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View Diary: Sen. Murkowski pondering 'hold' on Sally Jewell's nomination over rejection of remote Aleutian road (189 comments)

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  •  it's a tough call . . . . (5+ / 0-)

    On the one hand, I am an old Greenpeacer and I know what it is to save critical habitat. Especially since if we put a road through this one, everybody and his brother will begin screaming to put roads through all the others too once the precedent is set.

    On the other hand, I have a lot of sympathy for indigenous people who are routinely marginalized and forgotten. They deserve access to medical care just as much as any New York City resident does.

    And there doesn't seem to be any workable way, at least yet, to accomplish both. . . . .

    Someone once said, the most tragic conflicts aren't those between a right and a wrong, it's the ones between two rights.

    :(

    •  For the sake of discussion.... (3+ / 0-)
      Recommended by:
      DSPS owl, Ginny in CO, LilithGardener

      ... is $400k/yr too much for a contracted GP and LPN to service the 748 members of the Tribe AND eliminate the need to build that "emergency access road?" I 'm just spitballing a figure here. I have no idea what it would take to reasonably expect the post to be sought by at least two competent applicants.

      What would "the right amount" be?

      When you are right you cannot be too radical; when you are wrong, you cannot be too conservative. --Martin Luther King Jr.

      by Egalitare on Fri Feb 08, 2013 at 05:43:27 PM PST

      [ Parent ]

      •  Population is close to 1000 now. (0+ / 0-)

        That is a minimum of 2 physicians. As has been pointed out, it isn't just salary. The remote location and weather are likely a big problem in an era of physician shortages. The clinics have other staff for basic care.

        However

        I was able to find a local private health care clinic that has telemedicine.

        I should have known Europe has expanded it to

        save lives in critical care and emergency situations.
        Limits and problems cited are not insurmountable in this situation. While it wouldn't do away with all medivacs, it could provide support long enough for many until the evac route is safe. Some medical cases possibly would not need to be.

        I realize this will sound nuts. (I am the acknowledged nut in our family fudge.) The two cities seem to need a way to get back and forth for a variety of reasons. The road risks use by private vehicles, snow mobiles, etc. Which would increase contact with wildlife, probably poaching.

        If they have to drive support structure into the ground anyway, how about an elevated electric/alternate fuel light train? Access to the preserved land can be very controlled. The area beneath it should not need to be cleared or leveled as much as a road (further discouraging use by private vehicles).  Animals would likely react to it like they do the elevated pipe line. Minimal snow removal problems. Would it need to run more than 5 trips a day M-F? Maybe they could have a special medivac car?

        "People, even more than things, have to be restored, renewed, revived, reclaimed and redeemed; never throw out anyone. " Audrey Hepburn "A Beautiful Woman"

        by Ginny in CO on Fri Feb 08, 2013 at 08:13:37 PM PST

        [ Parent ]

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