An Inapplicable Model
Honestly, something about Governor Chafee’s fact-finding missions makes me very nervous. Consider this, from his latest trip, to Pittsburgh. It focuses on the University of Pittsburgh Medical Center (UPMC), which is attracting all sorts of federal money and expanding the prominence of the University’s medical program:
Dr. Edward Wing, now dean of medicine and biological sciences at Brown’s Alpert Medical School, worked 23 years at the University of Pittsburgh. He notes that the western Pennsylvania medical school — with massive collaboration, clinical-research dollars and consolidation — has since catapulted from the middle of the pack to among the nation’s top-tier medical schools.
UPMC is now a $9-billion global health enterprise that operates more than 20 hospitals and 400 outpatient sites; employs more than 2,800 physicians and 54,000 employees; ranks as western Pennsylvania’s largest employer and the state’s second-largest. …
In the midst of the tour, Wing noted, “It’s very hierarchical, so they can make decisions easy. It’s much harder in Providence.” …
At UPMC, it’s clear that money drives activity.
So, you’ve got a massive, hierarchical structure fueled with giant infusions of public money and absolutely central to the local economy. That sounds extremely risky, and while I don’t know enough about Pennsylvania politics to know how they’re handling it, out there, I simply wouldn’t trust the power brokers of Rhode Island with such an entity.
And that’s if the feat would be possible to reproduce. One need only look at a map to see one way in which Pittsburgh differs tremendously from Providence: There’s no urban competition in proximity. We’ve got Boston and New York City within easy striking distance.
The governor should turn his sights away from top-down behemoths and look toward making Rhode Island notable, in the crowded Northeast, for being an easy and inexpensive place to start and grow business. Our economic development people look to UPMC and see the flow of money that they could use to get entrepreneurs and innovators over the hump of high expenses and difficulty, in RI, when they should be looking to flatten it, instead.