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108,979 write: Don't close V.A.Jack Jones Staff writer(January 26, 2004) - CANANDAIGUA - In New York City, where millions of people live, 19 residents wrote letters protesting a plan announced last summer by U.S. Department of Veterans Affairs cost-cutters to relocate health care services from a veterans hospital in Manhattan. In Pittsburgh, with a regional population of about 1.2 million, the V.A. proposed closing one of three hospitals in the area. Yet, only 42 people sent letters, e-mails or faxes to the Capital Asset Realignment for Enhanced Services Commission studying the V.A. plan to close or reduce services at many of the 163 V.A. hospitals nationwide. And while the independent CARES Commission also heard relatively little from the residents of Gulfport, Miss.; Brecksville, Ohio; Livermore, Calif.; and other larger communities with hospitals targeted by the V.A. realignment plan, they're still sorting through an avalanche of letters, e-mails and faxes protesting the closure of the historic, 70-year-old Canandaigua V.A. Canandaigua - with a combined town and city census of about 19,000 - generated 108,979 letters of protest written by veterans and their supporters statewide and from around the country. "I've still got letters and signed petitions coming in, and I'm still forwarding them to the CARES Commission," said Dan Verstreate, president of Service Employees International Union Local 200 at the Canandaigua V.A. and one of several people who coordinated the massive letter-writing campaign. "The public response to this issue has been beyond our wildest dreams. The number of letters that have come in from all over the state and from Pennsylvania, as well as some other states, has just been amazing." 'Christmas miracle'Others, such as Sen. Charles Schumer, D-N.Y., say they likewise have been astonished at the disproportionate local reaction to the nationwide plan. "The overall lack of response around the country has been dispiriting, but what happened in Canandaigua - I call it a Christmas miracle," Schumer said, alluding to a late-December announcement by CARES Commissioner Charles Battaglia that the 172-acre Canandaigua V.A. campus would likely be removed from the closure list. Even in Waco, Texas, a community of about 130,00 that generated 35,000 letters of protest over the proposed shutdown of a 71-year-old V.A. psychiatric hospital similar in size and mission to the Canandaigua V.A., such widespread support has been difficult to find, according to Bill Mahon, a Vietnam combat veteran who has spearheaded an anti-closure campaign at the Waco V.A. "The fact that in Canandaigua you had so many people on board right at the beginning was pretty amazing," said Mahon, who visited the Canandaigua V.A. last fall. "It took me forever to get a crowd. My first rally, it took me forever to get 50 people, and in Canandaigua you had more than 1,000 show up for the first rally." "We have a lot of respect for the work the Canandaigua community has done," said Waco Mayor Linda Ethridge, adding that officials from both cities have shared information and strategies to try to combat the national V.A. plan. Despite petitions, 35,000 letters and protests at President Bush's so-called western White House about 12 miles from Waco, Mahon said the CARES Commission - whose final recommendations on the V.A. plan are expected to be made public next month - has given veterans and their supporters in Texas little reason to hope the hospital will be spared. In Canandaigua, however, Schumer said that the massive letter-writing campaign, in addition to petitions signed by more than 100,000 Rochester-area residents, made clear to members of the CARES Commission a regional veteran-community symbiosis that apparently wasn't considered by senior V.A. administrators in Albany and Washington who added Canandaigua to the closure list. V.A. Undersecretary for Health Dr. Robert Roswell and William Feeley, regional director of all V.A. hospitals and outpatient clinics statewide outside the New York City area, have said that closing the sprawling Canandaigua campus and building a new regional outpatient clinic would save taxpayers millions of dollars while streamlining psychiatric and geriatric services for veterans. Feeley, who has said his office drafted the plan to close Canandaigua and transfer patients to facilities in Buffalo, Albany, Syracuse, Batavia and Bath, declined recently to comment on Battaglia's announcement that the CARES Commission would recommend transferring up to 50 long-term care beds from Canandaigua while keeping the hospital open. Feeley and others who backed the closure plan "didn't understand how rooted and attached this hospital is to the community," Schumer said. "When I saw that Pittsburgh was on the (closure) list, I thought we would have a great ally. But it soon became clear that even though the V.A. plan called for significant changes in over 40 hospitals, the communities surrounding many of them didn't care very much. So our strategy very early on was to separate Canandaigua from the rest ... The most important thing was just the outpouring from the community. "Of the total 175,000 letters received by the CARES Commission, some 109,000 were from Canandaigua, and that speaks for itself. Canandaigua, which has less than 1/100th the population of New York City, had more than 100 times the outpouring." It didn't just happenLocal community leaders, V.A. employees and veterans say that as soon as the closure plan was announced, they began meeting with the region's political representatives to draw up a plan to save the hospital. They also began a massive mail, fax, e-mail and door-to-door distribution of form letters and petitions. In downtown Canandaigua, many V.A. workers handed out "V.A. dollars," specially printed pieces of paper they gave merchants along with cash purchases to illustrate how much the hospital contributes to the local economy. Area merchants readily agreed to place copies of form letters and petitions in their shops, said Colleen Combs, president of the American Federation of Government Employees Local 3306, which represents more than 200 doctors, nurses and other professional members of the local V.A. staff. "We printed up stacks of letters and petitions and handed them out in bunches to our employees, who passed them on to family members, neighbors and relatives around the country," Combs said. Workers at other V.A. hospitals around the country also printed out copies of the letters and signed them. "It brings tears to my eyes when I realize how this community has supported us," said Combs. "When we started out, I figured if maybe people sent the commission a couple or 300 letters that would be a feat - let alone over 100,000. "Never in my wildest dreams could I have imagined support that we got from this community and surrounding communities and people all over the country. Nothing even close to this happened at any other V.A. in the country. People I talk to at the other hospitals are just amazed." Political delegationVeterans and community leaders also praise Schumer, Sen. Hillary Clinton, D-N.Y., and other elected officials who visited the hospital several times last fall to host "Save the V.A." rallies that on at least two occasions drew more than 1,000 supporters. Schumer, Clinton, Reps. Louise Slaughter, D-Fairport, Amo Houghton, R-Corning, Tom Reynolds, R-Clarence, Sherwood Boehlert, R-New Hartford, and James Walsh, R-Syracuse, chairman of the powerful Armed Services Committee, visited the Canandaigua V.A. and met several times in recent months with Secretary of Veterans Affairs Anthony Principi, who also made a brief visit to the hospital in November. "We got a great boost from all of our elected officials, Republican and Democrat alike, who came here to stand side-by-side with us and attract the media attention that kept the issue in front of people for months," said David Baker, director of the Canandaigua Chamber of Commerce and head of a local "We Care" coalition of area business and political leaders formed in opposition to the V.A. closure plan. The hospital, with about 800 full- and part-time employees and a roster of more than 300 local vendors, is one of Ontario County's largest economic enterprises, contributing an estimated $30 million annually to the local economy, Baker said. The hospital has about 240 beds for inpatients and, along with an outpatient clinic on Westfall Road in Rochester, provides care for about 16,000 veterans annually in the Rochester area. Clinton said that V.A. administrators who advocated closing the hospital failed to understand its importance either to mentally ill veterans or the community. The effort to save the hospital was supported across the board by business, community and political leaders because the plan to close the hospital "was wrong," Clinton said. Citing a recent report that soldiers in Iraq are committing suicide at an alarming rate and that many will need care for the emotional trauma of severe physical injuries that would have been fatal in other wars, Clinton said that the Canandaigua V.A. - ranked No. 1 nationwide among V.A. facilities last year for its mental health programs - "is a hospital that many of the young men and women now defending this country are going to need after they come home. ... And the impact economically that would befall Canandaigua and surrounding communities if the hospital closed is something that wasn't even factored in." Fabric of the community"The reason that many people know where Canandaigua is is because of the V.A.," said Canandaigua Mayor Ellen Polimeni. "The V.A. is the very fabric of this community, and when they started talking about closing I knew there would be a great deal of interest because we have great numbers of veterans in our community. "But the sustained interest is what's amazing to me. It's not something that's here and gone, but a subject that the community continues to talk about and write letters about. And you can't talk about what has happened without talking about Ralph Calabrese." Calabrese, 74, an Ontario County native wounded in Korea, is widely regarded as the driving force behind Canandaigua's apparently successful effort to rescue the local V.A. from the government chopping block. On a recent frigid morning, Calabrese shook the snow from his 2nd Infantry baseball cap and folded his coat across his arms before descending into the milelong tunnel that provides a covered walkway connecting each of the nearly two dozen hospital wards and buildings on the rambling V.A. grounds. Calabrese said he began visiting the hospital several days a week as a volunteer shortly after retiring from his job as a construction foreman about 12 years ago. He said he became alarmed over the years by the elimination of various medical and mental health programs and reduction of inpatient beds from about 1,000 to fewer than 250. After talking with V.A. employees, hospitalized veterans and their families also concerned by the attrition of veterans' programs and services, Calabrese said he approached hospital officials and area political representatives about five years ago; they welcomed his plan to establish a community liaison committee to oversee local V.A. policies and programs. Because a community-V.A. liaison committee already was in place and supported by federal political representatives when the closure plan was announced last summer, Calabrese said he was confident of gaining widespread community support. "I didn't know the numbers to expect, but when I found out that so many letters had been written by people against shutting down our hospital, it didn't surprise," Calabrese said. "When this thing hit, the telephone calls were endless and every place I went, the first thing people said was, 'What can I do to help?' ... The feeling I got on Aug. 6, when we had our first big rally at the V.A. auditorium, was of Americans saying, 'This is wrong. We can't let this happen to our veterans.' I get chills every time I think about it. This is what this country is all about, doing what is right and taking care of our veterans, no matter what kind of things they come up with in Washington and Albany. "That's how it started back in the 1700s. And now it's up to us to keep on fighting for what's right."
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