LANDSCAPE OF THE NEEDS OF THE COMMUNITY:
Forty years ago Broome County was a beautiful place. I know this because I was born here and what
a shock to return after 25 years and see what has become of this community. It
really saddens me when I look around and see despair and hopelessness virtually
everywhere. How does one begin to clean
this mess up? Sometimes things can get
so bad that it is really difficult and frustrating to find a starting point. How did we get here? Broome County was the birthplace of the
flight simulator and was arguably the first “silicone valley” as IBM was born
here. Ironically, in 1853 the first drug
and alcohol treatment center in the United States was opened on the eastside of
Binghamton, called the New York Asylum for the Inebriated – later becoming
State Hospital for the mentally ill.
There are many factors that have led to the state of
regional economic despair that we are now experiencing. Some of measures contributing to the problem
were “necessary”, such as the federal municipal status of Binghamton being in
jeopardy, while some measures were just bad luck and the result of rising costs
and declining tax base.
In studying the list of applicants to narrow the field I
realized that none of the applicant organizations have taken on the task of
evaluating and meeting the needs per se.
While there were many, many fine applicants and all seemed to be doing
something worthwhile there was not one organization that was taking on the
needs as a whole. Perhaps the United Way
or some other large institutional organization takes on that role on a macro
level but there were no applicants where I said, “Ah ha! This is the one who is really tackling the
issues”. The important thing for me to
keep in mind is that every organization is doing something and each group
believes in what they are doing.
One of the greatest underserved needs in the Broome County
area is the rising use of opiates, specifically heroin. There are many organizations across the country
that treat addiction and most of these organizations charge between 30 and 45
thousand dollars for a 28-day stay. Surprisingly
our area, where the country’s first treatment center was built, has a need far
greater than our ability to address it.
According to Broome County Health officials we have an estimated 2,100
people (about 1% of the population) that uses heroin 5 or more days per
week. At the same time we have only 18
beds available for treatment.
“OUGHT IMPLIES CAN” (Emanuel Kant)
How can we expect people to “get better” if we don’t have
ample and necessary services available?
They are addicted! They have a
disease (according to the WHO, DSM, CDC and AMA). How can we hold people accountable to an
impossible standard? Our government is
supposed to protect us. Our government
is supposed to implement policies and laws designed to maximize the most good
for the greatest number. Our
public-private partnerships through research universities and hospitals are
supposed to serve the “needs of the community”.
What do we do when they fail us?
This is where I believe philanthropy plays a most important role. Philanthropy seems to take on a civic
responsibility to bridge the gap between unmet need and services. Where educational and governmental
organizations leave need philanthropy has accepted the calling of addressing.
Addiction is a disease where a person has a compulsory
inability to stop doing something.
Here is the apparent logic: As a society we say-
1.
We know you can’t stop, AND
2.
We are not able or willing to help you to stop,
SO
3.
Therefore, we REQUIRE you just stop.
BTW: If you can’t stop (and we know you can’t (see given #1))
- we are going to force you to choose between 1. a certain and painful death
(withdrawal) or 2. the commission of a serious crime (robbery = temp cure
withdrawal).
Either way you are going to end-up in jail (generating
federal funds that help fuel our “criminal justice economy”)
or dead (and not costing society any more money).
Somehow, I don’t think this is what our forefathers had in
mind when they established and settled this country. Our great nation was founded on the ideas of
autonomy, liberty and happiness. Liberty
implies choice and addiction is her enemy.
An untreated addict has not the capacity to engage in acts of autonomy,
the exercise of liberty nor the happiness derived therefrom.
Broome County, according to The Chronicle of Philanthropy’s
interactive website, has a giving ratio of 2.34%, which is on the low side of
the national scale. All of the neighboring counties to Broome are within that
same range varying from 2.08% (Chenango County) to 2.64% (Tioga County). This indicates the competitiveness of local
charitable giving. When an area has a
growing number of unmet needs combined with a highly competitive fundraising
environment the results seem to be a large gap between need and services.
It troubles me that there are not more programs to inspire “grassroots”
entrepreneurship by truly teaching people to fish.
Until such time as small business people
learn how to attract revenue from other markets into our area versus creating
business that sell goods and services within our area, growth will be non-existent.
National organizations like the Kaufman
Foundation (check them out at:
http://www.kauffman.org)
believe in an education and entrepreneurship approach to addressing regional
economic problems.
It has been both rewarding and educational to work with a
team of motivated, intelligent, and thoughtful people in narrowing down our
list of candidates this week. Binghamton
has a long way to go to get to where we once were but with good strategic
planning and investment we can get back to the community that we once were and
so much more!