Why these medical doctors began writing medical ‘prescriptions’ for solar energy : Photographs


The solar array on the rooftop of the administrative building for Boston Medical Center provides power for the building as well as credits that feed into the Clean Power Prescription program.

The photo voltaic array on the rooftop of a Boston Medical Middle constructing offers energy for the constructing in addition to credit for the Clear Energy Prescription program.

Jesse Costa/WBUR


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Jesse Costa/WBUR

Anna Goldman, a main care doctor at Boston Medical Middle, received bored with listening to that her sufferers could not afford the electrical energy wanted to run respiration help machines, recharge wheelchairs, activate air-con or preserve their fridges plugged in. So she labored together with her hospital on an answer.

The result’s a pilot effort referred to as the Clear Energy Prescription program. The initiative goals to assist roughly 80 sufferers with advanced, persistent medical wants preserve the lights on.

This system depends on 519 photo voltaic panels put in on the roof of one of many hospital’s workplace buildings. Half of the vitality generated by the panels helps energy Boston Medical Middle. The remaining goes to sufferers who obtain a month-to-month credit score of about $50 on their utility payments.

Kiki Polk was among the many first recipients. She has a historical past of Kind 2 diabetes and hypertension.

On a heat fall day, Polk, who was 9 months pregnant on the time, leaned into the air-con window unit in her front room.

Kiki Polk, one of the first Boston Medical Center patients to enroll in the Clean Power Prescription program, turns on the air conditioner in her home in Boston.

Kiki Polk, one of many first Boston Medical Middle sufferers to enroll within the Clear Energy Prescription program, activates the air conditioner in her dwelling in Boston.

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Jesse Costa/WBUR

“Oh my gosh, this feels so good child,” Polk crooned, swaying backwards and forwards. “That is my greatest good friend and my worst enemy.”

An enemy, as a result of Polk cannot afford to run the AC. On cooler days, she makes use of a fan or opens a window as an alternative. Polk is aware of the dangers of overheating throughout being pregnant, together with added stress on the pregnant individual’s coronary heart and potential dangers to the fetus. She additionally has a teenage daughter who makes use of the AC in her bed room — an excessive amount of, based on her mother.

Polk received behind on her utility invoice. Eversource, her electrical energy supplier, labored together with her on a cost plan. However the payments have been nonetheless excessive for Polk, who works as a faculty bus and lunchroom monitor. She was shocked when employees at Boston Medical Middle, the place she was a affected person, supplied to assist.

“I all the time suppose they’re solely there for, you understand, medical stuff,” Polk mentioned, “not the non-public monetary stuff.”

Polk is on maternity depart now to look after her child, the tiny Briana Moore.

Kiki Polk checks her electric bill on her phone to see if the credit from the Clean Power Prescription has been applied to her account.

Kiki Polk checks her electrical invoice on her telephone to see if the credit score from the Clear Energy Prescription has been utilized to her account.

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Goldman, who can be BMC’s medical director of local weather and sustainability, mentioned hospital screening questionnaires present 1000’s of sufferers like Polk wrestle to pay their utility payments.

“I had a dialog not too long ago with somebody who had a hospital mattress at dwelling,” Dr. Goldman mentioned. “They have been utilizing a lot vitality due to the hospital mattress that they have been going through a utility shut off. “

Goldman wrote a letter to the utility firm requesting the ability keep on. Final 12 months, she and her colleagues at Boston Medical Middle wrote 1,674 letters to utility corporations asking them to maintain sufferers’ gasoline or electrical energy operating.

Goldman took that quantity to Robert Biggio, the hospital’s chief sustainability and actual property officer. He’d been relying on the photo voltaic panels to assist the hospital shift to renewable vitality, however sharing the ability with sufferers felt prefer it match the well being system’s mission.

“Boston Medical Middle’s been centered on lower-income communities and attempting to vary their well being outcomes for over 100 years,” mentioned Biggio. “So this simply appeared like the correct factor to do.”

Standing on the roof amid the photo voltaic panels, Goldman identified a big vegetable backyard one ground down.

“We’re really rising meals for our sufferers,” she mentioned. “And equally, now we’re producing electrical energy for our sufferers as a strategy to deal with all the elements that may contribute to well being outcomes.”

The rooftop garden at the Boston Medical Center administration building.

The rooftop backyard on the Boston Medical Middle administration constructing.

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Jesse Costa/WBUR

Many hospitals assist sufferers join electrical energy or heating help as a result of analysis exhibits that not having energy or warmth will increase respiratory issues, psychological misery and makes it tougher to sleep. These are frequent issues for low- and moderate-income sufferers, mentioned Aparna Bole, a pediatrician and senior marketing consultant within the Workplace of Local weather Change and Well being Fairness on the Federal Division of Well being and Human Providers.

However Bole mentioned BMC’s method to fixing them will be the first of its sort.

“To have the ability to join these very sufferers with clear, renewable vitality in such a method that reduces their utility payments is absolutely groundbreaking,” mentioned Bole.

Bole is utilizing a case research on the photo voltaic credit program to point out different hospitals how they could do one thing comparable.

Boston Medical Middle officers estimate the undertaking value $1.6 million, and mentioned 60% of the funding got here from the federal Inflation Discount Act. Biggio has already mapped out plans for an extra $11 million in photo voltaic installations on the Boston Medical Middle.

“Our objective is to scale this pilot and assist much more sufferers,” he mentioned.

The enlargement he envisions would permit a 10-fold improve in sufferers who may very well be served by this system, nevertheless it nonetheless wouldn’t meet all of the demand.

For now, every affected person within the pilot program receives help for only one 12 months.

Boston Medical Middle is in search of companions who may need to share their photo voltaic vitality with the hospital’s sufferers in change for a better federal tax credit score or reimbursement.

Eversource’s vp for vitality effectivity, Tilak Subrahmanian, mentioned the pilot was a posh undertaking to launch, however now that it is in place, it may very well be expanded.

“If different establishments are keen to step up, we’ll determine it out,” mentioned Subrahmanian, “as a result of there’s such a necessity.”

This story comes from NPR’s well being reporting partnership with WBUR and KFF Well being Information.

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