. >>> my name is ernesto cacho. i live in [speaker not understood] hospital and i've been working there 26 years. let me tell you how staffing affect hospital reimbursement. i do assessments and from these assessments we submit the paperwork to the federal government and also the state government. and from this -- from this assessment we have deadlines to meet the dates. and if we don't meet the dates for these deadlines, the reimbursement for this hospital will be at the default rate, which is much, much lower than if we had met the deadlines. thank you. >> thank you, mr. c york cha. next speaker, please. ~ cocha >>> good afternoon, my name is trina oats. i'm a third generation san franciscan of district 5 and i work for west side community services, [speaker not understood], the crisis center. everyone is here talking about staffing and it's the same at west side. we have clients from everywhere. not from just san francisco, but they all come into west side, needing help with their mental illness medications and j

ernesto cacho. mike dingle. trina potes. [speaker not understood] palomar. i melda [speaker not understood]. ~ brandon dawkins. [speaker not understood]. >>> thank you for your time, supervisors. my name is laura may alpert. i'm a resident in san francisco and are not rn who work for the city and county across the street at [speaker not understood] urgent care clinic. i have been a nurse 13 years. i am deeply concerned about staffing issues at san francisco general hospital. as i have sat through contract negotiations i have learned that there are 90 rn and 60 other positions that are unfilled. when questioning the human resource he he personnel they point to the bureaucracy at city hall. when nurses are over worked, patient care suffers. [speaker not understood]. i have personally witnessed this at my clinic. i call on the mayor to end unsafe staffing and restore staffing in hospitals, clinics, laguna honda and city-wide. thank you for your attention to this matter. and i have neglected to submit these texts that were from icu. >>> my name is rebecca kimura