, the braking systems. they were replaced systematically. most of the rise that you see in the maintenance efforts has been steady and climbing. it's taking each of the systems that had never been replaced. i mean the same thing with portal entries. such as a card that talks to the acts or the train control system in the vehicle. those should have been replaced biannual intervals were never replaced so i think the two things that drove it was the focused campaigns and then the improved maintenance practices as well as getting back recs and vehicles that are coming out of the what we're calling the over haul program. some of that has been good, the trucks and important to the quality of the ride and key components have been good. the doors have not been good and the doors i suspect -- although we will continue to look at it the doors we will see some improvement on but essentially you have a design that say challenge and probably a bad design. we will continue to work with it until we get new cars in but the

and, so, it is my continuing request that the retirement system do that. so, it is -- is it an official policy of the fund that if a member of the board of supervisors requests that the system engage in evaluation, that cannot happen unless the retirement board itself directs that it happen? >> supervisor wiener, it is a board policy that a member of the board can request any item to be calendared and that it would be calendared within a reasonable period of time. under the social investment policy, which is the subject matter of divestment in particular, actually exclusively, that calls for the board to direct staff to conduct the required analysis. for example, we have been working -- the board of supervisors back in april of last year passed a resolution urging the retirement system to divest of their fossil fuel holdings, the carbon track 200 companies. that was delivered to us by supervisor avalos, delivered to the retirement board in may. we held the first hearing in response to that resolution. in october, we had a follow-up one in february. we're in

the second system was the w-4 systems which are in n a greenish color at the third level of the bus deck level it surrounds what we commonly refer to as the tense racket it let's light down the roof it extends up to the light column that's the central focus point of the grand hello latin-american and nature ventilation system. next is the w-8 system the ground floor level the bottom level the two tale kind of colors are two bus waiting areas and there's in the muni business plaza and the rest of them are at the park level. their canopies little awning to help keep rainwater from the shafts. we assistant district attorney at the left there's one at the stair tower and one further to the east and going to the far east end one at the elevator there and towards the center is right next to the light column. the last component is in the middle of the park level that's a glass box. that glass box is created to allow ventilation and natural light into the grand hall where the escalators start and up to the park level. and the fourth component of the 8.1 systems are the w tens the 3 skylights the

the care as well. i note some early examples. boyle point once a system called care more that provide insurance to seniors as part of the medicare managed care but at a very high level saving 20 percent off the usual payments that high-cost or high-quality low-cost i am shepard wellpoint tries to figure out the secret sauce. similarly they have now employed 5,000 doctors. we will see the hospitals with the delivery system to provide care in the traditional insurance company goes the way of the dinosaur. that is where i think the insurance companies are going. >>. >> but accountable care? >> accountable care organizations are part of the intermediate species of the health care system because they are a bit like the neanderthal is. with the risk-management function when you add that they are integrated with the delivery system to integrate care over the entire continuum for the skilled a nursing facility. that is rarely begin to increase. >> host: one of the ideas is making information available to consumers. granted it is challenging enough which parameter

the quality of care for these people. once they sort of got a system in place, the standardized care processes, attending to people at home, preventing them from getting sick and going into the hospital, and save that 20%. they'll look for the next thing to save money, and it turns out that almost everyone agrees -- although not everyone -- the group of health policy people and health economist, it's in mental health. not in the very severe schizophrenic but the other. the depressed patients, anxious patients who use the healthcare system to soothe their anxiety. >> host: i think we know how to treat schizophrenia -- the most severe mental illness. there's enorm community services and in conjunction with the civil system, a thereto be done there. >> guest: i agree. a lot to be done. as i say in the book, by the end of the decade the system will focus on improving mental health and we'll have finally apart between physical and mental health. >> host: emergence of digital medicine closure of hospitals. >> guest: a lot more wireless monitors, you take a p

." >> the health care system and to does make him a thousand nine saw the same spirit is incredibly complex, still trying to explain to people was paid for through insurance, medicare, medicaid and takes about 40 pages. i don't even go into all the details. the next and how doctors are paid, hospitals are paid, with the incentive structure is, what the regulation for curt says, devices. all of that is incredibly complex. we were doing well. 50 million people were uninsured. yet uneven quality. some academics are fantastic outstanding quality, that pretty uneven. millions of people who have high blood pressure. not hard to diagnose, not hurt to treat worried they're not diagnosed or inadequately treated and we know that increases your risk of stroke, heart disease comest shortens your life. before we pass the affordable care act, one in 20 people at a hospital acquired infection. tens of thousands of people died and then there was the cost taking ever more of the economy, making states trade-off between medicaid and educa

chairman -- >> i would never do that. >> -- result of a problem with the train control system, and it extended basically from friday night into sunday afternoon while we first tried to diagnose and find the problem and some of that has to do with the two systems, but there's critical elements in the subway that have never been replaced that can cause extensive delays and we have a program in place to replace -- excuse me, to replace those key components and finally this is a big year for us. as you all know with the help and support of the mayor's task force and the recommendation to provide us with additional funding which will both sustain and then anchor the critical needs of a system like ours over a period of years, so this becomes critically important to the future, to our ability to handle -- not only provide the level of service and the reliability that people are expecting, but also to meet the growth needs, so this is something that we're excited about. and look forward to working with you to continue to make the case and demonstrate how effectively we will use any additiona

and apply it to the system to make it attractive to them to bid and build. so >> so the goal is to readvertise in may of 2014 to main the schedule for the project. the third package was the t g8 bus ramps. the bus ramps i'm sure you're aware of connect the structure to sunbather 80 west of the bay bridge that's a 2 thousand foot structure this is a portion of it over howard street. the bid date was march 6, 2014 last year the budget was 48 million plus and the engineers he estimated 42.4 to 4 million we have an estimated goal and had 7 prequalified biders they were received in a percentage of 52 to 87 million. as we received those bids last week we're currently in analysis of the bid results and will give a recommendation to the board in april. thank you >> so the directors do you have any questions otherwise i'll - >> thank you. i have quite a few. first was that material part which what was put in the packet or posted >> no, it's part of my report it wasn't. >> it would be helpful to see there's a lot of deta

in terms of bart one of the challenges that bart faces we're an aging system. the ability to provide additional service in the late night hours is extremely problematic. we are faced with replacing tracks and power systems and everything in between. i went out yesterday morning to meet with folks and we're facing big projects that are chooj us from rehabilitating the transbay two as well as incorporating a new fleet of cars. that being said i've worked late night in the operation control center that got off anothers 2:00 a.m. i was able to get on the all bus late network. i ago with the speakers there's a network out there that a lot of people don't know about. one of our golden's is to lend the service that bart provides with the other services that are out there in order to make them more available and expand the connection activities on a regional base. i believe that is for the transit as well we have a project underdevelopment with the acting development to look at a pilot project to improve capacity and that's an ongoing project >> currently, the transbay

we have the p.a. system inside the lifeboats that they can still can't get from the bridge before launching. just as important, means of electronic mustering. so this is something we started basically with the introduction of the oasis sure. the electronic mustering, the way it works is you have a pda devices which is a handheld device. it's updated all the time. we have wi-fi on the ship they're basically they have access to the pda and the stations can check the arrival of the guests. there's something everybody carries with themselves all the time. we can swipe those cards and instantly account for the person showing at that station. typically, you must allow for check in both the persons of gas and crew out of their smb stations but also at a time aborting the survival craft. we can have a separate manifest to see how we are populating survival class. so it's two checkpoints. one at assembly and one time at boarding. this gets updated on the bridge where you can see the smb station, the population. you c

the other thing, keep in mind is that you just can't shut down the system and expect the whole system. you have to deliver water most of the year. and, so, it's very rare that we can actually go in these tunnels. for example, irving ton, we haven't shut that tunnel down forever and, so, we, you know, are now able to -- we punched a hole through and we're probably going to bring that online so that we can have a chance and look at irving ton tunnel. we haven't even looked at it, but we knew it was very vulnerable. so, yes, we probably should have looked at it, but just like all the rest of the infrastructure, we just started in 2002 to start addressing these issues. >> and, so, when are we -- are we pro proposing potentially another bond measure to assist us in these efforts or what's the plan? ~ >> so, the plan is we're going to look at what are the alternatives. so, right now we're looking at maybe doing a bypass tunnel and that's where the $650 million -- but we're looking at other alternatives to try to reduce the cost. our wholesale customers, water customers are very concerned be

we have a number of integration specialists now that can support the cphs system. dph is developing [speaker not understood] department so we have a chief medical officer representing the different clinical areas in dph and we are building up the clinical and schematic team to support that which really involve training and making sure we're meeting all of our clinical objectives. this will also, a we've reorganized, give us more standardization and allow the teams to search with the activity in the application system which includes the avatar system. do you have any questions? >> no, we don't have any questions at this time. >> okay, thank you. >> thank you. okay. i'd like to call up civil grand jury member daniel cress. >> thank you, madam chair, for this opportunity to address the committee on our report. dealing with the use of nonprofit community-based organization s and [speaker not understood] outcomes ~. i'd like to say at the start the cooperation from the people of the department of public health is absolutely outstanding. we had -- we're very impressed wit

you can see on the left the megawatt hours that are generated by our system. and on the right, the dollars, what those megawatt hours are converted into. and i think it's important to note here that 41% of our customer base creates 69% of our revenues. and you can see also that those customers are paying around 14 cents a kilowatt hour for on average for that power. our general fund customers use just a little less than that in terms of the megawatt hours, but they provide substantially less in term of revenue to fund our operations. and then when we have -- when we have power in excess of our customer needs, we have the opportunity to sell that power on the wholesale market. we're also obligated under the raker act that allowed us to build the system on public lands to provide power to modesto and turlock irrigation district. that's what you see in that red bar. so, we're obligated to provide that power to them to the extent we have it available, up to their municipal and agricultural pumping demands. and we must under the raker act sell it to them at our cost

rather you argue that the banking crisis into systems are by design. what did you mean by that and what is the justification? >> the basic idea is banking systems are fragile by design because it is impossible to take politics of bank regulation and it's impossible to do so because there are complicated interests between the systems such that the governments need banks and banks need governance. the conflicts of interest boy will down to three teachers. first, the government simultaneously regulate the banks and borrow from the bank's. second, the government used the police powers in order to enforce them on behalf of the banks. but people who are being forced out of their houses because they default on mortgage when the banking crisis occur the government have reasons not to enforce those. so, the governments are in charge of liquidating the failed banks. but the biggest group of creditors and the bank is liquidated our voters and so governments have incentives to change the rules governing deposit insurance for political ends. they will often extends

the system is live all the time. you can see with new technology who is at war, who's been off the ship goes on the ship and truly accounting for every single person on board with a guest, and a struct or visitor would basically be on the system and we can account for each soul on board the ship. the benefits we can use this whewinner at port and when we're tinkering. basically we know who is in each tender as people are using that. it's always good to know who has been departing the ship. so that's in a nutshell some of the capabilities of the system. we do also have heard all the cruise lines through different ways we are using new technology, it's one interesting one. you have a much quick way of accountability. there is a lot of comment about this from a public site because also we understand before this gets fully implemented in a way, we have to do some regulatory side behind us but we see for account crew, particularly also to assign, track our fight team when you're fighting fires. we know that when they are,

>>reporter: i understand. >> it was the buddy system and another person so we feel the buddy system isy more important process for safety. >>reporter: she told me the buddy system and radio are most important to keeping workers safe. peterson and her team altered the code red system can you get the automatic notification to san francisco police and removing the verbal message. alarm sounds like this now. important to have the button working for you. >> button are secondary system. it's a public alarm system. we actually are concerned that they create mayhem. >>reporter: that worries zoo workers. they have loingtd confidence in director peterson and how she and staff maintain the code red city. i walk through the zoo every day. and it's always on my mind. okay. are we safe? could we be safer. >> i think we should be a world class lead intersafety based on our past experience. >>reporter: worker want a simple test like a fire drill. push each of the 10 code red button and hear the alarm go off. zoo refs. instead testing parts of the system at different times. and staging exercises like t

and i think that can drive the system. and the previous question was about what the new generation can do i think using that data. i think making health care more accountable, even if it's only a small number of people who are capable of doing that. i think they can move the machine even if it's incrementally adverse. so i think it will end up being a positive force. >> i agree, although i will have to say cynically that as a disclosure is a cheap rhetorical. it seems as if you are doing something about economic conflict of interest or reducing adverse events. and the data goes up in a way that is hard to process or people just don't comply with posting it, you have a problem. out the an example. the affordable care act create a website to go along with hospital comparison so you could track by various indicators how good you could look at three '04 of any hospitals and convey them. infantry, physicians who comply with reporting requirements can see on the website the physicians i figured saved by the time they figured out

>>reporter: i understand. >> it was the buddy system and another person so we feel the buddy system isctually more important process for safety. >>reporter: she told me the buddy system and radio are most important to keeping workers safe. peterson and her team altered the code red system can you get the automatic notification to san francisco police and removing the verbal message. alarm sounds like this now. important to have the button working for you. >> button are secondary system. it's a public alarm system. we actually are concerned that they create mayhem. >>reporter: that worries zoo workers. they have loingtd confidence in director peterson and how she and staff maintain the code red city. i walk through the zoo every day. and it's always on my mind. okay. are we safe? could we be safer. >> i think we should be a world class lead intersafety based on our past experience. >>reporter: worker want a simple test like a fire drill. push each of the 10 code red button and hear the alarm go off. zoo refs. instead testing parts of the system at different times. and staging exercises

the water is a resource, but the system and the infrastructure is about people. i'm proud to be standing to the with nikki, anthony and teresa. anthony works for the commission and he's a regional labor and we need to ensure that we sustain this conservation. when we built this dam, it pulled many of these workers out fof tough times. this enabled them to feed their families and i hope we continue to improve this plan. i'm proud to be here and honored to work with carl in and i'm glad that you were able to join us today. thank you very much. >> so now i'm going to call up our speakers to help me unveil a special display in city hall. most of you have seen a sign that went into law in 1913. it has always commemorative pens and usually the president signs it and hands it to somebody. we uncovered one of the pens that signed the racker act. this was given to mayor james walt who was the mayor in san francisco in 1923 and went on to be governor and he passed the pen to his son and then to a commission on the public utilities commission named oliver russo and it was l

the project will replace and modernize all of muni communication systems and some that are 40 years old and additional imp itus to the project is to vacate the 25 kilo hertz of the frequency. and it was too old to accommodate the frequency change and so replacement was the only option. and in addition to providing new communications the project will incorporate a myriad of systems and summarized of this that will enable muni to improve the operations across all modes of service and the system will also incorporate the additional base stations and included in the coverage throughout the city. here we have the project budget. at 73 million dollars in 2010, the current budget for the project is 116.4 million dollars in years of expenditure and this increase, is mostly due to receiving only one bid. and this is very specialized, and only a few companies in the country have the capabilities to perform it. and in addition, at the time that there were many across the country undertaking similar projects due to the mandated fcc deadline. and after protected the negotiations that took over a yea

is it secure in the payment system? is it a currency? how you answer each of those questions leads you to a different answer of who is in charge. once you get to the question of who is in charge, sometimes various regulators can look at any particular aspect and say that's me. then you have possibilities of overlap, confusion and the like. but to top it all off, you have a very dynamic system that's always evil thing and it's deeply international. we run out of tokyo that creates new kind of stresses and challenges for the international regulatory system. so from the regulator's perspective, things are just started in washington, folks are going to obviously b be employig the young geniuses to help them figure it out, but it's very hard to formulate a response if you don't know what it is or who is in charge. .. >> that was the greatest set of late 20th century jargon from the government that i've heard, and it's not wrong within the confines of that system, but it is a natio se-bd system nation state based system, and it is nation state

we have to understand a little about the price system itself. his connection, economists usually make some assumptions about human behavior-- namely, that people generally tend to act in their own self-interest. consumers might want all the goods they could get, but most of them have limited budgets. they must choose one good over another. in making these choices, they try to maximize their own welfare. the same is true of producers. they try to maximize their firm's profits. it will be in their own self-interest, they will maximize their profits, if they use more efficient productive methods and produce goods that consumers will buy. let us examine the price system. suppose a new computer is introduced at $450. suppose that this is a low price, meaning that long lines of consumers want to buy one. under the influence of the bidding of these consumers, the price rises to $750. that price change has two effects. it will encourage other producers to produce similar computers. it will also, however, discourage consumers from buying those computers,

that is full in the system. before we pass the affordable care act one and people -- 20 people got a hospital-acquired infection and then there was the cost taking ever more of the economy making states trade-off between medicaid and education making individuals get health insurance by keeping wages low. lots of reasons to change the system and i explained all of those. i think you know anyone of them them would be good enough and i don't think there was a republican or democrat in the world in 2008 or nine who understood the system who would say oh no it's great. really by 2008, 2009 almost everyone agreed we had a system that was broken and needed repair. the question was is what kind of repair? >> host: you explain that very clearly. the health care system is a daunting enterprise and incredibly unclear and what's also interesting in the beginning of history and i guess you could go way back let's start with nixon and work our way up to clinton. >> guest: well one of the surprises i decided let's give people a

the bigger one is 13 hundred trips. in 2013 it was a system wide ridership survey and one of the questions asked outside of the ridership data collection one of the questions was including what's the purpose of your trip. and 87 percent said employment. and of the 87 percent said they use the service 5 times a week. in looking at the income distributions it's higher with low income people then the rest of the system. that's what we learned in the initial survivor in 2013. another couple of points. you can see the other point that needs to be made citywide and i'll go to the map. i'm sorry for the blurness of this but citywide outside of market street you'll see a thirty minute headway a vehicle every thirty minutes and two of the routes the 90 and 91 which mirror some of the rail lines the 91 has angle 86 minute scheduled one way trip it lilt tries to cover a board as area as possible. i think you've heard from your comments and others speakers talk about the need to let people know hates out there that's critical we can do better with the ser

the system favors early investors. if you were to invest in apple or microsoft early on, you would get rewarded for that. another thing i want to talk about was, it would be nice if the irs were to talk to a bit coin experts on what to keep in the regulatory matter. now the we have something on paper, something grasping it i do believe the bitcoin community will get -- what they should do and what will work. it is something bitcoin people believe is stupid or outlandish they are not going to follow it. they won't pay taxes on it which is lose/lose because one is illegal and one is getting taxes so they need to work together to come up a policy that works for everybody and it would be worst case scenario wonderful thing about bitcoin is governments don't need to approve it. it can function completely normally without government intervention so government can -- china has been in the news lately because they band going to from their currency to bitcoin and bitcoin to their currency but only in the bitcoin world is complet

we're taking action and we keep hearing the system is broken, time to fix it if that is the case. does have an immigration system for the 21st century that is pragmatic, accessible and affordable for those that need to use it and can truly have a chance to succeed in our country. thank you. [applause] >> i direct the national women's advocacy project at american university and i am going to talk briefly about how important immigration reform is for women and children, immigrant women and children and i am going to be talking predominantly about some of the challenges and opportunities for immigrant survivors of domestic violence, sexual assault and human trafficking that have come out of a series of policies issued more recently. ultimately a better fix for immigrant women and children is access immigration reform but i want to talk about the challenges for those of us and opportunities for improving the quality of representation for immigrant women and kids particularly immigrant victims of violence against women. starting off, immigration reform when you are talking about immigra