outreach. we calculate there are 4000 seniors eligible for food stamps not taking advantage of it. we have a process whereby people can apply for food stamps on the web. so, that is one thing we are trying to do. supervisor cohen: real quick -- the next question comes from greg. this is specifically directed to the general fund. >> yes. my question is -- i do not have the numbers here, but there was discussion around this yesterday, and what was brought to my attention was in district 10, they contributed most of the money in the fund, and yet we get less than 10%.

how can we improve what this young lady was talking about, the fairness of distribution? >> [unintelligible] [laughter] >> it is a great question from the perspective of the big picture. i would be interested in looking at the data you are working with. we have programs of the departments, and i think it would useful to hear from some of the department's about what their strategies are. they are specifically directed to the neighborhoods in district 10.

i know there has been effort to focus on this area. citywide, i cannot answer that question, but that would be helpful. supervisor cohen: we actually wrote -- prioritize funding to district 10, because we partnership with the school district and human services agency and the department of public health. i do not have the numbers in front of me, but i do believe this to attend as of the highest funding level of all of our -- district 10 is at the highest funding level of all of our districts. we definitely know that is the highest allocation. >> one of the issues we have been working on in the health department is working on american health. when you look at our program, although the population of older

americans may be 5%, in our program, we have 50% african americans in our program. how do we become better at the services we provide by ensuring we are focused on african- american needs within those programs? some of the programs are not in district 10, but we have many people in district 10 coming into a residential programs, our outpatient programs. one is to do a better job of that. the other is that right now we're looking at deficiency, also. one issue is with the health center and redevelopment's agency, working with us, working to integrate children's services in the southeast health center. we will be building a new building for the children's services. we believe that bringing both

and integrating both services within the southeast corridor will be able to improve the services. another area we have been working on just recently is looking and managing more space for nonprofits that come into those programs. one of the areas for district 10 is we have small organizations, and i believe because of the issues of cost, health insurance, etc., it is very difficult for nonprofits in the southeast area. one area we are looking at is can we provide a way to provide these human resources management and financial management in a more centralized area that is non-profit so we can support their services so that mission and passion can continue? that is one of the great

concerns form may come up some of the closures of the nonprofits in the district. that is another area we are working on. i do not have the amounts of money, but one thing we have to think about is having a stronger government presence in the southeast, trying to support this this year. supervisor cohen: ok. i want to acknowledge our city attorney is here with us also. [laughter] >> no clapping. [laughter] supervisor cohen: next up we have marlene tran. >> good evening. considering the fact that district 10 has the highest population of asians here, how come there are so little services for the group?

last year, there were 300 cdo's that asked for money, and where did these services go? who are they? this is our real question that we need all the departments to respond to. >> we have asian-pacific and islander groups where we're looking at the needs. this is one of the means that unless,. we do need to look at larger organizations -- the demographics of communities has to change. you just stated that. moving the cdo's to the direction of the need as well. from the direction of our asian pacific and islander group, we are looking how to ensure

northeast medical services opened up the facility in the area. i think we will have to work harder to make some changes, where we are providing those services. it could be a hub for some of those services as well. because part of it is really finding the real estate for the individuals. from those recommendations, we will be looking at it. i think that is a very good comments and something we are aware of. we do want to bring more services to this area. >> actually, quite a few of these organizations ask for money on our behalf. we do not know who they are. when -- we want to see more transparency and accountability. this has to be done. we pay a lot of taxes. we're never included in the process is because of language, all these other issues, and i am

happy that you are all here to listen to us. even though we are a small group here today, but we are the largest in the town. thank you. greg thank you. ok -- supervisor cohen: ok, the next set of questions will be on the topic of health. bradley whitmeyer. would you mind walking over to the microphone? sorry we do not have one over here. >> i am of home care worker from united home, uaw -- uhw, and we are facing deep cuts in our benefits, which right now are not very much. it is a huge percentage of our

benefits. given the potential state that's coming down, which will be 12% in july. that could be 20%. there is not a lot of money for our home care workers to pay the additional health and dental costs, plus many of our members are falling under the minimum amount. i have great concern about that. health care is one of the most efficient uses of our dollars, because every time we use its, we have five times the cost going as people go from home into institutions and people are first to use general hospital, so, of all the savings we are seeing going on, just on my own, i would like to say i am in league perhaps with the president in considering there are revenues. perhaps there is more of a

political vacuum where we can only consider cuts that some areas of our economy are prospering, that there should be revenues available in those areas that we need to perhaps spend together as a city, to join up with other cities and have some sort of solution and. supervisor cohen: do you have a question, bradley? >> yes. my question is, how can the city stop the health and dental costs better going to hit the home care workers in san francisco and county? >> let me just respond to the issue, the fact of helping san francisco for those individuals a live audience and mrs. doe, people are eligible for access to health care. that is one way of managing the

cuts. so -- i am not sure about the state cuts. it sounds like the health care workers are working in the homes. >> just shoveled a light on its -- shed a little light on it. the dental has no support, for instance. >> just to respond, i think that issue is an important one, not just for the home workers, but a bigger issue facing a lot of workers in the city. it is a very difficult discussion and a very difficult situation. one of the things that is causing it though is we are facing these deficits and we are seeing high demands for services and one of the things

creating a lot of pressure on the city for all costs is the cost of benefits. so, nobody is excited about having that conversation, because we are looking at a growing need for services, even with the state's cuts to a lot of our social safety net programs. there is a growing costs associated with those programs, and we are having to try to look at some difficult proposals about how we can keep those programs going, even though it presents some difficult challenges for city employees and employees of other organizations. so, i know there are difficult conversations, but that is the reason we are continuing to face these issues as we are seeing a lot of cost growth, particularly for health care costs, which is impacting almost every piece of my city budget -- of our city budget.

supervisor cohen: thank you very much. dr. mcghee. you are next. peggy lang, you are on deck. >> we are happy to see you. we welcome you. my question has to do with hall, as a health service provider and have been doing so for more than 11 years, how do we protect the funds we still have in place? how can we looked at providing even more services right now for individuals with pediatric of smug, adults with asthma, and as you know -- pediatric asthma,

adults with asthma, and as you know, the funds we had for our breast cancer program is now gone. we do not have funds to add. what is it that we are supposed to do? one other question and as, -- one other question is, are we obligated to a year to -- ahere to the contract as being laid out to the department of public health money comes to an individual's time being vested in support services verussus administration? if we have a small budget, we cannot help but replace staff

working in administration and support services categories. so, why is it that we cannot jump around in our budget -- if in fact we know we need to spend more time in administration -- what are we being told, no. "you go out on the field." supervisor cohen: doctor -- >> all right. i am going to close. i just want to know, if we are meeting our goals and objectives, why are we nitpicking? >> thank you up for speaking. and in terms of our expansion this year, we will be spending $30 million to expand primary care services in july. those are scheduled dollars coming from the city. southeast health center will be one of those programs, and it is something we should be thinking about, talking about,

particularly for chronic diseases. wsip expansion for the next two to three years in a primary care. -- we see expansion. as far as it picking your budget, we allocate the administrative tasks, and we should take it off line publicly and talk about your particular issue. >> thank you. supervisor cohen: peggy -- perry lang. >> thank you, supervisor cohen. first, and when to make sure we are promoting programs that promote social capital. we are talking about synergy between programs and connectedness, because we should have programs that deal with health, that deal with houses.

it does not have to be in one place. we can do this virtually. we have to make sure things are connected. secondly, we need a comprehensive policy that deals with those disparities. we talk about disparities, but let's think about a policy that the city can truly embrace that looks at health disparities in district 10 and district 5. we cannot let these artificial barriers separating us. i am dealing with the african- american population. it does not matter if ibm in district 10 or the fillmore. i am still sicker than other parts of our population dealing with these illnesses. we are dealing with the black coalition on aids. if the way the contracts are designed, it is indeed someone from the fillmore comes over to get services, we are not

supposed to give the services because of the way the contracts are designed. i just think we need help with things like that. last, but not least, and i really want to emphasize this -- bca has been around for 25 years. this will be the first year that we will not have hiv prevention services for our community. that is just unacceptable. i need help. supervisor cohen: i need you to get to the question. >> i did. all three of them. you know, can we get some help around the budget that looks at social capital? can we get some help that brings together all of our programs across districts? and lastly, my agency, can we get some help providing hiv prevention services to the

african-american community? [applause] >> very quickly -- kurt you will be next. james, you will ask the question next, after kirk. >> i think we can do a policy city-wide. we talked about budget coordination across departments. i think we are doing better in terms of that, but we can do better in how we manage our dollars. as an example, there will be 30,000 individuals on medical, but we may need to change the models where we do our work. particularly because of the noon rfp that came up -- that is something we will be addressing

to the hiv prevention office, to find that the gaps are going to pay. that is something we are going to address with you. >> thank you. >> i did probably offer a small and interesting example about how the city sometimes does budget averaging social capital. the recreation and parks department has an outstanding partnership with the department of children and youth and families. they gave us funding so we can hire 125 kids from district 10 to help us provide summer camp for younger kids. and they're also providing us with funding to make sure our kids have healthy meals to eat. i think that is a way, at least internally, that we're trying to leverage different funding streams to provide public

safety and fun summer activities, healthy foods, and jobs, all for one partnership. that is an example of the city attempting to leverage social capital. supervisor cohen: thank you. we are going to go until 8:00. persons who want to leave, feel free to do so. the mayor and department heads will stay as long as they can. ok. >> hi. i do not have a question come up with the mayor said he would like device on how to handle the budget. i think we need to stop giving away a multimillion tax breaks to billion dollar sexy, glamorous internet companies that are not our true committed partners.

we are the people who hire locally, who provide jobs, who pay our payroll tax without whining about it, did not threaten to move to brisbane, and always want to be here. the companies you are trading with now and offering tax breaks are going to be public companies sen. they will answer to their stockholders. they will outsource their jobs, god knows where. in a move to north carolina lake bank of america. it will probably hire a few people in bayview. but most of these jobs are going to go to computer geeks from oklahoma and seattle and they are not going to hire locally. our future is not with them. it is our local businesses. i saw a headline in usa today last week that 300,000 jobs that were created last month were created by small businesses. i know that's the city always

pays homage to small business, but you are just talking the talk and not walking the walk. 10 or 15 companies like mine, in a general contractor, another of our members has 70 staff, and the only auto parts store in the city. we have a grocery that has 70 employees. we each pay about $40,000 a year and then there will taxes. we will be gone. this will be a city full of computer geeks. it is not a question. it is advice to stop giving tax breaks to those companies. supervisor cohen: all right. thank you. [applause] your turn. >> hi, my english is not very good.

>> i will be interpreting for mr. lum. [speaking foreign language] >> breathing is for everybody -- greetings to everybody. [laughter] >> [speaking foreign language] >> we think the new mayort newhank the new mayor -- thank

the new mayor for giving us this opportunity. and we want more money for the community. >> [speaking foreign language] >> mr. lum is the president of the asian american community center. in our community, we have lots of new immigrants. we have to help them to establish.

>> for the last 11 years, lots of new immigrants, especially the chinese, teams do the valley -- came to the belly. and they do have a dream. our community -- the new immigrants will realize the american dream of having a good job, owning a home, and paying taxes.

our organization consists of president, vice president, and 13 board of directors. they are non-paid. they are just serving the community. supervisor cohen: commissioner, is there a question?

but right now, these city being subsidizing this organization -- >> right now, the city being subsidizing this organization. ed but this year, $7,000 was cut off. the appropriation was $50,000. we have to conserve more and more new immigrants.

supervisor cohen: ok. >> every day, there are about 20 people asking for translation, looking for a job. supervisor cohen: thank you very much. >> thank you very much. supervisor cohen: you are welcome. i have an anonymous question periods weights -- i have an anonymous question. wait. >> i have to leave. supervisor cohen: one question, sharon. >> excuse me, supervisor. i would like to think our marriage and department heads -- our mayor and department heads. i have to leave. and i am not getting paid. i heard you say people who have to leave, leave. my question is simply this -- thank