existing buildings must be maintained to support continued ongoing patient care. it is critically important better most vulnerable people be housed in six buildings. prior to joining cpmc, i was responsible for the peninsula hospital completed two years ago. it had to be built. cpmc and st. louis must be built or the hospitals will lose their licenses. -- st. luke's must be built or the hospitals will lose their licenses. it is time to move forward and build these buildings. they fulfill their commitment to community, staff, and patient safety. with the affordable care act a certain date, we need more than ever to provide health care in the most cost-effective way possible. generating the best outcomes for the sickest patients at a centralized center of excellence hospital.

am i done? supervisor mar: 30 seconds to go. >> i strongly support the mayor's agreement with cpmc to build the two stood of the art hospitals. supervisor mar: i am going to call a few more names. [reading names] next speaker. >> i am a lifelong resident of san francisco, born and raised. i am here to support cpmc's rebuild efforts. we talk about this process going on for five years. both of those hospitals could of been already built. in the event of the seismic earthquake, we would be that much safer. i think the time for holding this up is over. we need to push forward and make this happen. it is time to be proactive. i wanted to say that i support

these two projects. thank you for your time. supervisor mar: next speaker. >> thank you, supervisors, for this opportunity to speak. i am a structural engineer, chairman -- a member of the national academy of engineering. we know that a major earthquake will occur in california sometime in the next 30 years. if it happens to stand for -- we are expecting heavy damage to our city, casualty's in the thousands. a very slow recovery. a recovery depends on san francisco being a disaster brazilians city. we must have -- a disaster city. we must work together.

hospitals must began operating shortly after the disaster. a seismically resilience san francisco needed hospitals to be fully operational after a major earthquake. i need to remind you that most of our hospitals were built prior to the mid-1980's. as a map -- a major earthquake -- with precious few beds. these replacement hospitals would significantly change that picture, but they must be completed. when the major earthquake occurs, san francisco deserves to have modern hospitals. thank you. supervisor mar: next speaker. >> thank you, members of the board of supervisors. i am speaking on behalf of life

learning academy. it is a san francisco -- supervisor mar: any objections? you'll be speaking for him. any objection to that? please continue. >> life learning academy is a charter school opened in 1998 as part of a juvenile justice reform effort in conjunction with the city of san francisco. students come from the most economically disadvantaged high crime neighborhoods in san francisco. they volunteer to attend life learning academy because they want something better for themselves and their community. in 2007, the academy internship program was born. we look to place each of our students in internships one day

a week during the school year. one of our first participants was cpmc. we have since placed over 30 students as part of this program. cpmc has been instrumental in providing our students with the job experience necessary for them to make the transition into the real world. many participants pursued careers in the medical field since graduation. cpmc's commanded to the city is undeniable. -- commitment to the city is undeniable. it will double the number of earthquakes saved beds in san frantic life learning academy supports cpmc possibility to build a new facility. construction of another hospital will serve to further strengthen the relationship between so many disadvantage youth in their hope

for a brighter tomorrow. the experience they have collected at cpmc has been invaluable to their growth as people. thank you. supervisor mar: next speaker. >> ♪ don't take your hospital love away from me if you go, then i'll be blue you can take away the sutter tax breaks remember when you made psychiatric just right and cathedral hill has the highest heights think of all that we have been through make it better, won't you

thank you ♪ ♪ something in the weather hospital moves the tracks and no other hospital i do not want to leave it now the are you going to fix it up and how long to do that, please let's go through the hospital, let's go to the hospital hop let's fix up your benefits, too. make it better, won't you? ♪ let's go to the hospital hop make it the best that you got ♪ ♪ make it better, make it better a lot ♪

>> keith wolf, kamani ahmed, max moser, michael smithwick, michael streetland. next speaker. >> hand you, members of the board of supervisors, and speaking on behalf of the foundation in support of the plan. >> you did not fill out a card, is there any objection to the speaker taking the place? please continue. >> i am a board of director and a life member of 29 years with the san francisco chinatown lions club. we just celebrated 60 years anniversary. for over 18 years, we have had many hundreds of patients to the

foundation clinic to receive free eyecare treatment and surgery. surgery's such as cataract, clara,, and ocular degeneration provided to patients that have no financial means to take care of these problems. most patients speak little or no english. the volunteer and provide transportation and translation services. the club is very proud to be associated with the clinic. the service they provide for our patience is rated first- class. please support this project and let's move forward without delay. thank you. >> next speaker. >> i am a neighbor of st. luke's, i have been working on

the traffic project for about seven years now, and my comments are about the transportation and the context of health care. i have a few examples from the plan that i think show how transportation affects health care and how they demonstrate the bad faith of some of these points. st. luke's, the plan will downsize from over 280 beds. at the same time, the garage won't be changed but there will be a new mirage. the other parking spaces are about 100 spaces in the new one will be over 200 spaces. we're basically turning the numbers on their heads. we're swapping patients for parking and i think that shows priorities here. they do have a shuttle system. the shuttles run north and most of the patients come from the south.

they actually run a shuttle to the mirage in japan town. they don't bother to run a shuttle from balboa barked that what access several lines and reached the south part of the city. they run another shuttle on jerry st. for 180 spaces. they don't bother to run a shuttle from the senior center for the excelsior or the health clinic at the bayview. this shows what we are working with and the bad faith. >> i will call the last remaining cards as well. >> my name is al gore when.

i represent lost block association. we are property owners and residents of the immediate block adjacent to the new st. louis campus. we are adjacent to the large parking lot that currently exists and will contain the new giant hospital that will be built there after this is done. we have spent a long tomahawk working with the design process, talking with them about some of our concerns and they have been quite cooperative and quite helpful in revising, in some cases, helping us alleviate some of our concerns for the area home to the point where in the beginning there was a lot of the opposition with him doing what they want to do. now the entire lost bloch's in favor of the new hospital being built. i think that we are probably some, if not the most affected

residents of the construction of the st. luke's campus. some of us will have an emergency entrance to the hospital 25 feet from our front doors. and despite that, we favor the hospital being built for the sake of san francisco. >> good afternoon, supervisors. think you for the opportunity to speak to you. a cut this issue is impacting our health rates for city and county employees and retirees. and the impact the house bill rates have on that. in the interest of transparency, i have been on the health service board since 1987, the longest serving commissioner on that board. one of the first things i learned when i followed this information as much as i could possibly do for over 20 years,

the fact that whether it was stanford hospital, a presbyterian hospital, cornell in its latest iteration, a member of that system, the specific hospital network has been the highest cost hospital in san francisco. in all of our networks for what ever we have had and also across the board in any of the hmos that belonged to the system. that specific cost of that size of the cost the remaining in our network as glues to the cost of health care for city and county employees and retirees for as long as it has been in our system since the late 40's, at least. and when you talk about the jobs and the contractors, they paid to the welfare and benefit for all union employees that will be building this hospital.

the cost of construction will be directly impacted by whenever these hospital rates are for what ever plans they have. as long as you have this exclusive contract trying to eliminate competition, you will find that those rates will remain the highest. even discounted, they are a lot higher than any of the other hospitals in the area and they will continue to be so. since we have had proposition c and a number of other issues that have come before us, we talk about the fact that the health care costs are very high, and so does the private sector and other public employee groups, everybody is talking about because of health care. this is an exact example of what happens when you allow certain that works to remain the highest cost and they basically are not

encouraged, in any way, to reduce those costs to get any kind of contractual home benefit. quality and morbidity are not the issue with regard to these hospitals in san francisco. we are exceptionally fortunate to have some of the highest quality of facilities in the country and the state. i think you should ask that the construction cost for whatever arrangement you make, i am not here to talk about that. what are the arrangements made, those hospital rates and construction rates are not passed on to those the purchase had those hospital services whether it is through blue shield or united healthcare or our own plan, that we have transparency with regard to that. that those rates are kept consistent and they don't reflect the increase in the construction cost across the board because as representing the public, we have an

obligation that the money originally that goes into the general fund starts out has taxpayer dollars. we tried to get the best bang for the buck. how we need transparency in regard to the hospital rates. lastly, as a resident of district 11, st. luke's is significant to all of us that lives in district 11 and 10, who must critical that we have the hospital or we have to go across the line and we don't know what is going to happen with stephen. they just can't handle the capacity even with the new hospital rebuild. let's look realistically at the families we have out there. we need a guarantee that st. luke's will remain for ever in our neighborhood serving districts 10 and 11.

>> i have called all the cards. if there is any one of that would like to speak, please come forward because we will be closing public comment. >> during a time of the transition when california pacific health bought st. luke's, i was asked because i was pastor of the church over close proximity to st. luke's to be a liaison person between that sutter and the community. i attended many town hall meetings to see what hockey denizens of bayview hunters point feelings were. all of the in-house wanted to the st. luke's hospital to remain the same. i certainly could understand the

sentiments and because as you know, south of market -- [unintelligible] i went back and took the information to the ceo, asked him why it they can't remain the same. he said, because he would love to do that. because the hospital had been operating in the red over how many millions of dollars it was a year, no business can stay in business that way, and if we operate the same way, we will go out of business also. so they reduced down to 80 beds. in my opinion, her 80 beds are better than no beds. i say that because the california pacific can't do it,

and not know any other hospital in san francisco that can do it. because of the longevity has a health-care provider, they have been operating in the black the whole time, i think that is indicative of the fact that they are the best qualified to rebuild the health care while the center in san francisco. i support them all the way. >> my name is scott, who i am here representing the lost block of san francisco. many of you may know that we are the bloc that as a ground zero for st. luke's. the residential block or the proposed hospital is going to be

reconstructed. ourselves and many of the people have been actively involved for over four years now. the process of coming to meetings, working on trying to find a balance, compromise, a design that works, and certainly from the health care standpoint, it is important for us and members of the community had a health care is effectively managed with the hospital with the beds that we need. what i want to talk about is that while no agreement is perfect, we agree that this one is one that strikes a balance and a compromise that we support. we are happy with the fact that there will be a hospital to serve the south side of the city. we're happy that the focus is on the outpatient community as well

as the elderly that have issues with regards to both transportation and fixed income, in many places. that balance having acute care, elder care, serves the broader community well. >> you have 30 seconds. >> i will wrap this up. because we have been involved with this and it has been such an ongoing proceeding, we are asking that we not take a significant amount of time more to make a compromise. when asked that we find a way to either move forward with this agreement or an agreement that is close to it. >> next speaker. >> good afternoon, supervisors.

i am a resident of district 8. i support the rebuilding, and i am here to tell you why. some of the arguments i heard against the rebuild, i find interesting. i don't see much traffic impact. the argument that there will be a massive traffic impact doesn't sing her ring true. a the the argument should be tossed out. for a living, and so at least commercial real estate. there are an awful lot of blighted and empty storefronts. and when people ask why that bloch's walled off, the answer is the city is stalling on getting approvals for a new hospital.

when will it get built? i say five years, seven years, eight years, might be never. the answer is let me know if it gets built and will decide if i want to move by the business. having that bloc walled off is not good for the city so i think is best you approve this hospital right away. in terms of a major disaster, all of their existing campuses shutdown. you have county hospital, san francisco general, st. francis, and st. mary's to handle the overflow of massive patient needs. it is imperative that you approve the facility. >> next speaker. if there is anyone else like to speak, we're closing public

comment very quickly. >> i am the development director, a community partner. i am here today as a representative in support of rebuilding. i bring with me strong support for the rebuilding project from the board of directors and by executive director. for 50 years, we have been providing an array of resources to help san francisco self managed ellis. our mission is to empower classified healthy pathways to recovery and promote long-term independent living. they have a strong and steady partner in our mission. they have helped us provide breast health education, outreach, comprehensive diagnostic, and more for our

clients free of charge. they have been a primary supporter of the annual fund- raising events donating much- needed funds to the clients and residents for our overall mission. it is our firm belief that preventative and educational care is essential, and all patients deserve excellent health care regardless of their income, background, or nature of their illness. many in other areas throughout the city will be served at these new hospitals. your decision will make a positive difference in the lives of many. >> next speaker. >> i am the general manager of the oval hotel. i am in support of building. at my hotel was right next door

to the location of the project. currently affect my business on a daily basis. the vacant lots there that are vacant currently, i have the issues in my hotel room everyday that affect the safety of my team and the safety of my guests. having that there is going to bring to me as a seasonal business owner, year-round business that will let me give job security to the team i have her and expanded by employee base. there currently from the neighborhood and surrounding neighbors. >> will be closing public comment after the last speaker here. >> i am a former member of st.

luke's hospital in terms of acting as the chief of plastic surgery and hand surgery for 15 years. we all seek a rebuild of st. luke's hospital as quickly as possible, but we want it built properly. right now we have issues with problems that they left out. ultimately, the problems with the skeletonized emergency room, really just a fraction of what it once was. this is hardly a vibrant hospital at this point. the credibility of sutter is in question because, just think of the recently released information about there being 21 million to reimburse the

hospital. the closure of the hospital, the linkage about possibly being closed early, i think they have seen the loss of some of its better paid patients transferred to other facilities were having its cash position really drained. that is an important issue that we need to look at. please appoint a panel that can supervise the charity care. it will help actually overlooked what they are doing with their funds that they certainly have, there were their executives well with packages, and why can't they devote a little time thinking about st. luke's in the services needed to? services needed to? >> last speaker