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Sunday, April 18, 2010

The Silent War - Part III






The short commute from work to my home is only about eight miles long but the change in environment is astounding. I live in a quite area at the edge of the woods where bears are the biggest threat we worry about. A much smaller town is only a mile away and relatively quiet. The city I work in is only a few miles further.

The city where I work is fraught with decay that only feeds the heroin culture. As I drive home, I drive through rows of tightly packed homes, separated by barely a few feet in a few limited designs that seem rather indigenous to this area. Not quite row homes, most of them are the same ones that were built when the city was founded in the late 1800's. Aside from a few major thoroughfares, the streets are narrow, in a tightly laid out grid pattern. A pretty impressive feat considering this is a mountain town and hills are not usually amenable to this degree of order.

The center of town is divided down the middle, much like Chicago, only not with a scenic river, but with a very polluted system of railroad shops and tracks. The tracks run the entire length of the town, north to south and in most of the city, one cannot traverse east to west without crossing a bridge. The grime and dirt permeates the inner city and only adds to a feeling of decay. It reminds me of the grime I saw coating the towers of the now ill-fated Charity Hospital in New Orleans years ago.

Ruined in Hurricane Katrina, the building is considered a total loss and will eventually be torn down, but for the uninsured of New Orleans, Charity Hospital was the only public hospital they had to turn to pre-Katrina. I saw Charity Hospital when I took my Board Certification exam in 2004, before Katrina hit, and it gave me an uneasy feeling that never left me. Ironically, I passed my board exam, a very difficult thing to do in psychiatry. A victory for me that day, a loss for many more not much later. I have since returned to New Orleans for the Sugar Bowl, but I felt the need to visit this now defunct institution and pay my respects. The photograph above was taken on New Years Eve 2009 and the top of the building does not look much different than it did all those years ago. Although this town has not suffered the tragic loss near the degree of New Orleans, sometimes I see the same creepy sooty grime dripping off the taller buildings of the city here and that same feeling comes to me. Something is not well in this town.

Many of the residents of the inner city are retirees on fixed incomes who do their best to maintain their homes. They often live in fear but cannot or will not leave their lifelong homes. There is a certain number of working class families that remain in this area, but a large part of this area has fallen to low income and section 8 housing. The crime rate has skyrocketed and those that have the luxury of moving out of the inner core of the city do, often without being able to sell their inner city homes. Many elderly residents, and there are quite a few here, pass away and the homes are left abandoned. Foreclosures have left many properties vacant as well.
This has left a growing problem of blighted homes, many with red condemned signs posted so long ago that they have long since faded to pink or even white. Absentee landlords have little interest in paying the money to demolish a property that has been condemned. This will only cost them money and leave them with an empty lot that will go unsold. Better yet to ignore the property. The city has limited ability to demolish blighted homes without a lengthy legal process and since the age of the homes is quite old, many contain asbestos and lead paint making the demolition quite expensive. Funding for this is limited. Most abandoned homes have long been stripped of any resellable items. Copper pipes, light fixtures, and wood paneling that could have been salvaged and sold to finance the demolition are stolen by drug addicts desperate for money for their next fix, cutting a viable source of funding for these projects out, also.

Abandoned home are well known to be obvious health risks, attracting rats, pigeons, raccoons and the like, but they have other lurking hazards. Abandoned homes are a perfect cover for "shooting galleries" and make for a discrete location from which dealers can make their transactions out of the public eye. The number of blighted homes grows daily. Not all of the heroin use in the city is restricted to abandoned homes but to me they are a constant reminder of a city in pain. The middle class flees to the outlying communities with sprawling rows of new subdivisions that offer safety and respite from the troubled inner city where they work. No different than Detroit, just on a smaller scale.
Something needs to change....




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