. >> good evening, thanks for having us, supervisor, my name is jane sanderval, as i currently work in an emergency department, i know first hand how a reduction in community resources leads to an increased dependence in emergency departments, often the emergency department is used as a primary means of health care, i see this on a daily basis. the potential search in ed clientele due to a loss of nuances from the health care ordinance will tax an overloaded and overutilized and sometimes underfunded and understaffed department. i'm concerned ed wait times will increase, as they provide access to preventive services sufns immunizations and health screening, i'm concerned without these sss, clientele may not seek care until they have a crisis in their life. it is unclear to me how mandating an uninsured person to purchase health care [inaudible] those less fortunate are not limit today the marginalized and people who have become a casualty, these people will not be able to afford the co-payment and is deductibles from the new insurance exchange. the loss of healthy san francisco would b