next speaker, please. >> my name is ken barnes, and i'm a physician who worked at st. luke's for over 30 years and also am working with san franciscans for health care housing, jobs, and justice. i have talked to you before about the diabetic center at st. luke's, which underwent an up heavial two years ago when all of its bilingual staff were fired with no notices. this was despite the fact that most of the clients served by the center were monolingual spanish speaking clients. burying the center in the bowels of this megafoundation, cpmc says the move of the foundation is the way of the future. there's less accountability, direction of the future, how is cpmc going to make such accountability? well, what we need, moving forward, is more, not less, transparent public accountability on the part of cpmc. this is true not only of the -- within the foundation but of all the services provided by cpmc. sutter is a nonprofit, receives huge tax breaks, and as

ken barnes please, is that correct? the medical foundation, that would be a different number. okay. we'll get that correct. then, kim tavanglion. >> national union of health care workers. i'm here once again to talk about and to support the resolution as put forth by the department. it is a travesty of justice that cpmc continues to close programs affecting our seniors. this is one of the fastest growing segments of the population in san francisco. alzheimer's is devastating our communities. they are closing yet another program that affects these seniors and -- and u.h.w. cannot speak out strongly enough that this is just devastating. there are limited services in san francisco without having any proposed side -- site where this can go into, we know that the service is lost. we know that the rcfe's can't afford the land in san francisco. where are these programs going to go? the nonprofits are suffering from the real estate crisis in san francisco. we know that housing is expensive, but for these nonprofits to operate in san francisco, it's equally expensive. and without this -- wit

. >> 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 true, does this mean that less spanish-speaking patients would be part of the foundation? a medical founda

mark aaronson, ken barnes, teresa palmer, matthew fano, and that's all i have for item eight right nowaking to item eight. >> yeah. i'm mark aaronson. i made a mistake. i meant to speak on item 10. >> item 10? okay. thank you. next, please. does anybody wish to speak on -- dr. barnes, did you wish to speak on item eight? okay. number 10. >> 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 do