draft reports because that represents a narrowing of the scope that the budget analyst has been in discussions with so that at least that will be part of the but the -- a public document that goes forward to the board of supervisors the public can look at, and i would be happy to send it forward with recommendations that -- without recommendation so we can hear from the project sponsor. supervisor mar: sounds like there is no objection to the friendly amendment as an amendment as a whole, and also, there is a motion to move this forward without recommendation to the full board. is there any objection to that motion? seeing none, we are going to move this as amended to the full board without recommendation. any other comments, colleagues? did we open this up for public comment? no, we have not, so before taking action on this, is there anyone from the public that would like to speak >> -- that

would like to speak? >> good morning, supervisors. i would like to speak out in opposition to this, so in a certain sense, i am agreeing with supervisor daly. the reason i'm opposing this is that it seems to me that this organization was very well run, and according to the newspaper reports, she was removed and necessarily, so if we are going to do any audit of that agency, i think we ought to start with why she was removed. according to my research, everyone agreed that she had done such a fine job, but somehow, she met the same fate as myself. in other words, if you are an able city employee, somehow, they find a reason to remove you. anyway, back to this motion, i think it is more relevant since ms. newman repeatedly says that

she has so many hours to do audits. as a public service to san francisco, especially the poor and disabled, we ought to be doing it on san francisco general hospital, and if ms. newman feels she has enough time, we ought to do the whole department of public health. it's still baffles my mind why almost every supervisor has opposed any formal inquiry into san francisco general hospital and department of public health. according to ms. newman's own words, she said she had plenty of ours, and in order to maybe expedite the process, since i myself work for 20 years at general hospital, i would gladly donate unlimited number of hours to point the budget analyst's office into areas where they should be checking this out. there was a 2003 financial audit done and presented to the board

of supervisors. i'm still wondering why there is still opposition on the board level to doing a review to see whether those recommendations are carried out. doing something like that, i think, is far more helpful to the poor and disabled in san francisco who depend on the hospital's services rather than doing it on an agency, according to my research, that has not really had any problems. i have not seen any reports lately saying that there were problems with that agency. for the record, i did speak with supervisor alioto-pier regarding an audit of general hospital back in 2007, and she politely refused to support that idea, so i agree with supervisor daly that maybe her thinking is a little off on this matter. supervisor mar: thank you. is there anyone else from the public who would like to speak? seeing none, public comment is

closed. there is a motion to amend this that has been moved without objection, and then we are going to move this forward to the full board without recommendations, without objection. so move. is there anything else on the agenda? >> no, there are no further items. supervisor mar: thank you, everyone, for coming. meeting is adjourned.

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 wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effecti

>> let's get started. thank you all. very much. for taking the time to be here. i'm willie brown. and i'm honored to swear in 13 new and not old in terms of time of life but senior representatives of various bodies and boards of commissions in city leadership. i have the privilege today of wearing in 13 people. five who have served previously on board the commissions and seven that will be serving for their first times. i'm honored to be joined by many distinguished guests, leaders in their own right and capacity, members of various commissions, directors of various departments.

our senior leader at city hall, my chief of staff and, importantly, former mayor willie brown, who took the time to be here. thank you, mayor. [applause] >> i have said this in a few other public occasions but it bears repeating particularly in light of the fact mayor brown took the time to be here. i started my time and tenure here at city hall, was actually across the street, the temporary facility, when i got a call from someone in the mayor's office who said that she was very proud that the mayor had selected me to serve on the film commission, which i was quite enthusiastic about. 25, 26 years old, no experience in city government but i loved movies and i thought i would make an outstanding film commissioner. from my perspective it didn't get any better than that. i don't know about the t.u.c.

stuff and all that, forget that. film, that what i was cut out for. i was invited down to a very large wearing in ceremony. this is around the first year of the brown administration. there must have been 50 or 60 people that were in the temporary board of supervisors chambers across at the war memorial. the mayor went around and started telling stories as only brown can do, about every single commissioner. and he finally got across and down to me and didn't have much to say except that he was very enthusiastic that i agreed to be the president of the parking and traffic commission. he didn't tell his staff. he sure as heck didn't tell me. and this is a true story. there was one camera there back in the gold,days of -- golden

days of cron 4 and asked me what my vision was for parking and traffic in san francisco. baptism by fire. i said something along the lines i pay my parking tickets. didn't go over so well. but the experience did. and it taught me a lot. it was an interesting year serving as president of that commission. we had some changes with the -- in fact, there were three different department heads that one year. it got very interesting. t.j. johnson and i got to know even other very well. we also were involved at the time in raising the upper deck of the central freeway. so it was a particularly -- well, it was a really enjoyable year. i applied myself. i worked hard and then as you may recall, i became an affirmative action pick to be

the next member of the board of superviso supervisors. and you may be quizy calendar in wondering what i said and wondering whether it was politically correct. mayor brown had the time of his life trying to figure out who would replace kevin shelly on the the board of supervisors a year or so later and made the point when he appointed me and the kraupb -- the chronicle said there was so diversity on the board of supervisors and someone long a champion of affirmative action he needed to appoint a candidate that reflected the person that reflected that by putting on the only straight white male. thus was the pick of mayor brown to be a member of the legislative branch so i would like to thank my tenure and term of the commissioner helped guide him in that decision making but i was proud of both appointments and would not be here had it not

been here for willie brown. so mayor brown, thank you for everything. who knows your paths? you may look at that as a negative in terms of your appointment. saying i have greater ambitions than the path you took but nonetheless i'm glad all of you are hear and thank you for your willingness to serve on these various bodies. i will say this because mayor brown and meyer feinstein primed me all the time to remind you that as appointees we are not here to tell you what to do or dictate the dealerships, but you do hope and expect if i do call you, you take the call and if you have strong opinions that are in contrast to the opinions that have been expressed by the administration, please just give us heads up. there have been two

circumstances, which is not bad in seven years, where i wasn't given heads up where one of my department heads was removed by a commission without anyone letting us know at 2:00 in the morning and we had some changes to the commissions that were dramatic where we didn't get heads up. we worked through them. but all i ask is use your judgment, always look out for the best interests of the city as a whole, represent the people that come in front of you, but don't forget there are 800,000-plus people that you represent that have never come down to city hall and 150 people that work here and live here full-time represent good and important things, but there are a lot of people that need to be represented here. so i always want to remind to you reach out beyond just the halls of city hall and those that have the time to show up and are privileged enough to express themselves directly to you. that is my only criterion, my

only consideration in the context of a string that is attached to this appointment. just give me a heads up, do what you think is right, always stand on principle. don't play politics. this is not about you. this is about the people we represent and the people we serve and we are privileged all of us to have this moment in time and that we are honored by the fact that the city has a charter that allows us to have this kind of representative governance structure that allows this kind of interaction and delibera deliberative process. with that a few words. we have an arts commissioner that will be appointed. city hall preservation advisory committee a body formed by mayor brown, a building that he was responsible for providing. entertainment commissioner why, al, would you want to be on the entertainment commission is

beyond me. a representative of the film commission. billy is an old friend who does great work. human rights, talk more about shirley in a moment. immigrant rights, art and sonia thank you for your willingness to serve. library, beverly, it is exciting to have you on board and so much good has been said about you. mark buhl, recreation and parks department will be reappointed chair of the revenue bond oversight committee at the p.u.c. very important. a body that was formed in, i think, 2002, formally. we also have a new commissioner that only she cannot river on time -- arrive on time pa because she worked for me, rebecca prada but her husband is here. she will be appointed on the status of women. just a few thoughts. i thank luis, all the work the arts commission, p.j. johnson

has done great work and it is an example of all the great public art not just in front of city hall but all over the city and county of san francisco. mark comes with a lot of good work behind him and a lot of exciting things in front of him. he was disproportionately responsible for helping us with our sister city's arts exchange program which is one of a kind. is something completely unique and very proud he and matthew and others worked so hard on and i think he will be an outstanding addition. this is an artist in residence program that is an international model. we know jim and ellen and may, their work here in the preservation of san francisco city hall and everything you see around us, the civic center. they appropriately were reappointed by the board and had to be confirmed first and all are outstanding leaders and

stewards in their own right. ellen is in my office every day doing tours and jim outside the office every day doing his part to advocate on behalf of city hall and the civic center. and may is everywhere else in the community. ubiquitous and out front and a true later. al perez, i thank you for serving on the entertainment. i have been beating up the entertainment commission lately. maybe i should have taken mayor brown's advice in not supporting it to begin with but we have it and we are working through some of the issues and you demonstrated real leadership this last week on some of the issues down at the port with one of the clubs and i like that kind of immediacy in terms of response and feel like we have new resolve and with your leadership i'm confident the commission will live up to all of our expectations. bil billy, again, no one does more in terms of engaging our youth in the community on film.

we will have a new director. i haven't announced her yet but good news there and i look forward to you working. we have more film coming in the next few months. it is amazing. this will take off. this 2010-2011 are exciting times for film and tv in san francisco. sheur shirley brierblack one of our outstanding leaders and anchors in the community. founding member of the sfmta board, a victim not just willie brown but shirley a victim of term limits on the m.t.a. board. we are very proud, i know probably 90% of you hear from shirley. we want to thank you for your support of her and thank you to shirley for her support of our city and i think will be an out standing addition to h.r.c. which is an extraordinary commission with a great leader who is running that department who we are very proud of.

immigrant rights. sonia and art. this is an interesting body and you are in the midst -- sonia, you are in trouble, a lot of work in front of you. art is familiar with a lot of this as well. it is a split body. 15 members. eight have to be immigrants. seems appropriate on immigrant rights. i'm very proud. sonia from ireland -- excuse me, russia. that will be self-evident when you hear from her -- who is an old friend and sonia is a small business woman and someone who is very engaged and engaging and has a lot of opinions and she will be amply expressing them on the immigrant rights commission. and art as well. art is an up and coming leader of the city and i really am honored that art is going to get involved in the political

process as a member of the immigrant rights commission. so, i'm excited about that. beverly, the library, so much has been said about beverly. i got more calls from people i respect and admire like luis, rene and others saying you have to get beverly on the commission. member of the friends of the library body and has done great work and comes with a huge list of support and recommendation. i think this turned out to be a great pick and great for our library system. and luis doing great work in the branch improvement. how many libraries are expanding hours in this economy on sundays and opening new branches? how many cities can lay claim to that. i think beverly will continue in that tradition. mark buhl, the best of the best, president of our commission. no one needs him more than the guy who is shaking his head,

phil ginsberg, our director. you are lucky i'm reappointing mark, phil, who is doing a great job and i'm very excited about what mark has done already just in the few months he has been on this board. but no one is more familiar with city hall and no one with more respect, even from those that sometimes don't always respect what is happening on this side of the aisle and have come to respect greatly mark's leadership and stewardship. thank you for continuing to want to serve. >> kevin, p.u.c., revenue bond oversight. this is where real jobs are being created. 27,000 jobs. regional project and we need to spend the money wisely and that is what kevin has been doing in other capacities and will be doing in it. and beca in be a -- in absentia she want as private swearing in. i know this was long-winded but

i'm honored and proud of all of you and i will ask you all to raise your right hand. you can stand if you wish for the heck of it but you don't have to. but if you like to, it just adds to the formal occasion. i will ask you to repeat after me and what i will do, i will say i, then i will ask you to state your name. then when we come to the end i will during such time as i hold the position and you will each mention the appropriate body that you are being appointed to. so, beyond that there are only two things you have to do. the rest i do and just repeat after me. raise your right hand and i say i. you say your name and we will get through this in one brief moment. >> i. [people saying their names] >> do solemnly swear that i will

support and defend the constitution of the united states and the constitution of the state of california. that i will bear true favorite and allegiance to the same. i take this obligation freely without any mental reservation, or purpose of evasion. and that i will well and faithfully discharge the duties upon which i'm about to enter. and during such time as i hold the position, as a member. [people stating their

organizations]