i'm mark aaronson. i'm a professor emeritus at u.c. hastings college of the law and associated with our community development clinic which provides legal counsel to san franciscans for health care, housing, jobs, and justice. i am speaking on behalf of the coalition. we ask you to find contrary to the recommendation of the director that these transfer of services overall will have a detrimental impact on san francisco. the reason is -- one of the reasons is that the transfer may result in a loss of proposition q oversight, what you are doing today. proposition q clearly covers hospitals. it is not as clear in terms of its coverage of the sutter pacific medical foundation, which is an arm of sutter health. this loss of public oversight would have a detrimental impact. the proposition q hearings do not result in follow up enforcement action, but they do serve a very important function in bringing to the attention of the public, to the attention of the department, to the attention of the commission, to the attention of others in san franc

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 does not just serve the pacific heights area, we live near the panhandle. it serves the haight area, the western addition, the