with the heahbill for ame up reason. it is pretty complex we ee tableto this otover. and we have t taken thetime toit ownnthe fi there are several deass how s could do. i know urrganatnhasmny indidus dicate tim doing ttegic planning o anngoingbas,buse iis cstanyangi. the chalengewill be fo our altheparent,ho

acusmeor panning 2 of the population toengag ivate poviders and howe n ealth re eform is askinus todoaccountable care we alldo a ltle difrentlysohe charge o how we a g to do eerytngrom deal reo podi servic is ve comple t is ike a ardgame ere we aregoing tow all this in shortorr, because lo iing tocngever care pcpvirs.tffory is toter >> i welcome those commts,bu

we have been talking t ts industry an talkg topeople for at east s months, and we ha been openedto change aer chaaettispecific nguge t, sof some int weav to act, becae t planning commission is beg ked toake positions that ave halth care implications without e tools they need. note toolboxes goingo e perfect, uttme poit to tke acon. >> e plannideparent past 1 through 5. means they fee somethi e haveotomol.he

i nowsomeofthe frusttion comes frhlthcommittee itself oe fesuggtisi have made most receasete --aslooking at te ar they have. iunderstanthe ccerns the planng deptment rwar i been iprivte health care for0 yrs weave tory to figue this out. there aopportunities to wo together better.

kn wae concernedt will ive upcost at e mee are ing asked to ivedown sts increang deys. d us tng re th upsorsec oure heu

anngepartment. mycagure omethin out. at iw we >>y meis eabh. i want to say thankou for

ringing of the health care issuand real istening to the people planning is important but heal re is an urgent need ibelie a youtprogram manager wo listens and here's e use gunmen - the ut come in that we support this because we needo take the blindfold f the city process. the city d ave a comprehensive untag o needs. t ciy cannot adj investigates based on each particur need.

we needa bigptu approach. we belie the monsr plan will providethe g picture approachb ki recoenons. th decisions made impact the services we are able to receive. we have make sure t families you serwill ld of ice thece. next speaker pea. > i nto thankyu for king t tmeto listen to ic stimony i am ere support e master plan. alth careis on he top

iorities. manyre notinsubytheir they can determinew arethe alth care eds. they should also priortize the curnty they arerawn to specialized care to compitive on aregional, international, and national sis. the depament of health. thk u foryr time. > nt speaker please. >>i am with thech gras studenassociatnd we work with a lot of community residents ithe southeast

one impact of not having a master planisthat ie southeast where the embers bear thebiggestruntf pollution from t freeways, whhe te communy has t highest sthma rate, the highest hospitalitionere islso thleastaccess oealth care resources. hat is part o not having he tos for you-- havingthe tools. one upports thelan, but not eeryone wants to go along with it. and w i ar the aning ocesses couldbut the

eterminationis bad i hear that it is great to have somethingon important new- pape but it is nomportant. it is not necessa for institutions to go along th e. need to hold ea care delopment esponsibleor providing health care to an ente community. i hinit i important that we continueo move ahead with the process. theindustrcould have been >>we have beenoing ma

mont ut we have en wking onthis i f many years. they a facinge bntof health disparities ad ar it is noanythiew,but the fact tre is anbjecon now tota laning is outrageous. here he ma optunies to i on the a f amedmen ve en

changed. th he bthin but we wated tores that t process s been very good. here have en man opptunitieso wgh in on this, to have testimony taken intoaccount thiss an urnt issue, and ilie they nee to weighn i we need to have plan byth time nati healtcasrt toom o do ve --eeto have anytin shov own our throats. ent ot do t eio

n resi iortant idsi ancisc tey wtc. witor 2miteealthcesviswil rein

the eawl willermet tsey gho t is tre isesistae anrwyours you avbeenortis nepeakenk y.

iog fore. sayswey bo an t cy.

cveaop,aivitd health care killed ythe reandminstration when we were doi he project review, the were people om th community e ospials anthe siness communityand te siness om always aid t sky was al. we have todea with th. thiswas loud a clr.

prvideheare forundseed ommunities,hich isnot nly geoaphic t aopulatio anose arhe peole said bacay fa out of this you represent this, andar distct the soutast, you ve hospitals fo ou -ouha hospitals. wavds becauseofthe his. no o wts to deal wi imary care. ital it health department do nsee tfor-profi institutnsthat ehasize

rtiary aresing our misson o provi imaryca hugutthe city men have baes. heydo notalways ha acces o good primary-caehrough e city ohaveasma hy do nawayhave pblic rovides. >> anrtheubc commen is item if not, --,noifyou would >>ha you. iwod liketo thkyou for uref so for the coittee express anythin

i am proud tobe able to coorditeut t imprtance fealth careservice. i alwaywant to tnkou fr e commite memrs, because thisisheefore h election. eunion memberstowork on that. tey aralso ting some ime ccountableo actual makes is athe benefit to sa franciscans. we would like to work evrytng

ou hoefully wih he cointions. iont a it should not e layed. it is alsoimportantonhis particula dateeaching we wan tomake urthe communities ill le e chancebegan comg upnext week thank you very much or the position. anyo e en of publi comment. this we weil mo than likeontinu this,and you cacome ack. upervordo have closing commes? > tnk you gain for givg e the opportuni to be here,and

wao ank he membs for being here. i know tre i an alexian tomorrow, and ttcuts across te brd. weavea number of people who coul have beencampaigni, because it is such anian sue ansomething eel eds to bedressed as quicly aspossib. i understand the coerns, bu out hw e see ethis is people asan francisco? thiss sometng we o act on as quicklys possible. with respect to some of the changeshappening in heealth- industry, froit is par of thatstem thate needbette planni. you hit the nail inthe head i s ofow good planningan address a t of the conces.

it sbecause of those concerns we sulmo expious. the lol level will enhance good planning at e regial leel. i do nothink w can egage couldegionalplanning unless kw what is eded at he ocal level. on fina thing isthat i welcome theemploye of the industry that is somng we havebeen a some point we have to move, and ithinkwh is happin is there eople who genuinely beeve the cityshould notha our e in cingealth care to he extent this legislatiois ting o do. there are eoplewho belie

planni isok and attheen of tay haas a fmental dierence i believe wh some inviduals it does not maerow any hanges you make. they will opset causethey do not wacange. e ve anoigatn to make sure the interests o san franciscans re addressed. thatisnderlyingth legislatio which is why i rquest that we mo as uickly as weca having to make these decisions -- he plaing mmittee vot 51 for a reon. they arready to act. he ongere wa the mre difficulit bomes. te one coent hat resonated was the appoine ofmayor

newsomwho said she couldnot unrsnd why the s opposition cae if not actuay require anything. it said you edo take health ca to consideration, and en if thereis inconsisncy, the plaing mmite still has e abity o approved a proct. nothing chaes i the oarasqukly as possibloe >ould like toknow why we are going to cointh ik the has been a number of amemes. idkind of etwithomeone ro aiser understand some concer, t ithink survisor compos hed to tegra so othe lnguage my conersation -- i se th you wantyour embers be inlved but i do not e ow

going tohelp. ou could come to supervisor cmbos pecific donas a way of havingthoconcernsddssed. he also raisd a numberf concerns i have notseen enough specifs aboh isreative most healthare reformwilllimit e quality of eah care access. esplly, tsay h hav exremelyimitedeso al care.

i do not eel comforble contuis. >> isupport whatsupervisor combosnd my colleagues are trying to hisis a conversation we lso had hen we were discussing the shipyard project about tends ughout theciof uderstanding health care distbution continuous.ask for a brief we discussed wre the legislatiowas. we understood ts item would

need to be continued. iree withhe urgencyo move this on asquickly as ossible, so i wou like toask that those who dohave substantive commes, and we need toget atmmiate so we canmo thisfod and hpelly get th done posthaste. >> ihink it is eremely important that we do this, d i alsowant to commend sioux heston f her work. also whewe wre talking abou oand people re

was a a lotof i hasodo wthhe proximity of t perso to the care. what is their expectancy ow ar a tyfrom ca this is aextremy important issue. workinlnning, they musse haveime toome upwithsome helpful sgestio. nothawere going to take all tm, but we want to make sure we stem and we detand t point oview. opleo t ve seriousntil supvisor campos.ve yotw

suisor cams: iwould respectful a younot to do a contua ing to make a fference, an two weeks is a long time. i tink itsieesting ar from thehospal council, because they sa you canno ecaushe heal cmiion has not acted. theeason is becse the hospal couil heen loying m forquite se time. thy have responsility a are using thatas justification do whaweknow they have een doiwhich is to solve-- egislaon to stall the