mission neighborhood and a i l wellness and the many crucial important programs in the jail and sir, ridge. we have ryan white cuts that be impacted over the whole program. as i can see this adds up to - that will result in great reductions in services for clients. so in summary really the need for extra backfill and the current ryan white that we know about we're sure the sequestration cuts are coming

and we're facing a larger budget cut across the board. it's not possible to hold the program harmless - we greatly appreciate this we're existing excited and anxious to work with the mayor's office and we'll be looking at the focus year on july one. colleagues >> i have an initial of supervisor. actually i'll wait on my comments >> i have an initial list of public commenters and if he anyone has to go earlier we

accommodate that. (calling names) >> good afternoon i'm lee i'm the hiv planning health council. we're here to prioritize those who need this ryan white funding. provided by the agencies appearing here today thank you for let me speak today. i'm referring to those clients who are busy simply existing on

the edge of life. so i'm advocating on their on behalf of. we all know that ryan white funding keeps it's most vulnerable citizens out of the hospital. we provided the best health care for our ryan white clients. i ask on behalf of our mostville initially please take this into consideration >> i'm the medical director at the mission neighborhood health center. a year ago i spoke before this

group. with our help we've been able to get more patients on medication and drastically reimbursing their spreading hiv to others. on monday, i saw my patient laura who was using heroin and over the last year with the help of her case manager is in the process of reunifying with her son. she's achieved 96 likely to pass hiv to her sexual partner. and this is what success looks like and it didn't start or end with me writing a prescription

and we know that changes are coming. this is not the time to change course on the hiv services. when in the; isn't that so we saw a surge of epidemics of tuberculous deaths. we can't afford to go backwards. i'm here asking you to keep those programs whole and sustain the services that protect our public health. i'll be here every year if i need to be and remind you what the case of bad health looks like >> thank you. next speaker.

>> i serve on the hiv prevention planning council and i'm here today on behalf of of the harvey milk. >> first of all, for being our champions on the programs. i feel that san francisco is the best we have to take care of our community and our residents. it, it's san francisco values at its finest. other people have spoken it's a model for the world to follow. right now though we're faced with the dismanlt of this model and this is because of the failure of the federal government to respond to this epidemic as it should and come

up with the funds obviously that comes in the context of our dismantling of our services. it's time for us to stand up for that people living with hiv and those at risk for hiv here. this is the results are significant in terms of what we can do so i ask the members of board of supervisors to work colons with the mayor to fill those cuts and take care of our san francisco receipts. thank you very much >> i'm a physician and i'm the medical director of the hivs clinic. we take care of 13 thousand people living with hiv in san francisco.

we work extensively with the members of the community. i want to focus on primary medical care. if we lose a portion of the ryan white services we scant continue and this will effect qualify. san francisco lead the way in saying that all people should be on treatment regardless of their cdc contact. so at our clinic with 3 thousand patients we're able to prescribe medication and 82 percent of those patients are libel to pass hiv on. without ryan white or restoring

those funds we won't be able to do that. and rapid assess engaging people at the time they first get a diagnosis is key to getting people on that undedeckably assess. i'm afraid that will change our care and we ask for your support >> thank you very much. next speaker >> good afternoon i'm a community member and a student the san francisco university. i have been a person who has received treatment. i came here about 11 years ago this year serves that are affordable access to health

care, affordable health care to testing and i think those services are really important for community members and for a vulnerable population about our supervisors. those services have been helpful to prevent diseases like hiv and just different diseases and there's other people out there that are benefiting from those services. i think it would be a ashamed to cut the services. thank you >> thank you very much. next speaker >> hello, i'm ms. brown i'm 22 years diagnosed with hiv. and for each time the kits came.

i'm also 68 years old so i'm doubly impacted with the budget cuts and the third thing is that everything is geared toward l l.b. community and what does sexual it have to do with that. thank you >> thank you. next speaker. >> thank you supervisors for this important opportunity my tree has provided hospice and legalization to low income advanced aids since 1997 our mission so to make sure that no one has to die alone.

we serve 15 thousand residents and all those residents require 24 hour care. we've had a waiting list of applicants as a testament to our community we've also given priority to those with the at least income. often people come to us with no medical care and we stabilize those who can be stabilized and we help those with end of life to have dignity and with as little pain as possible. since providing 24 hour nursing care in an operation of this

scale is expensive we've been forces to rouse our administrator costs but if we have to turn more deserveable patients away that would force a lot more people in desire need to san francisco general and i expect their costing the citizens of the san francisco a lot more then by private giving and volunteers. i do have several residents who have come to speak and their medically challenged. could i bring them forward? >> good afternoon i'm tim. i've been a residence for the

last two months. the care and services provided by them is very incredible to someone who has hiv. i say the funding shouldn't be cut because it's very, very critical in the cycle of recovery that all hiv and aids patients go through. i really encourage you to reconsider before you cut. i need there are a lot of issues i need to consider but do consider this. thank you >> hi. thank you for hearing me, i'm a required school teacher i have

aids and cancer. i was looking the prospective with no cooking facility as a plays i was living while i was go through chemotherapy. now all the worry i had about my living space and being taken care of and any medical emergency hispanics to me has been lifted from my shoufldz so i can concentrate on getting rest in a place that's clean and people are very kind. i hope you people will keep the funding open for my treatment it's an incredible place.

thank you >> hi i'm seth. i'm 59 years old i've would here for over 319 years i've seen the beginning of hiv aids. i tested positive in 1987. my partner and i were able to survive and i've now been with a partner for 18 and a half years. the changes that have occurred in the last six months i became very, very much hiv problematic

on many areas including my kidneys etc. i realize with my loss of balance and my not been able to control myself i can't stay-at-home. my partner would have to leave work and take care of me day and night or i would wind up at a general hospital or be fortunate enough to know two words in the last few years. their words and my tree. i've been at my tree for the last two years and anyone who was the fortunate to go to my tree will have a full, full exciting life ahead of them.

>> thank you very much. next speaker >> god bless my tree. hi i'm eddy. i'm the physician i direct the woman's program. i'm here to express one reason for the board of supervisors and for the mayor to back hill cuts for aids services in the city. restoring those cuts is a very smart financial reason. 2 hundred and 13 thousands of ryan white money funds a lot of people at the client. this is a gateway to all kinds of serves. most of those are african-american and latino.

because of this gateway these people can see the best physicians and if they get real sick i can put them into the clinics and this client provides a lot of funds. the general medicine client can't provided the gateway into ucf services. they have no medication, no programs to help woman to professor from violence. if our program closes the gateway most of those woman and would be out of care or at san francisco general costing more money. we need our support to sustain the basic foundation of the

cities services. because it's smart, cost saving financial investment into the health care of our community. >> thank you very much. next speaker >> hi i'm adrian and i came base i'm at usc for example i get treatment also a lot of community woman get treatment there and the cuts would mean they'd have no mental health care and no nutritional health care and a lot of our community depended on those services and without that they wouldn't go for medical care because everything is done under one appointment. i'm hopeful that you wouldn't

cut those services. >> thank you very much. next speaker and thank you for the opportunity to speak. i'm katie i'm a psych health worker. we work closely with the medical provides at the hiv program and we're the case managers with the catholic charities. we work together with women who have hiv. for the past decade we've been providing the service bringing mental health and health into a health care setting. we work with women who are

predominately low income. as evidenced by the improved qualities of our patients life. they find long term housing they take their medication and they learn to manage their p tcs symptoms without abuseing drugs or alcohol. we try to improve the social activities for our patients. thank you thank you very much. next speaker >> good afternoon i'm a client of this program.

most of the support volunteers for the and a half years before ashley i was isolated and afraid but since this program i have floertd. i have come back and at times ashley was the only person in my life i could trust. and salesmen's she's the only person to come to my hospitalized she's helped me a lot of. thank you >> mr. roy. >> good afternoon supervisors my name is trio i'm the executive director at the program. it's a non-profit for hiv and

cancer. i'll keep my remarks brief. we serve over 16 hundred people who are hiv positive. there's an expression that i hope sums things up. and that idea is what we call the difference between zero and one. and that applies to a lot of our clients but it is applying to all of us having the difference of one person by your side supporting i or having no one. and that difference is the best difference of all. so all the organizations we represent that difference in the lives of the hiv positive clients we serve and that's who's on behalf of we are speaking for today. thank you very much

>> thank you. next speaker. >> good afternoon. i'm convene executive director of project open-end. as you know project open hand has delivered over 16 hundred meals to people living in the bay area with hiv and aids. we issued a report showing the linkage of people with hiv who have access to healthy food do much better than those who don't have food. was it would mean if those cuts into in effect if you're clients do without more food or without medication. >> i'm greg i'm a volunteer and

a client at project open hand which provides food and medication for hiv people. they provided an incredible benefit to me. i shop once a week to project open hand center to stretch my money. they provided me with staples to help me with food. i volunteer at project open hand and help to among the meals. those people are most important because they don't have a voice. clients like me depend upon the meals. clients who are also suffering

from hiv and aids will suffer more because of malnourish. project open hands prevents me from going hungry. i urge you to provide the necessary funding so the clients are not turned away from project open hand >> thank you very much. next speaker >> good afternoon supervisor wiener thank you for having this hearing. i sit on the executive boards of the ceo. please, please restore the cuts because the cuts will help especially an african-american community i know that working

with the ceo san francisco program lawful african-american people can come in there and get the stuff they need. in 1990 i got diagnosed with full blown aids. by having the services available to me i am living longer. i want those people who are coming behind me to have a good life. i've utilized all those services. i've been in san francisco i've i'm an advocate for african-american males. this service has allowed me a

quality of life it would be a disserve to those who are coming behind me. i'm 62 i've gotten to imagine a grass fully and also i feel that looking at tv and stuff there's not a lot of attorneys about hiv awareness and stuff but your african-american young men have flicked with this disease because they're not be sure that hiv is