From left, Ronica Doyen, Gema Juarez and Rebecca Malone prepared for a patient’s appointment at the North Canaan health center’s nursing station on a recent weekday afternoon.
NORTH CANAAN — Since opening last summer, the new federally qualified health center serving the Northwest Corner has treated more than 1,000 patients seeking help for medical and mental health issues.
“It’s been going great,” Joanne Borduas, CEO of Community Health & Wellness Center’s (CHWC) regional North Canaan facility, reported during a mid-December interview.
“We have seen 800 patients for medical and mental health services, and 426 kids through our school-based clinics. We are seeing what we anticipated, and probably then some.”
Strong demand prompted the hiring of several additional providers at the new health center, which is expected to be at full staffing level in early 2025 and will help broaden the facility’s capacity for scheduling.
A full-time family nurse practitioner is expected to start in mid-January, and CHWC has tapped Sarah Humphreys to take on the role of Chief Medical Officer, whose area of expertise includes infectious diseases.
Humphreys is expected to join the North Canaan health center in early March.
“We’re very excited to have her and to bring that specialty to the area. She grew up in the Salisbury area and left to practice medicine in New York, and is now coming home,” said Borduas.
The newest hires will bring staffing to 15 at the North Canaan health center, which was two decades in the making and was unveiled with a ceremonial ribbon-cutting attended by elected officials and key funders on May 10. The next day, CHWC hosted an open house to introduce the two-story, 7,300-square-foot regional center to the public. By the end of June, practitioners were seeing patients.
A ’great need’ for mental health services
It didn’t take long before the need became apparent, said the facility’s CEO.
“In the surrounding towns we have had a great lack of primary care physicians over time, which had led to individuals living with a high number of medical conditions, and there is clearly a great need for mental health services,” Borduas explained. “The acuity of illness in that area is tremendous.”
The Northwest Corner is home to an aging population, and Canaan, in particular, has a significant low-income population, said Borduas. Those factors, she noted, “contributed to what people could do for themselves.”
Responding to the need, she noted, “We did bring on an additional physician which was not part of the original plan.”
Dr. Deborah Buccino, a board-certified pediatrician, was hired to enhance addressing pediatric needs for the community at the North Canaan facility. Borduas noted that Buccino specializes in evaluating and treating children with autism, Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, depression and other learning and behavior concerns.
The FHC is on track with its mission to offer integrated medical and behavioral health services aimed at addressing the region’s dearth of health care providers, limited access to care and transportation challenges impacting both financially stable families and those less fortunate.
“We are not just the doctor’s office,” said Borduas. “Our mission is to be part of the community.” As a recent example, CHWC recently hosted a sold-out Christmas show at the historic Colonial Theatre.
Aided by community partners
Since its inception decades ago, the new health center has been aided by a coalition of community partners to address what Borduas describes as a “healthcare desert” in rural Northwest Connecticut.
Residents living in healthcare deserts may face inadequate access to primary, emergency, mental health, dental care and experience food insecurity.
Just recently, she said, the Northwest Corner’s largest employer, BD, awarded a $20,000 grant to the North Canaan health center.
“We are using the funds to address social determinants of health. We are going to use that grant money to purchase gift cards at Stop&Shop so we can give them to individuals experiencing food insecurity.”
Through the use of the BD grant, another local employer, Lindell Fuels, Inc., will assist CHWC with providing fuel to families who need help keeping their homes warm this winter.
“We will supplement the cost for Lindell through the use of the grant dollars,” said Borduas. “It really has been a tremendous, generous gift.”
For now, the health center’s goal is to take care of the community’s immediate needs, and in the early spring, CHWC plans to conduct an updated Community Needs Assessment.
It has become clear that there are still healthcare gaps in the rural Northwest Corner.
“We are trying to educate the community that we are not an emergency walk-in clinic and that we operate by appointment only,” said Borduas, who noted that even though people with urgent medical issues have not been turned away, that will not be possible to continue as the health center gets busier.
The closest urgent care center is in Torrington, she said, or for residents in the Sharon area, locations over the border in New York. The closest Emergency Rooms are at Sharon Hospital or Charlotte Hungerford Hospital in Torrington.
“That speaks to the need that continues to exist there.”
Joanne Borduas, CEO of Community Health & Wellness Center (CHWC), has been appointed by Gov. Ned Lamont to the 38-member Health Care Cabinet (HCC) as a representative of community health centers across Connecticut.
Borduas will serve a four-year term ending in November 2028.
The HCC was created to advise the Governor and Lieutenant Governor alongside the Office of Health Reform & Innovation on health-related issues such as federal health reform implementation and development of an integrated healthcare system in Connecticut.
The nonprofit CHWC, which operates health centers in North Canaan, Winsted and Torrington, serves more than 7,000 patients and is the only Federally Qualified Healthcare Center (FQHC) in the Northwest Corner providing comprehensive services.
In making the announcement on Nov. 21, Lamont credited Borduas for her extensive experience working within the healthcare community in Connecticut.
“Her appointment to this group will provide valuable insight in our efforts to strengthen and improve our state’s healthcare system. I appreciate her willingness to serve as part of this cabinet.”
Borduas said she is honored by the appointment, and intends to be the voice for patients, staff and community health centers across the state in addressing the challenges faced in the health care industry.
“I’m looking forward to tackling challenges like the rural health care crisis, pharmaceutical pricing and Medicaid reimbursements.”
The cabinet, which meets bi-monthly, convenes working groups to make recommendations regarding the development and implementation of service delivery and healthcare provider repayment reforms including multi-payer initiatives, medical homes, electronic health records, pharmaceutical pricing and evidence-based healthcare quality improvement.
Cabinet members include government officials, leaders in medical practice, insurance, labor representatives, small business leaders, mental health and addiction services and public health.
Through this group, the committee will put forth recommendations to address key healthcare challenges through legislation, funding initiatives or restructuring of current efforts according to the 2024 HCC report.
The report also details various subcommittees devoted to issues like the rural health care crisis, mental health and the affordability and accessibility of urban health care.
The July 31 referendum in Kent, Warren and Washington banned wakesurfing on Lake Waramaug.
The sport of wakesurfing is now banned on lake Waramaug as the result of a decisive tri-town vote held on Thursday, July 31.
Voters in Kent, Warren and Washington, the three towns that border Lake Waramaug, approved the ordinance with 1452 residents ultimately voting in favor of banning the sport against 421 opposed to it.
Kent had the steepest margin in favor of the ordinance, which had to be voted through by all three towns to take effect. About 83% of Kent residents voted for the ban, totaling 468 yeses. Only 96 voted no.
In Washington, 649 voted in favor and 186 voted in opposition. Warren, the closest vote, saw 335 yes votes and 139 no.
The ordinance, which was drafted over the course of several years by the Lake Waramaug Authority, holds that any boats which operate in “surf mode,” meaning they draw water into the ballasts to create larger wakes, will be fined $250 per infraction. Wakesurfing differs from wakeboarding in that the boats move slowly, with ballast weight, to create a larger wave for participants to surf on behind the boat.
Wakesurfing is the only activity regulated by the ban.
The ordinance has been the subject of contentious public discourse for months, with sparring road signs lining streets in the three towns. Proponents of the ban have cited potential ecological damage and public safety as reasons to end the sport on the lake, while opponents have decried the action as an unnecessary and drastic infringement on resident’s right to recreate.
On vote night in Washington, resident Craig Wilbur stated he was voting no on the ban, describing it as “an overreach.”
“The lake seems like it’s the healthiest it’s ever been,” he added. His young daughter chimed in: “All boats make waves.”
Another voting resident, Lila Nelson, went the other way, stating that she felt the lake was too small to accommodate the activity. “There are a lot of big lakes around here where you can go wakesurfing,” she said, listing Candlewood Lake and Bantam Lakes as two larger alternatives.
Ruth Franklin and Ileene Smith in conversation at Congregation Beth David in Amenia.
Congregation Beth David in Amenia hosted a conversation on the enduring legacy of Anne Frank, one of the 20th century’s most iconic figures. Ruth Franklin, award-winning biographer and critic, shared insights from her highly acclaimed book “The Many Lives of Anne Frank” with thought-provoking questions from Ileene Smith, Editorial Director of the Jewish Lives series. This event, held on July 23 — the date Anne Frank would have turned 96 — invited the large audience to reconsider Anne Frank not just as the young writer of a world-famous diary, but as a cultural symbol shaped by decades of representation and misrepresentation.
Franklin and Smith dove right in; Franklin reading a passage from the book that exemplified her approach to Anne’s life. She described her work as both a biography of Anne Frank and a cultural history of the diary itself, a document that has resonated across the world.
“The diary,” Franklin explained, “has been appropriated in ways that sometimes obscure the reality of who she was and the historical context of her life.” By weaving together different perspectives, including testimonies from those who knew Anne or whose lives were shaped by her, Franklin sought to rehumanize a figure who has, for better and worse, been turned into a symbol.
Franklin’s book examines the many faces of Anne Frank that have appeared in the public consciousness: the girl whose diary became a universal symbol of the Holocaust, the teenage diarist whose words offer an optimistic glimpse of humanity, and the historical figure whose Jewish identity has at times been obscured in favor of a broader, universal message. Franklin highlighted how Anne’s legacy was shaped by her father, Otto Frank. Many of Otto’s decisions have been viewed as controversial such as removing passages that could have alienated potential readers. While often criticized, Franklin suggested that his editorial work was driven by the desire to reach the broadest possible audience.
“I think we have to be so generous in thinking about Otto Frank and the choices that he made,” said Franklin. “He made the decision that he wanted the diary to be read by the greatest number of people possible. He wanted Anne’s message to go out into the world and work, as he said, against prejudice, understood in the widest possible sense. The Anne Frank House today in Amsterdam is carrying on his mission in making Anne’s story relatable and accessible and comparing it to many other different kinds of prejudice around the world. Not everybody agrees with this approach, but that’s what he decided to do.”
The conversation turned to a quote from author Cynthia Ozick, who argued that Anne’s story has been “vulgarized, distorted, and infantilized” in adaptations of the diary, particularly those created for mass consumption. While acknowledging the validity of Ozick’s concerns, Franklin pushed back. The desire to make Anne’s story accessible to a global audience, Franklin suggested, began with Anne herself, who rewrote her diary with an eye toward future readers who might not understand her specific historical context.
The conversation also delved into the profound grief and ambivalence Otto Frank must have felt as he worked to preserve his daughter’s legacy. Franklin’s expressed deep empathy for him, burdened with making Anne’s diary into something more than a personal testament. “He was working with a tragic loss, with an immense responsibility,” Franklin noted.
The evening’s discussion expanded to include the contentious debate over the graphic version of Anne Frank’s diary, which has been banned in several U.S. states. Critics of the graphic adaptation have condemned it for including depictions of Anne’s developing sexuality, citing them as “pornographic.” Franklin pointed out that this outrage stems from “the intersection of homophobia and anti-Semitism” in today’s political climate, highlighting how Anne’s legacy continues to be embroiled in ongoing cultural and political struggles. “The books that are most frequently banned in the country right now are those that have to do with LGBTQ content.This is a serious issue of the Republican Party persecuting gay people and trans people more generally,” said Franklin.
Smith pointedly asked Franklin about what is widely considered the most famous quote from the diary: “In spite of everything, I still believe that people are really good at heart.” Franklin responded, “In many ways, Anne Frank was an optimistic person and that quote is an accurate reflection of who she was. At the same time, that quote is incomplete. It actually comes in the middle of a much longer passage in which she describes feeling hopeless about the future of the world.” Franklin continued, “That quote is often dismissed by Holocaust scholars or other people who have said with a lot of confidence that if Anne Frank had survived the camps to write about it, she would no longer have believed that people are truly good at heart. My own position, which is the perspective I adopt in this book, is that none of us can know what a surviving Anne Frank would have thought about anything at all, and it is irresponsible to speculate about it.We simply can’t go there. “
As the conversation concluded, the room was filled with a sense of reflection and appreciation. The crowd was invited to continue the conversation in the Community Room, where Franklin signed copies of her book, which were available through Oblong Books. Her visit left attendees with much to ponder about how we interpret history, memory, and the cultural artifacts that endure.
Yuja Wang performs with the TMCO and Andris Nelsons.
Sunday, July 20 was sunny and warm. Nic Mayorga, son of American concert pianist, the late Lincoln Mayorga, joined me at Tanglewood to hear Yuja Wang play Prokofiev’s Piano Concerto No. 2 in G minor, Op. 16. I first saw Wang on July 8, 2022, when she filled in for Jean-Yves Thibaudet on the opening night of Tanglewood’s summer season. She virtually blew the shed down with her powerful and dynamic playing of Liszt’s Piano Concerto No. 1.
Nic was my guest last season on July 13, when Wang wowed us with her delicate interpretation of Beethoven’s Piano Concerto No. 4. We made plans on the spot to return for her next date in Lenox.
As we found our seats there was a buzz in the Shed. A huge crowd had gathered. Nic went for tall cans of cold mineral water — essential. The Tanglewood Music Center Orchestra was on stage. The door opened, and out stepped Wang in a brilliant shear and sparkling silvery light dress befitting the warm day. Conductor Andris Nelsons followed. They greeted concertmaster Nathan Cole, and settled in.
The first movement, an Andandtino -Allegretto - Andandtino, is one where a 22-year-old Prokofiev distinguishes himself as an entirely new breed of concerto composers. It is far from typical. There is no conventional drama between opposing forces of piano and orchestra — just a light, gentle phrase with intentionally muted strings (pizzicato) and clarinets, giving way to Chopin-like left-hand figures from the piano, and a lengthy, divine melody in the right. There is beauty in this.Wang is in charge.
She transitioned to a faster march section that evolved into an extended solo played with great precision and attention to detail. The soloist had the floor until a raucous return of the full orchestra, followed by a pianissimo recollection of the opening. The two great forces now united, everyone was on the edge of their seat.
The second movement is a Scherzo: Vivace. Here, Wang showed her mastery over one of the most challenging sections — a relentlessly demanding moto perpetuo where the soloist must play unbroken sixteenths, both hands, in octave unison. Nic agreed that one must see this type of playing live to fully appreciate the artist. The orchestra added wonderful, subtle color and counter moods to this virtuoso spotlight. Wang’s command of the minutest shifts in tempo was astounding. The piano, here, produces melodies but also becomes a percussion instrument of the highest order.
In the third movement, an Intermezzo: Allegro moderato, the soloist gets a breather from the speedy tempos — but not quite, as she must alternate between delicacy and great force in figures while the orchestra layers a backdrop of a heavy march. Wang displayed her versatility here, commanding the tone, volume and moods as dictated by Prokofiev’s adventuring. Tempos changed. Everything changed. Yet throughout, each mini stanza and bar stood out — authentic, independent, real. Likely exactly what Prokofiev had in mind, but likely to elude all but the finest musicians.
In the Finale: Allegro tempestoso, Prokofiev reverts to the more conventional opposition-of-forces theme — the piano trying to overwhelm the orchestra in a barrage of flittering bright passages offset by heavy-handed chords. Wang chose a more collegial approach here. She was firm but polite; it never felt like a struggle. This made the transition to the next idea — where clarinets and violas offer a contrasting tranquility — smooth as silk. The solo piano continued with elements of Russian folk music, joined by the orchestra, building intensity before another solo piano display, and then a traditional buildup to a sweeping conclusion.
I glanced over at Nic’s joy and bewilderment. A standing ovation was followed, with encore performances of selections from Sebelius’s 13 Pieces for Piano, Op. 76, No. 2: Etude; Schubert’s “Gretchen am Spinnrade,” D. 118, arranged by Liszt; and Horowitz’s Variations on a Theme from Carmen.
Prokofiev’s debut of this concerto in 1913 did not go over quite as well. Some in the audience expressed displeasure at his ideas, hissed and rushed out. But Prokofiev expressed his displeasure at their poor taste, played an encore nonetheless, and fanned the flames. Sometimes a genius from one generation is misunderstood in his time but vindicated generations later by audiences and musicians of a different era. Such is the case with Prokofiez, who had the last laugh. Yuja Wang has her place in this saga. That she performs with the young musicians of the Tanglewood Music Center Orchestra shows her generous nature and kind heart — she cares about the future of classical music.
If you are curious and like to travel, Wang will play Prokofiev’s Piano Concerto No. 2 again several times this season: Nov. 13 at The Philharmonie de Paris; Dec. 4 and 5 at The Konzerthaus, Vienna; and Dec. 12 at The Concertgebouw in Amsterdam. I highly recommend it.
