Friday, December 3, 2021


Letter to the Editor


Half Development Plan’s (HDP) are not Planned Unit Developments. And what we have proposed is an HDP. I am in favor of the proposed Assisted Living Facility, if Marco Island residents are given priority for any openings, since that would merely mean transferring density from one part of the island to another. And our residents deserve to have loved ones receive care close to their own homes.

However, there is no commitment for the other part of the land. NCH will receive five million if this PUD is approved. We need to have that put toward a micro-hospital open 24/7. East Collier County is growing rapidly, traffic and travel time is increasing, and hospital beds need to be increasing.

A micro-hospital would allow out-patient as well as some overnight observation surgeries to be done right here on Marco—in addition to emergency medical needs. It would also lessen the demand on Collier County ambulances and let patients be treated by NCH rather than by Physicians Regional Hospital. Competition is one of the reasons Emerus (, the nation’s first and largest operator of micro-hospitals, worked with Allegheny Health Network to build 4 micro-hospitals in the Pittsburgh suburban areas.

Our population, along with that of surrounding communities, is probably between 30,000 and 60,000 depending on season. Plus, there will be 86 residents in assistant living residents next door. The city should be telling NCH we want a micro-hospital on the property to approve the PUD. They can even recommend NCH contact Emerus for assistance and/or contact Emerus directly. However, they should not approve this PUD until we have a commitment for all of the proposed PUD property—a conditional approval for the ALF could be considered.


William Flasche

Marco Island



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