rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the parents have more access of insurance and know the health benefits available to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this program going, it's very important for our community in hunter's point bayview, thank you. >> i'm going to call a few more names. (calling speaker names).

>> good afternoon f, my name is johnny arengo and i've been a resident in the city for the last 15 years and i'm here in support of the healthy san francisco for the following two reasons, i work in a downtown restaurant for more than 11 years with no medical benefits of any kind, the restaurant owner made sure i got less than 30 hours per week to be ineligible for my kind of medical benefit, my dental and vision care went from 2 thousand to 3 thousand dollars a year, my one year doctor visitors went from 1 thousand to 2 thousand dollars a year considering the fact that i haven't had major illnesses in the past year, my partner was admitted in the emergency room, the doctors said if he hadn't been taken to the emergency

raoment, that his condition was worsening, he wouldn't have made it through and died in a matter of hours, he's a healthy man again and doesn't have to worry about medical bills, thanks to the benefits of healthy san francisco in emergency medical situations. these two examples illustrate in one hand the costly effects that the elimination of healthy san francisco can have in the pockets of rest ranted workers. on the other hand, healthy san francisco is an affordable option for our workers who work less than 30 hours per week at the city post minimum wage. i want to remind you that restaurant workers are the face of san francisco in the sense that we take pride in the services we provide to rez densest and tourists by means of entertainment and pleasure. i assure you that restaurant

workers are happy with the benefits of the healthy san francisco program, we will make our economy a healthy one. >> i'm going to read a couple more names. (reading speaker names). next d >> supervisors, my name is connie ford and i'm one of the vice-president of the san francisco labor council, you can tell by the color of my hair that i've been around for a while, i know that san franciscans love good health care and health care for all of our citizens, back in the 90's, we passed six initiatives to better health care for our citizens, we know the single payer or many of us is the on the answer and in 94 or 96 that the state ballot that passed, that the single payer initiative, san franciscans passed it, californians didn't, san franciscans passed it, when

we got to cfo's, we couldn't have it all by itself in san francisco, so we brought in all of the different force, we brought the federal government funding, the state funding and the employer's funding to help provide access for everything, acso is not just san francisco healthy, healthy san francisco, it's both, the mandate from the employer so they should pay their share as well as everybody, and as your attorney said today, we think aca is coming in, we're excited about the possibilities, we wanted to work but we need both systems in this city to ensure that all of our san franciscans, undocumented people who work less than 30 hours a week, all san franciscans can have access to health care, please, it's not that complicated, people won't make it that comply skated, we need both systems implemented as soon as possible, thank you very much.

>> next speak e please. er >> my name is dina long and i'm the polling si director at the clinic consortium, we serve about 10% of san francisco's overall population and we serve a lot of people in healthy san francisco program, the consortium is dedicated to enrolling outreach and enrollment for medi cal and ko*frned california, democratic speaker pal loes s*i said we're awarded funds to do this. it addressing one of the problems that we need to do aggressive out rao*efrp, we plan to do that, hoer, there are going to be a lot of people left out and the issue is do they get an organized system of care which is healthy san francisco, under healthy san francisco, each patient is established in the community based patient centered health home, they have their own

consistent primary care provider, that's one of the unique things about healthy san francisco, it provides patients an organized patient care. it's -- they provide a variety of services that enhance work, through healthy san francisco, community clinic consortium support the city of high users of city, tep-we recommend we aggressively do outreach and keep healthy san francisco, thank you. >> next speak e please. >> hello, my name is [inaudible] taylor, i'm sure

you're bombarded with call tos do the right thing, so i'm just going to say be clever today, i would ask you to pay close attention to who's going to be on the mayor's commission and the voices and the backgrounds and where they're coming from. you're going to have an unrealistic view of obama care implementation, or that's what my worry is. if other ruminating of this advice may have a list of anecdotal evidence and howell they take care of their employees, if you must look to anecdotal evidence, look to the young kids in their 20's who are trying to get a start in their restaurants or any other business, we take kids who can get hurt easily and we have to give them an option for health care and it's hard to pay 2 thousand dollars for one bedroom apartment for this town, so i've been one of those kids and my family and my

friends are all those kids, they come from service backgrounds, they work hard in kitchens and they need a place without having to share a bedroom because to share a bedroom could cost them an extra thousand dollars, it's ir realistic and irresponsible to have them pay out each month. so, be clever, find a way to reinforce this legislation, it's a standard that's unparalleled and should be enhanced, should not be backed down on and you should not leave it alone and make it stronger and not weaken it, for those restaurant owners to see it wadeable, destroyed, that would be an opportunity for them, so please don't give into that pressure, thank you. >> thank you, next speaker. >> good afternoon, my name is

dana, i'm a member of congregation [inaudible] and a leader with the san francisco organization, our members lacked health insurance, we found out about supervisor am ya*n know's plan, one of our congregates signed up for sf healthy as soon as she could, they found a tumor and removed it saving her life, she got me to join with sfpe and has been working on health care issues ever since, i was part of the task force convened by public health to see how the affordable care act. the key finding of the task force will be that there will be a continued meet for health care safety net before the full

implementation. we're here today because some players value profit over the health of their employees and seek to abolish the employer's pending requirement of the health care record nans, however, that would undermine the funding for health care in san francisco. if it had to come out of the general fund, it would go unmet, also we'd use the requirement it had in encouraging employers to ensure their workers. in some, the way to preserve san francisco's landmark universal care safety net is to keep the health care security ordinance as it is. thank you. >> thank you, next speaker, please. >> good afternoon, my name is rosa, i'm here on behalf of health access california, our

mission is for everyone here in california to have access of quality affordable ho*elt care, i would like the supervisor's commitment in providing health care services for everyone who lives and works here in san francisco. the affordable care act, i wanted to say a few things related to the affordable health care act, the affordable health care act is a historic opportunity to expand meaningful health coverage, some key achievements include 640 thousand californians to got mep throughout the health program, there's been 4 thousand young adults who are between the age of 18 to 26 who have been able to stay under their parents coverage because of the affordable care act and

there's 21 thousand californians who were denied health coverage because they have a preexisting condition who are able to get health insurance through california's aca funded preexisting condition insurance pool, so that's all the good news and medi cal expansion is going to happen which will provide health care to children and low-income adults as well as the exchange here in california, but what i wanted to know is that still despite these forting, there's going to be 3 to 4 million people that won't have health coverage next year here in san francisco, that's going to include undocumented immigrants which you heard some of those voices here, but in addition to that, it's going to be people who miss the enrollment period, it's going to be low-income residents that are low-income but not quite like to the 15 thousand dollars, so i wanted

to encourage the supervisors to do whatever that needs to be done as far as maintaining healthy families. >> thank you very much. next speaker. >> good afternoon, supervisors, and thank you for holding this hearing. i don't think it's been a two member board on the same day. the 6 thousand teachers and professionals who keep our school working and serving the kids of our city. there's no question the educators, the pillars of our great city is health care and edge kaix, so this morning, we were talking about the crisis facing city college, but this afternoon, it seems that we have more of an opportunity, so as aca comes online, comes to san francisco, because of our

model, san francisco health program, we can fill in the holes, the loopholes, the human loopholes in the federal program, so supervisors, you have the opportunity to make sure that our students from undocumented families, from the families that fall between the lines, that their families get care. now, i know that supervisor campos and many in the city family are thinking about how to bring more community support to our schools and a foundation of that and one that educators, community organizers and people business are talking about, how do we best make sure that our kids as they're doing their best in school have a healthy, successful family to go home with, so we educates of san francisco urge you to make sure that san francisco promotes and makes better the federal health fund, thanks. >> thank you, mr. tray, it's

always good to see teachers in city hall, so keep doing it. >> good afternoon, supervisors, my name is adraoe yan and i'm with planned parenthood based here in san francisco, good to see you, supervisor campos, we strongly encourage you to retain healthy san francisco, [inaudible] we know first hand the importance of the healthy san francisco plays and health being in our community, while planned parenthood supports the affordable health act and its access that health insurance provides, two key problems continue to exist, health insurance will not be affordable to many people and many people will not be eligible for any sort of health

coverage under the nca, affordability, more low-income people will be eligible for expanded medi cal, health insurance covered will still not be affordable for many, especially in a high cost city like san francisco, people will not be able to afford this health !insurance premium, a 2012 survey of planned parenthood clients showed that 60% of our patients had no health insurance because they couldn't afford any monthly premium whatsoever, 28% more couldn't afford more than 50 hours a month, accessabilities, we heard it here, three of four million californians will fall through the crack, our undocumented and immigrant families will not be eligible and have been shut out of the family, these folks are important people to our community and it is important that we ensure they have health care access to them at all

times. again, planned parenthood supports healthy san francisco and we're doing a tremendous amount of outreach getting people enrolled in expanded medi cal and covered california. >> thank you very much. next speaker. >> hi, my name is brenda, i'm a seiu 1021 member and i work at san francisco general and i've been there over 30 years, so i remember the days when we were going around when the union rep was dragging me to synagogues everywhere else talking to the public to making sure healthy san francisco happened, i see every day the results of it, i see the all the people that we helped that didn't get help before, now we don't have to turn around people that used to get partial care because they didn't have health insurance, we do need that. i think we also need to say is that there's not enough money in the department of public

health to meet the goals that we're going to have to meet to nabbing sure every single san franciscan is covered. we do the best we can, the stresses are really strong right now and the workers, the ones doing the work, and we put in all we can because we believe in the mission and we want every single person to be covered but i think also you have to keep in mind that to absorb all of these people in san francisco, the system, it's going to have to grow, and so it's a choice of does san francisco want to have this system, do you want every single man and woman and child doverbacker covered, documented or not documented or don't you, because unless you put enough money in the system to do that, it's going to be difficult and i telly support healthy san francisco and it cannot go away. >> thank you, i want to read a

few more names. (calling speaker names). >> good afternoon, supervisoress, my name is karen and i'm the vice-president of representation with seiu 1021, what healthy san francisco has done for san francisco is it has educated people, it has helped people and it's also increased lives in san francisco, it has educated people in the fact that they know that they can go and see a physician and then get care for themselves and do preventive measures, it has helped people because people that normally go to the doctor and we would see at san francisco general who are just going through the emergency room would end up

being statistics, but through healthy san francisco, it has allowed them to have an actual system that has worked for them that has increased the livelihood of so many of your youth, middle age and as i call the sun shine people, the people who thrive past the age of 70 and 75, and so with this, it has made such a difference so i urge us to continue to keep healthy san francisco in san francisco treading and sending the model for the state of california but as well as the nation, so as supervisor campos has said, we like to say obama care, healthy san francisco, we like to say that and keep that. thank you. >> thank you, next speaker, i have a couple more names. (calling speaker names). >> my name is don beck ler, i

chair single parent now, our group is part of the coalition from the hotel workers and the san francisco labor council, i had a cancer operation, what i see here, this attack on this program is another business, business's endless attempt to find cheap workers and to get public subsidy, that's what's going on with this program, it's okay to keep businesses paying their fair share because once we start losing revenues from business and they find ways to not pay their fair share, then the city budget becomes tight and you can bet your bottom dollar that they'll

say it's the retirees pension funds that the's the problem in san francisco which they're not paying their fair share so i encourage you to the to join this part of ideology that prevents us as we can slash our way to pros teary, that's not true. i want to say a word about the chamber of commerce, they lied, they did not fight for this program, they ran as against it in the newspaper, they tried and they foukt it all along, bh they saw the handwriting on the wall that the community and the supervisors and labor, we're going to have the same path, they turned on themselves and they tried to get [inaudible] from any business license in the city who would have meant that bank in america and wells fargo paid the same $25 fee or a self-employed plumber who had

their own business. >> thank you, sir. >> next speaker. >> supervisors, [inaudible] building and construction trades council, i think you find agreement with my colleagues in the trades, if they have any complaint with the health care security ordinance, that their demands on business don't go far enough, even our signature -- they pay for their worker's families, on those rare occasions when it provides health care, it provides it for long term workers in an industry that is fundamentally of one of temporary employment, and it doesn't provide for the worker's families. i think we would ask that as you work through the intersection in the health care

security ordinance, you look not only the preserve but to expand them, i will point out that as i remarked before, the single artist component of our unionized construction workforce is latino and for those workers, their extended families often include the undocumented, and the kind of coverage that health care of san sa*ns, the security ordinance provides, the health care does not provide, it is important to them and it will continue to be important to them for the foreseeable future. >> good afternoon, my name is brenda story, a lot of it has been said of our 13 thousand patients, over 6 thousand are uninsured and will remain uninsured for two reasons. one is many of them are undocumented and the second piece of that is that they will not be able to afford health

care on their health care reform. it was encouraging to hear from legal council that there's a way in which the current health care ordinance will be able to support our low-income families to be able to afford health care reform. lastly, i will say you already heard that we got some funds for our enrollment and we want to express to educate our community around all the options, people have to remain in health care and we will do our part to ensure that those 35 thousand uninsured individuals have a place where they can call their medical home, so thank you. >> thank you very much, ms. story. next speaker, please. >> good afternoon, supervisors, my name is shanell williams and i'm a student trustee at city college of san francisco

representing 90 thousand students, so also some history, in 2004, i served on the youth commission, at that time we wrote legislation to expand the healthy kids program to help to pave the way on what we have now in healthy san francisco, so the affordable health care act, we cannot allow it to undermine the health care security ordinance, as you know, many students, ymyself in healthy san francisco and critically depend on this program to be able to stay healthy and work, it's critical for undocumented individuals, for part time workers which most students are part time workers and we often work multiple jobs to pay our expenses, my mother also relies on dialysis treatments and, you know, it's important to have access to health care for her as well. as you also heard earlier, more corporations are moving towards lowering hours and pushing folks into either becoming temporary or part time workers,

we can't allow that to happen either, our community deserves fair wages and benefits and our communities deserve to be healthy and san francisco can continue to be a model for that. i grew up here and i hold true that we can have a city that really supports all aof our community and i think we should provide health care for all and we do need both systems, i think we can do it, thank you. >> thank you very much, next speak e please. >> supervisors, thank you for myself and from seiu 1021 for holding this hearing, i retired from about 30 years of work from the health department about a year ago, last 8 years, i worked as a social worker in the emergency room, and i can tell you in the last three or furred years before i retired, before healthy san francisco was implemented, i could see a big change. there was a program in which we can send people who came to the

emergency room, sleeked really for needs that weren't medical emergency, they needed a regular doctor, there's a program we would send people into and as years went on, we saw that program being more and more effective. our union participated actively in intense negotiations before the passage of this health care security ordinance and we were concerned about a couple of thing, we were concerned about making sure employers required to pay, we want to make sure that that requirement continues, and we were concerned that there would be enough staffer or funding for providers, for people in the clinic, for people in the hospital unit that is are being taken care of in healthy san francisco patients, there's a connection between the two. if the business community, the companies are not paying into

this program, then we have less money to provide -- to hire people to provide the care. so, we think it's important for you to look at both issue, sufficient staffing and making sure that the employer requirement to pay continues. thank you for your time. >> thank you, thank you very much, next speaker. >> >> good afternoon, supervisors, thank you very much for having this important hearing, my name is pete, i'm with the california partnership and we're with the antipoverty organize sashes, i want to talk a little bit about context. i think i want to appeal to san francisco as a leader county in the state and i say we think that health and health care and healthy san francisco are antipoverty programs and that is in a context of 8.7 million californians being in poverty, we've got the infamous

distinction of the highest people in poverty of any state in the country that we'd like to shake and we think san francisco can be a leader in shaking that. i want to talk about how the affordable care abing and all of its office and is the idea that everybody deserves health care is being attacked at the state level and i can see it at the local level, we supported a bill at ab880 that would force wal-mart and large employers to take responsibility for underemployment their employees and not giving them health care, that stalled at the state level largely because businesses stepped in and said we don't want these organizations to be forced to provide health care. i think it's the same notion that's coming here that the deconstructing powerful programs that are antipoverty programs that builds on the state's health, the president chose to take a year and step