. >> the next item on the agenda is public comment and first i have patrick monnet. >> i know several of you and. i've been here before and i ask your clerk to pass out these 8 copies to your counsel. i'm a report er or columnist for the observer newspaper and i've written 2 articles in the last several months about the department public health planned outsource the dialiss service to place in the lag u.n. a honda a hospital. i was shocked earlier in the fall when the department of public health e-mailed to me a copy of the rsp to outsource dialysi s. it had never been discussed or voted on by the full health commission. indeed it had only been discussed at a health commission subcommittee and the joint conference committee which is com posed of several health commissioners and senior managers at sfgh i worked with some of the ucsf staff who staffed the renal center at supervisor cam pos's hearing was in front of the neighborhood services and safety committee and supervisor campos asked roland pick ens chief operating officer if it had been voted on by the health commission. it was ne