I started my re-election campaign this morning by pulling the nomination papers. More soon –

I started my re-election campaign this morning by pulling the nomination papers. More soon –

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Posted in Elections, Select Board matters, Uncategorized

I was informed at the Board of Selectmen meeting last night that the owners of the Medfield Children’s Center may be abandoning their planned use of the 75 High Street site (rendering shown above), for which they have been seeking site plan approval from the planning board. I was told that the owners have located a preferred location for the Medfield Children’s Center that is on Rte. 27, but at the other side of town.

Caitlin Dufault asked for an update in a comment to an earlier post, and I thought that there would be more general interest in my response, so I will include it here as well.
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Tuesday evening at the 6:30 PM joint meeting of the Affordable Housing Trust Committee and the Board of Selectmen, there was a presentation by the developers of the 93-95 North Street 40B proposal, Dave and Rob MacCready. Because there is not agreement over the density (among other factors) of that proposal, and also because the Affordable Housing Trust has other proposals that are not as controversial, the Affordable Housing Trust voted to table the MacCready proposal.
Since that proposal is being put forward as a Local Initiative Program (LIP), it needs approval from the Board of Selectmen to proceed, which it does not now have. Where the Town of Medfield is currently in a safe harbor with respect to unfriendly 40B projects, if the developer opted to proceed while the town is in the safe harbor, the Zoning Board of Appeals could just deny the developer’s application for an unfriendly 40B comprehensive permit, so it could not proceed.
It is my expectation that the developers will next be trying to work out a more amicable proposal with the neighbors, which could then return to the Affordable Housing Trust Committee and the Board of Selectmen for their consideration.
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Posted in Affordable housing / 40B, Select Board matters

Medfield Energy Committee
Nov. 2, 2017
Attending: Gerry McCarty, Lee Alinsky, Cynthia Greene, Marie Nolan, Pete Peterson, Fred Davis
Minutes by FD, MN
Green Communities Funds
Total GC grant of $148,000: $110,723 is the RISE quote for retro commissioning of Mid. Sch. & HS (Gerry will re-send that detail). We applied in May; in September, Kelly Brown at DOER asked various q’s; including how we’re going to deal with the rebate program, and what will be identified during retro-commissioning. Within a week, RISE responded; re the latter: excess ventilation, set-points, scheduling. Now we’re waiting for DOER again.
In the meantime, Kelly asked on 10/31: what else do we propose to do with the grant funds?
GM: since we’ve gotten clarification that an audit is not necessary to replace the Blake water heater, looked at Table 4, and suggested the outdoor lighting work at Blake and Memorial School parking lots, respectively $18,287 and $16,620; totaling $34,907. RISE provided details on 10/31 for those measures, they match the values in Table 4. FD offered to scrutinize the specs; offhand recommended that the latest thinking in LEDs is to utilize dimming/controls as much as possible; this may include dimming down or turning off in a parking lot, and tuning to desired light levels.
This would leave $2300. The full $148,000 must be spent down before applying for next round.
Google Drive
LA: still un-workable; Marie: will work on it
Solar on Roof at DPW
Solar roof loading analysis for DPW defined as parts A, B, and C: we now have a stamped engineering report from Solect’s engineer, EAH Structural Consulting dated 11/29/17, saying “existing roof framing systems are judged to be adequate to withstand the loadings imposed by the installation of the solar panels.” Cost for this was in range of $1000. (HMTB should have done this.)
Solar on DPW: original design by Solar Design Associates needs to be re-done; originally it was design-bid-build, a performance specification. There were only two bidders, one didn’t meet DCAM Cert., other was very high, above the budgeted amount. Now we would ask SDA to do firm specs, and ask for base bid and design alternates to cover parts of the roof, to help ensure that we meet the budgeted amount (allotted from DPW budget _____________).
[At this point, Marie Nolan took over from Fred Davis recording the meeting’s minutes as Fred now began a discussion regarding the LED STREET LIGHTS project.]
11.2.17 continuation of notes ….
Light Smart Energy Consulting (George Woodbury) has offered to meet with MEC, present its report, and walk through the next steps. FD cannot be at a fixture selection meeting so we may need Woodbury’s help for that.
MEC questions posed:
Bottom line – not much change in terms of energy, 11 fewer but higher wattages shown on DPRS (347 on DPRS and 333 in field). Correct when on S2 rate (town rate), but we are on S1 (Eversource rate).
$20,000 is the maintenance.
Questions for Woodbury:
First step is to set up Woodbury attending MEC meeting. We do not want to own the lights and maintain them before the retrofit. Needs to happen together.
Are we doing test lights to decide on color?? Six years ago – 5,000 was norm. Since then, always been 4,000. The past year, some lights are available at 3,000 kelvins and they are still efficient as the higher ones. Wellesley is choosing 2,700 kelvins (they found efficiency drops between 3,000 to 2,700)
We may end up with 4 wattages and 2 types.
Must keep good records and rules of thumb for dial settings at certain locations.
Personal preference – Westwood has lights that are 4,000 kelvins. Newburyport has 3,000.
LED – colors will be better under lamps.
Lighting has to be SMART control ready. Do not add it now as expensive . Woodbury would not recommend controls now because of our size.
NEXT MEETING: DEC. 7
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Posted in Energy Committee
This report is for the whole Greater Boston area, and has good news for the demand for any housing that gets built at the former Medfield State Hospital site. There is pent up demand, especially for small units suitable for one to two people, which are perfect for housing either millenials or seniors. This matches precisely what the speaker from the Smart Growth Alliance told the Medfield State Hospital Master Planning Committee about a year and a half ago – build small units of 900-1,000 sq. ft. and those units will suit either group.
20170615-Senior Housing Study Committee-draft report

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Posted in Affordable housing / 40B, Seniors
Given the meeting about senior housing this Thursday, people may want to see the Senior Housing Study Committee Report via the link below.
20170615-Senior Housing Study Committee-draft report

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Posted in Affordable housing / 40B, Select Board matters, Seniors
From
https://www.medpagetoday.com/blogs/revolutionandrevelation/69125
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Several months ago, I was invited to give a presentation about heart failure to a group of physicians who meet every month for a lunch meeting.
Don’t worry. No company sponsored the talk, and I did not receive any payment. I accepted the invitation, because it seemed like to good thing to do.
However, the audience was a bit unusual for me. Among the 25 physicians in the room, nearly all were in their 70s and 80s. All were retired, and none were actively involved in patient care. I guess that explains why they had time in the middle of the day for an hour-long presentation.
I gave my talk, but there were no questions.
I had a few moments afterwards to speak to my audience. Since the physicians were not involved in patient care, I wondered why they wanted to hear a talk about new advances in heart failure.
The response surprised me: “We no longer care for patients, but we care about what’s going on. You see, most of us are employed by insurance companies to do preauthorization for drugs and medical procedures.”
My jaw dropped: “I just gave a talk about new drugs for heart failure. Are you responsible for preauthorizing their use for individual patients?” The answer was yes.
I was really curious now. “So did I say anything today that was helpful? I talked about many new treatments. Did I say anything that you might use to inform your preauthorization responsibilities?”
Their answer hit me hard. “Oh, we’ve heard about those drugs before. We’re asked to approve their use for patients all the time. But we don’t approve most of the requests. Nearly all of them are outside of the guidelines that we are given.”
I stammered. “I just showed you evidence that these new drugs and devices make a real positive difference in people’s lives. People who get them feel better and live longer.”
The physicians agreed. “Yes, you were very convincing. But the drugs are too expensive. So we typically reject requests, at least the first time. We figure that, if doctors are really serious, then they should be willing to make the request again and again.”
I was astonished. “If the drugs will help people, how can you say no?”
Then I got the answer I did not expect. “You see, if it weren’t for us, the system would go broke. Every time we say yes, healthcare becomes more expensive, and that isn’t a good thing. So when we say no, we are keeping the system in balance. Our job is to save our system of healthcare.”
I responded quickly. “But you are not saving our healthcare system. You are simply making money for the company that you work for. And patients aren’t getting the drugs that they need.”
One physician looked at me as if I were from a different planet. “You really don’t understand, do you? If we approve expensive drugs, then the system goes broke. Then no one gets healthcare.”
Before I had a chance to respond, he continued: “Plus, if I approve too many expensive drugs, I won’t get my bonus at the end of the month. So giving out too many approvals wouldn’t be a smart thing for me to do. Would it?”
I walked out of the room slowly. Although I had been invited to share my knowledge, it turned out that — this time — I was the real student.
The physicians in the audience taught me a valuable lesson. And amazingly, none of them showed a single slide.
Packer has recently consulted for Amgen, Boehringer Ingelhim, Cardiorentis and Sanofi. He was one of the two co-principal investigators for the PARADIGM-HF trial (sacubitril/valsartan) and currently chairs the Executive Committee for the EMPEROR trial program (empagliflozin).
last updated
The second page of this letter did not scan as part of the meeting materials posted last week.


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Posted in Conservation Committee, Development, Select Board matters

Photo courtesy of Pam Donner.
I clearly need to wear sun glasses!
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Posted in Events