keith loring, randy whiter, emily lee. >> good afternoon, commissioners. go giants. my name is keith loring and i am an emergency physician in the city and worked at san francisco for over 15 years and st. mary's and i see things from a provider perspective and i think that what concerns -- i do have some concerns on the overall with the possibility of hamhocking the possibility to plan for health care in the city. i think as the arguments for or against whether we need a master plan, i think that is a very wise thing. how we structure that and how that process goes forward, i think that is worth very careful thought because there is there where we are accelerating the change of the delivery of health care as mentioned by the commission here. and nowhere do you understand this more than on the front lines in the emergency departments of the city. we do take care of 50% of the homeless. and so any look at this legislation and i just want to make the comments brief and really needs to take a much broader look at purpose and goals and aim and not be so caught up in the