tv Government Access Programming SFGTV May 20, 2018 10:00pm-11:00pm PDT
to give you examples from the report from this section, the first one on the slide is charity care across hospitals for the past five years. over all the san francisco trend is that charity care patients are declining. we do see it may not be the case for all hospitals and they may not be declining at the same rate. so with that gives you another hospital for hospital specific data related to charity care expenditures. we are preventing a lot more descriptive information with the section so you'll see that the trend that we saw in san francisco may not again be experienced in the same way per hospital. some hospitals even saw slight increases in their expenditures such as ucsf. on the left you will see the break down, the percent of total charity care expenditures to provide a general summary of
care across the hospitals. so just to condition collude -- to conclude, we have been allowed to collect 10 plus years of data around charity care. we have consistent data and it would be able to track the aca if they are applicable to charity care and have influenced our policy planning efforts for the future. currently of course as i was mentioning there are efforts made to dismantle the aca and although we don't know what those impacts might be yet, they could impact charity care moving forward and we'll hope that this report will be able to see some of those if there are any. now i want to acknowledge our hospital representatives here that worked with us on the work group and thank them for their continued support and partnership. i would like to thank the commissioners for the
opportunity to present today and i'll be happy to take feedback or k questions. >> there's one public comment. >> president chow: we will take the public comment from david seawall from the hospital counsel. >> good afternoon, commissioners. how are you, president chow, honorable members of the commission, director garcia. the regional vice president for the hospital council of northern and central california. i wanted to first start by thinking the incredible work she did in assembling this report. so thank you very much for working with our member hospitals. we as a council, as a hospital community understand the intent, to be transparent and provide information to the department and to the commission to make informed policy decisions. but as miss patel noted, work
goes into it in coordinating and providing the data. so it's a big expenditure of time by hospital staff to comply with the ordnance and i want that acknowledge -- that should be acknowledged. they are here today and i thank them for the work they did in getting this report together. the report continues to be refined. if you look at where it first started and where it is today i think that you are getting information whether it be the medical shortfall, the zip code, everything. it's become a report that i think is incredibly useful to the department and to the commission in the decisions that you make. so thank you for the report. to the commission, for the work and the friendliness. >> president chow: thank you. any -- certainly thank to all our hospitals for participating.
it's become quite clear in these years aside from the beginning of it back in 2001 that as the landscape on healthcare changes we are able to actually track and understand far better the market forces and the cost and the work that each of our hospitals are doing. so we would like to thank the hospital console and its member hospitals for its participation. commissioners questions? commissioner guillermo. >> commissioner guillermo: thank you so much for the presentation and it's always a useful tool. i'm also interested in what's the implementations of this data in terms of its policy, both in terms of the facilities and the services that the health
department is responsible for and then the partnership with the hospitals throughout the -- in the system throughout the city. i had a question specifically on this one chart on page 10. that shows the -- i guess the difference between the population utilization of services relative to -- or the difference between healthy san francisco and traditional charity care. do you have insights as to why those -- the title says that it continues to be essential. it doesn't really speak to why there is a difference in the utilization. and what that might mean for policy. >> i think one is that we also noted that for traditional charity care there has been more dependence on emergency services as i was mentioning. some of
the hospitals did bring that up during our work group meeting. i think that these populations are going to be harder to reach for healthy san francisco. we've tried to move people into aca initiated coverage so they're not going to -- hopefully not going to be utilizing the emergency services as much because they have those connections to primary care preventive care as well. you'll see that that actually isn't the case. but for the population that now is not -- was not moved into medcal or aca initiated cover cal california or healthy san francisco, these are the hardest to reach in our population. these are people that may not be able to access insurance, because of the government and other factors and these may be reasons that they are utilizing emergency services as the last resort. >> commissioner guillermo: i can say that the whole person care report that we saw, we are working closely with hsa and the homeless supportive housing department.
what we are finding is that people will get on med-cal and then they have to renew their med-cal and at times there is some gap between that period of time when they get renewed and one of the things we found is that individuals have to present an income tax form in order to show the ability to renew their medical as an example. so one we try to keep people out of the emergency rooms by having everybody have medical homes but there may be a gap there in terms of charity verses being able to -- and how far we can go back to medical if this person is not -- has lost their med-cal access because of the renewal process. so we are working closely with hsh to include -- i mean, with hsa, which is the med-cal renewer for us to see if we can eliminate this requirement of an income tax form for some
individuals as a way to maintain them on med-cal for five years because we can't do that. we are working on that part. that's a little bit of insight that we've learned from really digging into why cannot particularly homeless individuals keep their med-cal for a period of time.folks, so are seeing an increase in the emergency room, whath i differ sets of data that include everything from ems, shelter systems, including all of our programs that we have in our community. so we'll try to calendar that in the future for you to really see, get a sense of that. we are hoping that we will be able to use that data set that we've been using for over 10 years and collecting data around particularly homeless individuals who are high utilizers in our systems as a way to target them for service and also to look at some of their health status so we can bring that forward on the calendar for your review.
>> thank you. >> uh-huh. >> president chow: commissioner sanchez. >> commissioner sanchez: i would just make a comment. i think it's an exceptional report. we thank you very much for it. i just wanted to ask, perhaps as we move forward, the whole concept of hospitals in in -- many ways is being shifted. a lot of pcs are moving out of the hospital. you have affiliations pc units in different parts of -- all of the city and as an example market street i noticed today, valencia, golden gate healthcare an affiliation of ucsf, commission bay, all over the water front. there's other hospitals in the area that have done the same thing. you name it. the shift is -- the question i have, are we going to be able to
chart this? is this going to be part of our affiliated quote, whatever that means, units? are they going to be part of our over all due diligence pertape -- pertaining to quality of care to make sure that we are providing, you know, due diligence and oversight to ensure that we are tracking how services are being provided? just a question. related to the charity care report in the ordnance, we only collect from hospitals in particular so we wouldn't be able to do that unless we can change or ask for different reporting metrics. we haven't done that in the past and that's something that we could consider. that's something we want. >> i had one or two questions
and i was looking for the slides and i actually can't find them. oh, there it is. it's on page 25. in regards -- actually, i want to commend all the organizations that have been able to put this together because one of the questions and it is a national question too is the value of a non-profit in the exception for taxes and therefore what the benefits are to the community. this helps quantify it somewhat in a place to see that so many of our facilities and systems are certainly within the state average if not above the state average. and that we are continuing to, at the moment, show saint luke's separately which i think up to the point as they open the new saint luke's so it will be interesting what will happen.
historically that's been a very major safety net provider for san francisco. how that will be in the future in terms of its reporting, what will be interesting an i realize that suter and cpmc is trying to combine this all but i thank them for having separate recordkeeping because it does show that the saint luke's enterprise fair is contributing twice as much as the state average, for example. that's work that i think deserves some recognition on the part of saint luke's. like wise, some of the other hospitals, saint mary's has been, again, measured against the state average i think is
very important. it would continue to be there for part of my interest to say that all the hospitals continue to move forward in the work that they are doing. so i just wanted to comment on that. historically that's been one of the areas that we all like to be able to continue to try and be able to share that or non-profit hospitals are doing their part working with the county and developing care. i think we've all said that it's the collaboration that will then be able to actually help serve this public and that our public system cannot be the only system that serves. this then helps quantify what our non-profit hospitals are actually doing on our behalf. we recognize that keizer cannot
be within this so we don't want to ignore keizer. it's in the footnotes here. the work they have done is highlighted in their report. all that is just to say that this type of information as we enter the uncertainty of what is happening nationally and statewide will welcome even more valuable. where we go with the -- our own healthy san francisco program -- i do want to sort of end with the fact that i think one thing you've highlighted differently for us this year is that other -- i wish -- we should just go back to the chart you had. that i think is to me really new knowledge that there is really a pattern within what is now a more stable traditional charity care, assuming that if we are able to offer insurance a number of people get on to the programs
and they go into a system similar to healthy san francisco and the fact that the emergency room services are so high within this population and that if, again, this looks loo -- like a target population that we should continue to work with, part of the homeless, those who don't have the support services and it would be nice to see if then somehow -- i know that hospital costs takes on different project. whether that is one that's coming out of this data that is something. i know the saint francis programs that has been working in the tenderloin, whether that subset can really show a change within zip codes that show lesser use of emergency services as they partner with saint anthony's and others but if this
becomes the stable population that we have what more can it do because it shows that we are not moving the needle on this. this is part of the value of looking at this and looking at prioritization and then as we see changes in our own ensured system as we move forward in the next several years we might even note some changes -- further changes here. >> absolutely. >> so i think this is new information the way that you've been able to demonstrate in these three years with the stability of our charity level that this in contract to a manage situation, be it healthy san francisco and i would imagine this is very similar in the insured population so such as significant difference in the use of the emergency services
for example as -- you know, one of the areas that we have been trying to highlight. does that make any sense? >> yeah. >> i'm just trying the find some of the new lessons coming out of this. i agree that the report continues to be more readable and we can pick out things like this now in terms of areas that we might want to be able to highlight and concentrate on for the future. >> absolutely. this data is from 2016 and some of the hospitals from 2015 to 2016. so we may see changes in, you know, the 2017 data and whatnot with the work that's being done and we'll hopefully be able to showcase that here too and continue to track it. >> president chow: we really do appreciate it and we do use this and we are going to want to continue this. i think several years ago there was a question whether the federal or state reporting could replace this and i don't see it.
this is a very important and different slice for our city and i'm pleased that we actually have been able to continue this work. again, thank the collaboration of all the hospitals that are involved. thank you. >> thank you. >> president chow: any further comments? if not then once again we thank the hospitals and we thank our own staff for having created a very fine report for 2016. thank you. >> and commissioner, if i may could the people here for the charity care report that participated stand up so we can give you some acknowledgment? >> president chow: we would like to acknowledge you. thank you. >> [applause] >> president chow: we have also a former health commissioner, commissioner ella, thank you for coming. >> thank you, commissioners. item 10 is other business. you have the calendar before you. i'll remind you that august 7th is the community meeting in the
richmonds and then we are still trying to find dates for the planning session. thank you to all of you who responded to my request about dates. >> president chow: thank you. i'd also like to announce some appointments that we have made also further for some of our committees. commissioner green will join us from san francisco general on the joint conference committee, commissioner guillermo will join us at laguna honda onto joint conference committee. commissioner chung will be our representative at the san francisco health. so we will make further appointments as our new commissioners continue their orientation. thank you. >> item 1 -- any other questions commissioners? item 11 is a report back from the may 8th laguna honda jjc meeting. commissioner sanchez.
>> president chow: commissioner sanchez. >> commissioner sanchez: i believe i chaired that item. >> i apologize, commissioner chow did chair that. >> president chow: oh. okay. >> it was a very good public committee. in our open session we did discuss the administrators report, the employee health and safety heard about energy repairedness. we looked at summary revisions of the hospital policies and procedures an approved all of those and in closed session approved the credentials reportfrepor reportfrepor reportful -- report. you'll receive a full report from the mayor. any questions, please? >> commissioner loyce was there too. did you want to add any comments? >> no, you did a wunonderful j. >> thank you. >> next item please. >> consideration for adjournment.
>> president chow: a motion is in order. >> if i may? i just want to ask if the commission if we would adjourn in memory of a physician who passed away dr. richard joblec who served here. he was from the east coast and came here and was a distinguished officer and served as a medical officer in vietnam. he spent many, many years here in various categories and more importantly i think that he was involved in the tom ladel center for many years and the mission neighborhood health center. he really was an exceptional
>> all right, everyone. i know that there's a lot going on today and people have busy schedules so we are going to get starteded. -- started. good afternoon. my name is david compos and i'm here today in my capacity as chair of the san francisco democratic county central committee. we have here from the county committee c. francis shay, who is another member of the
committee and our executive director adam mays. what you see here is the -- a united front by the elected city and county of san francisco, beginning with our mayor, mayor mark ferrell and a number of other officials. you are going to hear from some of them to make a very clear statement and send a very strong message that we as the elected family of san francisco stand against this decisive proposal by angela leoto. we are here because we believe that our sanctuary ordnance is ultimately about protecting not only the rights of immigrants but actually keeping san francisco safe. we believe that that ordnance enhances public safety and it's important that the people of the city and county of san francisco hear directly from our elected
leadership. i would end with this before i turn it over to mayor ferrell, that in some respects the damage has already been made and the damage is that this effort increases the fear and anxiety within the immigrant community that are already terrified of having any interaction with government, local government included. in that sense it is so important for those immigrants to hear directly from our elected family. with that i'd like to introduce the mayor of the city and county of san francisco, mayor mark ferrell. >> thank you, david. i want to thank everyone for being here this afternoon. first of all i want to say that i'm proud to be here, to stand with everyone beside me and everyone who is behind me to stand with the residents of the city of san francisco. what i also say that i'm
incredibly disappointed to have to be here. never in my wildest dreams did i think that the rhetoric from donald trump and washington dc would find a way to our become yard here in the city of san francisco. to me it is absolutely insane. you know, when i took office in january 1st of the first things i did was meet with many of the people who represent our immigrant communities here in san francisco. many of our immigrant rights groups, many of the non-profits that work in our community every single day to keep our city safer. i wanted to reassure them that despite what donald trump was doing and all of the rhetoric that he was talking back in january regarding the i.c.e raids and all of the threats to our country and to the residents of our city that we would not let these threats deter us here in san francisco. we would not let the divisive resident -- rhetoric, the insane
policies that i think who we are in san francisco. san francisco will never abandon our volu values. san francisco will never cower to the fear of a president who has hateful rhetoric. we will not do that here in san francisco. we are a sanctuary city. it's in our dna. it is who we are as san francisco. we understand that our immigrant communities make our city stronger. our immigrant communities make our city safer. they make our cities more diversive, more -- more, diverse. i'm screwing that up. they make our city stronger at the end. we are talking about families who have come from other countries, fleei persucution.
they are planting their children here, incredible members of our community here in san francisco and we are going to fight for their right to stay here today and forever here in san francisco. >> [applause] >> i will say that no matter what comes out of donald trump and the federal administration in washington dc, in san francisco we are going to reject that rhetoric. we are going to standby our immigrant communities. we are going to turn our back to donald trump's idea of building walls around our country and ripping families apart with ill conceived policies and divisive, hateful rhetoric that is dividing our country right now. in san francisco we stand for something very, very different. i will say that as mayor of the
city of san francisco we are going to stand side by side with our immigrant communities here in san francisco. not only is it the right thing to do, and i am proud to say this as someone born and raised in san francisco, it's the san francisco thing to do. we are a sanctuary city, let us be clear about that. we are a sanctuary city today, we are a sanctuary city tomorrow. we will always be a sanctuary city here in san francisco. let us never forget that. thank you, everyone for being here. >> [applause] >> thank you. thank you, mr. mayor. you know, hearing from the law enforcement leadership of the city is really critical and we are proud to have with us today our city attorney, dennis herre herrera. our public defender jeff adache and then i want to turn it over
to the chief law enforcement elected official for the city and county of san francisco, our district attorney george gascon. >> [applause] >> thank you, david. thank you, mr. mayor. thank you to the entire city family. you know, there are many things that we can today as to why there is something inherently wrong with what one particular candidate for mayor in this city is trying to propose. i will not mention the name because i don't want my statement to actually be googled and give any additional amplification to that person. is message is wrong for many different reasons. i'm going to touch up on three. one is about public safety. there are studies after studies and we are down to three and a half of three decades of sanctuary policies around this nation and we know that jurisdictions that have sanctuary policies actually are
safer than jurisdictions that are not. i personally can speak not only because i know there is science behind this but i can speak for personal experience having been a law enforcement official in three different jurisdictions. two that have very strong sanctuary policies and one that didn't. i grew up in l.a. many of you know that. l.a. has had very sanctuary policy. l.a. started the first sanctuary policy in in nation. then i spent time in arizona where the contrary was the case. i can tell you case after case of people afraid to report crimes, people afraid to coming forward and participating in the social and political process in our community and how often that led to people that were here lawfully, even born here to be victimized because earlier
incidents of crime were not reported by those that feared that if they were to report the crime they would be deported from this nation. now i'm here in this wonderful city that my wife and i call home and i can tell you that just in the last year we have seen a 17% reduction in the reporting of domestic violence by immigrant communities, both in the chinese and the latino community because of fear of being deported if you come forward, if you come to the hall of justice. here we are having a candidate looking for the highest office in our county pandering to the same things that we hear from washington on a regular basis. that is wrong. secondly, in addition to the public safety message, i want to send another message and that is social responsibility message. you know, it wasn't that long
ago in the late 1800s, for some it may seem like very long but when you look at the history of mankind really a short period of time when messages about the criminality about recent immigrants were being directed towards the irs and irs and italian. they were wrong then and they are wrong now. they were not likely to be anymore criminal than the rest of the community and certainly latinos today and the new imgrants from em-- immigrants from asia are not anymore likely to be criminals. we are a nation of laws. we have a constitution that people forget when it comes to immigration and there is such a thing as due process. the reality if someone gets arrested for a felony crime does not necessarily equate to felony
crimes. they are doing their job and doing it properly. they are under a preponderance of the evidence or probable cause. later we find additional evidence that as we move forward in the case that they did not commit the crime at all or perhaps the behavior was more consistent with a misdemeanor and the case would not be prosecuted. even in the case where the case is prosecuted we don't get it right 100% of the time. our friends in the public defenders office went from time to time, not always but that, again, speaks to -- i'm just directing this to jeff. i'm just saying that, you know, the reality is because someone gets arrested for a felony doesn't necessarily mean they have committed a felony. so we have a public safety
reason, we have a social responsibility reason and we have a due process reason among the many others that you are going to hear today. so i urge every san francisco resident to reject the message of hate. i urge every san francisco resident to reject political pandering for political convenience for some. thank you. >> we are in the middle of a mayor's race and it was important to us to invite the may skr-- major candidates for mayor to be here and there is a united front. at this point i would like to ask the candidates. i'm going to do it in alphabetical order and we have right behind me the president of the board of supervisors and i know that we have a number of superv supervisors here. thank you for being here. president london reid.
>> [applause] >> thank you. i'm proud to be here to stand united with the citizens of san francisco and our immigrant community to say that we will not demonize the immigrant community here in the city and county of san francisco. our policies would shortcut the due process rights of our immigrants regardless of their immigration status, to say that our sanctuary city ordnance makes san francisco a magnet to felons across americans is wrong. to say our sanctuary city ordnance makes san francisco a more violent city is counter to the values that we hold deeply in san francisco and is troubling. other one-third of our relatives, friends and neighbors and coworkers are immigrants in the city of san francisco. immigrants are not making san
francisco less safe. they never have. our city is safer because all of our residents including our undocumented residents can call the police, can be witnesses without fear of deportation. policies that undermine distrust don't make us safer. they breed fear, silence and distrust amongst law enforcement. as we stand here today, what is clear is that our work is not done. that collectively our suit for more equitable, compassionate and inclusive city is more urgent now than ever. as dr. king would say, we need to be reminded of the fierce urgency of now. we may have a president who fuels the worse aspects of our humanity, a president who has turned resentment into political strategy and a president who wants to build walls and ban immigrants on the basis of their
religion. here in san francisco we stand united for something greater. we stand for what is right. we stand for tolerance, for love, for inclusiveness and sanction way. we stand together in the light. san francisco is and will always be a sanctuary city as our city has and will continue to welcome immigrant communities from all over the world. we are a safer city because when we come together anything is possible. thank you for all being here today. >> thank you. i know that supervisor kim is in a land use community meeting so i don't know if she will be able to take it. i want to turn it over now to another major candidate for mayor, state senator mark leno. >> [applause]
>> chairman compos, thank you so much for assembling this group of elected officials today. i'm happy to stand with everyone here and stand in firm opposition to any proposal going forward to decimate our sanctuary city policies in san francisco. the suggestion in trump terms that our sanction way city is a magnet and i'm quoting from the mayor candidate who put this forward, murderers, rapest and child moeless -- molesters is no touch thing. san francisco is a welcoming city. there's no facts, no day for such a wreckless claim. we know this country is under a shadow of mean spiritedness and failed leadership.
that is no excuse for a candidate for mayor to repeat his words. i have already been accused by her in the press as standing with felons. i'm not standing with felons nor are any of the people standing behind me. we are standing for public safety, public health and public education. let's be very clear of that. public safety you've heard from the district attorney already. public health, we want everyone in san francisco documented or other wise to make good use of our public health system. viruses and bacteria do not know immigration status. if we want our children, our families, our communities to be healthy we need to keep everyone within those communities healthy and that means everyone should have access to our public health system that will not be the case
if people living in fear and living in shadow. the same for public education. if you think your child is at risk of not coming home from school someday because of the federal government sweeps or that you might not be at home to welcome your child if he or she goes to school because of the same fear, well then you're not going to make use of our public education system. who benefits from having san francisco residents afraid of getting a public education. that creates a chronic underclass of residents. of course the child without a high school diploma has a greater likelihood of finding themselves into our criminal justice system and the loop repeats itself. public safety, public health, public education.
i also have to point out that i believe this proposal runs counter to state law and would be preempted. we are a sanctuary state in california. there are 800 felony crimes that are not protected from sanctuary status in the state nor would they be here locally. so let's ignore wild, reckless rhetoric, focus on the safety, the health and the education of every san francisco resident documented or other wise. thank you. >> [applause] >> thank you issue senator leno. as you can see we have people from different parts of the san francisco elected family. i just want to share that i acknowledge rafael mandleman is here. we have honey mahogany.
also from the democratic central committee and a member of the board of supervisor bevin duffy is here. we have former supervisor -- i'm sorry, don avalos who is one of the authors of the amended sanctuary ordnance. then before i turn it over to our supervisors i also want to acknowledge that our delegation in sacramento is proud to be here as well. i know that assembly member phil tang couldn't be here but someone from senator scott weiner's office as well. i'll turn it over to jeff. >> thank you for allowing many me to read this today. we need to promote policies that protect people living in our
city. when we had donald trump and jeff sessions to mas deport people installing fear and terror in our communities we theed to need -- need to stick up for our immigrant communities. the last thing we need is an attack on our immigrants coming from within our own city. san francisco has a lot of real issues that need to be addressing but demonizing immigrants will not help us solve our problems. it will help us instill more fear in people trying to live their lives and take care of their families. people are afraid to go to work because they don't know if they will be picked up by i.c.e. children are afraid to go to school because they don't want to leave their parents. our neighbors are living in fear and it's policies that tell people you are a part of our city, you are safe here. last year the california legislature passed sanctuary law sb54 that is moving our entire state in the right direction towards creating safe communities for everyone. this happened in part because cities like san francisco have been leaders in this movement
and today we cannot -- can continue to lead by rejecting any effort to move us back ward. today all of us stand together to send a clear message that san francisco is a sanctuary city where immigrants can live in peace and harmony without fear and that policies like ours make everyone in our city safer. thank you. >> [applause] >> thank you, senator weiner. i also want to acknowledge some members of the immigrant rights commission, mario pass, flores cong and michelle wong. with that i would like to give the last word to the two members of the board of supervisors here, supervisor peskin and roman. supervisors. >> let me start by thanking the
community who came out very swiftly last friday to affirmatively denounce this absolutely insane initiative and then let me just tell you my thinking when i got a call about today's press conference. my first thought was let us not -- i think our district attorney said this -- give my name recognition to the individual who would politically pander like this. my second thought was that silence ends up being complicity. even though the community came out it's very important for the elected officials to come out too. let me be clear, none of us are squared of -- scared of getting on the ballot and being voted on by the voters of san francisco what absolutely support our sanctuary city status. that is not what this is about. we have an obligation and responsibility to call this out because when you have that kind of silence we all know what has
happened around war crimes, around genocide, around displacement and so that is why we are here today. i also want to say something about being an elected official. yeah, we have heated racers for supervisor and for mayor but there are moral lines that one does not cross to get one's name in the nooup -- newspaper and that line has been crossed here. if you want to put a ballot initiative on about the summer of love, go with god, god bless. wonderful things. if you want to put on a divisive, hateful ballot measure like this, we've got to call foul and that's why we are all here today. thank you to every elected official and the press and the commissioners for being here.
>> thank you for having me here. thank you to david compos for putting this together. what i have to adhere is what a true leader does is not demonize one of the most marginalized groups that is living every day of their lives in fear in our city and all over this country. what a true leader does is fight the root cause issues that make our city and our country less safe. let's talk about what those real issues are. they are poverty, they are an education system that is starved for resources. there is severe inequality and then let's talk about the easy access to guns all throughout this country. if you want to protect the public safety then let's work on the real issues impacting all of
our public safety. let's not demonize a group that contributes so much to the city of san francisco. thank you so much. >> [applause] >> thank you. we are actually going to give the last word to the other mayor candidate who was able to make it. we want to thank her for being here. you have the last word, supervisor jane kim. >> thank you so much, chair compos. we are in the committee of land use where we are interrogating our neighbor over falsified information. fairly extraordinary. i also want to be here today to stand with our immigrant community and all of our residents regardless of documentation. i am fortunate to be born in this country. not every member of my family came to this country with
documentation. we have a broken, broken immigration system that is incredibly difficult for anyone to mire their way through. i'm proud to be in a city that's a sanctuary city and i'm proud to stand here today with so many of our community leaders and our elected leaders in saying that we fully support the full breath of what that means. we don't support and i don't support the initiative that is being proposed today. if we truly believe in making our city safer then we really need to proactively act to invest in our public education system, to invest in affordable housing and to really seriously look at gun control reform as supervisor ronhan has stated. this is just a false narrative that we have repeated over and over again. this is an old story. we all know better than this. we can do better than this and i'm proud to stand here today
with all of the community and elected leaders. thank you very much. >> thank you. thank you all for being here. thank you to the press and thank you to the elected family for being here, to the community. if there's one message to the individual whose name shall not be mentioned that we want to send is enough. in any native tongue [foreign language]. - >> tenderloin is unique neighborhood where geographically place in downtown san francisco and on every street corner have liquor store
in the corner it stores pretty much every single block has a liquor store but there are impoverishes grocery stores i'm the co-coordinated of the healthy corner store collaboration close to 35 hundred residents 4 thousand are children the medium is about $23,000 a year so a low income neighborhood many new immigrants and many people on fixed incomes residents have it travel outside of their neighborhood to assess fruits and vegetables it can be come senator for seniors and hard to travel get on a bus to get an apple or a pear or like
tomatoes to fit into their meals my my name is ryan the co-coordinate for the tenderloin healthy store he coalition we work in the neighborhood trying to support small businesses and improving access to healthy produce in the tenderloin that is one of the most neighborhoods that didn't have access to a full service grocery store and we california together out of the meeting held in 2012 through the major development center the survey with the corners stores many stores do have access and some are bad quality and an overwhelming support from community members wanting to utilities the service spas we decided to work with the small businesses as their role within
the community and bringing more fresh produce produce cerebrothe neighborhood their compassionate about creating a healthy environment when we get into the work they rise up to leadership. >> the different stores and assessment and trying to get them to understand the value of having healthy foods at a reasonable price you can offer people fruits and vegetables and healthy produce they can't afford it not going to be able to allow it so that's why i want to get involved and we just make sure that there are alternatives to people can come into a store and not just see cookies and candies and potting chips and that kind of thing hi, i'm cindy the director of
the a preif you believe program it is so important about healthy retail in the low income community is how it brings that health and hope to the communities i worked in the tenderloin for 20 years the difference you walk out the door and there is a bright new list of fresh fruits and vegetables some place you know is safe and welcoming it makes. >> huge difference to the whole environment of the community what so important about retail environments in those neighborhoods it that sense of dignity and community safe way. >> this is why it is important for the neighborhood we have families that needs healthy have a lot of families that live up
here most of them fruits and vegetables so that's good as far been doing good. >> now that i had this this is really great for me, i, go and get fresh fruits and vegetables it is healthy being a diabetic you're not supposed to get carbons but getting extra food a all carbons not eating a lot of vegetables was bringing up my whether or not pressure once i got on the program everybody o everything i lost weight and my blood pressure came down helped in so many different ways
the most important piece to me when we start seeing the business owners engagement and their participation in the program but how proud to speak that is the most moving piece of this program yes economic and social benefits and so forth but the personal pride business owners talk about in the program is interesting and regarding starting to understand how they're part of the larger fabric of the community and this is just not the corner store they have influence over their community. >> it is an owner of this in the department of interior i see the great impact usually that is like people having especially