1. Split it up. Create a Department of the Environment and a Department of Health. Splitting the agency would allow policymakers to gain better expertise on specific issues. As it stands, the seven-member DHEC board makes policy and reviews staff permit decisions on issues ranging from certificates of need for hospitals and licenses for residential care homes to discharge permits for water and air pollution.
2. Create a separate coastal agency. A separate agency would provide an independent voice for the coast. That’s where the bulk of new people are moving, and that’s where ecosystems often are the most fragile. Before the S.C. Coastal Council was absorbed into DHEC in 1994, the council had its own board that heard permit recommendations from the staff.
3. Make DHEC, or independent health and environment agencies, part of the governor’s cabinet. This would give the governor more direct control over state environmental and health policy and provide more accountability to the public. As it stands, DHEC’s board is appointed by the governor, but he has no direct control over its actions, including the board’s choice for commissioner.
