dr. barnes. next, please. >> once again, california nurses association stands with our community partners. we believe that this action, proposed action be detrimental to the community of san francisco and ask you to vote that it will be. thank you. >> thank you. next, please. >> kim taglioni, nphw. cpmc really hasn't agreed to do anything special here. they're required by the development agreement to do more medi-cal, to do more charity care. for them to say, like, yes, we will continue to accept medi-cal patients, it's a crock, right? moving these services on their foundation, they specifically do not want you all to make any decisions on discontinuation of their services. they do not like being here, they do not like the prop q hearings, and this is why they're doing it, solely because they do not want anyone to know what they're doing, and they want a disconnect for their patients. there is no other real value here in moving these services under the foundation. they just want less public scrut

dr. barnes, this is the right resolution? and mark aaronson, matthew fano, kim tavaglioni, and dr. palmer. please. in any order would be fine. >> okay. thank you. thank you, mr. chairman, commissioners. i'm mark aaronson. i'm a professor emeritus at u.c. hastings college of the law and associated with our community development clinic which provides legal counsel to san franciscans for health care, housing, jobs, and justice. i am speaking on behalf of the coalition. we ask you to find contrary to the recommendation of the director that these transfer of services overall will have a detrimental impact on san francisco. the reason is -- one of the reasons is that the transfer may result in a loss of proposition q oversight, what you are doing today. proposition q clearly covers hospitals. it is not as clear in terms of its coverage of the sutter pacific medical foundation, which is an arm of sutter health. this loss of public oversight would have a detrimental impact. the proposition q hearings do not result in follow up enforcement action, but they do serve a very important function

dr. kim barnes, dr. theresa palmer and kim leoney. dr. barnes. >> my name is ken barnes and i was -- i am a physician and i worked at saint luke's for 30 years. i also work with san franciscans for housing health jobs and justice. i want to talk to you about the proposed transfer of the hospital-based diabetes center at saint lukes to the sutter pacific medical foundation, which i find somewhat problematic. with such a transfer it appears the diabetes oversight by the department of health, would no longer be operative. they're employees of the foundation not the hospital. hiring and firing would be located in the foundation and there's nothing stopping the foundation from putting the educators into individual office practices. how will there be accountability in terms of spanish language capacity in serving latino patients that make up a large part of the patient's going to the diabetes center? foundation practices have been known to limit medical patients through percentage caps or designating certain days they will see them. if this is t

dr. barnes, did you wish to speak on item eight? okay. number 10. >> dr. palmer. >> dr. palmer? on item eight? >> yeah. >> okay. >> greetings. i wanted to talk about the adhc. i have personal experience with it. my mother went to that adhc. in 2016, i.o.a. transferred a number of patients from arguello and geary to that site, so it's a very large adhc. it -- it's -- it helps people who have dementia, and it's a very labor intensive thing to keep these people stimulated and awake during the day to help their families keep them at home so they're not up all night. and it actually delayed my mother's entry into a nursing home. she's 101, and she was 99 at the time. i think it's undoubtedly detrimental, and i urge you to say this, that these services are being discontinued. this is a program that does not just serve the pacific heights area, we live near the panhandle. it serves the haight area, the western addition, the inner sunset, and there's a -- the dementia related -- the adhc's that are specialized to care for demented people, there's not enough of them, and there's -- havin