Hospitals are carbon bombs. Some are trying to change

From: POLITICO's The Long Game - Tuesday Jun 06,2023 04:03 pm
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By Debra Kahn

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THE BIG IDEA

The rooftop farm on top of Boston Medical Center's power plant.

Boston Medical Center has a rooftop farm on top of its power plant. | Boston Medical Center

A MORE HOSPITABLE CLIMATE — The University of California San Diego is switching its anesthesia delivery system from leaky pipes to tanks and canisters.

It's no laughing matter: Nitrous oxide is an extremely potent greenhouse gas that can linger in the atmosphere for 114 years.

Hospitals around the country are taking steps to be more sustainable, Joanne Kenen reports: Medical centers in Vermont and Boston are growing vegetables in rooftop gardens; Seattle Children’s Hospital is planting conifers in greenery-starved low-income neighborhoods. To save water in drought-prone Los Angeles, a UCLA plastic surgeon suggested timers for operating room sinks.

The health care sector and its supply chain are responsible for 8.5 percent of U.S. emissions of greenhouse gases including carbon dioxide, methane and ozone — an outsized impact compared with the rest of the world. (Globally, health care systems contribute roughly 4.6 percent of total greenhouse gas emissions.)

“When you really dig into it, we find that we are typically the biggest energy user, the biggest water user and the biggest waste producer in a community,” said Barbara Hamilton, UC San Diego's health sustainability officer.

The Biden administration is corralling hospitals' sustainability efforts through the Department of Health and Human Services. About 116 health organizations representing 872 hospitals have signed onto its climate pledge, which combined with the federal health systems covers about 15 percent of U.S. hospitals.

The pledge is voluntary, but hospital sustainability experts insist it’s not the usual feel-good exercise. Signatories commit to specific actions and must publicly report progress toward cutting emissions by 50 percent by 2030 and cutting net emissions by 100 percent by 2050.

“It’s been a catalyst,” said Sarah Brockhaus, the sustainability programs manager of UCLA Health.

There’s also a trickle-down effect in terms of knowledge and experience, she said, for smaller hospitals and those with fewer resources than a place like UCLA.

Lots is happening, but it's unclear whether any of it will be enough.

Chisara Ehiemere, a leading researcher at NYU Stern Center on Sustainable Business, says the early adopters are on their way, but the pandemic has stalled broader efforts.

For health systems that didn't start pre-pandemic and now are dealing with nursing shortages and slim margins, the data will need to show clear return on investment for green initiatives.

“It’s really hard sometimes for hospitals to make the business case for doing this," she said.

 

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WASHINGTON WATCH

SHEIN STAFFS UP — Shein, the world’s largest online fashion retailer, is out to change its negative reputation in Washington. It's hiring D.C. lobbyists and going on the offensive against charges that it uses forced labor, Gavin Bade reports.

The new lobbying effort underscores how geopolitical tensions are squeezing Chinese companies that rely on markets in the West, where they face rising scrutiny from both governments and consumers.

Shein, specifically, is under the microscope for its alleged reliance on supply chains that run through China’s Xinjiang region, the site of widespread human rights abuses against the Uyghur minority. The U.S. enacted a ban on imports from the region in 2021.

Lawmakers are skeptical of the company's claims that only 2.1 percent of its cotton was found to be sourced from the northwest Chinese region or other “unapproved” places.

“I’m not sure that mostly-not-made-with-slave-labor is a good advertisement,” said Rep. Mike Gallagher (R-Wis.), chair of the House Select Committee on China, which has opened an investigation into Shein and other suspected trade cheats.

 

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Sustainable Finance

ESG THROUGH THE AGES — Going by the headlines, the right-wing revolt against investing guided by environmental, social and governance concerns is just conservatives pushing back against a newfangled concept on the left.

But the idea that virtue has a market value has been a part of capitalism for hundreds of years, writes Jacob Soll, a history and accounting professor at the University of Southern California.

In the 13th century, Saint Francis of Assisi and the Scholastic thinkers believed that all profit had to be measured with the concept of the “just price” — exchanges had to be mutually beneficial and no one could take an unfair profit from others. Dutch Humanists argued in the 15th century that finance should take account of morality.

And Florida Gov. Ron DeSantis (R) may oppose ESG investments, but he supports the U.S. investment embargo against Cuba, a six-decade-long moral stand against an authoritarian government.

"In the end, ESG is just another name for moral considerations in capitalism," Soll writes. "The left may think that’s an oxymoron and the right may see a woke conspiracy, but it’s a notion that has existed since the rise of capitalism in medieval Italy and which has been central to America since its founding."

 

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Movers and Shakers

Sangeet Nepal has joined the Carbon Capture Coalition as a carbon removal and reuse specialist, Caitlin Oprysko reports. He previously was a grad student at Indiana University Bloomington and was co-founder and COO of a consulting firm focused on air, waste, mobility and livelihood solutions.

Nancy Young is now chief sustainability officer at chemical and biofuels company Gevo, Caitlin also reports. She previously was chief sustainability officer at Alder Fuels.

 

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YOU TELL US

GAME ON — Welcome to the Long Game, where we tell you about the latest on efforts to shape our future. We deliver data-driven storytelling, compelling interviews with industry and political leaders, and news Tuesday through Friday to keep you in the loop on sustainability.

Team Sustainability is editor Greg Mott, deputy editor Debra Kahn and reporters Jordan Wolman and Allison Prang. Reach us all at gmott@politico.com, dkahn@politico.com, jwolman@politico.com and aprang@politico.com.

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WHAT WE'RE CLICKING

— One of Germany's wealthiest states is blacklisting U.S. Treasuries, faulting America's failure to adopt some key sustainability policies. Bloomberg has details.

Japan is revising its decarbonization strategy, pledging $107 billion to boost hydrogen energy supply chains, the Associated Press reports

Scathing criticism of electric vehicles by comedian Rowan Atkinson, better known as Mr. Bean, has drawn a response in the Washington Post.

 

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