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Doctors are small businessmen and women who already have a hard time making ends <br /> meet in Hawaii. As a recent Chief of Staff at Hilo Medical Center, I can ask two other <br /> <br /> respected doctors who served in that position explain how their practices are barely <br /> profitable. One of these critically needed specialists is closing his medical practice this <br /> month. My own primary care physician shared with me that he had already declared <br /> bankruptcy twice and finally decided it was better to retire than lose money practicing <br /> medicine in Hawaii. <br /> If the Council disregards the recommendations of the Planning Director and Planning <br /> Commission Council and opposes the rezoning of the existing parking lot, then I will be <br /> forced to recommend that the Community Surgery Center build a large highly <br /> expensive parking structure on our current parking lot to meet the needs of East Hawaii <br /> patients. Access to medical care will actually become much worse for many months <br /> during construction. Many hundreds of thousands, or even millions of dollars, that could <br /> have been spent on new surgical technology, digital mammography and newer <br /> imaging equipment and additional medical staff, will instead be spend on concrete for <br /> an elevated ramp which will tower over the neighborhood. In effect, a huge tax will be <br /> placed on the health care providers at the Surgery Center. The costs will inevitably <br /> have to be passed on the patients, or additional providers will go out of business, retire <br /> early or leave the Big Island. More unfortunately, the lack of access to mammography, <br /> cervical cancer screening with OB-GYN providers, etc, will take it's toll in higher <br /> mortality for patients in East Hawaii. <br /> I look forward to discussing these issues with you in person, and beginning a community <br /> dialogue with our patients and neighbors in East Hawaii. Thank you for considering this <br /> additional information. <br /> Sincerely, <br /> Scott Grosskreutz, M.D. <br /> President <br /> Punahele Professional <br /> Building Association <br /> <br />