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Paul Keane: Vermont hate crime hits home for man paralyzed at Kent State

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Paul Keane: Vermont hate crime hits home for man paralyzed at Kent State


My friend Dean Kahler and I have been communicating about Hisham Awartani, the 20-year-old Palestinian student paralyzed in a shooting in Burlington, Vermont recently.

I live in Vermont and am deeply disturbed by what seems like a hate crime. Two of Hisham’s friends, also 20, and one a Trinity College student, also were shot, as all three walked on Prospect Street in Burlington the Saturday after Thanksgiving. They were chatting in Arabic and wearing the white and black checkered scarves typical of Palestinians as 48-year-old Jason Eaton allegedly turned on his porch and shot all three of them. Eaton pleaded not guilty. The U.S. Department of Justice, and state law enforcement agencies, were investigating whether the shooting was a hate crime.

Dean Kahler is the student paralyzed when the 22 National Guardsmen wheeled around near Kent State University’s famous Pagoda, knelt, and aimed their rifles, shooting into a crowd of student protesters.

The bullets killed four students, two girls and two boys, all either 20 or 19, and wounded nine other students. Dean is classified as a “T-9 paraplegic”, meaning he only has feeling as far down as the 9th thoracic vertebra in his back.

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“The bullet shattered, T-9,10,&11. It is in my chest in void where the lower lobe of my left lung was…very clear in any and all chest x-rays,” Dean tells me.

Dean has been in a wheelchair for all those 53 years.

Tony Dejak/AP

A man reads the Ohio historical marker commemorating the Kent State shootings, Monday, May 4, 2020, in Kent, Ohio. The Ohio National Guard opened fire on unarmed college students during a war protest at Kent State University on May 4, 1970. Four students were killed, and nine others were injured. Not all of those hurt or killed were involved in the demonstration, which opposed the U.S. bombing of neutral Cambodia during the Vietnam War. (AP Photo/Tony Dejak)

Hisham was the most seriously wounded of the three Palestinian students walking in Burlington.  A bullet is lodged in his spine. The wound is similar to that suffered by Dean at Kent State 53 years before.

“I hope he has a good family to support to guide him through these difficult early days of his disability. Along with friends and his immediate community,” Dean texted me.

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We can hope advances in physical therapy and brain implant technology will make Hisham’s recovery trajectory different from Dean’s own.

“I wish him well. Those, plus psychological help,” Dean said. “Early encouragement and lifestyle information. I didn’t get that until I was sitting up, until late August.”

I asked what he meant by “lifestyle.” Dean replied that those who suffer paralysis must learn about “sex, bathroom routines, dressing, nutrition, hydration, adjusting to the time it takes to do things to get going each day. To name a few. Inspecting one’s skin at least twice daily. Checking skin for red hot spots.”

Then I recalled what Dean told me in 1973 when we went to the White House to lobby for a federal grand jury investigation of the Kent State shootings. We shared a hotel room and Dean told me he had to check his torso and legs every day with a mirror to make sure there were no cuts. He could exacerbate a cut and create a pressure wound or sore without knowing it because he can’t feel anything from his 9th thoracic vertebra to his toes.

At one point Dean’s wheelchair got stuck between the toilet and sink and he couldn’t get into the bathtub. He asked my help in lifting him into the tub. I am ashamed to admit I was terrified when I saw the scar across his chest from the surgery to save his life. It looked like he had been struck by lightning.

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Dean is now 73. He completed three marathons in his wheelchair. He competes in 5k, 10k, and half marathons yearly. Sometimes he is the only disabled entry in the race. He has been an Ohio county commissioner and a public school teacher.  Dean lobbied for the Americans with Disabilities Act in his wheelchair. The architectural traps and dead ends for the disabled he encountered in 1973 are now illegal in 2023.

Dean told me he wishes Hisham well. And he didn’t just leave it at that. He told me what the world needs to know about paralyzed people to help that wish come true. No euphemisms, just plain talk.

Paul Keane is a Connecticut native, a retired Vermont teacher and a graduate of Kent State and Yale Divinity School. He was attending Kent State in May 1970.



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Vermont

Vt. Legislators to call on Gov. Scott to issue state of emergency

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Vt. Legislators to call on Gov. Scott to issue state of emergency


SOUTH BURLINGTON, Vt. (WCAX) – On Monday, former and current Vermont legislators are going to call on Gov. Scott to declare a state of emergency regarding the state’s homeless population.

Three former and two current Vermont legislators say the homelessness crisis is overwhelming many communities, and causing unnecessary suffering, and even death.

Under the State of Emergency, the legislators ask the state to keep open and available resources for the homeless, and fund services for mental health and drug abuse.

Then, they ask the General Assembly to create legislation to develop long-term solutions.

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The event will be held 10:30 Monday morning at the Delta Hotel by Marriott on Williston Rd in South Burlington.



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New suspect arrested for Townshend crash resulting in death

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New suspect arrested for Townshend crash resulting in death


TOWNSHEND — Police arrested a new suspect believed to be driving the car that struck a local man, who later died from his injuries. 

In a news release issued just after midnight Sunday, the Vermont State Police announced further investigation found Daniel Carr, 34, of Townshend, was operating the 2009 GMC Sierra that struck Shane Whittaker, 24, of Jamaica, on Route 30 in Townshend at about 6:30 p.m. Dec. 9. 

Carr was arrested for gross negligent operation with death resulting, leaving the scene of an accident with death resulting, two counts of reckless endangerment, providing false information to police, driving with a criminally suspended license, failure to comply with ignition interlock device restricted driver’s license, and violation of conditions of release. He was transported to the Westminster State Police Barracks for processing and later taken to Southern State Correctional Facility, where he is being held on $25,000 cash bail. He is expected to be arraigned in court Monday afternoon. 

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Initially, Jamee Shields, 26, of West Townshend, was suspected of driving the vehicle that struck Whittaker and rolled over. She had been cited for gross negligent operation and reckless endangerment after police determined her child had been in the vehicle at the time of the incident. A court date was scheduled for January. 

Now, Shields is cited for providing false information to police. She is scheduled to be arraigned Monday afternoon. 

Earlier this month, Carr was arrested by Windham County Sheriff’s Office for a second driving under the influence offense, eluding law enforcement and violation of conditions of release. He and Shields are in a relationship. 

Previously, police said Shields showed signs of impairment and was subsequently arrested for suspicion of driving under the influence of drugs. She was arrested and transported to the Westminster State Police Barracks for processing.

TOWNSHEND — A pedestrian who was critically injured in a crash involving a single vehicle on…

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Whittaker had been transported to Dartmouth-Hitchcock Medical Center, where he stayed in critical condition until he died last week. 

A GoFundMe set up to support his family after the tragedy says that Whittaker was driving on Route 30 with two of his best friends when slippery road conditions caused them to drive off the road.

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“Unable to get the car back on the road, they were patiently waiting outside the car when a driver under the influence hit Shane with her truck and dragged him several feet while he was pinned underneath,” the page says. “The truck flipped and landed on top of him, causing several life-threatening injuries. Friends with him at the time witnessed this tragedy and will never be the same. Shane remained unresponsive and in a coma on life support, surrounded by loved ones … when he passed away.”

The GoFundMe describes Whittaker as a gentle, deep soul who brought peace to everyone he met.

“He had many friends with whom he had very tight bonds. He enjoyed dancing and creating music with his friends. He was on his way to a bright future as a translator for the deaf. As a CODA (child of deaf adults), he was fluent in sign language,” the page says. “As his father explained, CODAs are a part of a very tight, but underrecognized community that mixes their deaf culture and identity with the rest of the hearing world. Surrounded by members of this loving group, he learned to communicate with them at a very young age.”

Whittaker’s death, the page says, “has left an unimaginable void in the lives of his family, friends, and community. His parents, who poured their love into raising such a kind and talented young man, are now faced with the overwhelming burden of arranging a funeral.”

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As UVM Health Network cuts services in Vermont, it expands in New York  – VTDigger

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As UVM Health Network cuts services in Vermont, it expands in New York  – VTDigger


Sunny Eappen, president and CEO of the University of Vermont Health Network, speaks at an event in South Burlington on December 15, 2022. File photo by Glenn Russell/VTDigger

Last month, the University of Vermont Health Network announced a slate of wide-ranging cuts to its Vermont facilities. 

Those cuts — which drew a swift and furious outcry — included closing an inpatient psychiatric unit at Central Vermont Medical Center, ending kidney transplants at the University of Vermont Medical Center, and shuttering a primary care clinic in Waitsfield. 

Across Lake Champlain, however, the situation looks very different. Over the past few years, UVM Health Network’s facilities in northern New York have added capacity and increased the volume of certain procedures.

Over the past two years, Champlain Valley Physicians Hospital, in Plattsburgh, has worked to increase the number of surgeries it performs, according to Annie Mackin, a network spokesperson. During that time, Elizabethtown Community Hospital’s Ticonderoga campus has expanded clinics in women’s health and dermatology. Late in 2023, a primary care clinic operated by another health care organization opened at Alice Hyde Medical Center, in Malone. And earlier this year, Alice Hyde hired a general surgeon, the network announced in October. 

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The network hopes to add even more capacity in the state in the coming years, leaders say. 

“In New York, we’re doing our very best to expand services, to grow opportunities, to be able to have more opportunities to see patients over there,” Steven Leffler, president and chief operating officer of UVM Medical Center, said in an interview last month. 

“We’re hoping they’ll have more inpatient access to cover patients who can’t stay here,” Leffler said, referring to the Burlington hospital. “We’re hoping we can move more surgical cases there as a way to make sure that access is maintained for people who may have, unfortunately, more (of a) challenge getting access here.”

Green Mountain Care Board trims hospital requests for increases to 2025 budget, service charges


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‘Patient-centered and patient-focused’

Leaders of the six-hospital network said the additions in New York are simply part of ongoing efforts to help patients access more care more easily — similar to what the network seeks to do in Vermont. 

The University of Vermont Medical Center, Central Vermont Medical Center and Porter Medical Center, in Middlebury, are all part of the UVM Health Network.

The recent cuts on this side of the lake, administrators say, were due solely to the actions of the Green Mountain Care Board, a state regulator that capped network hospital budgets and ordered UVM Medical Center to reduce its charges to private health insurers earlier this year.

Additions at New York hospitals, which are not under the board’s jurisdiction, have nothing to do with the board’s orders and often predate them, network leaders said. 

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That work “is totally independent and unrelated to regulatory action here,” Sunny Eappen, the president and CEO of UVM Health Network, said in an interview.

Expanding services in New York, however, does benefit Vermont’s hospitals. In the 2023 fiscal year, New York residents contributed roughly 14% of the University of Vermont Medical Center’s patient revenue, to the tune of $245 million, according to financial documents submitted to the Green Mountain Care Board.

In Vermont, the care board places limits on how much hospitals can bring in from patient care — limits that UVM Health Network officials have said are onerous and harmful. By adding capacity in New York, the network can keep some of those patients in their communities and out of Vermont hospitals. 

Owen Foster, the chair of the Green Mountain Care Board, declined to comment, saying he did not know the details of the network’s New York hospital services. 

In 2025, Champlain Valley Physicians Hospital plans to add operating room capacity for general surgery, urology, ear nose and throat procedures and orthopedics, according to Mackin, the network spokesperson. The network has invested in some “anesthesiology resources” for that expansion and is recruiting urology and orthopedics clinicians, she said.

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The network has also informed about 370 New York patients that they have the option of getting imaging procedures — such as x-rays — in-state, rather than in Vermont, Mackin said. UVM Health Network is also “evaluating opportunities” to add gastroenterology, cardiology and infusion procedures in New York, she said. 

“It’s patient-focused and patient-centered, right?” Lisa Mark, the chief medical officer of Champlain Valley Physicians Hospital and Alice Hyde Medical Center, said in an interview. “So they don’t have to travel across the lake if they don’t need to.”

A man in a suit and tie is speaking in front of a screen.
Owen Foster, chair of the Green Mountain Care Board, testifies before the Health Reform Oversight Committee at the Statehouse in Montpelier on November 30, 2023. File photo by Glenn Russell/VTDigger

Vermont and New York

Over the past few months, UVM Health Network has drawn scrutiny for the movement of money between its Vermont and New York hospitals.

That attention was sparked by the revelation, during the Green Mountain Care Board’s annual hospital budget review process, that Burlington’s UVM Medical Center was owed $60 million by Champlain Valley Physicians Hospital in Plattsburgh.

That has led to fears that Vermonters are subsidizing New York medical facilities. In comments submitted to the Green Mountain Care Board in August, Vermont’s chief health care advocate Mike Fisher and his staff members charged that the network “has consistently weakened its financial position by choosing to transfer monies to the New York hospitals.”

Network leaders have repeatedly denied that those transfers — which have paid for pharmaceuticals, physicians’ salaries and other expenses — had any impact on Vermonters. Those transfers affect a hospital’s cash on hand, leaders said, but do not affect margins or Vermonters’ commercial insurance rates.

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“We’ve been very, very clear on that,” Rick Vincent, the network’s executive vice president and chief financial officer, said in an interview. “The Vermont commercial rates are not impacted by those New York hospitals.”

Last month, the care board asked the network for more information about the New York hospitals’ finances, including their operating margins and cash on hand. 

UVM Health Network initially declined to provide that information. But Eappen said in an interview he does intend to share the hospitals’ financial information with the board. 

According to publicly available nonprofit tax forms, some of the network’s New York hospitals have struggled in the past years. Champlain Valley Physicians Hospital lost nearly $30 million in its 2022 fiscal year and nearly $40 million in the 2023 fiscal year, according to tax records, and Alice Hyde Medical Center lost about $20 million in those two years, as well. Elizabethtown Community Hospital, meanwhile, has reported positive margins for the past decade.

Eappen said that Champlain Valley and Alice Hyde have grown more stable in the past year, although financial data is not yet publicly available.

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There are “not yet” plans to shift more services to New York as a result of the Green Mountain Care Board’s orders, Eappen said. But keeping care close to home for residents of northern New York is a win-win, he said. 

“If New Yorkers stay in New York, it doesn’t contribute to that Vermont revenue piece,” Eappen said, referring to patient revenue, which is capped by the Green Mountain Care Board. “And so if we do it well and keep New Yorkers in New York, it’s a positive on both ends.”





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