Charleston Mayor William Cogswell addressed residents on Wednesday night during a public meeting, discussing the proposed district overlay zone that would allow MUSC (Medical University of South Carolina) to build a state-of-the-art cancer research and care center on its downtown campus.
The project has received support from MUSC and city leaders, but it has also raised important concerns from local residents—particularly about stormwater management and building height in a flood-prone area.
MUSC Envisions World-Class Cancer Care Facility
MUSC President Dr. David Cole shared the long-term vision of the project, comparing it to globally respected institutions like the Cleveland Clinic and MD Anderson Cancer Center.
“Our vision is that this would be best in class,” Cole said.
“This is an investment for the future—to meet the rising cancer care needs of South Carolina’s growing and aging population.”
Dr. Cole added that in the next 15 to 20 years, cancer rates and care demands in downtown Charleston are expected to increase by 30–40%, making this facility a forward-thinking necessity.
Residents Raise Flooding and Construction Concerns
Despite the potential benefits, residents living near the proposed construction site expressed worries about how the project will impact flood-prone areas.
Many attendees wanted clear answers on how much stormwater the facility would be able to manage and how it would affect the surrounding neighbourhoods during heavy rainfall.
Mayor Cogswell Addresses Concerns Directly
Mayor Cogswell assured residents that stormwater control is a priority and that the project is not only focused on healthcare but also on improving infrastructure.
“This is part of a solution,” Cogswell said.
“MUSC is prepared to bring in a lot of money, which will allow for significant improvements to their campus—including stormwater infrastructure. This will be coupled with the city’s own investments.”
What’s Next in the Approval Process
The project’s next key steps are:
Sept. 17: Charleston Planning Commission will review the latest proposal update.
Sept. 23: City Council will hold the first reading and public comment session.
Residents are encouraged to attend and voice their opinions as the project moves forward.
