it is the sedar type of culturally competent health care our future? we say no. we strongly urge the board to prevent any further destruction of our community by holding this employee year accountable at every turn. and this is signed by 10 nurses. supervisor mar: thank you. next speaker. >> good evening, supervisors. my name is reverend carolyn. i want to thank you for the time and opportunity. it has been my pleasure to have led the african american breast health program for uninsured women at the opposite medical center for the last seven years. during that time, this program for uninsured women from vulnerable populations all over our community has successfully screened over 1500 women, and during that time, we have found over 18 women with breast cancer. three years ago when the economy changed, we began to get calls from all over the city from women who were not african american who have lost their jobs, had no insurance, and then needed free mammogram screening. california medical stepped up and started the sister to sister program, which partners with afr

i have spent the majority of my 2 year in health care and before joining sedar, that included work on all phases of large- scale construction projects for both male clinic arizona and the comprehensive cancer center in los angeles. what i see as i reflect on these projects and all the subsequent improvement efforts i have taken part in is that the facilities reconstruct reflect our current understanding of health care as well as our goals, values, and business models at the time. this is an inevitable process, one that proves breakthroughs. many of the physical structures are more than 100 years old. as a point of reference, the first documented effective treatment of a patient using penicillin occurred in 1930, a mere 82 years ago. over the past century, our understanding has progressed significantly to ways to deliver effective and affordable and accessible health care. we will not deliver a new paradigm in health-care relying on the same ideals and structures, both ideological and physical, that we have relied on in the past century. healthcare has become too expensive operating on