we ask the commissioners for any help they can give us toward that goal. president olague: thank you. if there are folks still in the overflow room, there are 20 or so seats available here. so you can come over now. >> good evening, president olague and members of the planning commission, my name is anthony wagner. i'm a retired health care executive. i'm a member of the board of sutters health westbay region of which cpmc is an enat the gral hospital system. for five years i served as the executive administrator of the san francisco community health network, which included san francisco general and laguna hospitals, as well as the 185-bed rehabilitation mental health rehabilitation center on the san francisco general's campus as well as 17 in and outpatient clinics. i also served 10 years as the c.e.o. of laguna honda hospitals and prior to that 15

years as one the senior administrators at ucsf medical center. finally in my career i served as vice president of the labor management president buell: at kaiser permanente health plan for two years. i currently serve as the chair of the board of the institute on aging of san francisco. having reviewed the analysis, i city's so-called asks which adds $2 billion additional and doubles the cost of constructing the new hospital, as mandated by the state, hospital safety laws. i understand there has to be remediation, but i think it has to be remediation that is fair and that is not this. these additional asks of $2 billion will make the rebuild financially many possible for

any hospital system or any hospital. most of us understand that health care delivery and financing is changing and will continue to change dramatically as national reform is implemented. if cpmc is locked into a structure which mandates inflexible delivery options, both the city and cpmc will be unable to respond to the changing environment. president olague: thank you. >> thank you. president olague: you can speak, thank you. >> thank you. my name is connie mardikian. i wish to share my experience with being involved with st. luke's hospital always as a volunteer. as a reg centered nurse i wanted to make a difference and many of the families in need that st. luke's serves. i started as a member of the junior auxiliary where i helped

to raise funds. i can honestly say that i appreciated the mission of the hospital and admired the physicians, nurses and staff that worked unselfishly -- selflessly to deliver care to those in need of charity care. i became involved in st. luke's hospital foundation. i served as chair and later served as president for one year. i then joined the hospital board of directors. there are many challenging financial times at st. luke's and the cost of providing care to our population became difficult with losses building quickly. for the long-term survival, it was necessary for st. luke's to find some affiliation. i was the head of the board at the time we merged with cpmc. it was a challenging process for all concerned as st. luke's had many immediate needs and the financial projections were staggering. my concern and the concern of those involved from the st. luke's side is what would happen as far as operations. the unique culture of the hospital and the desire to continue the commitment to serving the community.

at the time of the merger five of our board members were welcomed on the cpmc hospital board. we had the chance to participate in decisions being made and to keep our eyes on the st. luke's mission. it was a time of transition with the medical staff, services and administration. cpmc studied the best use of funds for serving the st. luke's community. we evaluated the current and future health care needs for this portion of the city. the results from the study demonstrated a clear need for a new hospital and further development of specific clinics. cpmc has honored its commitment and fully integrated st. luke's into its plan for health care. they have continued to improve the facilities -- thank you. president olague: thank you. please. we can do away with that, ok? no hissing in the audience. thank you very much. ron kauffman, barbara bishop, brian webster.

>> president olague, commissioners and director, to cut to the chase, i spent about half of the last 50 years doing volunteer work in san francisco with very heavy emphasis on public safety and on hospitals, including ucsf, the cancer center on sutter street, the retention of ucsf, which involved about five or six years of work and a committee at san francisco general when rich cordova was there. so i have truly a great concern about the health and welfare of people in san francisco. and i have been on the cpmc board the last 10 years. when that board -- and i'm speaking frankly my own opinion. i don't know if the rest of the board will or won't agree with me. but when we were asked to approve the blue ribbon recommendations, that was $270

million commitment. in addition to $20 million to $30 million deficit, which we've already absorbed about $100 million at st. luke's, and if you multiply the next four years at another $400 million, i just think that that is an enormous commitment that nobody else -- no other organization in the city would be asked. what was overlooked by the transport people is that cpmc does have an internal transit system of buses that mitigates a great deal of the traffic to the hospitals, including a long-term commitment on 600 off-site parking spaces, which we pay for, to keep the traffic down. it was referenced to profits. those profits are plowed back in. just to keep the equipment up to date on the four campuses is about $60 million a year. so i would leave you with these

questions -- why is central van ness avenue -- president olague: thank you, sir. you can leave the questions that you have in writing. >> thank you. president olague: i don't mean to be rude, but if we start a hissing match we'll never get out of here. we never will. >> i do have copies of this statement for the commissioners. my name is barbara bishop. i'm a physician, a family physician at st. luke's. i've been there for 30 years and continue to practice in private practice. i'm here in my capacity as the vice chief of staff of the medical staff and i wanted to read a memo that was sent from dr. ed kursh, our chief of staff. he's, unfortunately, out of town, to warren browner, c.e.o. it says, "we support st. luke's executive committee for the enterprise development plan e.d.p. the st. cluke's executive

committee in its meeting of may 26, 2011, reiterated its support of the conclusions of the blue ribbon panel by a unanimous vote in support of california pacific medical center's enterprise development plan as proposed to the city of san francisco. this includes the rebuild of st. luke's and the construction of the new cathedral hill hospital on van ness avenue. the medical staff was intimately involved in the planning of the clinical services to be offered and is satisfied that the community needs will be met by implementing the e.d.p. the medical executive committee is the voice of the st. luke's hospital medical staff and has been vocal throughout this process. this communication is to reconfirm our support as the e.d.p. moves forward." with a copy to mayor ed lee. i just wanted to say we desperately need a new building and new facilities at st. luke's. the building is aging. the boiler broke. we have many, many problems, and if we don't get something passed soon, i'm afraid that

our patients will suffer both from safety issues. i also think our patients throughout the city should be -- should have the availability of a state-of-the-art earthquake-proof building and i hope that you will consider that. president olague: thank you. dee falk, followed by madeleine yee. lisa penta, and susan blashick. and if you're in the other room, you can start making your way over here. if i've called your name, feel free to come up to the mic. a reminder that there are seats available if you're still in the overflow room. >> thank you, commissioners, for allowing me to speak to you today. my name is madeleine yee.

i'm a registered nurse. not a professional speaker as many of the administrators. i am one of the many employees who are on the front line taking care of our patients. i am here today to encourage the planning commission to mandate sutter and cpmc to sign a community benefits agreement that will guarantee job transfer and property rights for all of their employees of the new hospital. the nurses at st. luke's on the california campus have been without a contract for four years. cpmc have not bargained in good faith. there are working conditions that benefit cpmc only, not the employees. we need a written guarantee from cpmc that will protect our rights. i urge the commissioners to ignore sutter and cpmc's fancy rhetoric and listen to the citizens and workers of san francisco to mandate them to sign a community benefits agreement for equal health care access and workers' rights before any permit approval before this project moves forward. thank you.

[applause] . 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