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PRESERVATION IN PRINT APRIL 2007 17<br />

GUEST<br />

VIEWPOINT<br />

The Unreported Influx<br />

of Bright and<br />

Energetic Residents to<br />

New Orleans<br />

Stephen Hales, M.D.<br />

This op ed originally appeared in the Times-Picayune and is reprinted here with<br />

writer’s permission.<br />

R<br />

ecently the New York Times carried<br />

a story on its front page<br />

under this headline: “New<br />

Orleans’s New Setback: Fed-up Residents<br />

Giving Up.” The article profiled several<br />

families who are leaving New Orleans<br />

because the pace of recovery is “too little,<br />

too late,” an understandable assessment.<br />

The article itself, while more<br />

nuanced, generally supported that statement.<br />

“We don’t have to go through<br />

this” would fairly represent the sentiments<br />

of those who have chosen to<br />

leave.<br />

But a different headline, equally as<br />

true, might have been this: “A Unique<br />

City Continues to Hold and Attract<br />

Committed Citizens.” Support for that<br />

alternative headline was found, in fact,<br />

in the text of Shaila Dewan’s article, as<br />

demographers and others described not<br />

only a hard-to-quantify “brain drain,” but<br />

also a determined and passionate core of<br />

New Orleanians choosing to stay, and a<br />

steady, if under-reported, flow of new residents<br />

who see both challenge and<br />

opportunity in this badly damaged city.<br />

“The pattern in is certainly stronger than<br />

the pattern out,” said one demographer.<br />

So why does the story run under the<br />

first headline, sure to be seen far and<br />

wide as one more piece of bad news documenting<br />

our city’s slide into oblivion<br />

Headlines count, leaving impressions<br />

that are hard to change, and I can only<br />

wish they had chosen the second one.<br />

I have been a pediatrician in New<br />

Orleans for more than thirty years, long<br />

enough to see a generation of babies<br />

grow up and, now, to help care for their<br />

babies. While I will not offer my experience<br />

as a substitute for the academic<br />

analyses of statisticians and demographers,<br />

I will cite my own less formal, but<br />

very personal survey of the flow of families<br />

in and out of our city.<br />

In the months after the storm, when<br />

we were able to come back to the city,<br />

open our office, and begin to care for our<br />

stunned and stressed families as they<br />

returned to pick up the pieces of their<br />

lives, demographic dynamics became<br />

very personal. Each day we collected<br />

from the fax machine and the occasional<br />

mail delivery requests for the medical<br />

records of children we had cared for<br />

through their young lives. There were so<br />

many such requests – from Dallas and<br />

New York, Denver and Houston, Atlanta<br />

and San Francisco.<br />

A unique city<br />

continues to<br />

hold and attract<br />

committed<br />

citizens<br />

But there were many families who<br />

chose to stay, for the whole range of reasons<br />

the New York Times article cited –<br />

for family, for jobs, for the keenly felt<br />

need to rebuild their homes, and their<br />

city. And, to our surprise, we began to<br />

see a flow of new patients and families<br />

into our practice from all over the country.<br />

Young families – educators, attorneys,<br />

physicians, and business people –<br />

arrived to replace those who left after the<br />

storm, or to begin new ventures made<br />

possible by the profound changes which<br />

followed Katrina. And we began to see<br />

more and more babies born in our<br />

remaining hospitals, perhaps the most<br />

significant vote of confidence in the<br />

future. We have found, over the past<br />

year, that the net of those flows in and<br />

out has turned decidedly positive.<br />

www.prcno.org<br />

Does that mean all is well in New<br />

Orleans Clearly, it does not. New<br />

Orleans faced significant problems before<br />

the flood, and those have become even<br />

more evident and wrenching as we<br />

rebuild our city. This is not an easy<br />

place to live right now. We recognize it<br />

when we experience the daily reality of<br />

broken traffic lights, pot-holed streets, a<br />

dysfunctional criminal justice system,<br />

and challenged health care resources.<br />

We see it when we travel to other cities,<br />

where things are “normal,” and the conditions<br />

we face each day would not be<br />

tolerated. Enormous challenges – unique<br />

in the history of our nation – remain in<br />

restoring housing lost when 80 percent of<br />

our city was flooded. We live with the<br />

pervasive sense that we have been failed<br />

by our elected leaders.<br />

But I strongly believe that the pessimistic<br />

“giving up” New York Times<br />

headline does not convey the reality I<br />

see day in and day out in my office, or in<br />

my city. Citizen-led initiatives have<br />

brought real change and reform to<br />

entrenched political structures, structures<br />

which have served New Orleans poorly<br />

for generations. The failed public school<br />

system is in the midst of a transformation<br />

led both by committed New Orleanians<br />

and an influx of bright and energetic<br />

educational reformers, school leaders,<br />

and teachers who are here because there<br />

is an unparalleled opportunity to “make a<br />

difference.”<br />

I was not born here, but found in this<br />

city many years ago a rich and engaging<br />

culture, place, and people. We have lost<br />

many wonderful families, and will<br />

undoubtedly lose more. This will be a<br />

To our surprise,<br />

we began to see<br />

a flow of new<br />

patients and<br />

families into our<br />

practice from all<br />

over the country.<br />

long process, and will require the devotion,<br />

vision, and hard work of those who<br />

choose to remain, and those who choose<br />

to come here to help this city rebuild.<br />

There are many who fit those descriptions<br />

– more, I believe than those who<br />

make the choice to leave. I hope that in<br />

a future story, and under a more optimistic<br />

headline, the New York Times will<br />

return to tell that story.

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