it will make it difficult for the underserved to get their health care. the next concern is the stopping of the spreading of infectious diseases. these people will have to travel further on public transportation and this will expose more people to infectious diseases and may increase the use of ambulance services. the behavioral health care, they are already decrease in the beds at st. luke's and davies campus and there is also a plan for the pacific campus to decrease the number of the beds. also to raise healthy children,

the california campus has one of the only pediatric emergency rooms in the city and that would be closed down. also to have improved health and access for people with disabilities. by eliminating debts and hospitals and to where this is underserved and eliminating the california medical center, this will be more to the call for patients to get to the hospital. they are also eliminating the subacute and acute rehab services and they're also removing dialysis.

another goal on the list is to eliminate health disparities. i think that this will only increase the disparities of health care in san francisco and put a burden on the lower income people to try to get access to health care. thank you. >> thank you.

buckham >> . -- >> . -- >> our future depends on cathedral hill. we need to hospitals that are safe for our community. we need to support to make this happen. if they are not allowed to build the hospital, the majority of the medical facility will be forced to close. we will lose access to health care. we are proud to announce that after 21 months of bargaining, we won a new contract of unprecedented job security.

job training, job protection for seven years, job protection has been guaranteed well beyond a life of the contract. we need you to stand with us. we support to the project because this will improve safety and this will double the number of earthquake-safe beds in the city. san francisco only has 600 of the 1000 that are required. our new hospital will incorporate the medical advancements, shorten overall hospital stays and increase access for patients with disabilities.

this will also centralized sites at the davies and cathedral hill campuses. the services will also be expanded. this includes a 25% increase in overall capacity and the number of staff to dense throughout the center. cpmc has committed to charity care and will increase their support for metical patience. this will also give access for the underserved mission,

tenderloin, and western addition neighborhoods. those will help the local economy. >> thank you. kosh >> good afternoon, commissioners. i will continue. this will serve as an economic stimulus for the city creating new jobs and 6500 health care jobs and encourage new business. the plan would be paid for

entirely through private funds and require no public financing. most of the medical center will be forced to close in 2015 without improvement. the resulting loss of jobs and access to quality health care would be devastating. we urge you to join us in making to make a plan to rebuild this a reality. our jobs and community rely on this. and thank you. >> thank you. >> hello, commissioners. i appreciate that. it teaches people for you today. i am the manager for the north

of tenderloin benefit district. the proposed development is something that has concerned residents of the central city for several years and that good neighbor coalition formed in order to address these concerns directly. we began our work by surveying over 700 residents in five languages to spoke loud and clear about their priorities and concerns. they express the four major areas of concern -- access to quality health care, increased opportunities for affordable housing, local economic development, the privatization of education opportunities and economic opportunities. when the master plan was presented, the development was declared to be a tremendous opportunity and resources for

the tenderloin. we were disappointed and offended that they ignored the impact of the development upon the tenderloin. seeing difficult to see how they make claims and then deny that they have any impact. the good neighbor coalition surprised to find that they are a sin to be granted a complete exemption from the special use district requirements. assuming that this makes the draft sufficient for, this is a wonderful opportunity for cpmc to come to a legally binding resolution that reflects the concerns of the committee but we cannot engage in these

discussions if this environmental impact report does not validate our acknowledge that our community exists. >> if you have spoken, please leave the room. thank you. >> good afternoon, commissioners. i am part of the good neighbor coalition and part of the community housing partnership.

i would like to reach out to deal with regards to the good neighbor coalition which is focused on maximizing the local slashbin hospitals. this is also one of the policy studies in the area particularly in the existing local hiring. all the people living in the tenderloin. hopefully, they will pay attention to what i'm saying. i think you. thank you -- thank you. >> thank you.

>> we are presenting a good neighbor coalition. we are coalition of residence. i am here to talk about the housing issue with regards to the tenderloin neighborhood. the draft is deficient in terms of addressing the housing issue. there is no mention of the van ness area plan. this is almost forgotten after that. we would like to see this addressed. this project would represent a huge introduction of corporate

dollars into our neighborhood and that will significantly alter our community. the impact of the number of jobs that would be brought in to the community on housing, that alone will force a community that is marginal and already at risk of displacement. we are really asking the commission to take a close look at the area plan and we would like this to be drafted. as community organizers and members, we have been doing a lot of outreach and education to see how our community feels. people were curious why this has been ignored.

our community is a very closely watching the situation to see what kind of enforcement will be brought to some already existing lines to see if the developer will not have to follow the law. weakening to ask the planning commission to make sure that this area it is in force and that the housing requirement is as well. thank you. >> thank you. >> i am the director of the city collaborative. i wanted to give you a copy of the little saigon can traffic study said that you can read to this. we take issue with two parts of

the draft. in terms of the way that this assesses traffic flow and the impact that this will have within the tenderloin area. the systems that those coming will take the van ness to reach the facility and they project a big traffic impact. the reality is that drivers know that the fastest route will go up seventh street or up ninth. most of all, they avoid driving on market and then next. the assumption that the tenderloin will be spent from increased traffic is ignorant of reality. the second is that if --, that i find it disturbing that they would build a facility here.

in the meantime, they would create a speedway for those outside of the neighborhood to have the quickest access to the facility. what we are seeing is that we would exclude the tenderloin resident. there are many of us that would try to make this a more livable neighborhood. there are many excellent businesses that are many times for gotten. what we see here in general is that they are following 8 wal- mart strategy to put competitiveness-competitors out of business. what we are really concerned about is that if they build this facility, they will not only be taken away from st. luke's but also st. francis. many of them go to st. francis.

one of the beauties is how much it will short the tenderloin. we are asking that they find the transit said it. this will divert traffic away by reducing the time the drivers can save. they can grant access to nearby residents. the idea and the concept is one in which they have a choice if to make a win-win situation and we expect them to do that. >> thank you. >> i am here as part of the good neighbor coalition. for the last two years, i work with local schools and after-

school programs, agencies and organizations to assess and address the needs of the youth in our neighborhood. this is tom to approximately 4000 people under the age of 18 and an area that is approximately half a square mile. it that makes 8 the densest concentration of cities and families in mississippi. despite the fact, there is only one local elementary school and in no middle or high school in the neighborhood. this means that a large number less traveled in and out of the neighborhood daily. when i was listening to seniors talking about their concerns with traffic in the neighborhood, as someone who is tried to cross the street, this is a huge concern for safety in the neighborhood. the majority of the children of

the tenderloin live in single- parent or single grand parent households. the majority of those households have both parents working two jobs each. because of all these factors, after-school programs and youth services are vital. valued institutions struggled to meet the needs in the neighborhood. we are working on a comprehensive health and wellness program including long- term support for local youth and child care centers that encourage the development of healthy lifestyles and job training and scholarships. we believe that when they say that they will come into the neighborhood and provide all of these benefits including jobs, that these jobs should be extensible to our youth in the neighborhood. bernanke.

-- thank you. >> i am a youth leader in the chinese progressive association. and i urge you not to approve this because this is inadequate and it does not address the latest impacting our community. this will greatly reduce services. members of the low income community means that this will help to obtain affordable health care. he works under pressure. my father gets cuts and burns, he does not go to the hospital because he does not have health insurance this is in the southeastern - san francisco. during the outreach, i have been counted parents whose sons and

daughters were born in these hospitals and i have met seniors who have said that st. luke's is their hospital. we need to maintain a charitable service there. we consider the consequences of the development for the future of san francisco. >> thank you. >> thank you. >> good afternoon, commissioners. i am part of the kennedy housing partnership. i agree on the point that this is a very important project for the future of san francisco for jobs and for economic development and the health care question. we also look at how these issues will be resolved. will this be a win-win situation. these may benefit the tenderloin and central city communities.

the cathedral hill has a back door as well. are we going to see an engine of grass-roots economic development. will we see an engine of displacement? those questions have not been resolved primarily because the environmental impact report -- we are very concerned about the impact on polk street. we have started a dialogue. we also want the city family to see beyond and to see a neighborhood and knees to benefit from positive economic development. this means local hires for positive jobs. we can see the same results that happen when a large hotel started moving in on the other

end of the neighborhood. the other hotels with displaced communities would face the grass-roots participation. those elements provided jobs and affordable housing with the surrounding community and an agreement -- and a bit of stability. we called on the city family. this is about all graduates, the planning commission and the board of supervisors to step up and make sure that this becomes an engine of empowerment and grass-roots economic development so we can look back and be proud of the work that we have done through these long hearings. thank you. >> thank you.

>> tell the, i am a community organizer. regarding health care, the of our mental impact report is also disturbingly silent on the impact that this will have to health care delivery. we are also concerned with the impact on st. francis hospital it will have a major competitor moving on next door. san francisco reduce or altered the services. they are a major provider of health care to low income providers. the fact that they ignored the impact that the facility may have on surrounding communities is a symptom of their overall lack of a plan to serve low income communities.

well they claims of progress in charity care and support for a healthy san francisco is encouraging, others raises concerns for our community. in 2009, the commission stated that the charity falls short in comparison to other hospitals. the charity care at st. luke's has significant the drop since the acquisition in 2007. -- has significantly dropped since the acquisition of a competitor in 2006. the need for charity care is the highest in the tenderloin. the good neighbor coalition is asking the hospital to make a serious commitment to serving our people. we would want them to have a plan which community-based components.

many uninsured patients will have access to the hospitals and this will make sure that they're not referred off the rolls. >> anyone else at his name's i've not called? >> good afternoon. i live set 2/6 a zero great

highway. i spent most of my sunday morning attending religious services at the unitarian church on cathedral hill. i focused on the construction plans and the developments with a special focus of protecting our historic sanctuary and minimizing the negative impacts on congregational and neighborhood life. our task force has met frequently with cpmc representatives. we have reshaped their help in addressing concerns and correcting misunderstandings. one of the issues that remains unresolved and is of to serious concern is the loading dock and the noise that it will generate. this will be a concrete structure shaped like a band

shell and noise from inside will echo through the neighborhood. this is diagonally across the intersection and they have huge stained-glass windows which will transfer this noise quite effectively into the church. i had been most concerned about the back up peepers on delivery trucks that will make noise during our religious services. i learned that two other processes will be in the works. medication is listed for reducing these horrible impacts and they seem quite inadequate. i also learned that an alternative would be the environmentally superior method

and reducing the size and scope of this hospital which would help to reduce many negative impacts including noise. this mandated to that wall surfaces inside of the loading dock, while they have sealed the services have recovered with reverberation reducing coating would help, requiring coordination with neighborhood churches when scheduling these and other noisy operations would seem appropriate. restricting deliveries during religious services would be ethically responsible. thank you. >> thank you. >> i am the health advocate of the church.