Wednesday, May 3, 2023

Lives are at stake in Ottawa County

Below is my column in today's edition of the Grand Haven Tribune.

Like many Ottawa County residents, I looked with trepidation to the swearing in of the new Ottawa Impact majority board of commissioners. I was sure I would disagree with some of their decisions, but was also hopeful they would stick with traditional conservative ideals of governmental transparency, limited overreach, and the other principals which have resulted in Ottawa County being such a successful and great place to live for decades.

I have been beyond disappointed.

I was shocked by the moves they made immediately upon taking office, without any opportunity for public input. I was offended that Chairperson Joe Moss has the gall to refuse any clergy to give the invocation at their meeting unless he personally approves of them (As a priest in the city of Grand Haven, I had offered to continue in that service as I had to the previous board, but was told that outside clergy were no longer able to pray before the meeting).

I was dismayed and deeply troubled when the new county administrator found himself so out of his depth on the job that he hired a high-priced assistant to do much of the work for him (work our previous administrator had no trouble handling).

I was floored when they actually leveled claims of unethical conduct against our Republican county clerk, Justin Roebuck, a dedicated public servant who has long had the respect of locals in both political parties. Those are just the lowest points of the past several months. Anyone who has been paying attention knows there has been much more.

However, all of this pales in comparison to the decision of the Ottawa Impact-led board to delay the funding agreement once more for our 2023 Community Health Needs Assessment. This is the nuts and bolt of what actually matters in county government – bringing local stakeholders together to meet the needs of citizens in doing work that doesn’t historically have any real partisan shade to it.

This assessment is something our county does in cooperation with Holland Hospital, Corewell Health Zeeland Hospital, Trinity Health Grand Haven, United Way of Ottawa and Allegan Counties, Community Mental Health and other organizations. It helps the three hospital meet the requirements they must meet in order to maintain tax-exempt status as nonprofit organizations. And it helps county officials in the Department of Public Health know what trends they should be watching for in Ottawa County.

Thankfully, the three hospitals are moving forward, whether or not the county partners with them in this work. They understand the importance of a community health assessment for any local area.

The refusal of the Ottawa Impact commissioners means the county cannot even pay the $29,000 invoice we’ve received (even though we have grant funds to cover it). Saying we won’t pay our bills is one of the choices that will directly and adversely affect what had previously been a stellar bond rating that we held as a county.

You may be curious why the majority of the commissioners continue to delay this agreement. It is because they do not believe in the conservative principle of limited government. Instead, they want the board of commissioners to micromanage tasks that are rightly done by trained professionals. The commissioners reject questions asking whether a respondent has contemplated suicide or had an adverse childhood experience (ACE), finding such questions potentially retraumatizing.

Our deputy health director patiently explained that the surveys are carefully crafted by trained professionals, all the participants are consenting adults and those who administer the survey are trained to explain the sensitive nature of some questions. No one is forced to answer anything and people can stop at any time. Respondents are also offered the opportunity to talk to someone from Community Mental Health, if they are having a difficult time.

But you cannot reason with people whose sole goal is to obstruct the work of the health department. They shouted in the hallways when the previous board noted that it is not the purview of a county board of commissioners to make public health decisions best made by trained and duly appointed professionals. They lost in the courtroom when they tried to interfere with best public health practices in Ottawa County.

So, they raised a heap of money and ran feigning conservative values, winning a majority in a primary that has historically very low turnout. And now that they have the power, they are using it no matter the cost.

But there will be a cost. If we do not know about the rates of suicidality and suicidal ideation in our county, we will not be able to respond adequately to help those at risk. If we do not know about Adverse Childhood Experiences (ACEs), we will not be able to build safety nets and support for the long-term impacts of those with ACEs. Why in the world would the commissioners not think this is important information for our Department of Public Health and our healthcare providers to know?

These commissioners need to get their hands out of these surveys. They need to let trained professionals do the work that we have already contracted to do, work that other counties do regularly to try and best serve those at the margins, those struggling in the community. If they do not, and because of this we cannot respond to issues like suicidality and ACEs, then the cost will be in human lives. Actual deaths that are preventable right here in our county.

I hope they will turn from this course and turn toward their fundamental call – serving the residents of this community. But so far, they seem content to play political football with people’s lives and livelihood. How much longer will the residents of Ottawa County let this continue?

The Rev. Dr. Jared C. Cramer serves as rector of St. John’s Episcopal Church in Grand Haven. Information about his parish can be found at www.sjegh.com.