By Rep. Allen Farley
Mercy Hospital was opened in Birmingham in 1972. In 1975 the name was changed to Cooper Green Mercy Hospital. It originally opened its doors as a 319-bed general-care hospital. Today Cooper Green Mercy Hospital is a 141-bed general-care hospital.
Funding for indigent care in Jefferson County was established by the Alabama Legislature in 1965, using revenues collected from county sales and liquor taxes.
The following data was provided in a report to the Jefferson County Commission in April, 2011. It was the result of a study conducted by FTI Consulting:
Based on FY 2010 records, $75 MM of Jefferson County tax receipts were directly and/or indirectly allocated for healthcare services via Cooper Green Mercy Hospital [$51 MM] and the Department of Health (“JCDOH”) [$24 MM].
JCDOH (an Alabama State Board of Health supervised and controlled entity) had an operating surplus (audited) of $4.2 MM and has accumulated cash and investments totaling $72.5 MM (audited).
Cooper Green Mercy Hospital (a JCC supervised and controlled entity) had an operating deficit, before capital costs, of $9.0 MM in FY 2010 (unaudited).
Cooper Green inpatient and surgical services have very low volumes.
On page 17 of the 2011 FTI Consulting report to the Jefferson County Commission it states the following:
It is unlikely the prospective financial needs of Cooper Green can be satisfied without incremental tax receipts.
Several strategic options have been considered for resolving the current situation:
Right-Sizing – Performance Improvement
Down-Sizing – Modify Operations Scope
Take a New Approach to Indigent Care
Combine Services with Department of Health
Form Public/Private Partnership
Transition from Provider to Payer
Convert to a Self-Governing Entity
As a precaution to a potential liquidity crisis, Cooper Green should prepare an emergency closure plan.
(Commissioner Bowman’s office had oversight of this area, and was provided copies of FTI’s draft report prior to its release to the full commission. This report cost Jefferson County $860K).
Currently Cooper Green Mercy Hospital has a staff of approximately 600. A Cooper Green Mercy Hospital 2012 report states a daily inpatient number of 41. However, the following numbers provided by Commission Knight’s office show amounts Jefferson County paid for “outside staffing agencies” for Cooper Green Mercy Hospital in 2012:
Rural Metro Ambulance service has billed Jefferson County for transporting patients from Cooper Green Mercy Hospital to UAB Hospital from August 17, 2011 through March 31, 2012. Their invoices list 242 trips over 7 months totaling $47,863.88.
Commissioner Jimmie Stephens has voiced an alarming statistic in 2 Jefferson County Commission Committee Meetings I recently attended. He told the other commissioners and everyone in attendance, including the news media, that “every month Cooper Green Mercy Hospital stays open it costs the Jefferson County General Fund and additional $850,000.00.”
Over the past two years the majority of the “Legislative Delegation” meetings I attended, (as a member of the Jefferson County Legislative Delegation), were focused on Jefferson County’s financial crisis. In April of 2012 I attended a meeting with 9 of our Legislative Delegation members, Republican and Democrat, which focused totally on Cooper Green Mercy Hospital. There was even a power point presentation by Dr. Max Michael that showed the need to provide better care to Jefferson County’s indigent population by creating a Cooper Green Outpatient Clinic, and eliminating the current hospital model. This meeting lasted all day.
(Dr. Max Michael is a Dean of Medicine at the University of Alabama at Birmingham. He was on the original staff of physicians when Cooper Green opened in 1972. He later also served as Director of Cooper Green Mercy Hospital).
The Jefferson County Commission received a report in April of 2011 from FTI that included a section on Cooper Green. It stated that the current Cooper Green Mercy Hospital model was not working. That report cost our bankrupt county $860,000.00.
We have invoices from Rural Metro Ambulance Service that total $47,863.88 for transporting patients from Cooper Green Mercy Hospital to UAB Hospital over a 7 month period from August 17, 2011 – March 31, 2012.
We have invoices totaling $1,234,716.35 from an outside “staffing agency” for providing staffing for Cooper Green Mercy Hospital from January 2012 through May 2012. (Remember, Cooper Green Mercy Hospital has a staff of approximately 600 with an impatient average of 41 patients per day).
Food For Thought: Jefferson County is bankrupt. This financial disaster began with elected officials using a sewer system like an ATM.
- 55% of Jefferson County residents are sewer customers.
- 30% of Jefferson County’s poor use Cooper Green.
- 70% of Jefferson County’s poor use UAB and other area hospitals.
- IT’S NOT ABOUT THE POOR!!!!!
In Closing: Jefferson County is the most populated county in Alabama. We have a listing of 1474 faith families, (congregations), of various denominations. However, Jefferson County is responsible for approximately one third of the state prison population. When I goggled “Birmingham, Al Hospitals” I discovered that we are blessed with 74 different hospital and medical clinics, (some are world class), in the metro area of Birmingham. However, we have Alabama’s only county owned indigent hospital.
Once again I was drawn to my Bible In search of some understanding:
Zechariah 11:(16-17) For I am going to raise up a shepherd over the land who will not care for the lost, or seek the young, or heal the injured, or feed the healthy, but will eat the meat of the choice sheep, tearing off their hoofs. Woe to the worthless shepherd, who deserts the flock!
God Bless America
Alabama’s COVID-19 hospitalizations, cases continue rise
Average daily hospitalizations continue an ongoing increase as cases nationwide surge.
The number of COVID-19 patients hospitalized in Alabama hit 863 on Wednesday, the highest daily count since Sept 4, as average daily hospitalizations continue a steady increase and cases nationwide surge.
UAB Hospital in Birmingham on Wednesday was caring for 72 COVID-19 inpatients — the highest number the hospital has cared for since Aug. 21.
In the last two weeks, Alabama has reported an increase of 15,089 new COVID-19 cases, according to the Alabama Department of Public Health and APR‘s calculations.
That number is the largest increase over a 14-day period since the two weeks ending Sept. 9. On average, the state has reported 1,078 new cases per day over the last two weeks, the highest 14-day average since Sept. 9.
The state reported 1,390 new confirmed and probable cases Thursday. Over the last week, the state has reported 7,902 cases, the most in a seven-day period since the week ending Sept. 5. That’s an average of 1,129 cases per day over the last seven days.
Alabama’s positivity rate, based on 14-day case and test increases, was nearly 16 percent Thursday, the highest that rate has been since mid-September.
Public health experts say the positivity rate, which measures the number of positive cases as a percentage of total tests, needs to be at or below 5 percent. Any higher, and experts say there’s not enough testing and cases are likely to be going undetected.
“I really won’t feel comfortable until we’re down to about 3 percent,” said Dr. Karen Landers, the state’s assistant health officer, speaking to APR last week.
While new daily cases are beginning an upward trajectory, the number of tests administered statewide is not, contributing to the increasing positivity rate. The 14-day average of tests per day on Thursday was 6,856 — a nearly 10 percent decrease from two weeks prior.
Over the last two weeks, ADPH reported 206 new COVID-19 deaths statewide, amounting to an average of 15 deaths per day over the last 14 days.
So far during the month of October, ADPH has reported 303 confirmed and probable COVID-19 deaths. In September, the total was 373. Since March, at least 2,843 people have died from the coronavirus.
The number of new cases nationwide appear to be headed toward a new high, according to data gathered by the COVID Tracking Project. The United States is now reporting nearly 60,000 cases per day based on a seven-day average. At least 213,672 Americans have died, according to the COVID Tracking Project.
U.S. Supreme Court rules Alabama can ban curbside voting
“The District Court’s modest injunction is a reasonable accommodation, given the short time before the election,” the three dissenting justices wrote.
The Supreme Court, in a 5-3 decision, allowed Alabama Secretary of State John Merrill to ban curbside voting, staying a district court injunction that had allowed some counties to offer curbside voting in the Nov. 3 election amid the COVID-19 pandemic.
The Supreme Court’s majority in its order declined to write an opinion, but Justices Stephen Breyer, Elena Kagan and Sonya Sotomayor’s five-page dissent is included.
The lawsuit — filed by the NAACP Legal Defense and Educational Fund, Southern Poverty Law Center, American Civil Liberties Union, ACLU of Alabama and Alabama Disabilities Advocacy Program — was brought on behalf of several older Alabamians with underlying medical conditions.
Sotomayor, who wrote the dissent, closed using the words of one of the plaintiffs in the case.
“Plaintiff Howard Porter Jr., a Black man in his seventies with asthma and Parkinson’s disease, told the District Court, ‘[So] many of my [ancestors] even died to vote. And while I don’t mind dying to vote, I think we’re past that – We’re past that time,’” Sotomayor wrote.
Alabama Secretary of State John Merrill on Wednesday applauded the Supreme Court’s decision.
“I am proud to report the U.S. Supreme Court has now blocked a lower court’s order allowing the fraudulent practice of curbside voting in the State of Alabama,” Merrill said in a statement. “During the COVID-19 pandemic, we have worked diligently with local election officials in all 67 counties to offer safe and secure voting methods – including through the in-person and mail-in processes. I am glad the Supreme Court has recognized our actions to expand absentee voting, while also maintaining the safeguards put into place by the state Legislature.”
“The fact that we have already shattered voter participation records with the election still being 13 days away is proof that our current voting options are easy, efficient, and accessible for all of Alabama’s voters,” Merrill continued. “Tonight’s ruling in favor of election integrity and security is once again a win for the people of Alabama.”
Sherrilyn Ifill, president and director-counsel of the NAACP Legal Defense and Education Fund, expressed frustration after the ruling in a tweet.
“Another devastating loss for voters and a blow for our team fighting to ensure safe voting for Black and disabled voters in Alabama. With no explanation, the SCOTUS allows Alabama to continue making it as hard as possible for COVID-vulnerable voters,” Ifill wrote.
Curbside voting is not explicitly banned by state law in Alabama, but Merrill has argued that because the practice is not addressed in the law, he believes it to be illegal.
A panel of federal appeals court judges on Oct. 13 reversed parts of U.S. District Judge Abdul Kallon’s Sept. 30 order ruling regarding absentee voting in the upcoming Nov. 3 elections, but the judges let the previous ruling allowing curbside voting to stand.
In his Sept. 30 ruling, Kallon wrote that “the plaintiffs have proved that their fears are justified” and the voting provisions challenged in the lawsuit “unduly burden the fundamental Constitutional rights of Alabama’s most vulnerable voters and violate federal laws designed to protect America’s most marginalized citizens.”
Caren Short, SPLC’s senior staff attorney, in a statement said the Supreme Court’s decision has curtailed the voting rights of vulnerable Alabamians.
“Once again, the Supreme Court’s ‘shadow docket’ – where orders are issued without written explanation – has curtailed the voting rights of vulnerable citizens amidst a once-in-a-century public health crisis. After a two-week trial, a federal judge allowed counties in Alabama to implement curbside voting so that high-risk voters could avoid crowded polling locations,” Short said. “Tonight’s order prevents Alabama counties from even making that decision for themselves. Already common in states across the South and the country before 2020, curbside voting is a practice now encouraged by the Centers for Disease Control and Prevention (CDC). It should be a no-brainer to implement everywhere during a pandemic; the Alabama Secretary of State unfortunately disagrees, as does the Supreme Court of the United States.”
SPLC files complaints in Pike County over suspension of two Black students
Both complaints, filed in Pike County Juvenile Court, ask the court to reverse suspensions of RaQuan Martin and Dakarai Pelton, both Black and former students at Goshen High School.
The Southern Poverty Law Center on Wednesday filed two complaints with an Alabama juvenile court alleging the Pike County Board of Education arbitrarily suspended two students in violation of their due process rights under the U.S. Constitution.
“Students across Alabama continue to be excluded from school without regard for their due process rights, leading to unwarranted and unlawful suspensions and expulsions,” said Michael Tafelski, senior supervising attorney for the SPLC’s children’s rights project, in a statement.
“This is particularly troubling for Black students who are three times more likely to be excluded from school for minor and subjective infractions than their white peers. Education is an important aspect of a young person’s life and the decision to exclude them from school should not be taken lightly,” Tafelski continued.
The complaints state that on Nov. 22, 2019, both students were approached by the school’s principal “in connection with alleged rumors that a group of students had ‘smoked’ that same day in the parking lot at school.” The principal alleged he had video security footage of them doing so, but wouldn’t show the students the footage, according to the complaints.
Both boys told the principal that they had not used marijuana, but had both accompanied another student to their car in the parking lot, and both left when the other student showed them what appeared to be drug paraphernalia.
“The students, both seniors at the time, denied the allegations and even took drug tests that showed they had no drugs in their system that day. But the school refused to consider this evidence,” the SPLC said in a press release.
The complaints state that the district failed to provide the students proper notice, including details about their charges, evidence of wrongdoing, a meaningful opportunity to be heard or to present evidence of their own and question witnesses during their hearings.
“Only you know what did or didn’t happen in that vehicle … you dodged a bullet here because we didn’t have the proof that we need,” said one school board member to one of the students during his hearing, according to the complaint.
“There was no proper investigation at all,” said Shatarra Pelton, Dakarai’s mother, in a statement. “It was unorganized and overblown. The school was unable to produce any evidence other than hearsay.”
After a brief hearing, both seniors were suspended for the rest of the school year, missing out on a chance to finish their high school athletics and potentially missing out on college football scholarships as a result, the complaints state.
Prior to their suspensions, both students had no disciplinary referrals and were making good grades, according to the complaints.
“On Jan. 13, the students appealed the Council’s decision to the Pike County Board of Education, and the board agreed to consider allowing the students to return to GHS if they participated in drug treatment classes, passed urine and hair follicle drug tests and maintained perfect attendance at the alternative school. After completing all the requirements, the students returned to school on Feb. 21 – three months after their removal,” the SPLC said in the release.
“He had a rough senior year, to say the least,” said Tasha Martin, RaQuan’s mother, in a statement. “He missed senior night, he missed everything.”
“They didn’t get to play not one game,” Martin said. “They had some coaches visit them while they were in alternative school but when the coaches found out that they couldn’t go back to school, they stopped coming. Our families were devastated; sometimes me and Ms. Pelton would be on the phone and just cry to each other. It has been really tough.”
“I want schools to understand that it’s not just a moment you’re ruining, you’re ruining a lifetime,” Pelton said. “With no factual basis, only an unproven accusation, you have just completely deterred a student’s life. Most schools say that they are there for their students, but you are showing them the total opposite.”
Pike County Schools during the 2019-2020 school year referred 49 students to a disciplinary hearing, according to the SPLC. Of those, 48 students were either suspended or expelled, and although Black students made up less than 50 percent of the student population, Black students made up 80 percent of the referrals. On average, Black students make up 77 percent of all students referred for disciplinary hearings in the district, according to the SPLC.
Biden urges Democrats to support Doug Jones
In the email, Biden asked voters to split a contribution between the Biden campaign and Jones’s campaign.
Democratic presidential candidate Joe Biden on Wednesday asked Democratic donors to support the re-election of U.S. Sen. Doug Jones, D-Alabama.
“I wanted to reach out to you about an old friend of mine: Doug Jones,” Biden said. “You might not believe this, but I met Doug more than 40 years ago, when I was a newly-minted junior senator, and he was in his early 20s, just beginning what would become one of the most impressive and dedicated careers of public service I’ve had the privilege of watching.”
“Doug has devoted his entire career to fighting for justice,” Biden said. “He’s the man who would not rest until the Klansmen who killed four young Black girls in the 1963 Birmingham church bombing were finally brought to justice. Doug has shown us, even in our darkest moments, that hope for the American promise is never lost — and what we can do when we stand united.”
“I need Doug’s help in the Senate,” Biden said. “He’s running neck-and-neck in his race in Alabama right now, and he needs our help to win.”
Biden said this election is “a battle for the soul of our country” and “few places are those stakes as clear as in Alabama.”
“I remember in 2017 when everyone counted Doug out,” Biden said. “When they thought that a message of unity would lose in a state where a long history of division still runs deep. But when I visited Alabama to help Doug, I saw what he saw – Alabama was ready to come together.”
Biden was an early endorser of Jones in the 2017 special election, when Jones defeated former Chief Justice Roy Moore in that election. Jones returned the favor in the 2020 Democratic primary, endorsing Biden when the former vice president was having difficulty raising money and was polling well behind Sen. Bernie Sanders, I-Vermont.
Jones campaigned hard with Biden in Selma and other campaign stops across Alabama prior to Super Tuesday on March 3.
“His win gave me hope,” Biden said. “I was both honored and proud to have escorted him onto the floor of the Senate and stood behind him when he was sworn in as a United States Senator. And his record has been extraordinary – passing 22 bipartisan bills helping farmers, military families, and those devastated by natural disasters. And in perhaps the most crucial fight of all – our health care – Doug has been there again and again standing up for all of us, especially those with pre-existing conditions. Every time we needed him to stand up for us, Doug Jones was there. I’m going to need Doug’s voice in the Senate. Alabama and America will need Doug’s voice in the Senate.”
“Doug and I share a vision for a united country – one that puts faith over fear, fairness over privilege, and love over hate. And Doug, his campaign, and his career remind us that it’s a vision we can only realize if we come together,” Biden said.
In an Auburn University Montgomery poll, Biden trails Trump in Alabama by 17 points. Jones trailed former Auburn University head football coach Tommy Tuberville by 12 points. The Jones campaign claims that there has been a tightening of the race since then and it is a statistical tie. The Tuberville campaign disputes that claim.
Republican insider Perry Hooper Jr. said, “Whether it is the AUM poll, the Al.com poll, or internal polls by the (Tuberville) campaign, the margin is between 12 and 18 points in favor of Tuberville.”
The Jones campaign has been inundating the state airwaves with TV and radio ads due to the vast advantage that Jones has had fundraising. More than 82 percent of Jones’ money raised in the third quarter reporting cycle came from outside the state of Alabama.