic ambulance is sent to Bolinas, it will be unable to respond to calls from Point Reyes Station.

The new, 7800 square-foot, seismically tested firestation will house a paramedic ambulance bay (the operating costs of which will have to be seperately funded), disaster relief storage, three firetruck engine bays, and a community meeting room for disaster planning, CPR classes and other community events. It will also be located on the Big Mesa, where most residents of Bolinas live, and adjacent to the helicopter pad in case a helicopter ambulance is needed.

The new 2900 square-foot medical clinic will provide much needed space for the doctors and nurses who are currently shoehorned into the tiny clinic on Wharf Road. The new, handicapped-accessible medical clinic will have four exam rooms, a consultation room, x-ray service, and a treatment room, with direct access to the helicopter pad for emergency ambulance flights.

The total cost of the Bolinas Community Firehouse and Clinic will be $5,500,000, the cost of a Seadrift mansion, or a vintage Ferrari. It will be worth that much, and far more, to those who will use the new facility to cheat death; to those who would otherwise die for lack of a tracheotomy tube that only a paramedic, and not an EMT, can insert into a blocked throat.

A Firehouse Parcel Tax bond raised $1,675,000 in 2004, about half of what was needed for the firestation portion of the project. The project could not use a bond measure to pay for the medical clinic because it is a private non-profit. But still, when the project managers put the bond before the people, they only asked for half the costs of the firestation. This was a political calculation on their part, and a mistake.

The project managers hired a political consultant at the beginning of the capital campaign, who told them what they already knew: there was a hard-core group in Bolinas who would vote against just about any tax. They are artists and craftsmen who are getting old and living on fixed or meager incomes. They think that the current firestation is fine and question the need for anything better. The consultant and the project mangers figured that this group would vote against any bond. On the other side were those who have more money and would probably approve a bond that provided the full cost of the firestation. Between theses two groups were the swing voters, who would decide whether the bond would pass with the required two-thirds approval.

David Bunnett, president of the Coastal Health Alliance, that will operate the medical clinic said, "Our consultant told us that 20 percent would vote against any tax and 60 percent would vote for any tax. The swing voters are artists who like to be left alone." That left a swing vote of twenty percent of the voters, or 200 people. Since 60 percent of voters could be safely counted on to vote yes, only six percent, or 60 people were needed to achieve two-thirds approval.

"Passing taxes in Bolinas is very tough," said Kim Bender, Capital Campaign Director of the project. "Bolinas is very tax averse. In order to pass a bond, two-thirds of voters had to approve. There are 1000 registered voters and we had an 85 percent turnout. If we doubled the tax and just 12 people turned it wouldn’t have passed."

In order to raise the full cost of the firestation it would have required a parcel tax of $200 a year for 40 years. The project directors decided that swing voters could not be counted on to approve a parcel tax of more than $100 per year. So they asked for $98 on improved parcels and $40 on unimproved parcels. The bond passed with 78 percent of the vote.

Fire protection and emergency medical care are core services that a government should provide. It is embarrassing that services as fundamental as a paramedic ambulance have to go begging for private donations. The firehouse should have been fully funded by a tax on those who would benefit from it: the citizens of West Marin. Then the money that was raised privately could have already fully funded the non-profit medical clinic. The parcel tax should have been put before the voters at $200 per year, or $16.66 a month. Many people pay $100 a month for their cell phones or $60 a month for their satellite television, or $50 a month for Internet service. They can certainly pay $16.66 for their firestation and ambulance.

As of this date, private donors have given $650,000; the Marin Community Foundation has given $600,000; the Tides Foundation $200,000; other foundations gave $70,000; Marin County has contributed $300,000; and other government grants have totaled $110,000. An additional bond from the Bolinas Fire Protection District contributed $500,000. This, along with other grants and contributions has raised a total of $4,412,500. But the project still needs more than a million dollars. If private donors come forward with $600,000 it is hoped that the California Health Facilities Administration will contribute $250,000 and other foundations an additional $200,000.

This means that the project still needs about $3,000 from each family in Bolinas. Since many in Bolinas are unable to give $3,000, the more fortunate will have to give progressively. The project managers are asking for, "stretch gifts," of $5,000 from the moderately well off and much more from the rich.

"We need some of the substantial fortunes to come forward," Bunnett said.

It is unfortunate that families will have to write checks for $3,000 and up instead of paying an additional $8 a month. But that is where we stand and that is what is required. Since we are poorly adapted to foreseeable but in-imminent dangers, let me offer some help.

Imagine that you have just left a concert at the Bolinas Community Center and are walking arm in arm with your husband down Wharf Road, when he clutches his chest and falls to the ground. You call for an ambulance. And then wait, your husband in your arms, until an EMT shows up and tells you that he can’t administer the drugs your husband will need to live. He tells you that the paramedic ambulance in Point Reyes Station is on its way. You wait. The seconds seem like minutes, the minutes seem like hours. Five, ten, fifteen minutes go by, and then, before the ambulance can arrive, your spouse dies in your arms, looking up at you for the help that only a paramedic can provide.

Now, while you are still pumping adrenaline and the prospect of death feels present, go to your checkbook and stretch.

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