dr. palmer. >> dr. palmer? you're going to speak 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 -- having some idea that they might have a site out in

dr. teresa palmer -- matthew fano, drrks teresa palmer, and kim tavaglioni. please let me know if i've missed any, but this is for item nine. >> hi again. the nursing association agrees that this is detrimental. we agree with the department's finding, and we hope that you'll move to make that official. thank you. >> thank you. next, please. >> yeah. if you look at the research that mrs. patil did herself, you can see that all of the rcfe memory care units are full in the city. and this is, again, cpmc enhancing its own revenue at the expense of the people of san francisco. we've got an epidemic of alzheimer's going on, breaking waves of baby boomers going into it, and you've got them discontinuing services, not planning for services on its very well endowed campuses, and a deficit of ten beds for the ones that are there now. so it's unquestionable that it's detrimental, and i urge you to vote that way. thank you. >> thank you. and our last speaker, please. >> kim tavaglioni. we wholeheartedly agree with the department's recommendation. the treatment of the pa

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

dr. palmer. one of the things that's disturbing to me is that in the new st. luke's campus, cpmc is using the center of excellent as a big marketing draw but has done nothing to involve the community on a grassroots level to begin getting information for what the community really needs in a center of excellence. this includes both the center of excellence for senior services and the center of excellence for community services. perthe terms of the development agreement, this doesn't have to start until they open the new hospital, which will be august 25. so if you're -- you feel there's not enough information to judge this detrimental at this time, it might be a good idea to defer your vote on this for another three months. my guess is that cpmc's aim is to maximize attracting to the new st. luke's privileged, english speaking patients with major medical insurance, minimize its exposure to medicare except for short stay acute care in its geriatrics unit. there's no incentive to create a center of services that would meet the needs of the community in that part

palmer was trying to contact dr. tate to get his records so mr. palmer could write his own story. in this moment when black records were being destroyed, horace tate paid somebody -- who knows who -- to take these organizational records, put them as far away from prying white eyes as possible, and there they stayed. during some of the time that i would talk to dr. tate, i said, you know, these stories you are telling, these are amazing. i said, do you have any documents to support this? you know what he said? i guess you will find something. [laughter] professor walker: and so i did. what did i find? years to figure it out. i would not have been in the gifted and talented class. [laughter] professor walker: took me 18 years to figure this out, but what i found hidden in plain sight where the activities of black educators during segregation. see, i thought i knew something about them when i first met dr. tate. that's why i wanted to meet with him. i was told, you have to talk to dr. tate, he was the head of the teachers organization. so when i met him, i knew something about the sc

dr. teresa palmer. >> hi. i'm a san francisco geriatrician, and i work with kim at san francisco's for health care housing jobs and justice. and i urge you to say that the closing of swindell's is detrimental to the people of san francisco. this was done purely to preserve revenue and not because these services are not needed. the swindell 1ed family founding this foundation, founded this with their foundation money, and unfortunately, now they're all dead, and so cpmc is closing it. and it's not acceptable, and it's just one of the many closures, including the subacute and the snf units at st. luke's. this is not because the people of san francisco don't need the services. the people of san francisco need the services, but cpmc wants to do the higher revenue acute short stay, and they don't really care what the people of san francisco need. so please pass a resolution that this is detrimental. thank you. >> thank you. if there are no other speakers, did you place in -- i mean, that's fine. why don't you annou