primarily people who are uninsured, low income, or for -- from our immigrant communities. and includes not only laguna honda, but san francisco general , and smaller clinics across our city, and health services in our county jail. here at laguna honda, more than 1,000 patients each year receive care for complex conditions like h.i.v. and alzheimer's and dementia, and other mental illnesses and disorders, and we have, for patients who are suffering from strokes or brain injuries, or spinal injuries, or other trauma. these treatments require long-term and specialized care, as so many of you here know, and they commonly include medications as part of the treatment plan. however, it is a well-known fact that these medications are expensive, and can drive up the cost of healthcare for millions of people who need these drugs to survive. the san francisco health network is constantly working to find ways to save money on drug costs for uninsured patients. we work with federal programs like the 340 b. program that provides drugs at a discounted rate for some of our facilities, but

that number was 10,000 fewer uninsured. to address the coverage that people, the access and how the kids we did ask additional information. the text now on page 7, the executive summary states that san francisco continues to see gains in access to health care with 10,000 fewer residents uninsured in 2017 than 2015. of the estimated 31,500 insured residents, approximately 2% of san franciscans remain without access. that information is again repeated in the pain body of the document on page 20. and there it states that over 10,000 fewer san franciscans were uninsure in 2017 compared to 2015. the next concern we had was from commissioner chung. and the concern was a lack of ability to see health needs of transgender persons. and our lack of stating that we could not do so. we reflected on that point. and realized that really there are a couple of other populations that have known health needs that we cannot really see through this data. and so on page 11, we ed -- added actually, the following to reveal health disparities, th

those factors to that uninsured population are unique to this healthcare crisis are they? are they unique? >> this is quite a unique circumstance, because of the fact that at the end of the day there are so many things that are getting in the way of people that require prep getting prep. there's access to the healthcare system, for sure. there is also education, education for physicians, for patients, and there's a tremendous amount of stigma associated with this disease, which comes in the play for the underserved communities. this is something that gilead has been focused on, provided hundreds of millions of dollars in supporting community associations, to try to get these other root causes of the prep. it is what is required to help eliminate the disease. i completely agree that we have to attack it from both a prevention as well as a treatment standpoint. to eliminate this disease. >> thank you sir. >> thank you very much. i recognize myself now. mr. o'day, of the drug companies sat in the very seat, that very see that you are sitting in. like martin chiarelli. and all

it's from headline of the 47 million uninsured.or those of you that cannot see it, the first figure says -- i can afford it but i do not want it. there are 18 million under that person. i am 18 to 25 years old and i am indestructible. i am an illegal -- i am a legal and i am not here. 12 point 6 million. i am in between jobs and only temporarily uninsured. 9.4 million. i am covered but my parents have not sign me up yet. 8 million. and, i am eligible for government health programs and i have not signed up. 3.5 million. and you have a note that says, there are more. some have overlapped. michael: this is the sad -- when i think the media does not do its job. it's sad when a political cartoonist has to put out the relative debate. the 47 million figure has never been really proved. in fact, i think a week after the administration rolled out the 47 million uninsured number, they brought that number down to 37 million because they had pulled it out of the air. i think from what i've read, and the sort of -- the in-depth investigation d

previously, disparities in uninsurance rate among these communities had been eliminated. because of coverage expansion from the a.c.a. groups engaging in enrollment work have fewer resources because of the administration and therefore must engage in more targeted and limited outreach. even further, this data is from 2017, before the administration launched even more aggressive attacks to dismantle our health care system. after they failed to repeal it without a replacement. our next census will show how the attacks have 2018 and 2019 will affect enrollment numbers. but we need the information that essential monthly enrollment data can tell us long before the census is published. by better understanding where gaps exist and in which groups we're seeing negative trends in insurance enrollment, we can better focus essential outreach and education. in particular this will help organizations serving hard-to-reach populations and communities of color. while c.m.s. has provided an annual detailed enrlment report it has failed to provide more up dates on enrollment during the yea

we also provide hiv screening we provide hiv treatment for people living with hiv and are uninsured and then we hope them health benefits and rage into conference of primary care. we also provide both pre-nd post exposure prophylactics for hiv prevention we also provide a range of women's reproductive health services including contraception, emergency contraception. sometimes known as plan b. pap smears and [inaudible]. we are was entirely [inaudible]people will come as soon as were open even a little before opening. weight buries a lip it could be the first person here at your in and out within a few minutes. there are some days we do have a pretty considerable weight. in general, people can just walk right in and register with her front desk seen that day. >> my name is yvonne piper on the nurse practitioner here at sf city clinic. he was the first time i came to city clinic was a little intimidated. the first time i got treated for [inaudible]. i walked up to the redline and was greeted with a warm welcome i'm chad redden and anna client of city clinic >> even has had an std clinic s

and others why enough of my job because i tried to do it except maybe an hour a day by name of the uninsured and i wore the addict up you. 2 come up. blue. this is due every new year's live from berlin it's a killing that has shocked germany a politician assassinated in his own home now a suspected right wing extremist already in detention is reported to have confessed to killing well to luka but did he act alone also coming up. our favorite towards the grief back home for a child who drowned with her father when they tried to cross the rio grande 8 interview united states in search for a better life to.

by name of the uninsured and i work at it up you. 2 know.very warm welcome to our culture today a photographer who trains his lens on those fighting to save all oceans also coming up a unique festival in austria combining the technology and society. and a composer who gets her inspiration from nothing more than the. but we begin with german photographer your coal vest who is living the high life 1st as a male model and then as a top fashion photographer until 8 years ago when he was asked to photograph his holiness the dalai lama joining his visit to germany getting to know him best promised a visit to bet and highlight the problems facing the country then he went onto the amazon to help the indigenous tribes that and now he's using his photographic skills to promote heroes of the sea. environmental photographer york slate his project draws attention to the state of out. with shocking results. this is not an island that a mountain of plastic off haiti doesn't alter the time these are places of total pollution were beaches have been destroyed

by name of the uninsured and i wore it up here 2. this is d w news asia coming up on our show today on the front lines of climate change cycle owns floods of rising sea levels why environmental disasters are threatening the lives and futures of millions of children in bangladesh meanwhile india is in the grips of another severe heat wave temperatures soar above 50 degrees in some parts of the country in one state 80 people have died since saturday look at what set to become india as long as top spot on record. and lost cities rediscovered archeologists in cambodia find vast temple complexes. we'll show you the urban landscapes that might just rival and cool ones. i'm sumi so much going to and this is news asia thank you for joining us now we start with a closer look at the growing climate crisis affecting asia's most vulnerable communities environmental disasters are threatening vast swaths of land in low lying coastal areas bangladesh is among the hardest hit it is densely populated and has weak infrastructure so a psych loans and r

this announcement is a monumental victory for small businesses, for their workers, and previously uninsuredricans will now have access to high-quality health plans of their choice. with us today is one of our nation's wonderful small business owners. tony from maryland, and i will say tom -- where is? tom? are you out here someplace? i have not met tom. you are a handsome guy. [laughter] pres. trump: say a few words and let them know what has happened to you. thank you. [applause] i would -- first of all, i would like to say happy birthday to the president. a lot of people for my office want to say happy birthday. three years ago i spoke to the u.s. senate small business and entrepreneurship committee about reinstating the health reimbursement benefit program that had existed previously. this was after the obama administration made it illegal for a business to help employees with a health insurance costs. at the time we have been helping our employees, some of whom had a serious medical conditions including cancer. after the obama ruling we had to stop all reimbursements, which caused a gre

is aannouncement monumental victory for small businesses, for the workers, and previously uninsured americans will now have access to high-quality health plans of their choice. with us today is one of our nation's wonderful small sayness owners, and i will -- where is tom? tom, would you say a few words and let them know what has just happened to you, please. [applause] >> happy birthday to the president. a lot of people from my office -- i also want to say happy birthday for them. i spoke to the u.s. senate small business and entrepreneurship healthee, stating the reimbursement benefit program that had existed previously. this was after the obama administration made it legal to help employees with their health insurance costs. at the time we had been helping our employees, some with serious medical conditions, and after the ruling we had to stop all reimbursements which caused a great bit of hardship for our employees. several of them i ended up losing because they had to leave us and go to other companies that offered better health benefits. thank the president and the administration for an

this is san francisco's health access program that provides uninsured residents access to healthcare services and we are able to capture healthy a san francisco patient cost services data in our annual report separately from traditional charity care. after the passage of the affordable care act in 2010, the next few years were spent preparing for aca implementation in 2014. they implemented and began -- we saw an increase in healthcare insurance coverage through medi-cal expansion and this is something that we have highlighted in previous reports. as we moved into 2017 and 2018, it is important to note there has been uncertainty at the federal level around healthcare and the affordable care act. policy changes such as the repeal of the individual mandate penalty, proposed changes to rules, and recently provider rights to religious refusal, may impact charity care and how people speak -- seek or receive healthcare services. we think we will be able to capture the impacts of these policy changes in future reports moving on to the reports, the annual report compiles and analyse is and i

there are kids who are uninsured. we are making it easier for them. website,e [indiscernible] are two buttons on the app. it will bring you to a [indiscernible] and you can fill that out, and it will basically send in a mail to us regarding what you need. the same thing with the website. >> ok, this is the website, though? >> yes. >> and now hunter is joining us. where did the three of you come up with this idea? school students at our were struggling to look at the board or cap squinting. we were like, are you ok, do you need our help? it turns out they could not get glasses because they had no insurance, or they just thought it was normal. like, our teammate, the one in red in that picture, he thought it was normal that he had to squint all the time, but it turns out his eyesight was very bad. comes to technology, what did you guys do to develop this website? olivia: the website is based in dragon, so it makes it very intuitive for students to create a website of their own, and it is completely free. all you had to do is drag elements like buttons a

20 employees, this is a monumental victory for small businesses for their workers and previously uninsuredof their choice. with us today is one of our nation's wonderful small business owners, tony from maryland. you come up -- where is tom? i have not met tom? you're a handsome guy, come on up here. [laughter] >> tom, let him know what's just happened to you, please. thank you. [applause] >> first of all, i would like to say happy birthday to the president, thank a lot of peoplm my office we wanted to say happy birthday. 3 years ago i spoke to the u.s. senate small business and entrepreneurship committee about reinstating the health reimbursement program that had existed previously. this was after the obama administration had made illegal to help with health insurance cost, some had very serious medical conditions including cancer and after the obama ruling we had to stop all reimbursements which was hardship for employers and several i ended up losing because they had to -- had to leave us and go to other companies that offered better benefits. so i want to thank the president and the ad

it and this is why i love my job because i tried to do it exactly this hour a day by name of the uninsured and i work at g.w. . voting is underway in kazakhstan's presidential election for the 1st time since independence the country's long term ruler. will not be on the ballot he steps down in macho and handed over the reins to longtime confidant. who is expect .

the problem we have this tragic situation of all uninsured americans.ould deal with that problem. everyone should have health care as a right of citizenship. my plan does that. but when my plan doesn't do, make private insurance illegal. because that is not a good way forward. that will never happen. 150 million americans have private insurance. 2/3 of them like it. charles: right. >> i don't see why we have to be for the politics of subtraction. i have to take something from you. we should be for the politics of addition. take folks uninsured, make sure they have insurance. that is what my plan does. charles: i guess the proponents of it, those numbers, equal a lot of money. redirect the money so there is a scream out there where no one has to pay directly or pay for this insurance. everyone gets health care. everyone gets better coverage at least in the plans that they have drawn up. it would be fairer because this is an american right. is there a right for americans to have health care provided by the government? >> well, listen, rights are what we d

also just a reminder about the uninsured. we still have over 27 million uninsured individuals in the united states. a little more than half of them on paper are eligible for some help under the aca. they're eligible for medicaid or c.h.i.p. or eligible for tax credits in the marketplace, but they're not signed up. and that is, i think, a reflection of both the adequacy of the subsidies available, particularly in the marketplace. they go up to four times poverty but really start to run out at about two times poverty. and it can be very complicated to sign up for the marketplace. and of course there have been drastic cuts in funding for outreach and for in-person enrollment assistance. the medicaid programs also have, in a number of states, been adopting barriers to eligibility, work requirements, and other requirements. then the other almost half of us aren't eligible for any financial help at all and sometimes not for any coverage. they make too much to qualify. they're in the family glitch so don't qualify for subsidies in t

let's take on health care system, which is terribly broken, with all these uninsured americans and createi have, where everyone gets a basic health care package as a right. they don't have to pay for it. but if they want to choose other options, they should be able tochlt why do we have to run on this notion that they can't have options? >> i got the.. i want one quick question i want to get in. >> sure. >> you're getting two cracks at the debate stage over this summer, two debate events. dnc is shifting the rules and requirements starting this fall. you'll have to get 2% in four polls and 130,000 donors to get in, in the fall. is that fair, yes or no? >> i don't think we should have a donor standard. i absolutely don't think the democratic party should be about money. 50% of the american people can't afford basic.net necessities. i'm running for those people. a lot of those people aren't giving money to candidates. >> the poll standard, are you okay -- >> the poll standard is fine. have you to have a polling standard, of course. 10% of american people have given money to political candid

million white people alone that are poor, a third of the poor people are in the south. 13 million uninsuredeople in the south. and not one debate, one hour was on poverty and not one hour was on racialized voter suppression and the other forms of racism that connect to the oppression and hurting of people of all colors. will you push the powers that be, that are setting up the debates, to have a debate where the focus is on systemic policy racism, systemic poverty, ecological devastation, the war economy and mill tarism and this fall narrative of religious nationalism that moved into the white house and is actually helping to set policy, will you push for that and how will you push for that? >> not only would i, i already have. as everybody has been talking in the last couple of weeks about why don't we have a climate debate. why don't we have a poverty debate. i'm the only person who in every campaign stops talks about the chronic trauma of millions of american children while they're despair is normalized bit political establishment and why i want a department of children and jews and the

and the rest are either on the individual exchange or are uninsured. about 9% uninsured.medicare for all, as sanders envisions it, it would cover almost everything. everybody would be covered, and they would have their hospitalizations covered, emergency care, doctors, maternity, mental health, and what medicare doesn't have right now it would have vision, dentsal, hearing aids, so it would be comprehensive and no -- there would be no co-pays, no deductibles, no premiums. would be at no cost to patients. >> i was going to say, very -- you are catching yourself. this is what everybody is confused about. you're talking in a way that makes it sound as though it's free health care, you're not going to have to worry about it. somebody has to pay for it. that's going to come by the way of taxes. >> yes. and so we don't really know how much it's going to cost. sanders hasn't detailed it. there have been a few studies that say it would cost about $32 trillion over ten years. sanders has offered some options on how to pay for it which does include raising taxes on all americans. b

in all, 30.1 million americans under age 65 are currently uninsured. >> typically, they'll come back to the hospital and they'll come back to the hospital until they come back no more. >> reporter: manuel mayor is cardiology. >> we see people younger, 30 years old, having heart attacks and it has a lot to do with getting inappropriate care or ineffective care early. >> reporter: patricia ares-romero sees psychiatric patients denied health because it's mental health. >> it's hard when somebody wants to put their life back together our medical decision is restricted by guidelines of insurances which, let's face it, we know is just directed by numbers. medicine is not a one-size fits all. >> reporter: neither is the solution. >> i think both republicans and democrats realize that's the case. i think the solutions that they have to come up with have to be joint solutions. >> are you optimistic about that >> i think our system will go broke at some point if we don't do something different. >> reporter: until then, these doctors are not giving up on finding answers or their patients >> we

in fact, i think a week after the administration rolled out the 47 million uninsured number, they broughtt number down to 37 million because they had pulled it out of the air. i think from what i've read, and the sort of -- the in-depth investigation done at the time, we are talking about 4% of the people that were uninsured at he time. brian: here is another one from 2008. you will see it, there is a woman standing there with "amateur" over her head. she says, i love corn with two senators walking by. michael: not two women senators. prostitutes. this is on obamacare. the kind of gift making an trading that was done to convince the senators to go along with this program. there was chicanery in the process and it changed the ules to obamacare. so that cartoon really point said out. brian: this one is from 2010. tell us about the mad hatter. michael: the mad hatter is nancy pelosi. she is saying, you have to pass his bill so you can find out what is in it. and this is the most ethical congress ever. once again, it was based on this obamacare scheme that this administration was going to pus

that's 50 million people, third teen one million of them uninsured. and the southern states, 26 of them to be exact, have the worst record on voter suppression and racial gerrymandering. but here is the other side. elected by who get what some courts have now called surgical racism, once in office they vote to deny health care, cut public education, deny women's rights and lgbtq rights people.that hurt .ere is the question when will you go and spend significant time in the south and the sun belt to put a spotlight on these issues? how will you fight to win a new electric of poor whites, blacks, latinos, natives and others in the sun belt? how will your campaign address the issues of poverty that the myths that impact of these groups of marginalized people? biden: first of all, i will campaign in the south. i believe we can win georgia, south carolina, believe it or not, texas. the election is a long way off, but you may recall i was the only person who campaigned for the senator in alabama. i was the only person invited to speak. not the only, but the

one facet of the afforble care t was designed to encourage insurers to cover riskier, previously uninsured people for which the government would reimburse them for but two years ago republicans blocked those payments saying that they were a bailou for the insurance industry. insurers allege the government pulled a bait and switch and withheld the money that they are entitled to. n>>> elsewhere washington, they continue to bear down on big tech. the latest pushy.ame to a proposal was introduced that would force niwell-known com like google, facebook and amazon to tell users what kind ofey da re collecting on you and how much it's worth. ylan mui has more. >> reporter: there's a new bipartisan effort to put a price tag on your information. to calculate tech the value of all the data they collect and disclose that number to the users. the new rules would apply to companies with more than 100 millionctive monthly users and the ftc would be in charge of creating that lue. they have to file a report every year between third parties and allow users to delete their information. in a tweet senator

we enroll you in america if you're uninsured today. if you can't afford your co pays or premiums, you're able to enroll. but if you're one of the tnsff millions who have onsored insurance and like it because it work sfrzia and your family, your rrb able to keep it. i think that's the fastest way to get there and improve tens of mill objecti mill ns of lives and insu everyone is well enoughf to perform to their highest potential. >> over everything from impeachment, to medicare for all, which progressis wants. a time they need pull together to defeat the current administration >> i think this can still be the democracy on the face of the planet. i thie have the capacity to have these ideas but at the end oof the day we need to unite whoever our nominee is and country ey bring this together in january of 2021 to achieve these priorities. that's what i want to do. it's the way i've always served, the way i'm caaigning and what i love about being on the trail here in california and the other states we've visited so far. >> you're one of 11

journalism how i see it and why i love my job because i tried to do it except it is a day by name of the uninsured and i work at the depth you. 2 feel. protesters from across europe have forced say why into one of germany's biggest brown coal mines place i have the officers have been injured in scuffles protests have told me that hundreds of activists are being detained by police the manova not they trying to force the government to act against brown coal germany is the world's largest producer of it. us president donald trump has said he will impose a dish.

see it and that's why i left my job because i tied to do exactly that hour a day by name of the uninsured and i work at it up you. get a bit of. this into w.d. is coming from but in sudan's military bricks of the city in the capital county 7 people are dead after security forces told the protesters camp jim is among the countries condemning the use of ammunition against demonstrators also coming up the u.s. president on the front has met queen elizabeth at the start of a state visit to the u.k. the trip is proving controversial we find out why it is dividing the nation. the.

by name of the uninsured and i was you. 2 would never cheat. like curling let's experience a modern museum center with her. russian cultural heritage foundation legislator researchers are looking for answers in more than $5000000.00 objects to play each object at least part of the history of. life only those who know about secret things have a house like this play cultural heritage foundation player lives treasure trove played over to the documentary june 21st dublin. plays. the u.n. secretary general antonio terrace is calling for in the pennant investigation into thursday's attacks on 2 alter girls in the gulf. tensions in the region as collating the united states released a video that it says proves that iran is behind the attacks tehran says the allegations baseless. hundreds of thousands of women across switzerland have taken to the streets to do.

in all, 30.1 million americans under age 65 are currently uninsured. >> and typically they'll come back to the hospital, and they'll co back to the hospital until they come back no more. >> reporter: manual mayor is director of cardiology. people younger, 30 years old, having heart attacks, and it has a lot to d with getting inappropriate care, ineffective care early: >> this doctor sees iepsychiatric pats denied care because it's mental health. >> it's heartbreaking an when someone to put their life back together. our medicasion is restricted by guidelines that we know is just directed by numbers. is not a one size fits all. >> reporter: neither is the solution. >> i think both republicans realize that's the case. i think the solution that they have to come up with have to be joint solutions. >> are you optimistic about that? >> i think our system will go broke at some point if we don't do mething different. >> until then, these doctors aren't giving up on finding answers or on their patients. >> we continue to try and do it today and tomorrow and next week. and it's going to have to b

like name of the uninsured and i work at that view. 2 this is do every news live from berlin it's a killing that has shocked germany a politician assassinated in his own home now a suspected right wing extremist already in detention is reported to have confessed to killing while to luka but did he act alone also coming up. our favor towards the grief back home for a child who drowned with her father when he tried to cross the rio grande a inch of united states in search for a better life. and europe swelter is in a record heat wave temperatures are forecast to keep on soaring we'll tell you how to stay safe in this extreme heat. to. play the harp it's great to have you along everyone german authorities say a suspected right wing extremist has confessed to the recent killing of c.d.u. politician volta luka the suspect identified only as stefan was arrested a few weeks after the attack lots of the crew was shot dead at close range at his home in the western town of castle earlier this month. for more on this development we're joined now by our parliamentary from our parliamentary studios rath

why i have enough my job because i tired to do it except maybe an hour a day and my game of the uninsured and i work at get up you. know. this is d.w. news asia coming up on our show today on the front lines of climate change cycle owns floods of rising sea levels why environmental disasters are threatening the lives and futures of millions of children in bangladesh meanwhile india is in the grips of another severe heat wave temperatures soar above 50 degrees in some parts of the country in one state 80 people have died since saturday to look at what's set to become india as long as tots. and lost cities for discover archaeal.

their policies have increased the cost of health care, the level of unir-- uninsured in this nation has gone up, and they want to bring us back to a time when those folks with a pre-existing condition could no longer get health care coverage, and some today who say they for the first time in their lives have gotten that coverage, otherwise twhee have died. but maybe that just doesn't cut it with some folks here. short-term plans do not have to cover the a.c.a.'s essential health benefits. they frequently do not include maternity services, prescription drugs, mental health care, or substance use disorder treatment. short-term plans can deny coverage or charge higher prices to people with pre-existing conditions -- pre-existing conditions. as i said a moment ago, remember those days when even being a woman was a pre-existing condition? if your child had asthma, it was a pre-existing condition. you couldn't get any help. hey will not cover, often, medical services associated with pre-existing conditions. we reiterate, they are junk plans. every american, every american deserves affordable,

i tied to do it except it is a great day by name of the uninsured and i work at it up you. 2 get it. into w.d. is coming to you live from but in sudan's military bricks of the city and in the capital khartoum several people are dead after security forces told the protesters camp jelly's among the countries condemning the use of live ammunition against demonstrators also coming up. u.s. president on the front has met queen elizabeth at the start of a state visit to the u.k. the trip is proving controversial we find out why it is dividing the nation. is on the american government on the verge of collapse german politics astonishing to uncertainty after the shock resignation of m j i'm not as the leader of a social democrat coalition partners. the 3 visit the city dubbed the most cyclic friendly in the blood what does your sex in the netherlands have going for it. i don't welcome on with that shima in savannah 13 people are reported to have been killed in the capital khartoum as the army moved in to break up a sit in outside its headquarters thousands have been protesting there for week