i am concerned that your proposed budget while it does include funding for the mental health services block grant and for certified committee behavior health centers, is accompanied by massive cuts to medicaid which is a vital source of coverage for mental health and substance use disorder treatment. president's 2020 budget proposes to cut medicaid by $1.5 trillion over 10 years and turning the vital program into a block grant to the states. shoring up medicaid and strengthening that program is perhaps the single best think we can do to expand access to mental health and substance use treatment services. sure you know, medicaid is the single most important financing source of until health services in this country. approximatelys one fourth of all adults with serious mental illness. the program covers many inpatient and outpatient mental health services such as a psychiatric treatment, counseling, and prescription medications. medicaid coverage and mental health services is often more comprehensive than private insurance coverage. medicaid also covers nonelderly andts with opioid addic

and services to our women veterans such as the new women's mental health residency. y some women experience sexual assault or harassment during military service and may struggle even years later when its aftereffects. the va services for military sexual trauma or msp can be critical resources to help them in their recovery journey. the va provides free care including outpatient residential and inpatient care for any mental and physical health condition that's related to Ãband eligibility is expensive veterans do not need to have reported their experiences at the time or have any documentation that they occurred and they may be able to receive mst related care even if they are not eligible for other va care. in addition, every va healthcare system has a designated msp correlator who can help veterans access msp related services and programs. since 2007 there has been a 297 percent increase in the number of women veterans receiving msp related outpatient care indicating the positive impact of these efforts. the va is proud of high-quality healthcare for women veterans,

public health service.t was to the national institutes of health in 1962 that an urgent request came from one of these african nations. upper volta, satisfied with preliminary testing asks for a massive vaccination effort. help us protect our children before measles strikes again. begun in time, the effort could save thousands of lives. the response is immediate. to help train local teams and study the immunization of this population, the public health service has a medical team from the division of biologic standards. vehicles are supplied by the agency. the vaccine is contributed by merck, sharp, and dohme. the drum speaks to the people. come to the village of the -- to the village. the doctors are here with the medicine. it can protect your children. and, the people do come. bringing their children, bringing their hopes and fears. at each village the inoculated used is carefully explained. then, begins the long, hard job of giving the life-saving vaccine to the children. as soon as one village has been p

health services. >> thank you, supervisors. my name is juan ibarra, and i'm the vocational programs manager in the department of public health. there are two actions included in this proposed legislation with the state department of rehabilitation, otherwise known as the d.o.r. the first action is to accept and expend the d.o.r. grant funds in the amount of $90,000 annually or $207,290 over the three year agreement to support a civil service position that would assist in coordinating and developing the work for the agreement. the second is to provide d.o.r. with the board of supervisors approval to enter into an agreement with d.o.r. whereby the county provides d.o.r. with a 21.3% catch match for the total program cost. the department of public health has had the same relationship with d.o.r. for the past 27 years. in this relationship, the department of public health has entered into an agreement with d.o.r. to provide matching funds to support the extension expansion of vocational services through this grant. d.o.c. contracts

for the last priority, mental health and substance abuse services. we've identified several targets and we'll be looking at them compared to what the actual delivery has been, including the number of unique mental health clients in treatment, the percentage of new mental health clients that are homeless, total units of mental health services provided, mental health services patients under 19, the number of unique substance abuse clients in treatment, the percentage of homelessness clients among substance abuse treatment admissions, and the total units of substance abuse treatment services provided, and we'll also be looking at program measures, measures that are specific to programs, including crisis residential services, long-term care residential services and out patient services, and under substance abuse measures, we'll be looking at narcotic replacement treatment, residential services and outpatient services. and finally, in our reports, you'll be seeing identification of potential funding impact opportunities, and the way that we're going to be

the main reasons people were happy with the nhs, but patients recognise the difficulties the health servicear concern at almost a quarter of respondents were unsatisfied with gp services, but it seems the direct personal experience of the nhs, for example as a hospital inpatients, gave people a more positive view of the health service. coming up at 6:00 on breakfast, charlie stayt and naga munchetty will have all the day's news, business and sport. this is the briefing from bbc news. the latest headlines: the chinese telecoms giant huawei is suing the american government because federal agencies have been barred from using its products. republican senator martha mcsally has said that she was raped by a superior officer while serving in the us military. we care about your privacy — that's the message from mark zuckerberg who says facebook will now be focused around privacy. now it's time to look at the stories that are making the headlines in the media across the world. we begin with the i. it's among many of today's newspapers leading with the clash between home secretary, sajid javid and t

services. and when i go to hospital i am looked after. so it is not all bad news. healthall dickson is the chief executive of the nhs confederation, which represents all those that plan, commission and provide health services. ina in a sense i suppose it's a bit up paper book for the people you represent. no, i don't see it as a rebuke at all. the fact is the health service has suffered catastrophic reduction in funding over this period compared with the demands that have been made upon it so anyway it is quite remarkable that these levels of satisfaction remained as high as they did. it is also worth pointing out that among those in this very good and robust survey, among those who actually had contact with the service, it was much higher. one of the reasons why gps number is higher than some of the others is because most people have had a contact with their general practitioner. if you look at inpatient services, it is as high as 83% among people who have had a treatment in the last year. i think this service is still doing well, but i think the general dissatisfaction

secondly, there's a new book that's come out written by the director of the richter's island health service and by san francisco is by no means at all -- [indiscernible] there is one commonality the author raises and that's jail confers simply by virtual being in custody confers new public health risks. the sooner we move the discussion about incarceration into the public health venue, the sooner we'll have a healthier city. thank you very much. >> commissioner: thank you. next speaker, please. >> good afternoon. i'm javier bomond. we're a supportive housing provider based in the tenderloin. i want to thank everyone who put in the work to bring this resolution to light. because with the residents we work with in our buildings, there's been countless people i've worked with who have been effected by the incarceration system and have been formally incarcerated and it's good to know san francisco is on its way to showing it's communities and recognizing some of our biggest issues such as homelessness and substance use and mental health issues and incarceration and our justice system are linked

according to contra costa health services...and they agency also says, locally, the problem remains out of control. kron four's philippe djegal spoke with a mother who knows all too well the harmful effects of overdosing on prescription opiods. (philippe)april rovero/mother- "joey was a senior at arizona state university, when he passed away tragically from a prescription drug overdose." that was nearly ten years ago. april rovero says her 21-year-old son joey had been legally prescribed xanax and oxycodone. but that he lost his life by combining the drugs with alcohol.april rovero/mother- "as young and healthy as he was, 21 years old, and you know, just completely healthy, uh, that's all it took to shutdown his breathing the night after being out with his friends. he went to sleep that night and he did not wake up. and, left his family just absolutely devestated." addiction wasn't the root cause of his death... though neglegence played a role. the doctor who prescribed joey the medicine was eventually found guilty of second deg

in mental health services we have recently developed an innovative portfolio of services. we now provide training and collaboration with women's health services [ indiscernible - low volume ] and there is a link between eating disorders and suicide. what we have now done is we have trained teams including the physician, a therapist and a dietitian to address our veterans risks. even though this is gender- neutral we new training we have and one of the things we find is individuals have problems with personal relationships and emotional regulation. this is something that is something we can provide for our trauma folks and some that come in aren't ready for this but still trainings help them. >> i'm sorry i am past my own time having expired. i appreciate your input. what i would like to do because we are only going one round today i think it would be really important for the va to come and speak at the women's conference particularly about the range of issues that are important to women accessing care at the va and then we can drill down into some of these issues like suic

the effort needs to be client driven and that's in the mental health services act. it takes investment, time, and effort. people need to be invested owning their success. some could be peer workers and helping promote their community, healthy community as we've been promoting with mental health services recently. i believe in the long run that is what will help all of us, otherwise, we're going to continue rescuing people who can't survive because they're without family and support. for a little while, they'll be assisted and then have no support to continue. the other part here is that we do not have enough adequate beds or services currently to house and treat people for extended period of times for 30 days, three months, six months to a year but then release them to a community that has no place for them because they are former addicts and qucan i se schizophreniaics. you have to have people working for the community. >> chair mandelman: thank you. >> hi name is sam lu, and i work in the coordinated health system. one thing that is really clear from this presenta

not for an abortion but women's health services. nly provider for 200 miles around so you actually have an impact on lower income women's access to a women's health care. >> shannon: that's actually the biggest argument, that there won't be health care options. >> there are thousands that provide more comprehensive services. and the reality is and that's a lie, even if "the washington post" said the three pinocchio slate is misleading. 40% of the clinic income is from abortions. at the numbers have gone up while others are health services have gone down. if they cared so much about other health services, why don't they stop doing abortions? why don't they give up the killing of children in their facility? why don't they actually provide holistic health care for women, that's not what they are doing? >> can they separate off and say, okay we won't do abortions. we will get that part of it up. >> i can't speak to what they are doing organizationally but god forbid you have a miscarriage and need a dnc. >> they don't serve miscarriages.

there numbers of abortions of gone up, other health services have gone down.ther health services why don't they stop doing abortions? why don't they give up the killing of the children in their facilities? 900 children every day whose lives are ended? why don't they provide healthcare for women? shannon: in a separate often say we won't do abortions if we are making sure women have healthcare will give that part of it up? >> i can't speak to what they are doing organizationally but god for but you have a miscarriage and need a dnc. that is almost identical. women have problems getting access in a timely fashion after having a miscarriage, women run into that specific problem. >> it is go to planned parenthood for that, you can go to a hospital. >> planned parenthood does those as well. >> they don't deal with healthcare. >> required by law already. >> we will fact check and put out the information because we won't settle this debate tonight but thank you for being here to talk about it. when we return our midnight hero on a mission to support our fallen heroes

department of health and human ss services to rescind newly erected barriers for women, teens and men seeking time sensitive and essential health care. their new revised regulations will take away funding for family planning clinics where abortion is one of the methods of family planning offered to patients, create a gag rule bars federally funded family planning clinics from referring women for abortions. this is a gag rule which compromises medical ethics and potentially endangers the lives of patients. the gag rule is unethical, according to the american medical association. nearly 20,000 low-income san franciscans receive family planning and related health services at title 10 funded clinics. over half are uninsured, and more than 77% earn below 150% of the federal poverty level. now regulations are likely to force clinics to have to choose between providing comprehensive health care and getting public funding. clinics in san francisco, planned patient hood in district nine, asian pacific islander wellness center in district six, the women's community clinics in district five and

they are people who really need the services and mental health services are so critical and medicaid is the means by which most of the appellation received these services. >> if i can point you to one , extendinghe budget it to postpartum women for up to a year. >> that is wonderful, but i'm still talking about the population that needs the mental health services. , i want to say reiterate the concerns regarding the protective classes. many of my constituents coming forward saying they are really concerned. they have medication that they are in the works and to think that after go back through the steps, that would really bring them back to a place and don't want to be in. i have run out of time. i just want to make that point. >> thank you. i think the issues that were bothmentioned, i think sides hold the same view, so we need to move forward to correct the situation. i would like to recognize my friend from illinois. >> thank you. thanks for being here. bill called the revamped act for antibiotic drug resistance for over a decade. wind, notcured some the least of which is the gain

breaks it in all its possible forms is bad for britain's health services putting lives at risk. that's the conclusion of months of research looking at different breck six scenarios from leaving the e.u. without a deal to a slower managed departure one of the biggest worries is about recruiting and retaining staff under no deal breaks it the government proposes a minimum salary threshold of forty thousand dollars which could limit immigration of vital health workers to the u.k. including nurses and new to qualified doctors there's already a critical shortage of medical staff the report's authors say breaks it will deepen the problem there is an argument that you could say that the people who are no longer coming from the e.u. can come from the rest of the world and that's fine but then you lose all the safeguards that the u.s. has built up the mechanisms so there are going to be a lot of problems with staffing the n.h.s. of course we can train more people but it takes about ten years to train a doctor so that's not a short term solution the report also warns that in the event of

were the main reasons people were happy with the nhs, patients do recognise the difficulties the health service satisfied that they've got enough funding to have enough people to do thejob properly. a few years ago actually changed my gp, because i rang up and the first appointment they could offer me was in 21 days' time. people like to take the nhs for granted, and they criticise it relentlessly it seems, but i think we need to put into perspective the work behind the scenes. there will be particular concern that almost a quarter of respondents were unsatisfied with gp services, but it seems that direct personal experience of the nhs, for example as a hospital inpatient, gave people a more positive view of the health service, dominic hughes, bbc news. now, the simple bucket is not usually linked with climate change technology, but since the early days of seafaring it's been used as a tool to measure sea temperatures. scientists are now scouring through log books going back 200 years comparing temperatures recorded then to what they are now. our science correspondent, richard westcott, explain

10,000 very low income san franciscans annually through our primary care treatment and mental health services. more than half of clients and patients are experiencing homelessness. we support your support legislation to expedite siting and construction services of shelters throughout the city. as you know, our city has a fragmented system where each year hundreds of unstable he house people living with mental health and addiction disorders are released from hospitals without follow-up. according to the 2017 performance audit of d.b.h., almost 40% of people discharged from they psychiatric emergency services where without follow-up services, even when they were homeless, living with dual mental health and substance to just -- addiction disorders. very often, we have no option but to do the same. that same year, we discharge 600 people from treatment into unstable and unsustainable living conditions, making it more difficult for people to maintain treatment gains or stay connected to ongoing services. there is a broad overlap between low income san franciscans with behavioural health needs and

i was a commissioner on the health service system for about 15 years. and in all of my activities with the city, it is to -- it is with distinct purpose of putting san francisco as a thought waiter, but noanl only a thought waiter, but a thought enactor. if we're going to talk the talk, we need to walk the walk. when i was first president, we were broke. and in four years, we had that back on to track. and then thereafter, san francisco became a real thought waiter and thought enactor, and affordable care came into place, we were cutting-edge, and we had affordable care, and we had something that was solid in the middle for 125,000 employees, retirees, dependents of the city of san francisco. a fact that i'm really pleased we accomplished. i resigned from the public health service, it is well-known, because i saw an advantage and for the good of the finances that we introduced an actuary that took an r.f.p. it was associated with one of the companies i'm employed by. i was told by the city attorney it is not a conflict, but when i put my head on the pil

when is women's health services. calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learned i was hiv positive i do not know what it was. i felt my life would be just ending there but all the support they gave me and all the information i need to know was very helpful. so i [inaudible] hiv care with their health >> about a quarter of our patients are women. the rest, 75% are men and about half of the men who come here are gay men or other men who have sex with men. a small percent about 1% of our clients, identify as transgender. >> we ask at the front for $25 fee for services but we don't turn anyone away for funds. we also work with outside it's going out so any amount people can pay we will be happy to accept. >> i get casted for a pap smear and i also informed the contraceptive method. acc

breaks it in all its possible forms is bad for britain's health services putting lives at risk. that's the conclusion of months of research looking at different breck six scenarios from leaving the e.u. without a deal to a slow managed departure one of the biggest worries is about recruiting and retaining staff under no deal breaks it the government proposes a minimum salary threshold of forty thousand dollars which could limit immigration of vital health workers to the u.k. including nurses and new to qualified doctors there's already a critical shortage of medical staff the report's authors say breaks it will deepen the problem there is an argument that you could say that the people who are no longer coming from the e.u. can come from the rest of the world and that's fine but then you lose all the safeguards that the u.s. has built up the mechanisms so there are going to be a lot of problems with staffing the n.h.s. of course we can train more people but it takes about ten years to train a doctor so that's not a short term solution the report also warns that in the event of a