benson nadel, anne lugwig. go ahead and line up to that side. to my left or your right. >> my name is ken barns. i'm a physician who worked at saint luke's for over 30 years, a hospice physician for eight years. i worked in rcfe's, skilled nursing facilities, including saint luke's, visited patients in so-called memory units and for the past several years working for healthcare housing and jobs for justice as we fight for the right for good healthcare for all of san francisco. as has been made abundantly claire, san francisco is in the midst of a post acute care crisis, actually an emergency, in the aging community and those particularly who are most frail and vulnerable. this is about human dignity and caring for our elderly in a compassionate and respectful manner. we're at a point that cries out for action, not more study. there needs to be a plan to rapidly identify sniff and rcfe faults. we urge you to regulate solutions to give incentives of residential care to open new facilities and maintain a high standard of training. begin looking for