THIS STORY HAS BEEN FORMATTED FOR EASY PRINTING

Beacon Hill out of touch with local communities

March 1, 2009
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IN WATCHING the economic events over the last several months and the reaction of our state government, one cannot help but conclude that our leaders are out of touch with the realities of the communities.

Small communities have been cutting costs and services for years because annual costs have exceeded revenues. In North Reading last year, children went to school for four and a half days a week because the town could not afford a full week, and classes numbered 30 students per teacher. This happened during relatively good economic times.

Now, Beacon Hill has cut local aid, pushing problems to cities and towns. With no means to raise revenues, we are forced to make impossible decisions, such as laying off teachers and public safety employees - services that should not fluctuate with economic times.

The foundation of our governmental model is broken, and needs to be fixed. Revenues are declining, costs are increasing, and basic services have already been cut to the bone. This is the crisis that will devastate Massachusetts. It appears that our state government is more concerned with hiring a "stimulus czar" and further bloating state programs than addressing real issues.

Melissa Driscoll
North Reading

Range of care options for pregnant women
IN LIZ Kowalczyk's article "The birth of a notion: Hospitals turning to laborists to deliver babies" (Page A1, Feb. 22), she explains only one safe option for pregnant women in labor. It is important for women to realize that there are other safe options. Plenty of women in Massachusetts receive their obstetrical care from family doctors and midwives. In the United States this accounts for 15 percent of all births. Many family doctors offer family-centered prenatal care for nine months and then commit to being there whenever their patient goes into labor. A physician colleague is often on call for the patient's primary provider, which provides the kind of safety a laborist offers when a woman presents in labor. However, the safety is improved upon when the woman's own family doctor then comes in to take over caring for her labor and delivery, because her own doctor knows her better than anyone else and is coming in fresh and not tired. Beyond safety, it is also comprehensive, personalized, and continuous care that is much appreciated by the women who receive it.

Dr. Hugh Silk
Worcester

The writer is an assistant professor at the University of Massachusetts Medical School.

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