Delaware
VIEWPOINT: This is a critical moment: Delaware must not go backward in health equity
Dr. LeRoi Hicks | PHOTO COURTESY OF CHRISTIANACARE
The proposed Delaware House Bill 350 is well-intended but would have terrible consequences for Delaware’s most vulnerable populations. There is a better way.
As a Black physician who has dedicated his 25-year career to understanding and addressing health equity, I am deeply concerned about Delaware’s proposed House Bill 350, which aims to address rising health care costs by establishing a body of political appointees that would oversee the budgets of Delaware’s nonprofit hospitals.
While the goal of bending the cost curve in health care may be well-intentioned, this bill will have horrific consequences for Delaware’s most vulnerable populations, including Black people, Hispanic people and other groups that have been traditionally underserved in health care. We can and must work together to solve this problem and provide the right care, in the right place, at the right time.
A tale of two cities
To borrow a phrase from Charles Dickens, Delaware, like much of America, is a tale of two cities. The experience of life—including a healthy, safe environment and access to good-quality health care—is vastly different depending on where you live and your demographic background. In the city of Wilmington, for example, ZIP codes that are just a few miles apart represent more than 20 years difference in life expectancy. This is not OK—it’s a sign that we have serious structural problems in our communities that are causing harm to people and making their lives shorter.
Importantly, chopping $360 million out of Delaware’s hospital budgets, as House Bill 350 would do in year one, is not going to help this problem—it’s going to make it worse. And in doing so, it would ultimately make health care in Delaware more expensive—not less expensive.
The key to lowering health care costs is to improve quality, access and equity
Data show that about 5% of patients in the United States account for more than 50% of all health care costs. These are primarily patients who have complex and poorly managed chronic conditions that cause them to end up in the most expensive care settings—hospitals, operating rooms, emergency departments.
The key to driving down health care costs is to improve quality and equity so that everyone is supported in achieving their best health, and these high users of the most expensive kinds of care are better supported in managing their health conditions such as diabetes or heart failure in the appropriate way. In doing so, they prevent the need for costly emergency or “rescue” care.
Let’s do more—not less—of what we already know works
Health care is not a one-size-fits-all industry. The delivery of care for patients across a diverse population requires multiple interventions at the same time. These interventions are designed not only to improve the quality of care but also to close the gap in terms of health care disparities. That’s important, because when we improve care and outcomes for the most vulnerable populations, we tend to get things right for everyone.
One type of intervention is about doing exactly the right things for a patient based on the evidence of what will help—and doing nothing extra that will cause harm or generate additional costs without providing additional benefit. An example of this might be ensuring that every patient who has a heart attack gets a certain drug called a beta blocker right after their heart attack, and they receive clear guidance and support on the actions they must take to reduce their risk of a second heart attack, such as regular exercise and good nutrition.
The second type of intervention is for the highest-risk populations. These are patients who live in poor communities where there are no gyms and no grocery stores, and people commonly have challenges with transportation and lack of access to resources that makes it difficult—sometimes impossible—to follow their plan for follow-up care. They lack access to high-nutrient food that reduces their risk of a second heart attack. They also live in areas where there are fewer health care providers compared to more affluent areas.
These interventions tend to be very intensive and do not generate income for health systems; in fact, they require significant non-reimbursed investment, but they are necessary to keep our most vulnerable patients healthy.
The medical community has developed interventions for these populations that are proven to work. A local example is the Delaware Food Pharmacy program, which connects at-risk patients with healthy food and supports their ability to prepare it. The program helps patients improve their overall health and effectively manage their chronic conditions so they can prevent an adverse event that would put them back in the hospital or emergency department.
When we work together, we succeed
We’ve seen incredible examples of how this work can be successful right here in Delaware. Delaware was the first state in the country to eliminate a racial disparity in colorectal cancer, and we did this by expanding cancer services, including making it easy for vulnerable people to get preventive cancer care and screenings. This is an incredible success story that continues to this day, and it was the result of thoughtful, detail-oriented partnerships among the state and the health care community. The work continues as we collaborate to reduce the impact and mortality of breast cancer in our state.
Unfortunately, these kinds of interventions are the first thing to go when health care budgets get slashed, because they don’t generate revenue and are not self-sustaining. These kinds of activities need to be funded—either through grants or an external funder, or by the hospitals and health care systems.
By narrowly focusing on cost, we risk losing the progress we have made
Delaware House Bill 350, as it’s proposed, would cause harm in two ways:
- First, it would compromise our ability to invest in these kinds of interventions that work.
- Second, it increases the risk that higher-cost health services and programs that are disproportionately needed by people in vulnerable communities could become no longer available in Delaware.
In states where the government has intervened in the name of cutting costs, like Vermont and Massachusetts, we see the consequences–less quality and reduced equitable access to much-needed services. House Bill 350 will widen the gap between those who have means and those who are more vulnerable.
These changes will lead to increased disease burden on these populations. They will end up in the emergency room more and hospitalized more, which is by far the most expensive kind of care. That’s not what anyone wants—and it’s the opposite of what this bill was intended to accomplish.
At this moment, in Delaware, we have an opportunity to put our state on a sustainable path to better health for all Delawareans. House Bill 350 is not that path. However, the discussion that House Bill 350 has started is something that we can build on by bringing together the stakeholders we need to collaborate with to solve these complicated problems. That includes Delaware’s government and legislators, the hospitals and health centers, the insurance, pharmacy and medical device industries, and most importantly, patients and the doctors who care for them.
LeRoi Hicks, M.D., MPH, FACP is the campus executive director for ChristianaCare, Wilmington Campus.
Note: This commentary was originally published on news.christianacare.org.
About ChristianaCare
Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,430 beds), a freestanding emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute.
ChristianaCare is nationally recognized as a great place to work, rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.
Scenic drives across New Jersey reach from the coastal marshes of Cape May to the hardwood forests around the Delaware Water Gap. The routes below range from quick Sunday drives to multi-day regional tours. Along the Pine Barrens Scenic Byway, travellers wind through protected forests, wetlands, and historic villages. Old Mine Road traces 17th-century Dutch settlement routes through rugged terrain in one of the continent’s oldest continuously used roadways. Shorter routes like the Palisades Scenic Byway deliver sweeping Hudson River views with hiking access. The nine drives below prove the Garden State reputation holds up once you leave the interstate.
Delaware River Scenic Byway
Running about 34 miles from Trenton to Frenchtown, the Delaware River Scenic Byway follows the Delaware River and the Delaware and Raritan Canal, offering easy access to hiking trails and water-based recreation. The riverside towns are among New Jersey’s best for art and history. Starting in Trenton, the route follows the Delaware and Raritan Canal toward Lambertville. Trenton’s William Trent House Museum and Trenton City Museum make good starting points.
As the route approaches Lambertville, Washington Crossing State Park marks the site where George Washington’s Continental Army crossed the Delaware River on Christmas night 1776 to attack Hessian forces at Trenton (a turning point in the Revolutionary War). The park now includes hiking trails and river views. The byway continues through the historic downtowns of Lambertville and Stockton, with Bull’s Island Recreation Area offering a riverfront stop before reaching the final destination in Frenchtown.
Pine Barrens Scenic Byway
Stretching 130 miles through southern New Jersey, the Pine Barrens Scenic Byway crosses pine forests, wetlands, and rivers while connecting unique historic villages through a network of interconnected routes. The New Jersey Pine Barrens (officially the Pinelands National Reserve, established in 1978 as the first U.S. national reserve) covers 1.1 million acres with a rare acidic sandy soil ecosystem that supports pygmy pitch pine forests found almost nowhere else in North America.
Starting near Batsto Village, a preserved 18th- and 19th-century iron-making and glass-working community, the route heads toward Tuckerton through the Pinelands, crossing waterways including the Mullica River. At Tuckerton, the route approaches Little Egg Harbor, a coastal estuary known for salt marshes, boating, and birdlife, before continuing toward the Edwin B. Forsythe National Wildlife Refuge.
From there, the byway loops inland through Mullica and Weymouth, with opportunities for fishing and paddling on the Great Egg Harbor River. Continuing south, the byway extends toward Tuckahoe, a gateway to Cape May County coastal wetlands, with loops running toward Port Elizabeth and around Belleplain State Forest through towns like Dennis and Woodbine before reconnecting with other route segments.
Palisades Scenic Byway
The Palisades Scenic Byway offers sweeping views of the Hudson River as it winds along the Palisade Cliffs, one of New Jersey’s most striking geological formations. The cliffs formed about 200 million years ago when molten diabase magma intruded between sedimentary rock layers, later exposed when erosion stripped away the softer surrounding rock. The route covers 19 miles. Starting at Fort Lee Historic Park and Visitor Center, visitors can take in views of the George Washington Bridge and Revolutionary War exhibits before continuing onto the Palisades Interstate Parkway. Traveling north through Englewood Cliffs, there are stops at trailheads, picnic areas, and scenic overlooks.
Within Palisades Interstate Park, visitors can hike wooded trails, take in panoramic viewpoints, and explore the historic Cliffdale Manor ruins. The parkway continues north into New York State, extending the drive along the Hudson, but the New Jersey portion culminates at State Line Lookout, a high vantage point with expansive views of forested cliffs, distant Hudson Valley mountains, and the New York City skyline.
Bayshore Heritage Byway
Stretching nearly 122 miles through Salem, Cumberland, and Cape May counties, the Bayshore Heritage Byway covers the full range of New Jersey’s Delaware Bay coast. Dunes, coastal marshes, forested areas, and historic landmarks combine to make this one of the state’s most ecologically and culturally rich drives.
Start on Hawks Bridge Road in Salem County and head toward Salem City to explore its historic district (Salem has been continuously inhabited since 1675, making it one of New Jersey’s oldest towns). A network of local roads offers views of the Delaware Bay and estuary en route to Elsinboro Township. The Hancock House is the site of a 1778 Revolutionary War massacre where British troops killed over 20 sleeping Patriot militia. Continue to Bridgeton with stops at Bridgeton City Park and the Cohanzick Zoo within the park. Then continue to Mauricetown, with an optional detour to the East Point Lighthouse (built in 1849, New Jersey’s second-oldest lighthouse still in operation). The byway leads south into Cape May County, culminating at Cape May Point State Park.
Upper Freehold Historic Farmland Scenic Byway
The Upper Freehold Historic Farmland Scenic Byway covers 28 miles of farmland, historic homes, and quiet country roads. The drive begins in the historic district of Allentown Borough, following Main Street and then local roads toward the Assunpink Wildlife Management Area. From there, the byway winds through rural countryside toward Clayton Park, with optional detours to the Imlaystown Historic District or the Old Yellow Meeting House. The route continues past preserved farmland and open space before reaching the Walnford Historic District and Crosswicks Creek Park. The region is one of New Jersey’s most intact agricultural landscapes, partly due to strong state farmland preservation programs that have protected thousands of acres here since the 1980s.
Warren Heritage Scenic Byway
Running about 19 miles through mountain ranges and scenic valleys, the Warren Heritage Scenic Byway offers mountain views and opportunities to engage with local history along the way. One common route begins near Stewartsville and links local roads toward New Village. Bread Lock Park Museum along the route offers interactive exhibits on the region’s Morris Canal history (the canal operated from 1831 to 1924, carrying coal from Pennsylvania to New York). Heading toward Washington, the drive passes views of Pohatcong Mountain. The route continues through rural landscapes with views of Point Mountain, through Mansfield Township, Beattystown, and ending in Hackettstown.
Old Mine Road
Old Mine Road is often cited as one of the oldest continuously used roads in the United States, with Dutch colonial origins dating to the early 17th century when copper miners reportedly used the route to transport ore from the Pahaquarry mines to Kingston. While some of the exact 17th-century claims are disputed by historians, the road has been continuously used for at least 300 years. It runs through the Delaware Water Gap, where unpaved sections from centuries past can still be walked. Some segments close during winter due to harsh conditions; spring through autumn is the reliable season.
Starting near Columbia, the drive follows Old Mine Road with views of the Delaware River and the forested landscape of the Delaware Water Gap National Recreation Area. At a fork, head toward the Millbrook Village Historic Site, a preserved 19th-century rural village recreated and maintained by the National Park Service. Continuing toward Flatbrookville, the road winds through the recreation area past trails, waterfalls, and scenic mountain terrain.
Millstone Valley Scenic Byway
The Millstone Valley Scenic Byway winds through central New Jersey along the Millstone River and the Delaware and Raritan Canal. This picturesque route features Revolutionary War-era landmarks and offers both scenic waterside views and educational stops.
Begin in Millstone, heading toward the historic Bridgetender’s House at Blackwell’s Mill in the East Millstone Historic District. Continue along the Millstone River toward Kingston, passing historic neighbourhoods on River Road and Rocky Hill. Delaware and Raritan Canal State Park offers hiking and water activities. From Kingston, follow the canal to Griggstown for views of the John Clyde Memorial Native Grassland Preserve and surrounding farmland. Cross the Griggstown Causeway back over the Millstone River and return to Millstone.
Western Highlands Scenic Byway
The Western Highlands Scenic Byway runs about 23 miles through Sussex County, following forest-lined roads and farmlands. The drive features hiking trails with scenic overlooks, wildlife viewing opportunities, and historic sites. Begin in Stockholm and head north toward Vernon, with views of the Hamburg Mountain Wildlife Management Area and Highland Lake. In Vernon, the byway connects to local roads looping through the highland terrain before continuing into Wawayanda State Park, where hiking access includes sections of the Appalachian Trail. The byway then extends north toward the New Jersey-New York border.
Nine New Jersey Drives, One Garden State
These nine routes cover the state’s full geographic range: Delaware Bay wetlands on the Bayshore, Pine Barrens pygmy pitch pine forests, Delaware Water Gap forests on Old Mine Road, Palisades cliff-top Hudson River views, Millstone and Warren Heritage farmland. The shared thread is that these drives reward leaving the interstate. New Jersey’s dense population masks how much forest, farmland, and preserved waterway the state actually contains.
Delaware
State Police Arrest Dover Man for Assault and Aggravated Menacing in Dover – Delaware State Police – State of Delaware
Date Posted: Saturday, April 18th, 2026
The Delaware State Police have arrested 45-year-old Joseph Chapler, from Dover, Delaware, following an assault and aggravated menacing incident that occurred Thursday night in Dover.
On April 16, 2026, at approximately 10:20 p.m., troopers responded to the parking lot of Microtel, located at 1703 East Lebanon Road in Dover for a report of an assault and aggravated menacing. When troopers arrived, they learned that a man and woman were walking on a path behind the Microtel when they were approached by an unknown male suspect. The suspect threatened the victims, pointed a gun at them, and sprayed the female victim with pepper spray before running away. The victims ran to safety and called 9-1-1. The female victim was treated by EMS but refused medical attention.
Through investigative means, detectives identified Joseph Chapler as the suspect and obtained a warrant for his arrest.
On April 17th, Chapler was arrested and taken to Troop 3, where he was charged with the crimes listed below, arraigned by Justice of the Peace Court 2, and committed to the Sussex Correctional Institution on a $94,001 cash bond.
- Possession of a Firearm During the Commission of a Felony (Felony)
- Assault 2nd Degree (Felony) – 2 counts
- Aggravated Menacing (Felony) – 2 counts
- Terroristic Threatening – 2 counts
- Criminal Trespass 3rd Degree
If you or someone you know is a victim or witness of a crime or have lost a loved one to a sudden death and need assistance, the Delaware State Police Victim Services Unit / Delaware Victim Center is available to offer you support and resources 24 hours a day through a toll-free hotline at 1-800-VICTIM-1 (1-800-842-8461). You may also email the Victim Services Unit at DSP_VictimServicesMail@delaware.gov.
Disclaimer: Any individual charged in this release is presumed innocent until proven guilty in a court of law.
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The Delaware Police Officer Standards and Training Commission recently announced that the Dewey Beach Police Department and Rehoboth Beach Police Department have both earned state accreditation from the Delaware Police Accreditation Commission.
As part of the rigorous process, a team of DPAC assessors ensured all accreditation standards were met by completing comprehensive, on-site inspections of each agency, reviewing their policies and procedures for compliance, and conducting interviews with department members.
“This milestone represents a significant step forward for public safety in Delaware. The initial state accreditation of these police agencies reflects a strong commitment to professionalism, accountability and excellence in law enforcement. I commend each department for their dedication to serving their communities with integrity and for upholding the highest standards,” said Joshua Bushweller, Department of Safety and Homeland Security secretary and DPAC chair.
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