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Call For Comments

At the recent Sustainable Development Strategy meeting, the Premier announced that public consultation on the siting of the new hospital would continue in a series of public meetings where Government will share all relevant information. This is an opportunity for the public to weigh in on the decision in an informed manner. Be sure to attend the meetings or, at the very least, visit the Hospital Board’s site and give us more of your views.

And, thanks to those who have already commented about this issue under the various different themes.

Please note: You do not have to give your email address. When you click on the comment link there are boxes that can be filled in, including one for an email address. If you don't want to give it, you don't have to. Just leave it blank. Carry on following the instructions and your comments will be put up as normal.

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Comments

Having attended the BHB meeting tonight at the Bermuda College I am still strongly opposed to any plans that will involve the destruction of Bermuda's Botanical Gardens. This is not just an open space issue... the Botanical Gardens provides many essential functions for our community and is an indispensable part of our identity in addition to being a major tourist attraction.

I support the need for a new hospital but feel that we must spend the extra money required to rebuild on the existing KEMH 17 acre site - unless an alternative "brown" site can be used.

There are still several questions, which were not answered tonight.

1) Where would the Deparment of Parks and the Department of Environmental Protection go?

2) Why was a 500 million dollar cap placed on this plan, so early on?

3) How can we trust that the existing KEMH site will be returned to open space and why will this belong to the BHB and not the government?

There are already lots of comments on http://www.savethegardens.com
Please be sure to take note of these.

Thank you.
Lisa Vickers
Bermudian resident
Smiths Parish

The use of the Botanical Gardens for the new Hospital should be immediately disregarded. It should NOT be an option. This land was givien to the people and government of Bermuda for safe keeping NOT for construction. Please use existing land at current site and perhaps extend as need be to the Springfield property. Why not go down 2 stories underground and up 7 stories if need be ??
Thank you.

The land was given for safe keeping and I can't think of anything much safer than a hospital. If all other reasonable options have been evaluated and this is going to save Bermuda $100m at the cost of a few trees and plants (nothing rare or endagered?), then go ahead with construction.

Any arguments that these are a 'major tourist attraction' are laughable, do people honestly believe that tourists would visit to the island to see what is little more than a small park?

Whilst it will reduce Bermudas public open space, there's still plenty of it elsehwere, e.g. the numerous beaches around the island.

Use the $100m which has been saved to go towards much needed housing.

Some of the decisions the Government of the day have made has certainly left me wondering...but this latest decision to use the one of last remaining green spaces for a new hospital is absurd and wrong. Even more interesting is the cabinet shuffle that took place recently. Obviously, (regardless of what any government spokesman might say)the shuffle was created so that there would be no opposition within the party. I can't believe that the government would think that the very people that vote them into power would stand by and allow them to destroy one of the most identifiable landmarks in Bermuda. They claim to be so smart and know what's right for us, yet they continually ignore our wishes. This is not a people's government. Now that they are in power, it's all about them and the legacy they create...at our expense. Let's look at ALL options available. Has anyone mentioned the hospitals at the old naval bases? I would think that the cost to get them operational and temporarily place the KEMH patients there would be far less than destroying the Botanical Gardens and building a new hospital. The present KEMH site is fine. This project should be stopped immediately.

Whoever is in charge of this blog should fix it so commenters e.mail addresses are NOT revealed to the public. Not only will this discourage folks from commenting but it also puts them at risk of SPAM.

You do not have to give your email address. When you click on the comment link there are boxes that can be filled in, including one for an email address. If you don't want to give it, you don't have to. Just leave it blank. Carry on following the instructions and your comments will be put up as normal.

OK - well that's good. It's misleading since the Name and E.mail Address boxes are yellow (which usually means they need to be filled in).

Cheers
L.

As President of the Bermuda Rose Society, I would like to congratulate the Garden Club of Bermuda on their full page ad in the Royal Gazette and to say that we agree whole heartedlly.

Sally Madden

I had the opportunity to attend the meeting on Saturday at the Bermuda College. I do not believe building on the gardens is the best solution for the island. The gardens are essential to the quality of air that we breathe. The $100 million that is supposed to be saved, is at what cost to our environment. Let us be realistic, will there really be a savings as this does not include the cost of converting the current KEMH site to a 'park-like' space. (This is because The Department of Works & Engineering is expected to pick up the tab.) This comes across as a case of what is easy, not what is best. It was interesting to note the absence of Government MP or at the least a representative of the Ministry of Health & Social Services.

I find it rather interesting in the comments that people are making. I am in favour of the current plan provided by my Government. As I understand, the current land used by BHB is handed over to the Botanical Gardens land purse and the land that will be used handed over to the BHB. Now looking to the future on that note, a similar switch will have to be made in the future as the new hospital will again become an ageing reality. This continuous flip-flop will no doubt benefit the Bermudian People. It is also interesting to note the persons in attendance at the Bermuda College discussion, was not a clear representation of the Bermudian People, according to the census data available this group in attendance only represents a sector of the community who are initialed, without a doubt to have a say, however, not their way. I am in support of the Government and the current plans in trying to save cost, for the savings will only pass into our pockets, the working class. For the good and benefit of all Bermudians I vote build the Hospital, a Hospital that Bermudians can be proud of.

25 Sep 2006 / 16:56

I have been to all 3 public meetings organised by the BHB recently and would like to thank the BHB, OBM and BTY so far for helping members of the public understand this incredibly important decision making process. However, it would be beneficial if members of the Cabinet could also hold public consultations. There are many questions they need to answer, which the BHB can't.

I would like to know why this new hospital is going to cost $375 BDA$/sq.ft when the examples of other BTY projects cost CDN $271/sq.ft , CDN $197/sq.ft,CDN and CDN $ 298/sq.ft. These costs equate to BDA $242/sq.ft, BDA $197/sq.ft and BDA $266/sq.ft. respectively. Why does BTY state that these examples cost more in Bermuda dollars? They have multiplied their CDN $ values by 1.67 to give the BDA $ values. Why? If they are including the extra construction costs for Bermuda here then I think they have made the mistake of taking CDN and BDA dollars to be equal when they are NOT!

Why do these hospitals in Canada cost around BDA $ 230/sq.ft but the the new hospital here will cost BDA $375/sq.ft (40% more) BEFORE adding the 21% of the total cost (the 1.67 muliplier for construction in Bermuda).

One final question - what factors were taken into account for the 1.67 multiplier for construction in Bermuda? Does this include Government duty for importing materials?

It looks to me like this new hospital shouldn't need to cost as much as 500 million/up to 1 billion!

Sir G T Smith: Please elaborate on the benefit(s) of the flip flop? It surely will not benefit any plants that are being uprooted! As for monies flowing to the people from the savings...I have seen many people 'save by spending' at their own peril...

Ms. Vickers

I believe the flip flop Mr. Smith was talking about pertains to as the new hospital becomes obsolete as the current one is they will switch back to the former site and rebuild another hospital. This process will continue to turn old hospital into open space and land into hospital.

I am currently open for the relocation of the hospital by using a portion of the Botanical Gardens. As it stands they will be giving up more acreage then they will be taking from the Botanical Gardens. Let's face it do you really want to take an opportunity cost of using the existing site to build the new hospital with your own health and the health of fellow Bermudians. Many would say that this process has been undertaken before, so why would they need a new site? Well presently the hospital and its design has become obsolete. The extensive modification which is proposed in order to serve Bermuda's need now and in the future cannot be sustained by redesigning the existing site. Not to mention the health and safety of patients and staff are at stake.

Although I hate to say this but our Beloved Botanical Gardens has not been in great shape since hurricane Fabian and has been in a decline in the recent years. Have any of you been to the gardens recently. I know I have been going since I was a child and it is not the same.

Maybe the proposal to redevelop part of the existing Botanical gardens as the new hospital and incorporating the old site to a New Botanical gardens will do both the Gardens and the hospital a much needed revamp. Because my lean is towards the present proposal, I am not however for destroying native and endemic wildlife. I am definitely for transplanting our flora and fauna where possible.

I would definitely be open minded and give considerable thought to the decision as it seems that this plan may not be detrimental to Bermudians or its open space.

The Future,

I say that T E Lister has summed up my flip-flop correctly, as this cycle can be continuous. As for the uprooting of plants I hope that the endemic flora and fauna is worked into the planning as I am confident it will be, as best as is feasible that is. I do wish to point out that I speak only of the endemic species, as these take years if not a lifetime to mature unlike most of the invasive species which do not take such periods of time.

25 Sep 2006 23:19

I would be in favour of spending the extra $100m in order to build on the current site. I fear that we will regret not spending that incremental cash years down the line when many of our open spaces have disappeared for housing.

I went to the meeting at The Bermuda College on Saturday morning to listen to the panel and the comments and questions from the gallery. By the time I had a clearer impression of just why the Botanical Gardens was being targeted for the site of the new hospital I had quite a few comments (and even more questions) but the meeting was soon over and I never had a chance to have the microphone in my hands. I was told to write my question on a card and it would be answered, but life isn’t that easy, and I really wanted everyone to know what I had to say, and to hear answers to my questions.

My opening statement is simple enough - we need a new hospital, we need it now and we don’t need to lose part of the Botanical Gardens. Don’t take the easy way out. Don’t take the cheaper route. Find a solution.

They say the loss of Botanical ‘Gardens’ will be “Less than 30%” but what about the space needed to re-build those structures razed to make room for the new hospital. They say the site of the existing hospital when demolished will be turned into gardens but it doesn’t make sense to have a hospital site cutting off one section of Gardens from the other and as was pointed out in the meeting – it is zoned such that it could be available for future development depending on Government/hospital needs. The child-like sketch of the new building in the Gardens doesn’t really reveal much in the way of detail. We were told the main entrance would be on Berry Hill Road, what about proximity to public transportation – there’s no bus route on Berry Hill Road (unless there are plans for major road widening). They want less private car use, more bus use, so keep it on-site and it’s on a great bus route which already works.

Sometimes one can be confused with too many choices, instead of figuring out all the reasons why one can’t have a hospital here, there and everywhere around the Island – stick to one exercise ... how to build the new hospital in the same area. It is even misleading to use the term “on-site” as really most of the new hospital in my vision would be along Point Finger Road.

There was an old plan for on-site development which was shown on Saturday morning (but was not shown on Thursday or Friday evening). I wanted to know how old this plan was, and it didn’t seem to include the “Springfield” property which was purchased by Government a few years ago.

One of the main reasons for not building on-site was the need for accommodation for nurses and the 103 extended care patients. By 2012 there will be a higher number, and more nurses, so let’s start with what to do with them. There are plans for building new facilities for nurses on the north side of Berry Hill (where water catch is). Why not have the lower floors for the extended care patients, and the upper floors for residence. Due to the steep hill this building will be an architectural challenge but it can be set on terraced foundations and THERE ARE ELEVATORS! Once the new hospital building is complete, you could move the extended care patients into to their new quarters and make the ground floor satellite offices or more nurses accommodation. Eventually connect this building to the new hospital building by way of a SKY WALK (across to building where parking is at moment)

Once this new building for accommodation/extended care is done on Berry Hill – demolish a huge “L” shape from current parking on south side of Berry Hill, nurses quarters, prep “Springfield” site on corner, parking area along Pt. Finger Road, demolish old KEMH, prep site on south side of entrance, and you have one very long building site with – tons of space for underground parking – and in order to accommodate many wards and departments you will have to go UP a few more floors than anticipated. It could be terraced back (as has been done with the new A.S. Cooper Building) so we don’t have a massive block staring at us. It could also be built with atriums between smaller buildings (departments would be moved in when ready), fed by one entrance (for security reasons). On Point Finger Road there will be a wide enough strip of land between road and building to allow for a lovely garden walkway from Berry Hill to the entrance to Botanical Gardens and to bus stops.

Once this new building on Point Finger Road is occupied, then you can demolish part of existing hospital and build some new extension, and then when that is occupied, demolish what is left of the existing hospital ... I believe doing it in stages can work.

I read all the weaknesses of development “on site” and after each one I just thought “deal with it”.
Measurable risks – work at reducing risks
Acquisition of Botanical Gardens – only “temporary” during construction (staging/parking)
Hospital disruption – get a good management team to ease disruption
Noise control – there has been noise for years during construction projects
Airborne Particles – more of a danger for all construction workers than hospital workers
More housekeeping needed to change air filters etc. - not a problem
Site accessibility – again, not a problem if planned well
Vibrations and need to recalibrate machinery – do what they do in earthquake zones
Time & scheduling constraints – again, need good timeline management
Ground condition – cleanup of any contamination would have to be done anyway, whether for
new building or turning into public garden space. Work around this time delay.
Unknown underground services locations – Would someone please explain to me why
this is a problem? What do they do in big cities where this must be a problem all the
time with new buildings on very old foundations.
Community – I’m sure all the residents in the area agree with an immediate start to
on-site development for a new hospital. Many buildings are already occupied on
Pt. Finger Road/Berry Hill by medical professionals (or owners are hoping to sell!)
Relocate underground utilities/build temporary buildings for services – again, work with it.

Quantitative Risk:
Increasing cost – we are going to get them anyway
Financial exposures re contamination, insurability, financial viability
these are unknown factors and I’m not an expert to comment on
Need for 3-5 acres to facilitate construction – this sounds a lot, but would be only temporary – and
would be done whether on-site or in the Gardens
Significant parking issue during construction - “temporary” parking at Botanical Gardens with shuttle.

And would someone please explain to me – how can (the current) Government have a ceiling of $500M, when recently every large construction project has, shall we say, not gone very well.

Given all the above, my comments and questions from Saturday morning, surely on-site can be done.

Regards,

Barbie Shanks

Lisa Vickers,

I think that these estimated cost increase are a simple fact of doing business on the island. Most of us who have traveled can clearly see that most if not all items imported (which is almost everything) have almost a 100% markup if not more in general. As such I feel that this markup of 61% that you are stating is a small one, as it is 39% less on average.

As for the customs issue the Government of the day, whomever it maybe, will I am sure pass special legislation to suspend duty on building materials for the hospital. However all items must be imported from the cement for the foundation to the specialized medical equipment. The cost associated with transporting these materials can not be waived by the Government, as they most pay the ship/air transporting fees not just to Bermuda but also to the docks/airports they will be collected from for transporting the items to Bermuda. This brings the cost of construction up, and I believe that it was said that they (the Government) aim to bring this in under the 500 million mark. Should this at the end of the day cost more then the planed 500 million (which I feel is being publicly over estimated) we most remember that in construction most times the job goes over budget due to some unexpected circumstance, weather/labour issues or even in this case the steel missed the boat.

Finally I would like to point out that the current Government was put in place by the majority, as any democratic society and as such are given the authority to run the country as best they can. They (the Government), are entrusted to make the best decision possible in the interest of Bermuda and its People. Everything the Government does will not meet the approval of all people or all the registered voters and if you are looking for more answers may I humbly suggest, that you request another meeting with the Minister responsible or even another public meeting as it is well within your right as a citizen to do so.

26 Sep 2006 17:28

Regarding the flip flop: I understand the reason why it is being projected but no one is stating the answer to my query as to why they consider this of BENEFIT. (I can see why it has its downside)

Suggestion to the webmaster: titles on this page need to be reformatted as it makes it appear that the prior poster wrote the message below it (e.g. T E Lister responded to Ms Vickers when they should have responded to me)

I also agree with prior comments on the email address box, it makes it appear as essential when it is not.

I do see same site construction the best solution with my health and that of my fellow residents in mind.

The Future,

The benefits that you are asking for are simple as I see it and that is safety for all employees of both construction company and hospital and also for its patients.

I have a question to you, what is the benefit of building in the same place (on site)? As you say it the best way for your “fellow residents”, which do not include me and others I am sure do not fit in this group of yours. Please enlighten me, as all I see are the added cost and possible issues caused while the current site is being transformed. I would also like to know what happens in the event of some kind of major emergency, airplane crash or other catastrophe natural or man made, how would a crippled hospital (being under construction) handle this situation, when under normal circumstances this same hospital would struggle to handle the massive influx today, yet I am confident the staff will just make it happen under either or these circumstances. Why put the unnecessary stress and pressure on these individuals, when it can be avoided. The reason I ask this, although no one wishes these types of events to occur, are possible and must be planed for, if they were not planed for the first thing citizens would utter, is that Government should have know better.

I read in today’s paper that people are willing to pay $5 per week for ten years. This sounds great such a little price, now let me show the truth. Ask that same individual who makes $15 per hour or less, assuming this is about the average hourly wage of the average working person in Bermuda, to work 20 minutes every week for the next 10 years just to pay for the difference in cost of building on site. This works out to just about 2 ½ days per year and 24 days over the 10 years. Now ask, ‘do you want to work for 24 days, more then even starting Government Employees get for vacation (19 days), to work, for a month, without collecting a paycheck’ as what has been earned will all go to the hospital. What answer do you think most would say? I think and I will say “No Way!” However, for those who are so opposed to this and are whiling to pay for this difference I suggest that you all come together and put your money where you mouth is, and raise not speculate what can be raised, but to raise the 100 million yourselves. This will show your unwavering support against this decision and I am sure Government will not only listen to what you have to say, but will react to your clear statement when you hand over a cheque for 100 million dollars, to cover the difference. I myself may even change my opinion on your stance however; I will not donate any funding for your efforts.

27 Sep 2006 23:12

Why have we not considered more health care delivery in the community rather than centralising it all in one site. I guess its the old prevention versus treatement debate. For example, why do we have 130 seniors being cared for in a ward. We should be striving to offer them care and independence as long as possible in their own home thay they love. What about improved satellite treatment centres/health centres in the East and West Ends?

Also, with the advances in telemedicine why do we not have plans to exploit robotic surgery. THe US army does it, remote diagnostics is carried out on oil rigs and in mountain communities, such as the Alps.

We have some relationships with the great hospitals of the East Coast Cities, so why not leverage that more through telemedicine? We seem to be rebuilding a design of hospital treatment that is 40 years old.

The $500m should be linked to health prevention budgets too. Its not just about treatment

Nigel,
The govt. consultants made it known that 80% of all projects of this type are built on the same site. And if proper steps are taken, safety is a non-factor in this decision. As I detailed elsewhere on this blog, a fully functional wing for the most critical area to be upgraded should be built. Then that area is completely shutdown. Hence only construction workers will be on a given floor and dust etc to operational areas is eliminated. The hospital staff, its patients and visitors will be as safe as they I say this not because its something I made up - it is what is done in other jurisdications. They safety factor being talked of is from misguidance not reality.
My initial commentary was made solely based on all the talk of the factors as to why the same site was not feasible when from an engineering perspective it is.

I am not saying I am for or against the Botanical Gardens site but if we did use the same site obviosly there is the benefit of maintaining Bermuda's rapidly shrinking open space.


I am not sure where you are going with the fellow residents comment but quite contrary to you assertion that you do not fit into this group my comment was an expansion of you earlier "flip-flop will no doubt benefit the Bermudian People". In other words the final solution should benefit everyone who resides in Bermuda - regardless as to their citizenship. (And yes I am Bermudian by the way.)

As per my delineation above and elsewhere, the "crippling" of the hospital is a moot point if the proper and normal steps are taken. At no time will there be anything less than a fully functional hospital with the added benefit that the most critical area in need will be addressed first and but up and running sooner than waiting for the entire building on a separate site.

Incidentally, why are we in a position that we have time critical areas yet are years away from a solution...hint: its called lack of maintenance combined with poor planning.
And what is being changed to prevent this from happenning at our new facility so we permanently eliminate fiascos like these?

As for the additional $100 million cost, I remain unconvinced that these figures are accurate but I am open to see how these numbers were derived. There would be a longer lead time on same site but this also eases the burden of payments of say 8-10 years and keeps construction jobs sustained for locals longer (rather than boom - bust).

So safety, time, feasibility, contigencies are all dismissed as concerns. In the end these questions remain for me:

1. Are we willing to spend the extra monies to build on the same site or not?
2. What will we do differently to maintain such a massive investment I.e. who will be responsible?
3. What are we going to do differently to preserve the health of Bermuda residents? Devolver is right, caring for the sick is expense we all have to foot. I say raise import duties dramatically (double them)on known killers: alcohol, all smoking products and junk foods including soda and sugar. Use the increased income to fund health care facilities that the consumer WILL need sooner or later. (If you put fuel with excessive sludge into your car, why questions if it will fail?) If the taxes discourages use, even better.

One of the reasons these questions are so important is the easiest money to spend is other people's money. And half a billion dollars is being talked about as if it were pocket change. This money will come out of our pockets yet we have little say in the matter. So the folks you mention can say "no way" all they want, they will pay in the end.

The Future,

First I would like to thank you for your enlightening view. In reference to your onsite building I agree that this can happen and does happen in many places around the world. I do not wish to see a hospital that is put together ‘chuck a block’. What I mean by that is this; to build onsite the first thing that will be needed is somewhere to build a new wing/section and lets say we use the parking lot anyone the south, west or north one once that is done we will then move on to the next wing/section sounds great. I am not including the issue of space to store the materials to build although this is a major part. The way I see it is that the problem with the old hospital is just that it is an aged/old building and although I see this as a historic building I know that sometimes they must just be let go. When the current hospital was built it was not the size it is today and it was build with little foresight, I would say, yet piece by piece a wing/section has been added which has been working well all this time for the most part. Yet in those days Governments and Citizens for the most part, not all, did not think that far into the future so they done the best they could with the information available and social mind sets at that time and this is true with many issues being faced world wide today. I see a new hospital that is planned to facilitate future growth, as our population continues to grow. A hospital able to facilitate modern technology and built with the future in mind.

I agree with you that all persons who reside in Bermuda should benefit, I was specifically making the point that the Government is ultimately responsible to it citizens and their interest and not implying in anyway of your citizenship status.

As for your questions:
1) I am not prepared to spend more to build on the same site and I would say that currently, which may change, the Government is of the same frame of mind.
2) The maintenance I believe will remain the responsibility of the BHB with grants and support from the Government and other entities similar to the financial support the hospital currently receives.
3) As for this catch all number three, I only hope that the community moves to support a more preventive stance as oppose to a reactive stance when it comes to health and medical concerns. I agree that substances that have been proven to cause medical concerns like the smoking products you speak of, have higher taxes (however in a society such as ours, this may not be an option at this time as it could have adverse affects). I would hope that rewards, of some kind any kind, be given by insurance companies for individuals that do not even claim 1% of their yearly premiums paid, this may encourage people to positively look after their health or it may have a negative affect, people wanting the reward and just not going to receive medical assistance when the need it. Maybe we can get more health insurance providers to cover preventive medicine as a reward, as oppose to the system currently in place, but that is another topic.

At the end of the day we all will have to pay, like you said, for the new hospital. It will continue to be my hope that the Government makes the best decision, not just in response to people of today but decide thinking of the people of tomorrow.

04 Oct 2006 23:42

I am with you for the most part. I don't see any evidence that building structure makes it untenable as a long term solution. There has been a lot of people saying so but where is the evidence? If there is evidence of that then I would agree.

Also, regarding the maintenance of the new facility, you have addressed what would stay the same but my query is on what are we going to change (I.e. to improve longevity of the facility)?

Please note that there are lots of comments written about this issue here on the petition:

I think that the Botanical Gardens Debate has been going on for to long and I have to say that I think it is sooooo stupid. I see why we need this new hospital, but we are ruinig the one bit of well preserved land we have left.

When I one day have kids I want them to be able to sit under a tree or be able to go to the Ag Show, I love the Ag Show and so do many other kids and adults for that matter.

I don't want myself or anybody else for that matter to grow up in a society where all it is concrete. No Grass or flowers. Plus where would the animals go. The Botanical gardens is very good with the enviroment.

I want to just know what is going to happe and get it over with. I just want to know if I am going to be disapointed or happy. Please dont knock down that one little piece of our society left.

From a Student.....Age 13

keep this great garden dont destroy what space we have left here.

Suggested Solutions regarding Traffic:

Color Coding of vehicles:
1. All ODD plate numbers going to Hamilton can only use their cars from 9:30 am to 4:00 pm Mondays and Thursdays.

2. All EVEN plate numbers going to Hamilton can only use their cars from 9:30 am to 4:00 pm Tuesdays and Fridays.

3. Thursdays- All vehicles can use their cars.

4. Truck Ban- all trucks regardless of size & weight, it is ban for them to travel to Hamilton from 7:00 am to 9:30 am.

These are all tested schemes to minimize traffic.

Hope you can try it and see what happens.


I wrote the comment for thursday OCtober 12th not oct 15th somting is wrong with this system
It was actwally writenon October 15 not OCtober 12th.......WHAT IS UP WITH THIS SYSTEM>>>>>AGAIN.

what the heck is up with this system lady in red...i dont think so/.....
a student

My english is very bad...I support the beautiful garden for the next generations and hope that Bermudas will be not a desert on the future..the hospital it may to build on other place

Charles armas
VENEZUELA

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