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? >> last speaker. >> thank you for hearing this important item today. i am a resident for the proposed site. while also a secretary and i am in support of the rebuilding plan. as a neighbor, i am excited about them coming in and revising the area. i am looking for a doubling the beds, i think it is really critical to leave the emergency response plan. the state of the art medical facilities, i have an autoimmune disease and it is great to have the close by. a think it is important to have

the integration of offices close to the hospital building. i believe it should go through as quickly as possible for the sake of the neighborhood and the city. >> that is all the cards and we're going to close public comment. colleagues, it is before the committee. are there any questions or comments? >> i wanted to ask a question of the city health care staff. given the testimony you heard after they spoke around consolidation studies have the impact of this on increased health care prices, can you let us know if there is information on the other side that we should be aware of? it seems to me that we have just heard one perspective. when these types of consolidation happens, pricing

often increases. i was wondering if there was another perspective. >> i think another component to this issue is how well hospital system and how well the community-based system care that you need also helps with costs. i can tell you every day, in order to maintain to hospitals, and we have to have this are rare of services in the community. the struggle to ensure our costs are managed by making sure people have the right services within the community. it is another perspective of how to manage care. you have to have a comprehensive array of community services that provide for the support of those clients coming to the

hospital system. that is something that we have also tried elected the development agreement with innovations had funds along with centers of excellence. as well as ensuring there are mental health services had a comprehensive continuum of care that is a component of managing health care costs as well. >> one of the main takeaways from the testimony today is that if we don't have competition, if we don't get a better pricing deal related to this, it will, in the long run, be very difficult for san francisco's health care system. >> competition is important. we can become a stronger entity of integrated systems to ensure that we also cannot stay afloat because we do not have a patient

mix of those that do not have any kind of benefit. also, this comprehensive way of looking at hospitals are not just the only focus, of the comprehensiveness of the community-based system. >> it seems that the current pricing deal home doesn't seem to be the right step in making sure that we have competition. i am wondering if you have a different perspective. >> it is important we have a competitive market and how that works in the community need to have a marketable share, especially with the affordable care act. there'll be 30,000 to 70,000 people that have benefits. it is an opportunity for all of those networks to get their fair market share.

>> and the deal that we have in front of us seems to have pricing terms that will make it difficult for us to have a fully competitive market, right? >> the way that they have set up its competitive piece and having the more expensive cost is going to be a problem. i think by having stronger network in the community will help with the competitive issue you are discussing. >> i think that is the crux of what we are talking about. i want to support a deal, but we want to make sure the decisions that we make next week or the next couple of months ago to set us back and all of the hard work we have done as a city around cost containment strategies. the possible numbers of what could go wrong if we don't get this right and we decrease competitiveness in the public health care market could, frankly, he catastrophic for our city financially.

not just for san francisco, but for the entire employer base. but forward to continuing this conversation about how we can insure that if we're going to support the deal, the deal was going to make sure that we continue to keep our costs down to make sure everyone has real access based on health care costs. >> colleagues seeing that public, disclosed, there is an appeal for this project which was scheduled to be heard july 17, and therefore, we will need to continue this item for the next land use meeting which will be scheduled for july 16. we will be hearing a detailed

presentation on housing in traffic. >> i changed my mind. >> of course. >> a question to mr. rich. obviously, going back to the st. luke's issue and the apparent impasse or disagreement bargaining position. it seems that we received a letter this morning from dr. brown or statements by the mayor, i'm the eternal optimist that an agreement can be reached, and there'll be continuing talks and negotiations. we're hearing right now, it seems there is still quite a disagreement. my question is, we have eight days before we are scheduled to hear all of this at the board.

what do you anticipate happening over the next eight days? will we be ready to do that on the seventeenth? >> all i can tell you is that we have made it very clear that even though there may seem to be an impasse, we have gotten through them before on this project and many other projects. we're here to talk as much as possible. it is probably difficult to imagine keeping the same schedule we have now in terms of eight days before the hearing. miracles may be possible, but we are prepared if we don't come to an agreement, and prepared to support a continuance as necessary to make sure that we get there. we would prefer to get a phone call tonight saying let's stay up all night and work this out and try to keep on schedule, but short of that, we realize we're running short of time.

>> i would like to make a motion to continue all of these items to july 16. madam? >> we have no further items. >> this meeting is adjourned.

>> good morning, everyone. thank you for making this a reality. without you, it would not have happened. let's hear it for the volunteers. [applause] >> i have organized this for 17 years. together, we are the friends of the pink chronicle. we are trying to get the message out of what can happen. we are all wearing our print -- pink triangle t-shirts income robbery with those who were in it in concentration camps. there are reminders of hate and intolerance and an appreciation of what we -- of where we stand

during pride weekend. it is to remind you of the hatred and prejudice of the past and that it still exists in some parts of the world. while we have a wonderfully tolerance city, it is not as tall or elsewhere. i would like to welcome congresswoman democratic leader nancy pelosi. [applause] the mayor of santa francisco, the honorable ed lee. [applause] former mayor and lifetime achievement grand marshal, brown jr. [applause] senator mark leno. [applause]

assemblyperson tom amiano. [applause] san francisco treasurer jose cisneros. [applause] the recorder of the city, phil. [applause] the president of the sentences court of supervisors, david ch iu. [applause] supervisor campos. [applause] supervisor wiener. [applause] supervisor cohen. [applause] and we're thrilled to have so

many of the grand marshals at the parade. [applause] carmen carrera of ru paul's drag race. [applause] global grand marshal bishop christopher. [applause] [applause] gilbert baker award recipient, gilbert baker himself. he is the creator of the international symbol, the rainbow flag. [applause] individual community grand marshals rebecca, gary -- i do

not know if he is here today because he has a very busy day. he hosts the pride run that is gone on in about 30 minutes. -- that is going on in about 30 minutes. and we are thrilled to once again have the san francisco lesbian and gay bad, the official bant -- band, the official band of pride week. [applause] we have the board chair, lisa williams as well as the executive director. [applause]

the sisters of perpetual indulgence skerrit -- of perpetual indulgence, the castro alliance club, thankyou all. [applause] thanks to danny for the website and d.j. josh, one of the community grand marshals. [applause] and i would like to thank all of you for your help, especially my sister colleen and my partner, jose. [applause] and my mother. everyone is so lucky to have you. we start off the program each year with a reminder of what the pink triangle is about.

to tell the history of the pink triangle, please welcome the star of greece. -- of grease. [applause] >> good morning writ -- good morning. this is too much to take in this early. you guys are amazing. the history of the pink triangle. the pink triangle was used by nazis in concentration camps to identify and shame homosexuals. this symbol, which was used in an attempt to label and shame, has been embraced by the gay community as a symbol of pride. [applause]