. >> commissioners, i'm lucy john's. i set on the task force that helped produce this document and in addition to thanking the wonderful people who made this possible, i just want to let you know that for about 10-15 years in the far past, san francisco did engage in health planning. and then in the early 80s. it completely died. then supervisor campos and hilary thought we can't be making decisions institution by institution. we need something that looks at the city as a whole and establishes how a particular institutional proposal will affect the entire city. so this master plan legislation was a result of being concerned in particular about institutional development, but it really morphed into a huge policy statement about how to improve health in the city. i want to thank the task force for enabling the task force to move far beyond individual organizations and start to think about how to improve health based on the huge determinance of health framework that you find a little bit buried in the document, but it is the