good morning and welcome to mosaic, i'm rabi eric weis and honored to be your speaker this morning. we are facing important issues on how to live our lives and how we would like to die. we would like to invite into the wonderful conversation with kelly deer man who is the executive director of in home services direct for authority and rachel love lock and engage am director for an important project called reimagine. thank you so much kelly and rachel. >> thank you.

>> thank you, happy to be here. >> rachel let's jump in and talk about what reimagine is. >> it quite an exciting thick. a week-long series of events happening in the city. city-wide across all consult user. what it is an -- cull tours -- cultures. what it is an visitation to check out speer rat wal life tone gauge everyone addition spiritual life to engage everyone -- high of to engage everyone in a spirit wal. are you prepared for end of life. >> does your -- do your loved once know what your wishes are?

the other is wonder. shouldn't be it -- it be easy and ready to talk about. >> the city is proud to be partnership with reimagined end of life and part of our work -- my work with the paltive care -- palliative care work, the city wanted to include #6r person who lives in the city regardless of income status, regardless of culture, let's everyone come and talk because we all know we will reach our end and what do we want it to look like. >> i should say i'm a bart of the palliative care work group with the city and county of the aging people of san francisco. this is a city and county specific project. and i'm wondering if you can

talk a little bit where else this is happening and how it has come to san francisco so people know it's not just a sitting county have san francisco, it is something that is part of a larger vision zoot way it started through open requested. -- vision. >> actually the way it started was through an open vision. in 2016 we had an event and many events that had thousands of people. out of that came the nonprofit reimagined. it is start energy san francisco with this conversation and will go nationwide. in october there will be an event, a similar event in new york and also cincinnati. the intention to spark the conversation with cross the country. >> the word 'reimagine' in some ways people say, oh, finally

wonderful. other people will say, it's quite proceed vauktive and -- provacative and others say, wael, what? i think talking about it it is quite poet yent. >> everyone sees it a different way. reimagine what? what are we talking about? what do the events look like? what am i trying to say it brings back the three principals of the wonder, preparation, en dire rans. >> what might the end look like it and how will i prepare for it? >> kelly and rachel we will take a quick break and come back in just a moment to continue the conversation on

mosaic.

good morning and welcome back to mosaic i'm rabbi eric weis we're in the middle of a wonderful conversation about ways we would like to live and ways we would like to die, ways we would like to face our last breath. it is part of a particular

program the week of april 22 to 26th which is called reimagined. we would like to introduce you to rachel love ll and kelly deer man who was the director of san francisco in home support services and public authority. welcome. >> glad to be here. >> we all know we access information differently and because it's a city-wide effort it's important to pay attention to ways people might engage this issue literally in face- to-face information or on the intent. i know there is a new unique campaign and also a video to show folks. >> the mta video campaign is on the inside and outside of buses. >> what should people pay attention to? what will be the signs on the buses? >> the signs are actually along the three key themes we mentioned which is wonder,

preparation and remembrance and they are proceed vauktive questions. why is -- provacative questions, what should i be thinking about, how should i be remembered? how should others remember? >> set up the video. >> absolutely. the video is one minute long and it is a series of clips that took place in 2016 and gives people an idea of the variety of ways we can approach the i understand of life creatively. >> let's -- we can approach the end of life creatively. >> let's take a look. >> can death be funny? i hope so because it is a comedy show. >> some people say hearing is the last sense to go when we die? so what is the last sound i get to hear at the end of my life?

is it like this? (paren elevator noise ). >> we talk a lot in medicine about high man nights the patient but i think it's also important to human nights the physician. >> we have to reimagine how to live fully as mortal beings. death teaches us a lot about life if we let it. in the face of death, the best orientation is indeed to be joyful. >> fantastic. the week of april 16 to 22. so what are some of the events that are going to be hoopening during that reimagine week and how do people find out about them? >> well, there are a lot of events, and variety. the west -- best way to find out is website, www dot reimagine.org and there is a phone number which is published

so people can call in if they don't have a computer or are more comfortable having a conference about it. >> there's a variety of events. interestingly, the first day is national healthcare decisions day and the last day is earth day so we are having a remembrance ceremony for the environment on earth day. we are having an environment called bridge, which has people who are octoginarians telling us about their life, everything from theater to panels to work shops. quite a variety. >> when you use the words ticket a lot of people think if there's ticket there's a cost to the event, can you kind of explain the tickets. >> sure, many if not most events are free and open to the public.

everything is ticketed because there are only a certain amount of spaces available and we do that so people get a seat when they show up. most are $25 are less. many producing the events with the cost or wanting to -- opting to give tickets to the community. >> wonderful. kelly, i know people sometimes wonder why is the conversation even important. >> right. >> and i think some of that is connected to what people in the trenches see. >> right. >> among the people they serve. i'm wondering if you can talk about that from your perspective and from your advantage point. >> i think it's really important for people with chronic conditions or caregivers so we have this conversation so we don't end up in the er in crisis and no one ever talked what do we do now?

let's open it and think about what it will be like in the hospital, do i want to be there? it's because i want to be there not because of whoever is looking after me. i think it's an opportunity for people to look deeper and think about what matters most to me. >> from my own experience as an rab about -- rabbi and i work at the bay area jewish healing center, there are lots of way people come to that conversation and situation that is private and templative, i think often times you are deeper inside when you are reading a book or journalling or seeing an arts production at the symphony or being at the opera, these are things that stimulate you when in a place

of deeper reflection. ierm wondering how that's taking place. i know the reimagine week involves so many things, not just workshops on the topic. ways in which people want to explore it differently. >> all right. . >> as i was saying there are thee at tri cal experiences for example there's an organization called playbook theater and they work with the audience and take those experiences and play them back imprisional way and they play it back to the audience and people take away from it differently. that's one example. >> that's wonderful. we're going to take a quick break and come back in just a moment to mosaic.

[ laughing ]. good morning and welcome back to mosaic. we're in the middle of conversation about the week of april 16 to 22 and i would like to reintroduce you to rachel lovett and kelly deer man who is the executive director of san francisco in home public services. welcome back. >> thank you, thank you. >> we've been talking about the y and reimagine and a little bit of a what. because it is a deeply engagement on so some different levels. i wonder if you can talk a little bit more the ways in which the city and county are officially involved. i know they are planning particular workshops they are interested in as well as the faith community called a particular initiative called faith sabbath. let us know about the two projection.

>> the idea around conversation sabbath is to engage conversation about the end of life and the in particular the end of it. we are asking faith communities across the city to participate in preaching from the pull pit on the weekend, you know the sab bath prior to the beginning of reimagine week, that would be the 13th, 14th, and 15th and also hold an education session during the week to help con gre gants start the conversation around life. we have 15 congregations participating and we're hoping for a few more. it will be listed on the website and we're looking across face. we're very excited about that. derek across faiths and we're very excited about that. various community agencies and libraries are also hosting them and the idea is for people to have the opportunity enter

generation ale to think about what are the -- intergenerationally to think about. what are the things i want people to know so everyone is clear what people' wishes are and healthcare directives, et cetera which people need help understanding and, kelly, if you want -- >> i would add those conversations it's not about where is my -- it could be but where is my money and where is my furniture going. that's not really what it is. it is how would you like to be remembered and what would you like to see during your last days and how to imagine your chronic pain and illness and i want to be clear there are events happening across the city. there will be events in western edition and china town and bay

view. this is not a sing larl focused -- singularly focused event in one space, it is really an opportunity to reach everyone across the city and there are so many events happening i'm sure you can find an event that will suit your needs and we want to encourage people to participate in the conversation. >> i think it might be important to say though this is an initiative that is rooted or originates in the seated county of san francisco, we have such a huge influx monday through friday of folks who work in san francisco the city stwoels a couple million when the city in reality are less than a million. these events are open to everyone, whether they live in san francisco or not and they there to take advantage for people as they wish. >> absolutely. >> it's interesting i have kind of a question i want to ask you

about because it's kind of occurring to me in the moment, a lot of the conversations happen more privately, might be during a commercial break when you're looking at a tv set and you say i saw this interesting question on an ad and it was whatever it is and what do you think and somebody a conversation over the dinner table or on the walk or in the bus with somebody so i think the stimulation is intended to have conversations not just in a former way at one of the events but to use the events to engage on much more deeply on different levels whether with your doctor or attorney or faith leader, any mom, a pastor and also the people that you love. the people that are close to you. >> exactly. i also just to add thinking about the population that i work with, with the public authority, you know there are a lot of -- there are 20 some odd thousand caregivers out there who are working with --

working with residents of the city and caregivers often times, because they spend so much time with the -- with folks, have a better understanding of where people are. this is also an opportunity for care gooifrs to be able to say, hey, how can i bring the conversation to the rest of your family or encourage them to talk about it. so it really is stimulating all those conversations. >> you know i think a little bit of the opposite which is how does somebody, say an adult child, who has a caregiver taking care of their elderly parent going off to work at the end of the day, how does that person en dwaj the caregiver? -- engage the caregiver? him or herself to be part of the conversation. >> i totally agree with you it goes both ways but there has to be an opening. hopefully through the ads and all the conversations people will start to think here's a

way to do it. >> we'll take a quick break and continue the conversation here in owe displayic. -- here on mosaic.

reimagine the end of life is a week dedicated april 16 through 22 knowed. you can get more information by

calling 415-329-6911 or go to their website at web let's reimagine.org. welcome back we're about to conclude a conversation and a comment in the conversation about important issues of how to live our life and what we want as we come to our last breath. welcome back kelly deer man who is the director of san francisco in-house support services public authority and the community engagement manager rachel lovett. welcome back. >> thank you. >> thank you. >> it's kind of a big question but why do you think our culture or society or here we like to think on the aggressive progression in the bay area find the approach to

reaching our last breath so big and unimaginable. what's the work on the human level on how we are as human beings. >> i think there's a number of things. every culture approaches life differently. for many consult user to speak about it is for it to happen. so you don't speak about it and then when it happens, you're in crisis because you don't know what other people' wishes are. here in america -- a huge amount of population is aging. in the next couple of the years 25% of the u.s. population will be 65 or older. there are more and more people -- and people are living longer so there are more and more people thinking about end of life and what end of life will look like both young and old. because younger people are getting to experience older people longer and they are wondering what is that journey. we have such great technology

there's an opportunity to make decisions on how the end of life can happen and so much more interesting in varying types of end of life experiences. >> and i think as a city who's aging population is growing rapidly, we need to think about what are policies we need to put in place to ensure that we are appropriately -- appropriately addressing the needs so that, perhaps, we need to have a larger conversation about palliative care, it is not just hospice care, it is managing chronic pain and chronic conditions. how do we address people who want to stay at home and live at home and die at home? how can we make that more acceptable and part of the commonplace as opposed to, wait, what are you doing? you have to go to the hospital? i think through us we need to start changing the conversation and elevate it so it's something we talk about it all

the time and it's not odd. >> also we live in part of the country where we would like to think of the aging population as the beginning -- are the baby boomers are the zap population and baby boomers like to think of themselves as the group that cracked issues around race or cracked issues around protesting the vietnam war being a core example. severed cracked other areas around music and drug use and all sorts of other things like that. so in some ways i wonder if it seems natural this would come about. >> yes serve as this generation is actually aging and influence the demand for how we understand this part of life and death. >> i think that's totally right. when it comes to shaping the policies because we have an aging population, then let's work on how can we make them part of the conversation as opposed to not. kelly and rachel thank you for being here to talk about

reimagine, it is week of april 16 to 22. please go on the website to participate in the conversation the week of april 16 through 22 and beyond. thank you so much for being here at mosaic.

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