Transit gaps hinder health care access, study says
Fri Oct 25, 2002 
Concord's Monument Corridor has the worst transportation miseries in
Alameda, Contra Costa and Santa Clara counties

By Sandy Kleffman
Contra Costa Times

Most Bay Area residents take it for granted that they can get to a
doctor's office, a hospital or a grocery store that sells fresh fruit
and vegetables.

But for many low-income residents without cars, getting access to
health care and healthful food can be a frustrating, time-consuming
experience.

It can require a five-hour-plus bus trip with several transfers, if a
bus route exists.

A new study released Thursday details the lack of transit options in
several Bay Area neighborhoods and urges elected officials to make
improvements.

The study examined 15 low-income communities in Contra Costa, Alameda
and Santa Clara counties and concluded that the Monument Corridor
neighborhood in Concord has the worst transportation problems.

The area has no transit access to hospitals, and only 1 percent of
residents have transit access to a health clinic, the study found.

"Ironically, this poor access persists despite the presence of health
clinics and a hospital only a mile or two away," said Jeff Hobson,
policy director of the Transportation and Land Use Coalition.

The report's authors maintain that when leaders dole out
transportation dollars, they often overlook the needs of working-
class neighborhoods.

"Elected officials continue to propose new transportation investments
that primarily benefit long-distance, white-collar commuters, leaving
the needs of low-income communities of color unmet," the report said.

Jeanne Krieg, general manager of Tri-Delta Transit, praised the
report and agreed with its call for improvements.

"We need more buses, more frequently, more reliably," she said. "...
The problem, however, as we all know is funding."

Nearly two years in the making, the study was conducted by the
Transportation and Land Use Coalition, People United for a Better
Oakland and the Center for Third World Organizing.

The groups released their report during a rally attended by 40
residents and elected officials at the Concord Health Center on
Willow Pass Road.

Carmenelena Rodas, who has lived along the Monument Corridor for 14
years, said it would often take two to four hours to get her daughter
to a doctor's appointment before she got a car.

"If the bus was late one minute, I would miss my connection, and then
I'd have to wait half an hour or so," she said.

Many of her neighbors prefer to walk for an hour or longer rather
than take a bus, which can require several transfers, she added.

"It's very hard, especially when it's too hot or it's too cold or
it's raining," she said.

Contra Costa County Supervisors Mark DeSaulnier and John Gioia
attended the rally. They offered hope for improvements in the
Monument Corridor.

DeSaulnier said he and Gioia will recommend that $500,000 in transit
occupancy taxes that will be generated by a new hotel at the Pleasant
Hill BART station be used as seed money for moving the Concord Health
Center on Willow Pass Road into the Monument Corridor neighborhood.

The two supervisors noted that Contra Costa leaders are expected to
place a measure on the 2004 ballot seeking approval to extend a
transportation sales tax. Low-income advocates should be involved in
policy decisions about how such money will be spent, they said.

"You've given us more ammunition and more tools to help us in
advocating for this funding," Gioia told the group.

The researchers surveyed 700 residents and used computer-assisted
mapping to identify the number of people in each neighborhood who
lack transit or pedestrian access to health care facilities and
supermarkets.

They concluded that Contra Costa County's disadvantaged neighborhoods
had the worst access of the three counties.

Other Contra Costa neighborhoods examined included Bay Point,
Pittsburg, the Iron Triangle in Richmond and the southern and
northern sections of Richmond.

The study found that only 20 percent of residents in these
neighborhoods have transit access to a hospital and only 33 percent
have access to a community clinic.

In Alameda County, several neighborhoods in Oakland and West Berkeley
were studied. More than 160,000 residents of these low-income
communities lack transit access to a hospital, the study found.

Irene Moreno, who has been a licensed vocational nurse for 30 years,
said she often saw the results of poor access while working at Kaiser
Permanente Medical Center in Walnut Creek.

Mothers who wanted to bring their children to the doctor couldn't
take a 9 a.m. appointment because they would have to get their babies
up at 4 a.m. to make the three-hour trip, she said.

They couldn't take a 5 p.m. appointment because it would be past
their child's bedtime before they got home, she said. Some parents
take their children out of school because they won't be home when
they get out.

She added that others would arrive an hour and half late and plead to
be seen -- only to find out that the doctor had left.

Jennifer Martinez, a 20-year-old youth advocate with C-Beyond in
Concord, said it recently took her five hours to take public transit
to pick up a prescription.

"I was really late for work," she said, "and this is what pays me to
buy my bus passes."


Reach Sandy Kleffman at 925-943-8249 or skleffman@c...
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