across the city. they would have a difficult time if they had to travel and wait 10 or 20 minutes. healthcare services will remain in the areas where they live, and seniors can access services much more conveniently. this will determine that it is equitably distributed throughout the city. large corporations do not like to be held accountable. but is why there is resistance. thank you for your leadership,

and thank you for what you did. you have been working on this for a long time. >> next speaker, thank you. it is not working for anyone. the community comes out and says, we are not so happy about this. it is high time we have a master plan for the city.

it is not a pitched battle, and we actually have zero road map, a guiding light that provides increased productivity and -- we actually have a road map, a guiding light and provide increased productivity. >> thank you very much. next speaker, please. >> i sat on an effort to plan health care killed by the reagan administration. when we were doing the project review, there were people from the community and the hospitals and the business community, and the business community always

said the sky was falling. we have to deal with this. this was loud and clear. the focus should be on how to provide the care for underserved communities, which is not only geographic but also population, and those are the people said basically fall out of this. you represent this, and part of district 3. the southeast, you have hospitals for your -- you have hospitals.

we have needs because of the hills. no one wants to deal with primary care. it falls into the health department. i do not see the for-profit institutions that emphasize tertiary care saying our mission is to provide primary care throughout the city. women have babies. they do not always have access to good primary-care through the city of. people have asthma. they do not always have assistance through what the public provides. >> any further public comment on this item? if not, --, not if you would like to.

>> thank you. i would like to thank you for your effort and also for the committee to express anything. i am proud to be able to coordinate about the importance of health care service. i always want to thank you for the committee members, because this is the day before the election. the union members want to work on that. they are also taking some time to actually alive someone

accountable who actually makes this and the benefit to san franciscans. we would like to work everything out, hopefully with the continuations. i do not argue it should not be delayed. it is also important on this particular date reaching we want to make sure the communities will love the chance began coming up next week. thank you very much for the position. >> anyone else? end of public comment. this week we will more than

likely continue this, and you can come back. supervisor, do you have closing comments? >> thank you again for giving me the opportunity to be here, and i want to thank the members for being here. i know there is an alexian tomorrow, and that cuts across the board. we have a number of people who could have been campaigning, because it is such an important issue and something people feel needs to be addressed as quickly as possible. i understand the concerns, but at the end of today, this is about how do we serve the people at san francisco? this is something we need to act on as quickly as possible. with respect to some of the changes happening in the health-

care industry, froit is part of that system that we need better planning. you hit the nail in the head in terms of how good planning can address a lot of the concerns. it is because of those concerns we should move expeditiously. i also think good planning and the local level will enhance good planning at the regional level. i do not think we can engage in could regional planning unless we know what is needed at the local level. one final thing is that i welcome the employe of the industry. that is something we have been doing for the last six months. at some point we have to move, and i think what is happening is

there are people who genuinely believe the city should not have our role in deciding health care to the extent this legislation is trying to do. there are people who believe planning is ok, and at the end of today that as a fundamental difference. i believe with some individuals it does not matter how many changes you make. they will oppose it because they do not want change. we have an obligation to make sure the interests of san franciscans are addressed. that is underlying this legislation, which is why i request that we move as quickly as we can. the body that is responsible for having to make these decisions -- the planning committee voted 5-1 for a reason.

they are ready to act. the longer we wait, the more difficult it becomes. the one comment that resonated was the appointee of mayor newsom who said she could not understand why there was opposition because if not actually require anything. it said you need to take health care needs into consideration, and even if there is inconsistency, the planning committee still has the ability to approved a project. nothing changes in the authority, so we need to move forward as quickly as possible. >> i would like to know why we are going to continue this. i know there has been a number of amendments. i did kind of meet with someone from kaiser and understand some

concerns, but i think supervisor compos has tried to integrate some of the language. my conversation -- i do sense that you want your members to be involved, but i do not see how delaying its one more week is going to help. you could come to supervisor combos with specific recommendations as a way of having those concerns addressed. he also raised a number of concerns. i have not seen enough specifics about how this relatively modest health care reform will limit the quality of health care access.

especially, they say they have extremely limited access to health care. i do not feel comfortable continuing this. >> i support what supervisor combos and my colleagues are trying to do. this is a conversation we also had when we were discussing the shipyard project about the needs throughout the city of understanding health care distribution.

i would like to ask for a brief continuous. we discussed where the legislation was. we understood this item would need to be continued. i agree with the urgency to move this on as quickly as possible, so i would like to ask that those who do have substantive comments, and we need to get that immediately so we can move this forward and hopefully get this done posthaste. >> i think it is extremely important that we do this, and i also want to commend sioux

heston for her work. also when we were talking about hospitals and people were talking about how important time was and a lot of it has to do with the proximity of the person to the care. what is their expectancy? how far are they from care? this is an extremely important issue. since you have all these people working on planning, they must have time to come up with some helpful suggestions. not that we are going to take all of them, but we want to make sure we see them and we

understand the point of view. people do not give serious until it is about to happen. i am willing to give you two weeks. supervisor campos. supervisor campos: i would respectfully ask you not to do a continuance. i do not see how two weeks is going to make a difference, and two weeks is a long time. i think it is interesting to hear from the hospital council, because they say, you cannot act because the health commission has not acted. the reason is because the hospital council has been lobbying them for quite some time. they have responsibility and are

using that as justification to do what we know they have been doing, which is to solve -- which is to stall the legislation. i had a conversation, and he reminded me if the industry had had their choice there would be no healthy san francisco today. i hope we learn our lesson and move this forward as quickly as we can. >> it is not that we are trying not to do this. for me this is extremely important. this is the next part of it. this should have been the first part of this is extremely important. it would go up the very next day.

we have a holiday next week. >> there is a holiday on november 11. >> the next meeting would be when? >> the 15th. >> then we could go to the board on the 16th. >> i think two weeks is way too long. i would be supportive of one week. i think we should vote today. >> supervisor chu endive are not prepared to vote today. supervisor chu is suggesting two weeks. i am suggesting we will go to weeks before the 16th. we will have a roll call vote on two weeks and go as a committee report.

supervisor mar: no. supervisor chu: yes. supervisor maxwell: yes. >> we have two ayes and one no. >> is there any further items? this meeting is adjourned.

tape 55 >> welcome, this is carl. >> great to meet you. >> great to me you, and i want to thank you for your interest and this is the city's animal shelter. and come in and a lot of people come here to adopt a animal or if they have lost their animal or looking for other animals. and we deal with other animals like birds and rabbits and you name it. this is more to see in this facility and more to see in the community. and i suggest you go with an animal control person and see what they co, whether rescuing animals in distress or hit by a car or dealing with aggressive

animals or wildlife or a variety of things. you can only get that flavor with them and doing it first hand. >> i have been with animal control for about six years, i spent a year in the kennel and then the office came up and i started doing it and it really fit. it's really the job for me. and animals i have to handle and i know what i am doing, i rarely get scared. [whistle]. we do a lot of investigations and most are not as bad as people report but everyone once in a while they are. and i had one and people had moved out and the dog was in the inside and it makes me teary

and when the dog is in the backyard, and i can pull an animal out of a horrible environment and feel good. >> where does this animal go after this? >> they go for the shots and then the kennel. >> and if they just found this, and once we enter everything in the computer and they can track to find out if the dog went back home. we hold them for five days. >> this is a stray dog and it came in today and we immobilize it and then put it in a room with food and water. >> and then evaluate for medical behavior and see if anyone is interested in

adopting then. >> we want to be sure that their behavior is good for the average adopter and not aggression problem, toward people or animals. >> and if they growl and don't bite the hand, she passes that. and good girl, in case she has something in her mouth, we get it out. and one more test, called the startle test and it startled hear but she came to me. and passed the handling test. >> for the mental exam i feel for lumps and bumps. and the ears and see if they are infected and look at the eyes and be sure they are clear

and don't have cataracts and look at their teeth and heart. this is the first job that i feel i make a dvrngs. -- difference. and we may do 40 to 80 animals a day for treatments. and do blood work and skin scrapings and cultures to diagnose different diseases. and x-rays, i can take an animal that would be euthanized at a different shelter and fix it and get it ready for a home. >> we have a partnership and we let a professional groomer run a private business from our facility and in turn grooms our shelter animals. what is the big deal of that? when someone comes to adopt an

animal, if it looks good, chances are it will be adopted more. >> and we groom and clean the ears and the works. >> typically a shelter wouldn't have grooming? >> not at all. and these dogs are treated with the utmot -- utmost care that others can't provide. this is a shampoo to bring out the luster. and i feel satisfied in helping the shelter pets be adopted and to be a part of such a wonderful staff, from the top all the way down. if she passes our evaluation, she will stay until she's adopted. if you are interested in adoption and don't want to put them to sleep, that means at a

last resort, we will give you a call before putting to sleep. you are not bound to the dog, and we would give you a call, and it's an actual adoption and cost $107 and it will be your dog. >> the volunteers to meet are the unsung heroes in this field that take the animals to hope and nurse them to get strong enough to come down and rehome. without volunteers, i would have to be honest to say this wouldn't be much more than a pound. we thank god that we have the number of committed people coming down and helping us out, it makes all the difference in the world. >> when you want to come in and volunteer, you go through a

general orientation, about two hours. there is a lot of flexibility. and the various programs available, are baseline dog walking. you can work with the cats. you can work with tony's kitty rescue, with the small animals and guinea pigs and birds and chickens. >> you always have an appreciative audience. >> do you feel that what you have learned here helped you with your own dogs? >> the training they don't have? yes. and it's things that you learn, we usually outlive our dogs and every time you get a new one, you have skills to teach them. >> one of the programs is training program and it's staffed by a mb