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For-profit urgent care clinic proposed in South Boston sparks concern from officials

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For-profit urgent care clinic proposed in South Boston sparks concern from officials


Elected officials from South Boston say they are against a for-profit urgent care company looking to set up shop a block away from the nonprofit South Boston Community Health Center, a proposal that they fear could harm residents who rely on the existing center.

American Family Care, one of the largest urgent care center operators in the country, has its eyes on bringing a clinic to 457-469A West Broadway, just up the road from the existing community health center which averages 70,000 visits a year.

The close proximity between the two “has the potential to jeopardize the financial stability of South Boston Community Health Center,” City Councilor Ed Flynn said last week before the council approved his order for a hearing on how for-profit health care centers impact nonprofits.

Exact details on what’s being proposed were not immediately available. The city Zoning Board of Appeals is set to hold a hearing on American Family Care’s request on Wednesday.

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While urgent care centers provide walk-in services for patients experiencing non-emergency medical issues such as small injuries and minor infections, some of them are for-profit, Flynn said. That means the businesses rely on “investments from private equity firms and venture capital funds,” he wrote in his hearing order.

“Urgent care centers can be attractive investments because they do not have the legal obligations to treat patients if they do not have the ability to pay, unlike emergency departments,” the hearing order states.

But at the same time, Flynn said, more for-profit urgent care centers are popping up across the city, with some being located near nonprofit community health care centers, threatening their “financial viability.”

“Let me be clear, I don’t want to see cuts to programs, services and staff at any of these beloved community health care centers,” Flynn said. “As similar to other development issues, this may be the first shoe to drop in South Boston but it could happen in many of the other neighborhoods across the city.”

American Family Care operates more than 200 facilities across 26 states, treating nearly 3 million patients a year, according to its company website. It looks to have more than 500 clinics nationwide in the next five years.

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The company says it is different from other urgent care clinics because it provides “digital X-rays, state-of-the-art diagnostic procedures, electronic medical record keeping,” among other services.

City Councilor At-Large Erin Murphy echoed Flynn’s concerns and said there has been a lack of information about the proposal. She highlighted how the existing community health center partners with city hospitals and how it distributed 35,000 vaccines and tested 14,000 people for COVID-19 during the pandemic.

“I am deeply concerned that the South Boston Community Health Center, as a non-profit, will be at a financial disadvantage on the unequal footing of AFC’s for-profit status,” she said, “and the manifold good the Health Center achieves should not be undermined because of this.”

State Sen. Nick Collins, speaking to the Herald, compared the potential impacts the for-profit urgent care clinic could have on South Boston Community Health Center to the financial crisis plaguing Steward Health Care System.

Steward, the largest private for-profit healthcare network in the country, reportedly considered closing four of its nine Massachusetts hospitals due to its dire financial state. The Dallas-based system allegedly owes $50 million in unpaid rent and is the subject of more than a dozen lawsuits in Massachusetts filed by vendors and employees over unpaid invoices since 2022.

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But the company’s executive vice president wrote in a Friday letter to employees that the system has secured a “significant financial transaction” that he says will “help stabilize” the company and save some of its Bay State hospitals from shuttering.

The proposed site of a for-profit urgent care clinic in South Boston. (Nancy Lane/Boston Herald)



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Boston’s new city council president talks about election and upcoming term

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Boston’s new city council president talks about election and upcoming term


The Boston City Council is setting out on a new two-year term with a new council president at the helm.

City Councilor Liz Breadon, who represents District 9, won the gavel on a 7-6 contested vote, cobbling together her candidacy just hours before the council was set to vote.

“An opportunity presented itself and I took it,” Breadon said. “We’re in a very critical time, given politics, and I really feel that in this moment, we need to set steady leadership, and really to bring the council together.”

The process apparently including backroom conversations and late-night meetings as City Councilors Gabriella Coletta Zapata and Brian Worrell both pushed to become the next council president.

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Breadon spoke on why support waned for her two colleagues.

“I think they had support that was moving,” said Breadon. “It was moving back and forward, it hadn’t solidified solidly in one place. There’s a lot of uncertainty in the moment.”

Political commentator Sue O’Connell talks about the last-minute maneuvering before the upset vote and what it says about Mayor Michelle Wu’s influence.

Some speculated that Mayor Michelle Wu’s administration was lobbying for a compromise candidate after Coletta Zapata dropped out of the race. Breadon disputes the mayor’s involvement.

“I would say not,” said Breadon. “I wasn’t in conversation with the mayor about any of this.”

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Beyond the election, Breadon took a look ahead to how she will lead the body. Controversy has been known to crop up at City Hall, most recently when former District 7 Councilor Tania Fernandes Anderson pleaded guilty to federal corruption charges tied to a kickback scheme involving taxpayer dollars.

Breadon said it’s critical to stay calm and allow the facts to come out in those situations.

“I feel that it’s very important to be very deliberative in how we handle these things and not to sort of shoot from the hip and have a knee-jerk reaction to what’s happening,” said Breadon.

Tune in Sunday at 9:30 am for our extended @Issue Sitdown with Breadon, when we dig deeper into how her candidacy came together, the priorities she’ll pursue in the role and which colleagues she’ll place in key council positions.

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Boston nightclub where woman suffered medical emergency and died has license reinstated

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Boston nightclub where woman suffered medical emergency and died has license reinstated


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After hearing testimony from club representatives and the loved ones of a woman who died there Dec. 21, regulators found no violations.

ICON, a nightclub in Boston’s Theater District, had its entertainment license reinstated at a hearing Thursday. Lane Turner/The Boston Globe

A Boston nightclub where a woman collapsed on the dance floor and died last month will have its entertainment license reinstated after the Boston Licensing Board found no violations Thursday.

Anastaiya Colon, 27, was at ICON, a nightclub in Boston’s Theater District, in the early hours of Dec. 21 when she suffered a fatal medical episode. Following the incident, her loved ones insisted that the club’s staff did not respond professionally and failed to control crowds.

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City regulators suspended ICON’s entertainment license pending an assessment of any potential violations. During a hearing Tuesday, they heard from attorneys representing the club and people who were with Colon the night she died.

Anastaiya Colon, 27, suffered a fatal medical episode Dec. 21 while at ICON.
Anastaiya Colon, 27, suffered a fatal medical episode Dec. 21 while at ICON. – GoFundMe

As EMTs attempted to respond, crowds inside the club failed to comply with demands to give them space, prompting police to shut down the club, according to a police report of the incident. However, the club and its representatives were adamant that staff handled their response and crowd control efforts properly.

Kevin Montgomery, the club’s head of security, testified that the crowd did not impede police or EMTs and that he waited to evacuate the club because doing so would have created a bottleneck at the entrance. Additionally, a bouncer and a bartender both testified that they interacted with Colon, who ordered one drink before collapsing, and did not see any signs of intoxication.

Angelica Morales, Colon’s sister, submitted a video taken on her phone to the board for them to review. Morales testified Tuesday that the video disproves some of the board’s claims and shows that ICON did not immediately respond to the emergency.

“I ran to the DJ booth, literally bombarded everybody that was in my way to get to the DJ booth, told them to cut the music off,” Morales said. “On my way back, the music was cut off for a minute or two, maybe less, and they cut the music back on.”

Shanice Monteiro, a friend who was with Colon and Morales, said she went outside to flag down police officers. She testified that their response, along with the crowd’s, was inadequate.

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“I struggled to get outside,” Monteiro said. “Once I got outside, everybody was still partying, there was no type of urgency. Nobody stopped.”

These factors, along with video evidence provided by ICON, did not substantiate any violations on the club’s part, prompting the licensing board to reinstate their entertainment license at a subsequent hearing Thursday.

“Based on the evidence presented at the hearing from the licensed premise and the spoken testimony and video evidence shared with us from Ms. Colon’s family, I’m not able to find a violation in this case,” Kathleen Joyce, the board’s chairwoman, said at the hearing.

However, Joyce further stated that she “was not able to resolve certain questions” about exactly when or why the club turned off the music or turned on the lights. As a result, the board will require ICON to submit an emergency management plan to prevent future incidents and put organized safety measures in place.

“This plan should outline detailed operational procedures in the event of a medical or any other emergency, including protocols for police and ambulance notification, crowd control and dispersal, and procedures regarding lighting and music during an emergency response,” Joyce said.

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Though the club will reopen without facing any violations, Joyce noted that there were “lessons left to be learned” from the incident.

“This tragedy has shaken the public confidence in nightlife in this area, and restoring that confidence is a shared obligation,” she said. “People should feel safe going out at night. They should feel safe going to a club in this area, and they should feel safe getting home.”

Keeana Saxon, one of three commissioners on the licensing board, further emphasized the distinction Joyce made between entertainment-related matters and those that pertained to licensing. Essentially, the deciding factor in the board’s decision was the separation of the club’s response from any accountability they may have had by serving Colon liquor.

“I hope that the family does understand that there are separate procedures for both the entertainment and the licensing, just to make sure that on the licensing side, that we understand that she was only served one drink and that it was absolutely unforeseeable for that one drink to then lead to some kind of emergency such as this one,” Saxon said.





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