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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.
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.
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.
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.
As autonomous vehicle technology becomes more common around the country, Boston is struggling to determine how driverless cars could fit in on the city’s congested and confusing streets — if it allows them at all.
The City Council postponed a vote Wednesday on an ordinance that would ban commercial autonomous vehicles, which carry passengers similarly to taxis or ride-share services, from operating in Boston until a thorough study is completed on how their introduction would impact the city.
Councilor Gabriela Coletta Zapata, chair of the Committee on Government Operations, said during the weekly council meeting that more work was needed on the ordinance after an hours-long hearing on the matter on Tuesday.
During the hearing, many residents testified passionately on opposite sides of the issue, at times pitting different interest groups against each other.
Much of the worry about commercial autonomous vehicles stems from fears that they could take away jobs from Uber and Lyft drivers and create safety issues on the road.
But disabled residents who spoke said that, on the contrary, it could actually make Boston safer for them.
“I think there is a world in which we can do both,” Councilor Julia Mejia said during Tuesday’s hearing. “There is a way in which we can improve the quality of experience for our disability community while also maintaining the integrity of our workforce and we’re not hurting our low-income workers.”
Earlier this year, Waymo, a leading self-driving car company that operates “robotaxis” in several cities across the country, began deploying its vehicles in Boston to begin mapping the city.
Although the mapping cars were operated by humans and the company has no concrete plans to expand its service to Boston, the initiative sparked conversations at both the city and state levels about how to prepare for the potential impacts of driverless technology.
Members of the union representing ride-share drivers rallied in front of City Hall on Tuesday to oppose Waymo’s plans for Boston, saying it would result in the loss of their jobs and wages that they depend on to support their families, and in turn hurt the local economy.
The brand-new union, which was authorized by a state-wide ballot initiative last year, is still establishing itself, and leaders said autonomous vehicles would do away with all of the progress they had made toward job safety for members.
“We’re not against technology,” App Drivers Union Executive Director Autumn Weintraub said. “We are against technology that benefits billionaires. We need technology that is for the people, that is for workers and that is going to help workers and their families make a better life, not create a dystopian society where people don’t know how to survive.”
Some drivers said they provide an essential service beyond just driving people around that a driverless car would be unable to perform.
One said he had recently stopped to call an ambulance when he saw someone who had overdosed on the side of the road, while others shared stories of helping riders with bags or simply making a human connection.
Alfred Potter, a ride-share driver for the last 11 years, told MassLive that he drives full-time and it is his main source of income, with which he supports his wife and eight children, four of whom live with him.
He said on a recent ride, he picked up a senior couple at Lawrence General Hospital, getting out of the car to take their belongings and help the couple — one using a walker and the other using a cane — into the vehicle.
During the hour-long drive, the man said he needed to use the bathroom. There wasn’t a rest stop nearby, but Potter pulled over somewhere secluded and helped the man to the woods to relieve himself.
“They were very thankful. I did it because I firmly believe it is the least I would expect if anyone in my family had that need,” Potter said. “I don’t believe any autonomous vehicle I know of would be able to do that.”
Matt Walsh, Waymo’s regional head of state and public policy, said that in other cities where the company has launched, they have not seen any impact on jobs or wages.
He said that in San Francisco in 2024, the number working for taxi and limousine companies grew by 7% and wages in the industry rose by 14%.
“You see a Waymo vehicle without a driver and you automatically equate it with a one-for-one job loss for people that are driving for a living,” Walsh said. “The reality is that a service like Waymo requires a tremendous amount of hardworking people to make that work. Vehicle technicians, dispatchers, fleet managers, people working in our offices cleaning the vehicles. We are very excited about the job growth that we are going to create.”
He added that Waymo is working on partnerships with organizations like the Ben Franklin Institute of Technology and the Clubhouse Network, an after-school STEM program in Roxbury, to develop jobs programs in Boston.
The City Council chamber was packed during Tuesday’s hearing, with most of those present coming directly inside from the labor rally.
But a strong contingent from the disability community also came out to oppose limitations on autonomous vehicles, which they said could provide unprecedented opportunities for freedom and independence.
Bay State Council of the Blind Director Nora Nagle, who is legally blind and uses a guide dog, said she had often been refused rides by Uber or Lyft drivers who didn’t want a dog in their car, despite laws requiring them to accommodate service animals.
“I’ve been refused politely, I’ve been refused rudely. Some just drive away, some drivers give me excuses,” she said. “Where’s the humanity in leaving a blind person standing in the dark in the rain with no way to get home? … If I could take a safe autonomous car, it would mean that I wouldn’t have to worry about being refused two, three and four times in a row.”
Walsh said Waymo has already introduced features specifically aimed at helping visually impaired riders in response to customer feedback, including cars playing a melody so riders know they are getting into the correct vehicle and audio narration that tells riders what streets they are on as they travel.
The ordinance requiring an impact study, which was originally filed by Councilors Erin Murphy and Henry Santana, was sent back to committee for further discussion.
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New England Patriots
The New England Patriots are reportedly moving on from a former second-round pick.
According to NFL Network’s Tom Pelissero, the Patriots are trading defensive end Keion White to the San Francisco 49ers in exchange for a 2026 sixth-round pick and a 2026 seventh-round pick.
It stands as a largely underwhelming return for a 26-year-old player who recorded five sacks last seasons and was a high draft pick just two years ago. But, the writing was on the wall that White needed a fresh start elsewhere after failing to carve out a role in Mike Vrabel’s defense.
One of New England’s top pass-rushers last season, White fell behind on New England’s depth chart during training camp, with Vrabel’s new defensive scheme and the presence of several interior pass-rushers like Milton Williams, Khyiris Tonga, and a healthy Christian Barmore negating White’s top strength when it came to rushing up the gut to put pressure on opposing QBs.
White was unable to settle into a groove as more of an outside edge rusher, losing out a featured role to the likes of Harold Landry and K’Lavon Chaisson as the preseason carried on.
White appeared in just five games for New England this season, recording just six total tackles. He was designated as a healthy scratch ahead of Sunday’s win over the Cleveland Browns. He logged 17 total snaps in Week 7 against the Titans.
The Georgia Tech product look poised for a breakout season with New England in 2024 after posting four sacks over the first two games of the year. But, he only recorded two sacks over his remaining 36-game run in Foxborough before the team opted to send him out west.
Even if White wasn’t a strong fit in Vrabel’s defense, his absence makes New England’s pass-rushing corps a bit thinner. The Patriots’ pass-rushing personnel now features Chaisson, Landry, Anfernee Jennings, Elijah Ponder, and Caleb Murphy on the active roster.
White will look to recoup his value in the Bay Area, where his pass-rushing capabilities will be utilized to account for the loss of Nick Bosa, who suffered a season-ending knee injury in Week 3.
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Anfernee Simons made six 3-pointers and scored 25 points, and the Boston Celtics earned their first victory of the season by pulling away to beat the New Orleans Pelicans 122-90 on Monday night.
Payton Pritchard added 18 points for the Celtics, who outscored the Pelicans 31-4 in the final 9:14 after they led by just five.
Simons scored 12 in the fourth quarter for Boston, which had dropped its first three games. Luka Garza had 16 points, while Jaylen Brown and Josh Minott finished with 15 apiece.
Jordan Poole scored 22 points for the Pelicans, who played without Zion Williamson and fell to 0-3. Rookie Derik Queen had 12 points.
Williamson missed his first game of the season with a left foot bone bruise. He had scored 27 points in both of the first two games.
Poole’s 3-pointer cut it to 91-86 early in the fourth quarter before Simons made three 3-pointers and Sam Hauser had two in Boston’s powerful finish.
Celtics: Host Cleveland on Wednesday.
Pelicans: Visit Denver on Wednesday.
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