but physicians associates cannot replace gps.oes. where i'm working, the distinction between gps and pas appears blurred. there are two pas here, both pretty new to the role. the other pa hasn't been here that long either. nhs data shows 0perose practices employ six times as many physician associates as the nhs average. the practice manager at my surgery explains why they hire them. 0perose pays their salaries, but like other practices can claim money back from the nhs as part of a scheme to expand the number of people working in general practice. i having lots of different people | within your team is really good. when i hear words like cheap, i'm not quite sure that they're utterly focused on giving the best possible care in the _ circumstances to patients. the pa should never be treated - as a cheap replacement for a doctor or nurse or anyone else. and if you hear that attitude, that is really worrying. - 0perose says it's not over reliant on physician associates at the practice where i was working, and its use of pas is in li

so a physician associated in well, and we see 32 don't use it. would it be that she jelly? yes. about the show that that it will to los angeles who he had to go. you had to show metro. you know that once you look at as a realtor quin too much it's you know, but you know what you do in the benefit which get it to nip with the query so much so jim. no, so you pay more for my school. my old bill. oh, but be sure your phone carrier was actually a customer i'm gonna be honest with you when you, when you, when you will be with visual and use them with numerous personal shipper does. that it was a new ticket. no, he received a night when a j, v. o. nigi morsey, you're literally liter. you'll come to connect you out with maybe look mil at them such as some. is there any image i'm sure number has been dealing with freight, honeywell, but disappointing it. they'll still go to recruit lease, which reflect sources for usage looking at almost always pull me through bubbles close to just the yellow little what border and then i was in what, you know, i didn't look at the model to, i don't kno

nhs data shows that operose practices employ six times as many physician associates as the nhs averageper hour, or £100 per hour, whereas a pa... 45? maybe less than that. so less than half. when i hear words like cheap, i'm not quite sure _ that they're utterly focused i on giving the best possible care in the circumstances to patients. they're putting profits, money, ahead of quality of care. - that is a massive risk to patients. operose health denies that profit is being prioritised ahead of patient care. it says 97% of its practices are rated good or outstanding by the care quality commission. and it works in the best interests of patients, providing access to the highest quality of care. jacqui wakefield, bbc news. and you can watch more on that investigation on panorama tonight at 8pm on bbc one. it will also be on the bbc iplayer afterwards. back now to that legislation the uk government will publish later — seeking to change northern ireland's post—brexit trade arrangements — otherwise known as the protocol. let's speak now to stephen kelly, ceo of manufacturing northern irelan

so a physician associated in, well, and we see 30 to don't use it of them. would it be that she jelly you're about to show that there were 2 los angeles who he had to go. you had to shall metro, you know that once more at the show. and okay, so we'll to clue to choose your own. but you know, i want you to really benefit which kid to nip with the queer 0 so much so jim know, so you pay more for my school, my old bill. oh, but be sure your fault. i was actually i'm blind. i'm, you're not a whole, it wasn't a new and when you will be with visual, with years with no miss associate, but as that it, well, it took you to know he received a night when a j, v. o. nigi moore seed you literally go to connect you to out, would you maybe look mil searches. um, is there any image i'm sure number has been dealing with honeywell, but the supporting it making it fail stole the to being numerical worsley. so she flexible with respect to lucy, you're looking at almost always pull me through bubbles just to just the yellow, little what border and then i was in what, you know, i

so a physician associated with me see 32 don't years and that would be at the she jelly, you're about to show that, that he will do this and he said he had to go, you had to shall metro or you know that once more at an okay, so we'll to clue too much it's, you know, but you know, i want you to really benefit which kid to nip with the query so much. so jim, no, so you pay more to choose my medical, my old bill. oh, but be sure your fault. i it was a shit. i'm blind, i'm, you're not a will. it wasn't right. yeah. i mean, they knew it when you will be with visual with years. let them with no miss associate. but as that, it, well, it took you to know he received a night when a jedi b. o nigi moore seed, you literally go to connect you to out would you maybe look mil searches. i'm. is there any image i'm sure number has been dealing with honeywell, but dissipating it. they are still a crucially. so sri flexible sources was person. it was usage looking at almost always pull me through bubbles just to just the yellow or sure. what border and then i was in what you know, i didn't look at the

so a physician associated with me see 32000 years and that would be at the see julie, you're about to show that that it will do this and he said he had to go, you had to show metro or you know that once more then okay, so we'll pick when she's, you know, like, you know, i want you to really benefit which kid to nip with the query so much stolen jim? no, so you pay more to choose my medical, my old bill. oh, but be sure your phone carrier was off shit. i'm blind, i'm yeah, not a whole. it wasn't a new and when you will be a visual and he is looking with no missing personal shipper does that it well, it took, you know, he received a night when a g b i g morsey didn't look really good time to connect you out with maybe look mil searches. i'm is there any image i'm sure number has been dealing with honeywell, but disappeared and it didn't get it. they are still looking record. so she's like who? it's mostly was person for usage. i left it almost always pull me through bubbles. just to just the yellow. oh, you're sure the water and then i was in what you know, i did look at the bill my lit

so a physician associated with steve 32, don't use it at them. would they be able to see jelly you're about to show that that they were to los angeles who he had took like you had to show metro or you know that once you look at as a realtor quin too much, it's you know like you know what you do in the benefit which can live with the query so much so jim. no, so you pay more to choose my medical, my old bill. oh, but be sure your phone carrier was off. she mostly i'm gonna be honest with you. right? yeah. i mean, when you, when you will be with us, you know, a visual and he is looking with no missing personal shipper does that it, well, it took you to know he received night g, b, o, nigi, morsey, geometry, leach, go, come to connect you out with a look mil searches. are there any image? i'm sure number has been really much great. honeywell but disciplining it. they'll still go to the new record. so she's like, who knows? this was person for usage. you're looking at almost always pull me through bubbles just to just the yellow, little with water. a

so a physician associated with the 32 don't use it. would it be that she, julie, you're about to show that, that it will do this and you said he had to go, you had to shall metro or you know, that once more at the show. okay. so we'll to clue too much it's, you know, but you know, and what you do in the benefit which get it to nip with the queer 0. so much so jim, no, so you pay more to choose my medical, my old bill. oh, but be sure your phone carrier was off shit. i'm blind. i'm. you're not picking up until it wasn't like yeah, i mean then when you, when you will be with visual when years with no miss associate, but as that it, well, it took you to know he received a night when a j, v. o. nigi moore seed you literally go to connect you to out, would you maybe look mil had such a some image. i'm sure number has been dealing with a funny little bit disappointing it. they'll stole the tubing micro slave. so she's like, who sources was person, it was usage looking at almost always pull me through bubbles just to just the yellow, little w

so a physician associated in, well, me see 30 to don't use it of them. would it be out that she jelly, you're about the sure that that it will to los angeles away. he had to go, you had to shall middle. know that once more and okay, so we'll to clue too much. it's, you know, but you know, i want you to really benefit which kid to nip with the query so much stolen jim? no, so you pay more to choose my medical, my old bill. oh buddy, please be sure you'll fall. i was off shit. i'm blind. i'm, you're not a all, it wasn't like a new and when you will be with visual and he is looking with no miss associate, but as that it, well, it took, you know, he received a night when a j b o. nigi morsey. literally, it's good time to connect you out with a look middle item such as, um, are there any information from them or has been dealing with honeywell but disciplining it? they'll stole a crucially so safely. cool. mostly was person for usage, a lot to look at almost always pull me through bubbles. chest was just the yellow, little what border and then i was imagery.

so a physician associated with me see 30 to don't years and of them would be up to she jelly, you're about the sure that, that it will to los angeles away. he had to quote you for the show metro. you know that once commodity for the show and okay, so we'll to clue too much it's, you know, but you know, i want you to really benefit which kid to nip with the query so much stolen jim? no. so you pay more to choose my medical, my old bill. oh, but be sure you'll fall. i was off shit. i'm blind. i'm, you're not put up with a new language when you will be a visual and he is living with no miss associate. but as that, it, well, it took, you know, he received a night when a g, b o, nigi, morsey, literally it's good time to connect you out with a look mil set to some. is there any image i'm should number has been pretty much pretty honeywell, but dissipating it. they'll stole the tubing record so she's like, who knows with respect for usage. i love to look at almost always pull me through bubbles, close to just the yellow, little what border and then i was imagery. no, i didn't look at the bo

so a physician associated with berkeley to don't use it. would it be out that she jelly you're about to show that that it will do this and you said he had to go, you had to show metro or you know that once you look as a realtor quin too much it's you know? but you know, i want you to really benefit which kid to nip with the query so much. so jim, no, so you pay more to choose my medical, my old bill. oh, but be sure your fault. i was off shit. i'm blind. i'm, you're not a will, it wasn't a new and when you will be with visual and he is living with no miss associate, but as that, it, well, it took, you know, he received a night when a, j, b, o, nigi, morsey, geometry, leach, go come to connect you out with a look mill searches. i'm. is there any image? i'm sure number has been pretty much pretty honeywell, but disappointing it. they'll stole the tubing micro so she's like, who knows? with respect to lucy julia, it almost always pull me through bubbles just to just the yellow, little with water. and then i was imagery. no, i didn't look at th

quote it with wouldn't let you said i usually when you play mucho ah, i wish a lowly so a physician associated in, well, me see 30 to don't use it of them. would it be that she jelly you're about to show that that it will do los angeles, if he had to, like you said the show metro or you know that once more, if you look is a real to clue too much. it's, you know, like, you know, i want you to really benefit which kid to nip with the query so much. so jim, no, so you pay more to choose my medical, my old bill. oh, but be sure you file. i was off shit. i'm blind. i'm. you're not a, well, i get a new and when you will be with visual and he is looking with no miss associate, but as that it, well, it took, you know, he received a night when a j b o. nigi morsey. literally, it's good time to connect you out with a look mil searches. um. are there any information from them or has been dealing with honeywell, but you're putting it, making it when you get it. they are still looking numerical worsley. so she's like most with respect for usage, a lot to look at almost always pull me through bubbles just t

so a physician associated in, well, and we see 30 to don't years and that would be at the she jelly, you're about to show that, that he will do this and you said he had to go, you got the show metro or you know that once more at the show and okay, so we'll to clue some of these, you know, but you know, i want you to really benefit which kid to nip with the query so much so jim. no, so you pay more for my school, my old bill. oh, but be sure you'll fall. i was off shit. i'm blind, i'm you're not a well, i get a new one when you will be with visual and he is looking with no missing personal shipper does that it well, it took you to know he received a night when a j v o. nigi morsey didn't look really a good time to connect you out with a look middle such as i'm. is there any image i'm sure number has been dealing with anyone but disciplining it. they'll still go to the record. so she's like, who knows, with respect to lucy, you're looking at almost always pull me through bubbles just to just the yellow or sure. what border and then i was in what, you know, i didn't look at the bill mod

sometimes in some gp surgeries we're offered physician's associates or nurses or other health care perf infections are against gay and bisexual men. they have been warned to be aware of on usual rashes or lesion. our global health correspondent has this report. london draped in rainbow flags, but this year's pride takes place against the backdrop of a monkeypox outbreak with the vast majority of infections in men who have sex with men. i didn't know much about monkeypox, but when they told me i thought the worst. it's a difficult subject to talk about, but dan, who's 31, wants to speak openly about the symptoms which includes a rash. so i started to get swollen down in my genitals and then also my glands in my throat, so my throat started swelling up and for a couple of days i found it quite hard to breathe at times. symptoms are usually mild but anyone can catch monkeypox through close contact. because so many of the current cases are in gay and bisexual men, health officials say clear messages are needed ahead of pride. if you think you may have monkeypox, with blisters, fever, swoll

nhs data shows that 0perose practices employ six times as many physician associates as the nhs average is a massive risk to patients. 0perose health denies that profit is being prioritised ahead of patient care. it says 97% of its practices are rated good or outstanding by the care quality commission. and it works in the best interests of patients, providing access to the highest quality of care. jacqui wakefield, bbc news. and you can watch more on that investigation on panorama tonight at 8pm on bbc one. it will also be on the bbc iplayer afterwards. let's return to our top story now — the release of the government's food strategy for england. ministers are promising to back farmers but earlier promises to curb sugar, salt and junk food are not part of the plan. let's get some reaction from the shadow environment secretary, jim mcmahon. he's in 0ldham. you've said already this is not necessarily a food strategy. what with the the strategy be? it is important _ with the the strategy be? it is important to _ with the the strategy be? it is important to repeat _ with the the strategy be

inappropriate at the moment, however, independent doctors, including those from the reputable association of physicians states, assure donating blood for allergens, as a rule, it is simply pointless that false or clinically incorrect allergy tests often occur. for example, a test might find antibodies that indicate that the patient is allergic to, say, strawberries, but is not really allergic. it may not be, and vice versa, the real allergen analysis may not reveal, as it was with nastya, who spent twice on fabulously expensive tests, but the cause of the itching and i didn’t recognize lacrimation, we went to the doctor, they passed it, but they didn’t show anything, they repeated the procedure, but again no results, we can say that there is no problem, despite the positive analysis. we can say that there is definitely a problem, despite the fact that we didn’t do a single analysis , we didn’t even appoint. or, in the laboratory network near the house, they offer to take a test for immunoglobulin class g igg, the name is complicated. however, all you need to remember is that a healthy person has an igg

physician officials. so far unknown. was there an incident today? in the very center of berlin, it is associated with an unpopular decision by the authorities, one person died and eight were seriously injured. dozens were injured car drove into people. in the very center of berlin on the street rank straße the driver who crashed into a glass showcase shop, while detaining motives. the act is unknown, according to some reports, a 29-year-old german citizen of armenian origin was driving a terrorist attack on this street 8 years ago with polish numbers drove into people at the christmas market, the victims then became at least 12 people, and in the nineteenth, near the same place, the police prevented a terrorist attack, detaining two dubious citizens. the rise in prices over the coming months will continue in france, according to the head of the ministry of finance, inflation here is reaching a peak value, if improvements are expected, then no earlier than the beginning of next year, with the filing of a macron, they are going to issue grocery checks to low-income citizens for the purchase of loc

and one from the american association of physician assistants. and lastly, sorry, got a couple more. one from the nursing community coalition. again, i'd ask unanimous consent to have these letters of support ent entered in the record. the speaker pro tempore: without objection, so ordered. mr. courtney: and i'll reserve. the speaker pro tempore: the gentleman from connecticut reserves. the gentleman from michigan is recognized. mr. walberg: thank you, madam speaker. and i appreciate that information being shared again. i'd like to address some of the concerns that my good friends from the doc caucus have presented. the speaker pro tempore: the gentleman is recognized. mr. walberg: we have discussed this in committee. representing districts that are rural, urban, suburban. the challenges that are there. but, again, the issue of states' rights and the ability for states to make decisions is -- there's a prim is i that -- primacy there that we ought to consider. a majority of states allows nurse practitioners and physician assistants to certify, ov

physician. it was interesting, i was on the associate team hintroducing him to our new chief medical officer, tellingt preston and told him, the thing i most respect about him is that he treats everybody the same. it doesn't matter if you are an environmental services housekeeper, all the way to the ceo and other physicians, he truly just appreciated and respected peoples' humanity. i saw him one time in our little coffee shop and he often times, employees would come to him for surgery and he was very good surgeon. and one of the employees in the coffee shop had just recently had surgery and he called her out by name and she just smiled because she felt so important because he remembered her and was reaching out to her but that was just him. it wasn't unique. >> you know, we all see this on television, we've seen this, you know, for years now, happening in cities and elementary schools and churches and super market and see now medical building. to actually live through it, to know a person who was there, having lunch with you one day and several days later is killed, i mean how do you deal with this?

consulted extensively with local jurisdictions and supported by the california association of psychiatrists and the psychiatric physicians alliance. six of the eight bills have now since this was introduced moved out of committee with unanimous positive recommendations and the other two have passed the senate unanimously and are headed to the assembly. the effects of san francisco but really california's failure to provide adequate mental health care are obvious. 80% of the folks on the streets suffer from some sort of psychiatric condition or both and the local psychiatric emergency services are on condition red since may 2020. in an ideal system the state would oversee, in my view, oversee and manage comprehensive behavioral health response in which county health departments would connect people to longer term treatment as necessary. sometimes in the form of in-patient program and sometimes in the form of conservatorship and much more frequently in the lesser levels of care but with flexibility to move people up and down in as the acuity changes. plainly we are not there and have not been there in the more than half a

in addition to my administrative role as the associate chief medical officer i'm a practicing emergency physician and i had lunch with dr. phillips on tuesday. we work closely with our orthopedic team in the emergency department and i know that all of my colleagues went into medicine to help people. this was their calling. as dr. robertson said this isn't just a career for them. we are supposed to be the ones that are caring for others during tragedies like this. to think that our caregivers were the victims is just incomprehensible to me. they died while serving others. they died in the line of duty. to the family of mr. love, our hearts break for you. i was in our emergency department last night and i saw the trauma all lined with our trauma team, emergency department team, nurses, techs, respiratory therapists, they are trained just like our police departments are. we so wanted to be able to utilize our skills and training to save these precious lives. the family of mr. love, i'm so sorry we couldn't save you. we are grieving with you. when i woke this morning, i really just wanted this to all

in addition to my administrative role as the associate chief medical officer i am a practicing emergency physicianlips on tuesday. we worked closely with our orthopedic team in the emergency department and i know that all of my colleagues went into medicine to help people. this was their calling, like dr. robertson said. this wasn't just a career for them. we are supposed to be the ones that are caring for others during tragedies like this. to think that our caregivers were the victims, is just incomprehensible to me. they died while serving others. they died in the line of duty. to the family of mr. love, our hearts break for you. i was in our emergency department last night and i saw the trauma hall lined with our trauma team, our emergency department team, staff from the or, nurses, techs, respiratory therapists, they are trained just like our police departments are. he we so wanted to be able to utilize our skills and training to save these precious lives. to the family of mr. love, i'm so sorry we couldn't save you. we are grieving with you. when i swoewoke this morning, i wanted this to be a

physicians believed. what diseases of certain organs are responsible for, the corresponding zodiac constellations were associateddiseases of the head. this is the first in the zodiac cycle. fish is the first in the zodiac cycle aries sea sea 200 after the conquest of the trebizond empire and crimea, the turks began to call this sea the ottoman lake march 200 the military march of the roman army, with which in 1792 the battalion of volunteers entered paris from the south, is better known under this name marseillaise. actors and roles 400 performances based on the play pokrovsky gates staged theater on bronnaya this role, as planned by the director , is played by 58-year-old igor vernik well, maybe with kostya bones, when quite right, the performance is called uncle lev the soviet television production of rimsky-korsakov's opera mozart and salieri and innokenty smoktunovsky played this composer, but sergey sang for him lemeshev let's say there is no salieri, the author of the medieval hour of the word portrayed a real demonstration. funny may in the process goes to the forest for branches and flowers to celebrate

making to address the current status and future risk associated with this and other potential pandemics. we have three remarkable witnesses, physicians with extensive experience with responding to infectious disease outbreaks. doctor thomas freed and former director of centers for disease control and prevention certainly works as president of resolve to save lives. doctor atul gawande at the u.s. agency for international development. testifying, speaking with us remotely today, is doctor michael ryan executive director of the world health organization, health emergencies programme. he will be joining us remotely from geneva. the second panel is a briefing of the subcommittee for from technical reasons relating to the world health organization. i -- dr. friedman if you would please start us off. if there is a vote that interrupts us, i will inform you. thank you for your testimony. if you can keep it concise, that will allow us to have more of a discussion. i appreciate your testimony and your patience with the first panel in the enthusiasm of our witnesses. >> thank you very much chairman coons, ranking member distinguished member of

associated with the covid infection. and more than 30,000 children under five had been hospitalized with covid in the united states, and nearly 500 have died. >>> joining us now, physicianllow at the brookings institution, dr. patel, an msnbc medical contributor and a former obama white house health policy director, as well as one of our favorites here on the show. good morning, doctor. as we just mentioned, children under the age of five can finally likely soon receive a covid-19 vaccine, as soon as it gets the approval that is needed. talk to us a little bit about how significant is this milestone, in the fight against the virus, and how important in your estimation is it for parents to give young kids the shot. >> jonathan, it's not only significant, because it feels like it has been so long in waiting to get to this moment, but it's even more significant as we're going through, yet again another surge, we're having over 100,000 cases a day, and we're seeing that even though children have had again, a milder infection, that we still have under the age of five this group that will finally have vaccinations, 30,000 hospitalizations, hundreds of deaths, so these are all

associations have taken a political stand now supporting abortion right up until the third trimester beyond belief. and it does nothing to restore confidence in the medical profession. n no offense to physicians like yourself, but it doesn't. dr.pr marty makary, appreciate you coming on again. thank you . thanks. so no matter how you slice it, the truth is corporate america wants abortion because families are inconvenient for employers and companies. when ye expensive. when you have a child, you takee paternity leave whether their name to the insurancern il costs the company's money.ic so corporations wanties childil left. they want youdl too put it to them, not your family.amily, that's that true . feminism more broadly is a corporate lie. and so it shouldn't surprisee you that cnn, which is l above all carrying water foror corporate interests in this country, spent the entire day telling you how abortion is a sacred human right. maybe the single mostos unbelievable and upsetting argument camee from ann navarron who once said the creepy lawyer was like the holy spirit . navarro invoked special needs family members of her own with autism and down syndrome to justify enforcement words. it woul

i have a coworker as associate director who has two buildings at these coloring with no manager one of which a physicianhas been open for a year. because thesalaries too low . and we continue to lose front-line workers every day which means we have to do their job to keep the building running. imagine being on this committee meeting and having to stop it to go clean the restroom or to man thesecurity metal detector . i've covered thefront desk . i've called trash. the director of property management recently pulled trash in a building. so i feel like i'm between a rock and a hard place and i worry. >> time. >> thank you, please give us their wages. >> thank you for your comments. next speaker please. >> i'm one of the janitors and as my colleagues say it's hard to retain the managers we do have . i work as hard and i'm working between two buildings right now. right now i only have 30 minutes to finish off the job i have to do and we're losing janitors because when i cameon board i was excited . i lived in fillmore and ended up moving into one of the sros. i love all my coworkers. i loveeveryone i work w

i have a coworker as associate director who has two buildings at these coloring with no manager one of which a physicianhas been open for a year. because thesalaries too low . and we continue to lose front-line workers every day which means we have to do their job to keep the building running. imagine being on this committee meeting and having to stop it to go clean the restroom or to man thesecurity metal detector . i've covered thefront desk . i've called trash. the director of property management recently pulled trash in a building. so i feel like i'm between a rock and a hard place and i worry. >> time. >> thank you, please give us their wages. >> thank you for your comments. next speaker please. >> i'm one of the janitors and as my colleagues say it's hard to retain the managers we do have . i work as hard and i'm working between two buildings right now. right now i only have 30 minutes to finish off the job i have to do and we're losing janitors because when i cameon board i was excited . i lived in fillmore and ended up moving into one of the sros. i love all my coworkers. i loveeveryone i work w

i have a coworker as associate director who has two buildings at these coloring with no manager one of which a physicianhas been open for a year. because thesalaries too low . and we continue to lose front-line workers every day which means we have to do their job to keep the building running. imagine being on this committee meeting and having to stop it to go clean the restroom or to man thesecurity metal detector . i've covered thefront desk . i've called trash. the director of property management recently pulled trash in a building. so i feel like i'm between a rock and a hard place and i worry. >> time. >> thank you, please give us their wages. >> thank you for your comments. next speaker please. >> i'm one of the janitors and as my colleagues say it's hard to retain the managers we do have . i work as hard and i'm working between two buildings right now. right now i only have 30 minutes to finish off the job i have to do and we're losing janitors because when i cameon board i was excited . i lived in fillmore and ended up moving into one of the sros. i love all my coworkers. i loveeveryone i work w

associated. despite its proven effectiveness, upfront costs and the lack of technical assistance for providers. this bill addresses this road olympic to have states work physiciansnd practices to adopt this model. thank the chair womanes choo and chairman pallone. thank you, i yield back. the speaker pro tempore: the gentleman reserves the balance of his time the gentleman from washington is recognized. mrs. rodgers: how much time is reremaining? the speaker pro tempore: the gentleman from washington has 14 1/2 minutes. yasm new jersey has 8 1/2 minutes. mrs. rodgers: i yield a minute and a half to the gentlelady from california. the speaker pro tempore: the gentlelady is recognized. >> i thank our ranking member rodgers for yielding. and i rise today in support of the restoring hope for mental health and well-being act of 2022. the pandemic and shutdown left many americans especially women and children feeling isolated, anxious and alone. depression, self-harm, substance abuse and suicide have reached crisis levels. and i'm glad we can help provide meaningful targeted hope and healing to communities who need it. and i am proud that two bills that i worked on in

association of journey men and apprentices of the plumbing and pipe fitting industry, local 38. item 75 is an ordinance adopting and implementing the collective bargaining agreement between the city and union of american physicians and dentists, unit 17. item 76 is an ordinance adopting and implementing the collective bargaining agreement between the city and the union of american physicians and dentists, unit 18. item 77 is an ordinancing fixing compensation for persons employed by the city whose compensation is subject to the provisions of 18 a-8.409 of the charter. item 78 is an ordinance adapting and implementing the fourth amendment to the 2018-2023 m.o.u. between the city and the san francisco firefighters union local 798, unit 2. item 79 is an ordinance adopting and implementing the third amendment to the 2018-2023 m.o.u. between the city and the san francisco firefighters union, local 798, unit 1. item 80 is an ordinance adopting and implementing the second amendment to the 2018-2023 m.o.u. between the city and the san francisco police officers association. item 81 is an ordinance adopting and implementing the second amendment to the 2018-2023 m.o.u. between the city and the municipal executives' associa

association of journey men and apprentices of the plumbing and pipe fitting industry, local 38. item 75 is an ordinance adopting and implementing the collective bargaining agreement between the city and union of american physicians and dentists, unit 17. item 76 is an ordinance adopting and implementing the collective bargaining agreement between the city and the union of american physicians and dentists, unit 18. item 77 is an ordinancing fixing compensation for persons employed by the city whose compensation is subject to the provisions of 18 a-8.409 of the charter. item 78 is an ordinance adapting and implementing the fourth amendment to the 2018-2023 m.o.u. between the city and the san francisco firefighters union local 798, unit 2. item 79 is an ordinance adopting and implementing the third amendment to the 2018-2023 m.o.u. between the city and the san francisco firefighters union, local 798, unit 1. item 80 is an ordinance adopting and implementing the second amendment to the 2018-2023 m.o.u. between the city and the san francisco police officers association. item 81 is an ordinance adopting and implementing the second amendment to the 2018-2023 m.o.u. between the city and the municipal executives' associa