Even Senator Vitter thinks the UMC and State of Louisiana are acting imprudently by continuing to push forward with the proposed UMC hospital without adequate financing.

From NOLA.com:

In his letter, Vitter advocates first for gutting Charity Hospital down to its frame and limestone shell, then building anew within the old structure. That's the same option that historic preservation groups and several advocates for the poor have pushed since Hurricane Katrina. The second option, Vitter said, is to build a new hospital with a lower bed count and smaller footprint.

Text of the letter attached