zg thank you for giving me this opportunity to speak. my name is susan of the when i filled out my card it said "in favor,i am just here to say i wd like to see it done the right way, and that requires a great deal of thought. i have been under for 37 years. i am starting to loose -- i have been a nurse for 37 years. i am starting to lose track, and while the overall climate and economics of health care have changed tremendously, i see a change in the way business is conducted at our hospital. i have seen on the bargaining team for a couple of years, and i think if you want to work cooperatively, it can be a challenge. we have been without a contract

for an unprecedented amount of time, and i think we need to develop a better spirit of cooperation, so nurses are patient advocates, and having a union allows us to be better patient advocates, and when i started this process, and i was relatively pollyanna. i just want you to be very careful in developing this hospital in the way it will serve san francisco. thank you. [applause] [list of names]

>> i am from the san francisco gray panthers. i am very concerned about the threats. i am also concerned about the loss of skilled nursing, but i am also concerned about loss of patient care. i had to have open heart surgery, and i was really scared. it turns out i got great care, but part of this was because there were enough nurses to take care of me unstable after coming out of the operating room. goothe other thing that was

important is that there were enough nurses to ask what was held in a period to ask. it was adequate staff. it was a huge plus to patient care. you could tell the nurses had power. when they gave medicines, they had us-on, and it said, do not disturb me, i oam concentrating on something important, and it is important because people died in the united states. a hospital i was out was

unionize. they do not have a contract. goothis is a question of a patient's quality corridor -- of the patient's quality very good >> i am a registered nurse. i also live-in in the mission. i feel frightened by the master plan. in tokyo, the earthquake hit my country in march. my brother got stuck for seven hours in the city. my sister witnessed people stranded on the street who could not get medical help. my father survived.

the plan does not include s patient pharmacy. goosome residents suffer from lk of medication. many died in japan not because of earthquake or tsunami but because they could not get care after the disaster. other japanese, and -- as a japanese person seeing my country suffer, i deeply believe that the centralized plan will not serve the region will not save our lives and will be harmful in case of a disaster. we need to serve the growing

population and to prepare for the major disaster in the future. thank you. >> good evening, commissioners. i am a registered nurse. on june 16, 1991, children's and presbyterian hospital merged. on the day of the merger they had represented since 1967. good it was not until of board

issued a ruling to recognize there is this union. gooin 2011 they are now planning to close the account and move acute-care. they have refused to give us transfer right so we can continue to be part of the community that we have been a part of so long. this should never be tolerated by sandford cisco. the employer has unlimited access to its employees. -- this should never be tolerated by san francisco. our ability as nurses will be severely curtailed. we nurses continue early

advocate -- continually advocated based on how much patients require. before the project is approved, we urge you to negotiate an agreement that includes forcing them to allow the nurses protection and the longing to a union. >> i am a nurse on the california campus. i just want to say that they say they want to provide jobs for the san francisco who workers, and i think sometimes they are unfair. they were laid off and rehired

at $1 more per hour. it is hard to get benefits for $80 a month for a family. also the consultants were laid off. not all of them were laid off, but many were. many nurses third hours -- took hours, and instead of increasing their hours, they used per diem, so we were having problems with a hospital in keeping our opposition to what we were hired for. i want to say i was worried about that. thank you. [applause] >> [list of names]

>> good evening, members of the planning commission hearing your i am a registered nurse, and i have worked of san francisco general as well as many hospitals in the city. i joined the board six years ago because of commitments to excellence in health care. could the commitment to improving and community health is strong and continues to expand. the child development program is in the tenderloin and includes a partnership which the academy, children's services, the

preschool service, to name a few. we also provide support to the community health programs at st. anthony's community center, when in community clinic and healthy san francisco. -- women's community center and held the san francisco. good we are expanding programs annually. these programs would serve our children and families and are an integral part for the underserved and should be given strong consideration. i believe the move of the main hospital to a centrally-located place at the doorstep of the tender line would only enhance our ability -- tenderloin would

only enhance our ability to improve health care. serving on the board, i have worked hard to help expand quality health care. thank you very much. >> good evening. i am a staff nurse at st. luke's hospital. nearly's proposal is a food stepping stone, but san francisco -- the mayor's proposal is a good steppingstone, but sun francisco needs more. a labor contract expired four years ago. there has been minimal effort to return to the bargaining table. this is unacceptable in a union city like san francisco. the current proposal benefit of predominantly male profession.

resident nurses are predominantly female, and at st. luke's, there female nurses as well as minorities and nurses, and we serve with pride. we enjoy the same deal building personnel were given. the surrounding community deserves a full-scale, viable hospital. i want to address the capacity that keeps being brought up. we continue to transfer patients to other facilities in spite of having these and the dead, and -- having these and seedbeds -- these empty beds. we have been told the stands is not financial. it is because they can.

they posted a 30% increase in profits in 2010 during the biggest economic downturn since the great depression. good the 0.99% charity record speaks for itself. our needs are simple, the ability to serve all and security. >> good evening, commissioners. i am speaking on behalf of the neighborhood association. the building is in our boundaries, and hospital is just adjacent of the corridor that will be most affected. we share same concerns as the tenderloin, and we are especially concerned about

pedestrian affects in our neighborhood. we believe open space is an important issue. there is a zero open space, and surrounding areas are lacking. we believe that open space on campus is lacking and will only exacerbate the issue. we also have concerns about the impact to neighborhood businesses, short-term and long- term. the community benefit the district can help our businesses. it will also benefit to residents. the development agreement includes funding to address these issues. we are in support of the framework and will look to support the city and to allocate transportation and public realm of funds. [list of names] >> you can keep coming not. -- up.

>> i have worked at st. luke's for a long time. g>> state your name for the record. >> i thought you knew me by now. i wanted to say if this plan is approved as stated now, to me it represents a wonderful state of the art care for van ness and hillary -- geary. it does. you have to come there. we have services that are hanging by a thread, and i make it my business to find out what is going to happen to these services. for example, endoscopy. i am going to make it my business to find out about that. talking about essential services needed to be located at van ness and hergeary, my concern is it a

wonderful way to put the union out of commission at st. luke's's. without transfer rights we will continue to suffer even further. i am a chief labor representative, and i can tell you it is hard to get into a disciplined situation, because there is no contract, and people are being disciplined for things that happened in 2001. that is how bad it is. it is rough. i also must tell you that several doctors asked me to make sure you understood they cannot get time in the zero are zero -- in the or. one primary care doctor is saying he cannot get a doctorate st. luke's to do the

procedure. it is designed to fail, and one thing, even though i not a member, but was very ugly at st. luke's. we had people threatening members. >> thank you. >> thank you. >> my name is and emmanuel. i studied and advocate human rights in the a statement on behalf of a dr.. "the city of san francisco would do well to examine prior to an incentive to any development at cathedral hill. they have a record of developing facilities that cater to commercially insured and avoid serving the under in sure. now this building is a primary example. soccer is -- sutter is a low

income area. its new area will be in an affluent area to the north. they will leave behind. it anticipates capturing new populations of injured patients. in marin, they were forced out after failure to manage in the best interest of the community. they fled poverty to justify neglect of the facility while appropriating over $120 million of excess capital. now they are subject to a lawsuit. they maintained for its plans include the building of an outpatient facility. they say they will use this to draw affluent, insured patients

away from marin general. people are wise to these schemes and have rallied to a now independent hospital. our hospital is now a thriving, independent hospital. should send francisco approved this plan, they should be certain the agreement includes enforceable safeguards to hold soccer -- sutter encounter vote. -- accountable. >> thank you. [applause] >> my name is dr. emily waters, and i am a community psychiatrist. i am new to the area and have been working here only about three months. i have been surprised and at times horrified by the lack of inpatient resources for the mentally ill. a few existing psychiatric hospitals are routinely fall. san francisco general can accommodate even the most acute

patient, and many are left behind. recently i began working with a young man with severe post- he was severely physically abused throughout his childhood. he had no one to protect him, and he lives in constant fear. he frequently thinks of killing himself. should he need an inpatient todstay, i fear i will have no place to admit him. he would be surrounded by many agitated and sometimes physically threateneing patient. previously, i worked at a psychiatric inpatient unit. this was a community-based unit in the east bay, and patients are admitted on a voluntary basis only. if this was available, it would be a perfect place for this patient.

soccer is closing the unit in about a year, allegedly because it is not profitable enough. like a tree is not glamorous and true. it is often an -- psychiatry is not a glamorous and true. they have the responsibility to the community to provide mental health care to those who need it most. i urge the commission to consider a mental health needs in our community when considering plans for this nonprofit industry. thank you. [applause] >> good evening, a planning commission. i am representing dr. river. she actually had to leave to help out on copyright good and -- held out. the company does provide

charity. it is cutting it is charity do skilled nursing facilities. the resolution was supported by the commission and the board of supervisors for incorporation on the basis of approval. this requires them to provide medical necessities to low- income patients. the city must allow this in order to maximize the bottom line. the year 2005 closure of st. louis's psychiatric unit is one example. they pay no local tax on local properties, money that should

support public health. sutter is obligated to provide charity here. the city and there's a double burden and is reduced to who -- has a double burden and is reduced to cutting its own program. the city is under no obligation to sign off on building new hospitals, and in congested areas where they are reducing services to low-income minorities, i want to say thank you for listening. [applause] >> [list of names]

you can start coming up to the microphone if i called your name. >> good evening, commissioners. my name is so lean. i am a general manager at -- davis -- my name is celine. i am a general manager. or residential population is approximately 300 people, including a number of children as well as elderly residents. last month i gave you signed letters from over 250 of my residence, and they have asked me to let you know their concerns. the court is literally surrounded by the cathedral project, so naturally aren't -- our tenants have some concerns about what it will be like to be surrounded by this construction

project as well as long-term impacts the hospital and medical buildings will create for our community. we have been in discussion wis cpmc, , but these discussions continue to move slowly. we have a voice are reasonable and rational concerns about the specific impact this will have on tenants. the project and construction will have serious consequences on our residents for near and long term. traffic and congestion throughout the operation of the hospital -- we are asking that they do the right thing.

we stand willing to be good neighbors. thank you. >> good evening. i am here in that capacity. i want to repeat this. noise levels at two under% of what they are today, -- 200% of what they are today, traffic and congestion during the operation of the hospital. the operation of the hospital will bring an additional 1200 vehicles into our neighborhood every day. in other words, our community will be under siege by this

construction project. we are asking that you please help us reach an agreement with cpmc that is fair to our residents and to our tenants. our homes are surrounded by this project, literally. we have set cpmc -- we ask that cpmc do the right thing and take into account our reasonable concerns. thank you. >> good evening. i am a member of and the master and residential cases. it is no secret while this

project transforms our neighborhood, we would be compensated for over 1000 days. noise levels would been 200 times higher than they are today. after construction, we would still be impacted by increased traffic and parking constraints we have not had to deal wis before. we cannot stand by and have it negatively impacted.