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The Roanoke Star-Sentinel Community | News | Per spective

September 5, 2008

TheRoanokeStar.com

Council asks for second request for proposal on Market Building

[Carilion Healthcare]

Nonprofit Hospitals Flex Pricing Power, Carilion’s Fees Exceed Those of Competitors Troop Tales P4– John Robinson shares his experiences hiking with Troop II.

At the 2:00 PM Council meeting City Manager, Darlene Burcham, advised Council that the one proposal submitted regarding the Market Building was rejected by the Committee because “it had been found to not be in the best interest of the city.�Ms. Burcham said the City remained committed to renovating the Market Building and was City Council prepared to secure design services for the 1st and 2nd floors and the mezzanine. The information had not been shared with the submitters prior to her announcement. Councilwoman, Gwen Mason questioned whether there was any way that staff can work with the group that submitted the proposal asking, “can the marriage be saved?� Ms. Burcham said it was not in the City’s best interest to attempt any negotiation. She suggested that Council may be interested in a third party to operate the Market Building and that City staff does not have the experience to manage the building. The two options Ms. Burcham presented were to continue with the present design or to start over. Downtown Roanoke Inc. and Center in the Square is the coalition that submitted and presented the proposal to the city staff. Bill Carder, Executive Director of DRI, was waiting to speak to City Council. Mr. Carder said his coalition was comprised of 35-40 businesses and used the original market plan as a template and the RFP was their guide. He

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Stop Sign

Staff Photo

P7– Reader Ray McKee wonders about the meaning behind this unique stop sign.

Carilion Healthcare System unhappily finds itself in the national spotlight as Roanoke moves from having the lowest healthcare cost in the state to the highest. (See further commentary on WSJ article on page 4.) Since last week’s news story was published on the front page of the Wall Street Journal charging Roanoke’s Carilion Health System with monopolistic behavior under the guise of a non-proďŹ t entity, the emails, blog posts and rumors have been ying. Just like you, we have our own opinions about the issue as well as the information and “counter-informationâ€? being distributed and have wrestled with how best to serve our readers this week. In the end we have decided to reprint both the article and an email distributed by Ed Murphy to Carilion employees and Roanoke leaders the day before its publication. We also encourage readers to read opinions found on both Carilion and the Coalition for Responsible Healthcare’s websites. ( www.carilion.com and www.responsiblehealthcare.org)

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Tech Hockey P8– The Hokies have stepped to ďŹ ll the hockey void in the Roanoke Valley.

n 1989, the U.S. Department of Justice tried but failed to prevent a merger between nonprofit Carilion Health System and this former railroad town’s other hospital. The merger, it warned in an unsuccessful antitrust lawsuit, would create a monopoly over medical care in the area. Nearly two decades later, the cost of health care in the Roanoke Valley -- a region in southwestern Virginia with a population of 300,000 -- is soaring. Health-insurance rates in Roanoke have gone from being the lowest in the state to the highest. That’s partly a reflection of Carilion’s prices. Carilion charges $4,727 for a colonoscopy, four to 10 times what a local endoscopy center charges for the procedure. Carilion bills $1,606 for a neck CT scan, compared with the $675 charged by a local imaging center. Carilion’s market clout is manifest in other ways. With eight hospitals, 11,000 employees and $1 billion in assets, the tax-exempt hospital system has become one of the dominant players in the Roanoke Valley’s economy. Its dozens of subsidiaries include businesses ranging from athletic clubs to a

venture-capital fund. The power of nonprofit hospital systems like Carilion over their regional communities has increased in recent years as their incomes have surged. Critics charge this is creating untaxed local health-care monopolies that drive the costs of care higher for patients and businesses. “It’s a one-market town here in terms of health care,� says Sam Lionberger, who owns a local construction firm. “Carilion has the leverage.� Carilion acknowledges its influence in the local community but says there is nothing untoward about it. The hospital says it doesn’t have a monopoly over the Roanoke Valley health-care market because it faces robust competition from Lewis-Gale Medical Center, a hospital located in nearby Salem, Va., and owned by for-profit chain HCA Inc. Carilion says it charges more for certain procedures because it has to subsidize operations such as an > CONTINUED emergency department P3: Carilion and treatment for the

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> CONTINUED P2: Market Bldg.

NCS Partners with Fallon Airport Commission’s solution to entrance is “Roundabout� Park for Third Year

Though there were multiple topics on the agenda at As students across the country head back Tuesday’s noon lunch meetto school in the coming weeks, one thing is ing with the Roanoke Airport certain. The more than 600 children who Commission, most of the participated in North Cross School’s summer time revolved around reconprograms this year will have plenty of exciting figuration of the entrance to stories to share when they return to the classthe airport at Thirlane Road room. and Town Square Boulevard. P9– Roanoke College “It’s wonderful to see so many students Roanoke Airport Commissnagged the 14th annual sion members present were from across the Roanoke area benefi ting from Cougar Classic hosted by Dr. John Dooley, Vic Stewart, the many wonderful camps we have here each Summer campAverett University. Granger MacFarlane, “Fuzzy� summer,� said Summer Programs Director ers play in Minnix, and James Turner, Jr., Stephen Belderes. “Our camps give children North Cross Only receiving Chairman. Council member of all ages the opportunity to investigate new Anita Price was absent and promotional copies of interests, develop new hobbies, and meet new gym. Alvin Nash arrived later. friends.� Mr. Turner stressed that School officials believe strongly that these programs should be the airport is the gateway to a resource for the entire region that North Roanoke and it needs to be Get it delivered to Cross serves, and should strengthen the easy to use, easily marked, North Cross School’s relationship with the community. and aesthetically pleasing. He your doorstep introduced Tim White with Therefore, programs are available to stuEVERY week for only dents from all schools as well as North Cross students. More than Kimley-Horn and Associates, 60 percent of the record-breaking 600 students who participated Inc., to present their study as $44 a year! sponsored by the Roanoke do not attend North Cross School. 400-0990 Airport Commission. subscribe@theroanokestar.com The presentation included 3 > CONTINUED, P7: North Cross PO Box 8338 Roanoke,VA 24014 options: “No-Build� with only

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Photo submitted

An aerial shot with superimposed layout of proposed traffic roundabout at the intersection of Thirlane Road and Town Square Boulevard. signage improvements, Roanoke City’s concept proposed by the Traffic Department which included lane widening and traffic lights, and a third option of a “roundabout“ which was the primary focus of the presentation.

Mr. White began the presentation saying that there had been a 20% increase in Thirlane traffic due to the new > CONTINUED P2: Airport

Cox Drives the Entertainment Home with Movies On DEMAND Go to Channel 1 and press SELECT Available to residential customers in Cox Roanoke serviceable areas. Cox Digital Cable and digital receiver and remote rental required. Some On Demand programming is extra. Digital cable ready TV equipped with a CableCard may require a digital receiver in order to receive On Demand programming. Programming subject to change. Installations, taxes and fees additional. On Demand channels cannot be recorded. Other restrictions apply. Š2008 CoxCom, Inc., d/b/a Cox Communications Roanoke. All rights reserved.

Don’t have Digital Cable with On DEMAND yet? Call 777-9740 today!


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