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February 2008
Clinic treats those who fall through health care net
The Atlanta Journal-Constitution
He spent 19 months as a flight surgeon during the war in Vietnam.
Today, Bill Martin applies what he learned practicing medicine in the Southeast Asian country to the clinic he runs near First United Methodist Church of Lawrenceville.
“When you have a patient in front of you - North Vietnamese, South Vietnamese, illegal immigrant or legal immigrant - it doesn’t matter,” the doctor said. “You just take care of the patient.”
Martin founded the Hope Clinic six years ago to care for the uninsured, under-insured and indigent. Referrals take many avenues. Patients find their way to his office after treatment in emergency rooms or public health offices.
Patients suffer with diabetes, cardiac disease, high cholesterol and hypertension. Some can pay. Many can’t; they get a discount. The difference is made up by donors. Supporters, though, wonder how long the clinic can continue.
On Wednesday, The Badie Tour stopped by Hope to talk to staff and volunteers about local primary health care. It mirrors what you’d find in Anywhere U.S.A.: Insurance companies are slow to pay claims or cover only certain conditions. People are under-insured or uninsured. Hospital emergency rooms become ad hoc providers.
“There are so many problems, but lack of care of the uninsured is a big issue,” Martin, 66, told me during a quick break between seeing patients. “If patients don’t have insurance, and they are charged exorbitant costs for preventive care, they don’t see a doctor. When they start feeling bad, they are already in trouble, so they show up at the emergency room with [sky-high] blood pressure.”
He sees about 20 to 22 patients a day and could treat more if he weren’t treating people with severe issues. The clinic sees walk-ins from 7:30 to 10 a.m. on weekdays, but recently has turned new patients away because of backlogs.
Some patients followed Martin to the nonprofit after he closed his private practice. John Mitchell, who serves on the Hope board of directors, is one of them. He worries about money to run the nonprofit. The charity received nearly $70,000 in grants last year; the goal in 2008 is to raise nearly $600,000.
“The clinic has been running hand to mouth, so to speak,” he said. “Martin is a throwback to that old-school doctor. His primary concern is taking care of patients. This has always been his dream - to have clinics available. We’d like to have five across the county.”
While the health care industry needs reform, Martin said the answer isn’t solely in universal health care - at least in the forms that have been proposed.
“Everybody needs to know that if we don’t do something about the uninsured problem, it’s going to take the system down,” he said. “This type of clinic needs to be a community clinic because this is a community problem. This model, in my opinion, is a step in the right direction.”
For more information about the Hope Clinic, call 770-685-1300.
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.
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Not every good project merits a TAD
The Atlanta Journal-Constitution
Michael Sullivan invokes what he calls the “but-for” test in weighing whether a special tax allocation district should be used to pay for a redevelopment project.
The Lawrenceville attorney says tax allocation districts (TADs) should be used to finance a project if - and only if - the project or development is too prohibitively expensive for the free market to get it off the ground.
“You use TAD funds where the project wouldn’t happen without that element,” Sullivan told me. “You don’t use them to make the project much more profitable. You use them when a project or development wouldn’t happen except for TAD funding.”
Sullivan knows a thing or two about TADs. He’s the attorney for the developers who have proposed the $2 billion redevelopment of the OFS Brightwave fiber optics plant at Jimmy Carter Boulevard and I-85. That project is now on hold as a result of the Georgia Supreme Court’s unanimous ruling Feb. 11.
The high court said a projected $850 million in school taxes can’t be used to build parks, transit and affordable housing on Atlanta’s proposed Beltline.
The decision riled many a developer. It put in limbo projects that had planned to use TADs as a funding mechanism, including the OFS proposal.
The high court got it right. Constitutionally, school taxes shouldn’t be used to pay for redevelopment projects.
J. Alvin Wilbanks, the superintendent of Gwinnett County Public Schools, said he thought the merit of TADs should be weighed on an individual basis.
“From the school system’s perspective, development can increase the growth digest, which could have a positive impact on the community and its schools,” he said in an e-mail.
Think whatever you’d like about the funding mechanism. The OFS site seems to be a prime candidate for it.
It’s one of the first industrial sites in Gwinnett. Costly sewer and infrastructure upgrades pose conditions that would make an overhaul of the site expensive for any developer, and that’s what TADs were initially created for: to help local governments upgrade blighted areas whose renewal carries sticker shock.
Some projects, though, make you wonder why a TAD is even necessary. Case in point: the Suwanee Gateway.
City leaders in the town want the area surrounding Exit 111 off 1-85 to be a showcase for residents and visitors. Before the high court ruling, they had plans to create a tax allocation district to help fund $35 million revitalization efforts in the area: think streetscapes, new offices and shops, according to the city Web site.
But would a TAD for this part of Suwanee pass attorney Sullivan’s “but-for” test - the one in which he questions whether a project could sustain itself without use of a TAD? Opus South Corp. has already begun building a mixed-use village on a 148-acre site east of I-85. Terraces at Suwanee Gateway is to include a mix or retail shops, restaurants, office space, a hotel and residential units. It should jump-start other projects.
Seems to me that in Suwanee - ranked by Money magazine as the 10th best small community to live in - the free market is alive and kicking along this corridor.
No need for a TAD.
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.
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Why field trips shouldn’t become a thing of the past
The Atlanta Journal-Constitution
My daughter’s kindergarten class recently took a field trip to the state Capitol.
A tour guide told them interesting facts - that the neoclassical structure was built with Indiana limestone and Georgia marble. That important work takes place under the Gold Dome.
The one thing that impressed Olivia the most, though, was the two-headed calf and two-headed snake. They are located on the fourth floor in the Georgia State Museum of Science & Industry.
Remember field trips? Fun. They never had to be anything exotic. A fire station or bank sufficed just fine.
Olivia attends New Life Academy of Excellence Inc., a charter public school in Norcross. Principal Alphonsa Foward says field trips - relevant ones, not trips to Six Flags - make core curriculum subjects living, breathing disciplines. It brings them to life.
“The kindergartners try to take at least one field trip a month,” said Foward, noting that the older grades aim for one trip a quarter. “Because of our size, it’s easier for us to manage [a group of] kindergartners than it is for most schools.”
I wonder, though: How big of a role do field trips play in today’s schools? We’re so focused on standardized testing, what kids learn, how well they are taught, whether individual schools need reform. Then, there are issues related to planning trips, such as transportation, funding, safety and liability. Must be hard for many Gwinnett schools to pull it off.
No, it’s not a necessity to hit the road. Today’s technology offers “virtual field trips,” and presenters can go to campuses rather than have students travel to them.
Despite that, nothing tops a well-planned field trip. Good educators know this, said Karen Hallacy, the state legislative chairwoman for the Georgia PTA.
“Every principal I talk to is very committed to the idea that field trips shouldn’t be eliminated,” Hallacy of East Cobb said. “Principals fight like the dickens to keep some aspect of them alive in their schools. It can’t be all math and all science, even though those are very critical.
“If that is all we ever focus on, our children will suffer. It’s the same thing with P.E. If kids just sit in their seats six hours a day, their attention is shot.”
In Georgia, field trips are decided at the local level. School systems aren’t required to report information regarding field trips to the state. That makes it impossible to determine whether the number of field trips over the years has increased, decreased or stayed the same, said Dana Tofig, the Department of Education spokesman.
Hallacy, though, said experience with her own kids shows that primary schools have cut back over the years.
“My oldest children went on more field trips when they were in elementary school than my youngest child,” she told me. “In fact, during my youngest daughter’s fourth-and fifth-grade years, they cut out a field trip at every grade level, and that was only a few years ago.”
Too bad.
What kid wouldn’t want to see a two-headed calf or snake up close?
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.
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Purple’s the hue of a whole new life
The Atlanta Journal-Constitution
It started out as fun, a way to extend the weekend partying.
Before long, though, Russell Cook was hooked on crystal meth. Smoked it every day. He failed a random drug test and lost his job as an EMT at Grady Hospital. He lost his apartment and sold whatever he owned to pay bills, and to keep using.
“I never used it when I was at work in the beginning, only on weekends,” he told me. “One day I was having fun with it. The next, I was in over my head and couldn’t get out.”
Cook is talking to me on his cellphone. He’s headed to have coffee with the guys at Purple Inc., a men’s residential substance abuse program. This red farmhouse off Lawrenceville Suwanee Road, which the Badie Tour visited, was Cook’s home for six months back in the spring of 2005.
We are inundated with tabloid news about Britney’s and Lindsay’s struggles with sobriety. They’ve got the money to dip in and out of rehab. Their stories make me wonder about everyday people with addictions.
Where can they go for somewhat affordable treatment?
In Gwinnett, Purple Inc., a for-profit recovery program, was founded in 2003 for that very purpose. Joel Bagley and his son, Brett, had experience with addiction. Credit Brett’s drug-craving teen years. The cost of his outpatient treatment inspired them years later to design a state-certified program - a less costly alternative.
As Brett, the program director, told me, “We treat the average Joes of Gwinnett County, from the EMT, to the judge, to the diesel mechanic, to the small business owner.”
In 2005, Cook’s parents decided it was time for a change. They sold Cook’s Nissan Xterra to help pay for the $2,000-a-month program. Cook’s father picked him up from the Walton County jail, where he faced drug-related charges and other violations.
“At this point, I had been doing meth for the past few years, large quantities of it,” Cook said. “I was completely insane.”
Initially, he was angry - at himself for his actions, that he liked getting high.
“I was not your star student,” the Shiloh High grad told me.
Cook can’t pinpoint a “moment of clarity” or any kind of epiphany that sparked his sobriety. He just remembers, months after being in the program, that he stopped thinking about getting high.
“There’s no way for me to tell you when the change happened,” Cook said. “I was working through the 12-step recovery program with a sponsor, and I just wanted to change. I wanted my insides to feel differently.”
Today he’s on a brighter path. He oversees the receiving department for a local Home Depot. He has a girlfriend and a 3-month-old daughter. He’s been sober for nearly three years.
Every week, he stops by Purple Inc. to talk to guys, help them along, keep them from lapsing. Not all will win the battle. Bagley, the program director, said many don’t.
“It’s simple to overcome an addiction,” Cook told me. “It’s just not easy.”
For more information about Purple Inc., visit www.purpletreatment.com or call 770-962-8215.
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.
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Shop dresses up views of fashion
The Atlanta Journal-Constitution
Julia Kilgore had a hard time finding suitable formal dresses for her daughters to wear when they were in high school.
Nothing, it seemed, was age appropriate. Too many strapless backs, thigh-high slits and plunging necklines.
Too much Britney Spears. Too much exposed skin. Way too much immodesty.
“Sixteen and 17-year-olds shouldn’t be wearing that,” Kilgore thought at the time. “Some women shouldn’t be wearing it, either.”
Last week, we talked in a small shop off Main Street in downtown Lilburn. Kilgore and her married daughters - Paula Roberts of Snellville and Natalie Giddens of Lilburn - unwrapped about 100 dresses that had just arrived. The dresses are a variety of bright colors and variations of satin, all fashionably modest.
Finally, Kilgore has realized a dream she’s had ever since her girls were prom-age at Parkview High. She’s opened The Yellow Rose, a boutique whose name reflects her native state and her favorite flower. The shop specializes in modest formal wear for girls and women. Prom dresses will range from $150 on the low end to $500 or so on the high end. Bridal gowns are in the $250 to $1,000 range.
“I felt a need for this,’ said Kilgore, who has lived in the Lawrenceville/Lilburn area since 1975.
I do, too.
Some 12-year-old girls dress like 18-years-olds, and too many 18-year-olds dress like 30-year-olds. Too much of it is raunchy, and it’s not empowering. It’s shameful. A few years ago, AJC Gwinnett News did a photo spread on high school girls shopping for prom dresses. Some ensembles were too risqué to print.
Kilgore and her daughters have spread the word about the shop’s theme to private Christian schools. They expect The Yellow Rose to also appeal to young women in public schools who can’t find modesty at the local mall.
“A lot more girls would dress modestly if they had the opportunity,” said Giddens. “Girls think they are doing the guys a favor if they dress [revealingly]. I think most guys would prefer that girls dress modestly.”
She thinks about her last statement. “Some guys would.”
Kilgore will buy her dresses wholesale from Beautifully Modest, a private online retailer in Orem, Utah. When the business started almost a decade ago, some retail manufacturers laughed at the concept, said Phyllis Nielsen, the company marketing director.
Now there’s competition.
“Even now, some of them think it’s funny,” she said. “There are women out there who have certain standards that they are trying to stick to, and it can be very difficult. They want to be beautiful and elegant and don’t feel like they have to show a lot of skin to do that. They want to cover up.”
Kilgore and her daughters say they know many situations in which young ladies end up ordering online because they can’t find a variety of modest formal wear in stores. Others have even flown out west to places like Arizona to shop in specialty stores.
“We know quite a few who have done that, especially for weddings,” Giddens said.
Now, maybe they won’t have to.
The Yellow Rose, 79 Main St., Lilburn, initially will be open only by appointment. Details: 770-315-6823.
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.
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MARTA may be smarter
The Atlanta Journal-Constitution
Every morning, a paratransit shuttle bus picks up Glen Appling at his home in Buford.
It transports him to the Park & Ride lot off I-985. He catches the 101 Express bus to downtown Atlanta. He’s dropped off in front of the Twin Towers, where he works as a records management technician for the Georgia Department of Corrections.
His transit fare runs about $124 a month, which includes the $4 a day paratransit fee. If the Gwinnett Transit System’s proposed transit hike takes effect, though, the service will cost him almost $300 a month.
“That’s pretty steep,’ said Appling, 44.
Indeed.
Some of the transit fee increases under consideration are excessive. The one-way charge for riders who hop on at the farthest stops will jump to $5 each way from $3. Other local fares won’t increase that much, to $2 from $1.75. And fares for senior citizens and disabled people would rise to 41 from 85 cents.
Under the bus fare proposal, riders like Appling who travel into the city would stomach the greater hit. Monthly pass fees will jump to as much as $190 from $100 on the farthest routes. The idea is for patrons who travel the farthest distance to pay more than the flat fee. It’s known as “distance-based fares” in the transit world. Some cities charge such fares to help offset the operating cost of a transportation mode that seldom pays for itself.
No one likes to see costs rise. But I’d imagine GTS riders don’t have one-track minds, either. They expect a fare increase every now and again, done incrementally but without the extreme sticker shock.
Maybe transit officials should rethink this proposed hike, even if is it the first one in six years. It threatens to tick off existing riders and shoo new ones away. It could decimate the one thing transit officials have worked to build and maintain: ridership.
Last week, I stopped by the GTS terminal near Gwinnett Place Mall. Willie Goodson had just gotten off bus No. 38. His Pontiac Gran Am was in the shop, and he was hoping it wouldn’t be a major expense. Some people, he said, just don’t have any extra money - not even for public transit.
“A lot of people are already struggling,’” said Goodson, 28. “The amount it costs to just keep gas in the tank - everything is just ridiculous.”
As soon as notice of the increase became public, some loyal transit riders began strategizing. Customers like Appling who work in the city in offices within blocks of each other are thinking about carpooling.
Heck, with these hikes, they may as well take rail. Sure, it might be out of the way to get to MARTA’s Doraville or Chamblee station. But when it comes to the pocket book, it would be a whole lot cheaper - especially if employers offer a subsidy.
On Tuesday, Appling sent an e-mail to the transit advisory board, asking them to please reconsider the bus fare hikes.
“There are definitely cheaper ways to get to Atlanta,” he wrote.
True.
Rick Badie’s column appears on Sundays, Tuesdays and Thursdays. Contact him at 770-263-3875 or e-mail: rbadie@ajc.com.

