DRAFT On the Edge
The 2006 Sustainablility Indicators Report

Accessible Services


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Vision For Accessible Services:

In 2020, Cape Codders will work together in a cooperative process to ensure: a preventive health care system with comprehensive community based healthcare and health programs for children; reliable and affordable child-care; preventive programs such as Head Start; mixed use village centers and a range of housing types; adequate affordable housing; local food production; nutritious, affordable and accessible food; and adequate wastewater infrastructure.

Goal For Accessible Services:

Cape Cod residents will be able to afford and obtain reliable access to housing, food, water, health care, education, child care, energy, transportation, communications, recreation, and other services.

Status and Prospectus for Accessible Services:

Having access to services - whether they be related to basic needs, social services, employment and/or our community’s infrastructure and natural resources - is important to every resident and visitor to Cape Cod.   As a community, we strive to meet the basic needs and social services - such as adequate housing (and utilities), nutritious food, and quality health care - of all of our residents.   However, to live economically self-sufficient lives, people also need access to transportation, education, communications and child care.   Additionally, we would wish that all residents and visitors have the opportunity to live fulfilling lives, taking advantage of the rich arts and cultural community, the natural environment and the various recreational activities available in each of our towns.     

 

Currently we know that many residents cannot afford housing as the affordability gap increases each year for homeowners, but decreases for housing rentals as some renters move off-Cape; we know that some residents, including children, do not have enough food to eat; we know that the percentage of uninsured in our community is increasing; and we know that Cape Cod families are having trouble affording child care - vacancies in licensed child care facilities are increasing while the waiting list for child care tuition assistance is also increasing.   Furthermore, the Cape’s current zoning regulations, which often encourage housing, business and services to be spread apart, underlie inaccessibility of services for many people.   If Cape Cod could make progress in supporting the workforce through more accessible educational opportunities, mass transportation that covers a greater area and time schedules, communication systems that encourage telecommuting and skilled technology jobs, and child care programs that match the needs of employees, residents would have a better chance of obtaining a more consistent self sufficiency wage to take care of their own basic and social service needs.

 

The good news is that people and organizations are working together towards common community goals more frequently and with greater impact.   Forum-goers mentioned that this was the key to success, and we can see examples of this in on Cape Cod:

 

    • the Lighthouse Health Access Alliance brought over $8 million to the Cape and Islands to improve access to healthcare.   Its outcomes include a Mobile Health Link Van that provides health screening and health education to underserved populations; and a medical interpreters program that educates bilingual/bicultural people to work in the health care field to help reduce language and cultural barriers to health care.  
    • More educational opportunities exist now, particularly as the Cape Cod Community College offers new certificate programs and partnerships for degree programs on Cape Cod.
    • Innovative development patterns are being created to co-locate business, residential and other services and programs in common areas, which will lessen transportation and energy barriers and lead to more vibrant, diverse and accessible communities.
    • In regards to environmental issues and the wastewater challenge, the Barnstable County Commissioners established the Wastewater Implementation Committee (WIC) as an advisory committee to Barnstable County.  The committee serves as a regional forum on wastewater issues for sharing information and coordination between towns, the county, and state programs.  The exchange of information at this forum provides an opportunity to reach a regional consensus on funding, management, technology, policy and other issues related to wastewater and develop this consensus into a new regional wastewater management plan.  The goal of the WIC is to address wastewater issues in a manner that incorporates good science, appropriate technologies and acceptable legal and financial means of implementation.
    • The Flex Route provides a flexible public transit option on the Lower/Outer Cape and is a model for other regions on Cape Cod.
    • The Business Round Table (BRT) is a group of business people that is united with environmental planners in seeking mutual protection of Cape Cod’s water resources, environment and quality of life in the face of sprawling development.
 

Accessible services strongly correlates with the Self-Sufficiency Standard indicator.   When wages and salaries match or exceed cost of living, residents are able to take care of their own needs and access the services they not only need but also desire.   This is true for both the individual and the community; as incomes increase, a community is better able to support the services, such as education and senior centers, that the community believes are important.

Actions for Accessible Services:

This is a list of high-priority actions that, if taken by targeted audience, would accelerate progress toward the 2020 vision and long-term goal.

Development

  1. Develop alternatives to septic systems: cluster systems, composting toilets.
  2. Not just redevelop, but “un-develop” through Transfer of Development Rights.
  3. Reduce the “ecological footprint” of individuals (the resources that each of us use in our daily lives).
  4. Work on getting density right, and this will be environmentally and economically beneficial.
  5. Growth must pay for itself and the past.
  6. Promote natural landscaping – less water, less chemicals, reduced lawn size.
  7. Replace rail system– we never should have pulled up the tracks.
  8. Implement comprehensive wastewater treatment to protect and improve water quality.

Government/Policy

  1. Create tighter integration of disparate government structures; accelerated integration requires leadership rather than provincialism.
  2. Government needs to act as partner, facilitator, convenor of smart growth.
  3. Policies are needed that regard waste as a resource – reusing water, biosolids, trash, etc.
  4. Boards of Health should use their powers to control growth, require septic maintenance, and control fertilizers and air emissions.
  5. We need to require septic maintenance – use Tri-town system to require scheduled pumpouts.
  6. Promote land use policy and legislation that is needed to accomplish our vision, even if it is not popular (for example, the National Seashore).
  7. Promote laws and regulations that are creative solutions for child care, health care, housing, etc.
  8. Increase density in village centers via village center zoning.

Economic Development

  1. Employers must step up to the plate to provide services: workforce housing, infrastructure investment, health services.
  2. Encourage economic development that links to quality of life issues (the “underlying economy”).
  3. Work to provide job opportunities for people with broad and diverse skills.
  4. Encourage the creative economy.
  5. Create a health plan for artists and other entrepreneurs.

Health Care

  1. Examine access to health care from the providers perspective, and ask if we have the infrastructure they need.
  2. Increase the use of technology to integrate health providers information and reduce duplication.

Indicators Linked to Accessible Services:

 

Child Care

Drinking Water Quality

Drinking Water Quantity

Economic Self Sufficiency Figures for the Lower-Cape Family

Economic Self Sufficiency Figures for the Mid-Cape Family

Economic Self Sufficiency Figures for the Upper-Cape Family

Electricity Supply Costs & Savings Through Aggregation

Electricity Consumption by Class & Per Capita

Electricity Sources

Electricity Emissions by Source & Per Capita

Health Insurance, Nutrition and Oral Health

Housing Units per Developed Acre (density)

Mixed Use Zoning by Town

Public Transit Ridership

Public Transit System Coverage on Cape Cod - Peak Season

Public Transit System Coverage on Cape Cod - Off Season

Public Transit Transit Coverage Text

Solid Waste and Recyclables

Traffic Growth on Cape Cod

Universal Indicator

Voting and Civic Participation

Wastewater and Water Distribution Infrastructure

Workforce Housing