. >> and commissioner karshmer. >> present. >> and i believe that the commission are going to do the introductions. and there will not be a roll call from the commission on the status of women. >> we are going to do the introductions. >> oh, yes and the introductions sorry, and before that, i would like to welcome, dr. david peting to our commission, this is his first formal commission meeting after appointment in august. [ applause ] >> with that, i think that as to become acquainted with each other, we are asking each one to at least speak briefly on who they are, and so that the other commissioners for the fellow commission will be understanding of who they are sitting next to. >> and who will be speaking. let me start from my right to left. commissioner singer? >> hi, dave singer. and an entrepreneur and invest or and i have been on the commission for about a year and change. >> and all of my work is in healthcare. >> and commissioner taylor-mcghee? >> bele taylor-mcghee and i am a consultant, for the communication and policy and i am also on the national steering committee to br

. >> commissioner karshmer. >> present. >> the second item is approval of the minutes of the health commission meeting of august 19, 2014. >> so commissioners we're prepared for a motion for acceptance of the minutes. >> so moved. >>

. >> and commissioner karshmer. >> present. >> and i believe that the commission are going to do the introductions. and there will not be a roll call from the commission on the status of women. >> we are going to do the introductions. >> oh, yes and the introductions sorry, and before that, i would like to welcome,

. >> commissioner karshmer. >> present. >> the second item is approval of the minutes of the health commission meeting of august 19, 2014. >> so commissioners we're prepared for a motion for acceptance of the minutes. >> so moved. >> is there a second? is there further discussion? seeing none we're prepared for the vote. all in favor say aye. all those opposed? the minutes are passed. next item please. >> item three is the director report. >> good afternoon commissioners. on friday dr. chow i attended the new commissioner's swearing in. our new health commissioner will be dr. david pating. dr. david pating i have known for over almost 30 years since working with the federal government in samhsa he was a well known expert in that field and sought after many times for his expertise for that scheduled agency. he works for kaiser, a psychiatrist specializing in addiction psychiatry. he's also he has a long cv so i will be short and a professor at san francisco school of medicine. he is past medicine much the california addiction of medicine and a member of the medical society here and currently an

. >> commissioner karshmer. >> present. >> the second item is approval of the minutes of the health commission

. >> commissioner karshmer. >> thank you. i just have one question and maybe a red herring but how does our master plan deal with the constituency determination? don't we have to subject ourselves to ourselves? >> [inaudible] >> and i guess my continued thought based on the discussion and director garcia and commissioner singer is that a way to make sure that we do this in a ongoing way opposed to "x" number of years? >> so if i was staff reviewing the general hospital institutional master plan i would consider consider it for incentive because we serve a large number already to dr. chow's point -- no, maybe it was commissioner singer's point and how many people we serve already and the population we serve already and we're looking to expand the services we provide to the under served population so as a critical safety net population it does what the master plan prioritizes and expands care to low income people and hospital services to low income people so it's definitely consistent and high number of health disparitys. >> do

. >> commissioner karshmer. >> thank you. i just have one question and maybe a red herring but how does our master plan deal with the constituency determination? don't we have to subject ourselves to ourselves? >> [inaudible] >> and i guess my continued thought based on the discussion and director garcia and commissioner singer is that a way to make sure that we do this in a ongoing way opposed to "x" number of years? >> so if