>> being a pedestrian in san francisco is not easy for

anybody. >> [inaudible] people push tables and chairs outside the sidewalk. >> i have to be careful not to walk the sidewalk. it is very hard. >> sometimes people get half way across the intersection. >> you have to be alert because there is always something coming up that you need to know about. >> i learned to listen to the traffic patterns. sometimes i notice the other pedestrians, they are crossing, on occasion, i have decided i'm

going to cross, too. i get to the middle of the intersection, and i find out that the light has changed. >> we need to be able to work and go from one place to the other and have public transportation. the world needs to be open. >> people on disability has the task of addressing all the disability. when we are talk about the sidewalks, ramps, we have very specific issues. for people blind and low vision, we have the issue of knowing where they are and when the cross. it can be hit or miss. >> at hulk and grove, that

sound the the automatic -- it helps people cross the street safely. >> now we have a successful pedestrian signal. >> i push the button, i get an audible message letting me know that i need to wait. when it is safe to cross, not only am i going to get an audible indicator, this button is going to vibrate. so it tells me it is safe. there is the driller sound and this trigger is vibrating. i am not relying on anything but the actual light change, the light cycle built into it.

>> it brings san francisco from one of the major cities in the u.s. to what is going to be the lead city in the country. >> city working on all sorts of things. we are trying to be new and innovative and go beyond the ada says and make life more successful for people. >> disability rights movement, the city has the overall legal obligation to manage and

maintain the accessibility and right of way. with regards to the curb ramps, bounded by a groove border, 12-inch wide border. for people with low vision to get the same information. the shape of the domes, flush transition between the bolt bottom of the ramp and gutter. >> we have a beveled transition on the change in level, tape on the surfaces, temporary asphalt to fill in level changes, flush transition to temporary wood platform and ramp down into the street under the scaffoldinging.

detectable ramps. they are all detectable. nothing down below or protruding that people are going to get snagged up on. smooth clean that nobody is going get caught up on. >> our no. 1 issue is what we see here, the uplifting and shreufting to concrete due too street tree roots. here is another problem we have with street trees. if i have i was a person blind, this would be an uncomfortable way to find out. >> we don't want to create

hazards. >> sometimes vendors put sidewalk cafes where people push the chairs too far out. >> sometimes it can be impassable. so much foot traffic that there is no room for a wheelchair or walker to go by. >> san francisco is a lively street life, it can be an issue with people with visual disabilities as well. they have these diverting barriers on other side of this tables and chairs area. if people can find thraeur way around it without getting tangled up, it is still fully accessible. >> we don't want anything special. we want people to basically

adhere to the regulations and laws as they are on the books now. people can also, just be cognizant if they have stuff on the street, they thaoed to have 48 inches so we can pass, think outside your own spectrum of yourself that there are other people you need to share the sidewalk with. we will all get along better. >> although san francisco is a hilly place for a whraoel chair user, we seem to be better at most. that doesn't mean we can't continue to improve upon ourselves. >> the public has a clear are -- of travel. we can't be every to make sure

that is the place. we have to rely on the place. call 311. give them your name. that goes into a data base. >> it is difficult, still, um to make the case that the disabled community isn't being represented. in some ways we are not. we have a long way to go. >> the city of san francisco is using the most innovative technology available. these devices allow people to remain out in their communities, doing things like shopping. it is great to be able to walk as a pedestrian in this city and cross streets safely.

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast health centers are health

centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months. group prenatal care is designed

to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic. one thing i learn from our

clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes.

maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you are not alone in dealing with

this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the age of 60 until 2020.

. >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum