Everyone everywhere who takes the time to tour the current state of our Medical Examiner's spaces in Escambia County knows one thing. The spaces are deficient, inadequate, and undersized.
The difficult thing now is finding a way forward in solving this issue that works for all four counties that must fund this essential (and expensive) service. Many have worked hard at a compromise.
The approach that didn't work: Attempts by some from other counties to dictate to Escambia County what we should do. Those sorts of overtures fell on deaf ears.
Because Escambia County is where most of the deaths occur, so naturally it makes sense for the ME's office to be located here. At our latest meeting where this was discussed, a commonsense plan to expand the current ME location footprint with additional cooler space (desperately needed) and additional office and parking spaces was put forward as a workable, interim solution. And those plans have subsequently moved forward.
In speaking with a local professional in the funeral home industry about this, some salient points were imparted to me: "Jeff, we have the most death here in Escambia County. Even if it is someone from the other counties, if they are really sick they end up over here in Escambia County at one of the big three hospitals where unfortunately many of them die. In addition to that, there are folks from Baldwin County that end up in our hospitals here and many of them die here, too. So, in my business, I see that most of the death happens here, so is it really prudent to be driving over to a county to the East with bodies from Escambia County? I mean, I'll do it--but it will put an additional cost on the families because there are costs associated with transporting bodies."
For my part ----my thinking on this has been: I believe the ME office should be modernized, it should be improved, and additional space and cooler capacity should be added. But it should be added here--because this is where most of the crime deaths, overdose deaths, and hospital/hospice deaths happen--let alone we in Escambia are the population center of the circuit and therefore have the highest percentage of deaths from natural and all causes. By a longshot. The current location of the ME facility is where it should be because of this.
Is this ideal for the other four counties, for Walton County? No, it isn't. But the geographic realities of the layout of this four county circuit is what it is---and in other parts of the country even larger "geographic" areas are similarly serviced by one standalone ME facility. In some cases even smaller facilities like the one in Leon county, for instance, which is a metal prefabricated/preengineered building (PEB).
With this as the backdrop--now comes a new proposal from Craig Coffey--Deputy Administrator for Okaloosa County and currently the chairman of the four county medical examiner support entity, "DOMES." Coffee's newest proposal could be step in the right direction--as it at least recognizes the necessity of having ME capability in Escambia County. Where I think it needs further tweaking is that the facility in Santa Rosa should be smaller than 17,000 feet and it should be the annex, NOT Escambia county.
The rest of the proposal, particularly the percentages of payment responsibility, look good to me.
This proposal, below, will be discussed tomorrow at the regular BCC meeting.