As Mission Health begins to reopen for elective surgeries and procedures put on hold during the first wave of the ongoing pandemic, the unresolved question that roiled the community just three months ago remains: Was HCA’s purchase of Mission Health healthy for Asheville?
Buncombe hotels can now host more visitors — as long as they have an 828 area code. The Asheville Area Chamber of Commerce has announced a coronavirus-inflected legislative agenda, and $5,000 micro grants are available for local startups.
As they also had argued during an April 16 special meeting, Republicans Joe Belcher, Anthony Penland and Robert Pressley said they continued to be left out of key decisions about how to restrict business and social activity in light of the coronavirus pandemic.
Even as people resume small gatherings, they will be expected to maintain a physical distance of at least 6 feet and follow public health guidance on sanitation and masks. The county’s cap on wedding and funeral attendance remains at 10 people, less than the state limit of 50.
Cancer therapies, joint replacements and other elective procedures that had been postponed due to the initial COVID-19 response will be the first to return. Since North Carolina’s first confirmed case of COVID-19 was announced on March 3, the Mission system has treated just over 20 inpatients for the disease.
The spending reductions presented on April 21 by Budget Director Jennifer Barnette totaled about $1.5 million — less than 7% of an estimated $22 million gap between revenues and expenditures for fiscal year 2021 — in areas ranging from the Buncombe County Detention Center to information technology.
According to the formal agreement, up for a Board of Commissioners vote on Tuesday, April 21, both city and county staffers would remain employees of and still be paid by their respective governments while carrying out their new duties. Asheville and Buncombe County would be required to cover the expense of all personal protective equipment for workers from the other government.
At a press conference on April 8, Buncombe County Board of Commissioners Chair Brownie Newman signed a new stay-at-home order, set to take effect when the previous order expires at 6 a.m. on Thursday, April 9, that will only expire when it is “repealed, replaced or rescinded.”
Due to the county’s heavy reliance on tourism — an industry especially vulnerable to travel and business restrictions imposed to reduce the spread of COVID-19 — Budget Director Jennifer Barnette estimated that April, May and June would all see sales tax receipts 35% less than in 2019.
The new order, which will take effect at 8 p.m. on Thursday, March 26, orders “all individuals anywhere in Buncombe County to stay at home,” with limited exceptions for essential activities, through 6 a.m. Thursday, April 9.
At a March 24 press conference, Fletcher Tove, Buncombe County’s emergency preparedness coordinator, said public health staff were finalizing a new supplemental state of emergency declaration that would mandate a “stay home, stay safe” approach to fighting the spread of the disease.
Buncombe County’s revised emergency declaration restricts gatherings to 10 people or less, a stronger mandate than the current statewide prohibition of gatherings of over 100 people. The mandate also requires gyms, fitness centers and exercise facilities, indoor pools, spas, movie theaters, live performance venues and arcades to close until further notice.
The budget allocation approved during the meeting was double the $250,000 request listed on the Buncombe County Board of Commissioners agenda, which was published on March 11. Of the new amount, $350,000 will go to public safety, with an additional $75,000 spent on both human services and general government.
The Buncombe County Board of Commissioners will hear an update on the local status of COVID-19, then consider a $250,000 appropriation to provide funding for the county’s emergency response. Of that money, $200,000 would be available to the county’s public safety efforts, while $50,000 would be allocated to human services.
Buncombe County Board of Commissioners Chair Brownie Newman declared a local state of emergency due to the increasing number of cases of COVID-19 in North Carolina. The move followed a statewide emergency declaration from Gov. Roy Cooper just two days earlier. Mayor Esther Manheimer subsequently declared a state of emergency for the city of Asheville.
After more than a month of being criticized by patients and elected officials at a series of public meetings, HCA Healthcare is responding to allegations of inadequate staffing and poor service at the Mission Health facilities it acquired last year. But even as the company speaks out, nurses from its Asheville hospitals rallied Sunday, with calls for a union to improve working conditions at the medical facilities the company acquired last year. Buncombe County Commission Chair Brownie Newman and Asheville Mayor Esther Manheimer issued a joint letter supporting the nurses’ efforts.
Local elected officials, ordinary citizens and even a Mission nurse all blasted the stewardship of Nashville, Tennessee-based HCA Healthcare, which bought the collection of hospitals and other health care institutions for $1.5 billion and began running it in February 2019. The comments came at a Feb. 10 meeting in Asheville to get public input on the performance of the system since it was taken over by the for-profit company.
During their Dec. 3 meeting, the Buncombe County Board of Commissioners were told that while corrective measures to right years of financial mishandling are beginning to take hold, the county’s most recent audit still reflects the previous mismanagement.
Many public commenters urged the commissioners to act even more decisively on transitioning away from fossil fuels in the context of climate change. Chloe Moore with the Sunrise Movement referenced a scientific paper, published earlier that day, in which over 11,000 scientists from 153 countries declared a “climate emergency” and warned of “untold suffering due to the climate crisis” if stronger measures were not taken.
