luke's and the effect of c pmc cuts citywide. one good example of this if according to they'll earlier plans of moving the insufficient beds and concentrating them in st. looukdz only 40 will be available this will rob of the community of badly needed beds by deskill st. luke's to the point where it will access functioning a full service hospital and it could radiate throughout the city if not able to take ambulance diversions >> time. >> thank you. >> thank you. next speaker, please. >> and if you can correct me for your last name. >> i'm from - i want to tell you that our patient are very sick patient in jeopardy and when they're forced to - in the past few years they've breathing tubes are being removed so when they can go to other facilities some have been able to go back to work and the work of the staff starting - there's 3 decreases and one medical donor this is a difficult place for other hospital in the last 3 years the majority of admissions have been discharged and the plan is yes, ma'am latsd san franciscans they've n

and that's a good approach for you guys because this is i wasn't here for the last routinely with c pmc and the department agreement i'll tloul tell you obviously the dialog and the passion this the long term investment by c pmc and the health department in building trust in those two institutions is more are important than a financial move it's a decision i want to see a trusting relationship because everyone will benefit and this will take some work >> through the chair. (inaudible) >> a point of order. >> (inaudible). >> thank you sir, that's not a point of order by a point of personal privilege. >> thank you (inaudible) hopd is not involved in long term care it is not - >> thank you, mr. shaw that's a point of information not a point of order. >> commissioner. >> i don't have anything to say. commissioner miller and i think my comments will anywhere what i said last time and it has been said here today that is c pmc needs to step forward and figure out how you can contributed to your charity care dollars and community benefits so build some of the beds in the community if needed bec

we have an agreement that will be honored by city but there's a greater honor you have to hold c pmc to 38 and that's the community. you've identified an area that if someone doesn't make money they'll make others pickup. i hold c pmc account to not only their network patient by the greater needs of the community we want them to be a better partner (clapping) >> i guess what i'm trying to - i disagree we're going to live up to our responsibility and obligations have we seen increased demand for those services. >> we consistently have demands in our community and i think that the other issue we're facing and you've heard pacific monaghan talk about this how do we inaccurately manage people that are getting older we're going to have a larger older population in san francisco we have an obligation not to institutional lists individual we have to insure people at the right levels of care we have a responsibility to make sure that people are not snuldz in long term care beds so we have to look at ways to reducing the way even if people being institutional listed in terms of managing their

economic growth of san francisco last year you had a project on the knowledge does the rebuild of the c pmc hopeless an important component of our economy there's no more important projects than the moscone it's on a world designation since 1980 we look forward to approve all aspects of this project in moving forward thank you. >> thank you. >> good afternoon, commissioners john from the yerba buena i apologize. i i was outside when i called my name i have good news. first, the settle time are our museum is set for final approval this tuesday it provides the safety improvements we've requested and second since the eir hearing six or seven weeks ago we had an important discussion about exactly what the things it can be done and the city made it clear they want to move forward there's a technology cattle the biggest part is widening the east side of the effort sidewalks from howard to market there are a series bottleneck that can't be part of the moscone but picked up in the environmental clearance and should follow after that so this case we're definitely on the right track so thank you >> t

economic growth of san francisco last year you had a project on the knowledge does the rebuild of the c pmc hopeless an important component of our economy there's no more important projects than the moscone it's on a world designation since 1980 we look forward to approve all aspects of this project in moving forward thank you. >> thank you. >> good afternoon, commissioners john from the yerba buena i apologize. i i was outside when i called my name i have good news. first, the settle time are our museum is set for final approval this