Is wellinformed about the issue having worked in and around health care for a good part of his life and well have i think some good to guess to share joined by Department Heads directly involved in the Affordable Health care act and our overflow room healthy San Francisco and now, of course, our covered california for San FranciscoBarbara Garcia who is our head of our department of health and jerry mcfattening the department the of aging and joined by some very important partners in our on and on to make sure that everybody is Health Womens Health and protected and immigrant health are outlined cost planted parent hood thank you and our Communities Consortium clinic consortium it here were in a fight were in a fight with the administration and congress over saving health care for millions of people and im here to express that San Francisco wants to Save Health Care for all people not just in San Francisco but the entire state of california that has over 5 Million People enrolled in covered california and 2 0000000 people enrolled in the athens that president obama had started we should not repeal this law and this program without an adequate explanation and a replacement of the program because ill tell you why were lucky to be in california with so many people are Health Care Coverage and earned it and worked hard im more lucky in to we had a Human ServicesHealth Services agency as well as a Public Health agency worked as a team to enroll 93 thousand people into the mel program and therefore thats why we have one and 33 thousand people covered by covered california in the city really a hard to do this but a reflection the citys commitment we care about health we celebrated the year of rooster and if you alone carefully you didnt have to listen in marine and cantonese to understand that people said happy lauer new years that is meaning it is so important to everybody you have good health to begin the year to be with your family and to be able to work and this is work we have been successful to enrolling people that is important i had an opportunity as part of action team to literally learn in detail what it takes for a city like ours to provide the health first of all, i began with the hsa and Public Health to look at we enroll people and thanked the team of people that were really the cause of being able in multiple languages in multiple locations that to enroll over 93 thousand people in the medical cannabis Extension Program if it wasnt for that team that will go agree competent and the cbo that result will not to have happened we were the best example of how the Affordable Health care would be successful i think the state of california is to be congratulated as well then i went on to one of our clients one the 12 to 14 cbo based clinics the max minute hall clinic with 4000 patients i went there i wanted to hear firsthand what it means to people before they have Health Cottage and now after i hear story after story heres the lesson i learned from the stories you know fear does a lot of things to you thats why i working hard to remove fear from people in San Francisco one of the areas of fear is that if something happens to you whether a medical condition or otherwise people fear going to doctors and hospitals because they think theyll not be able to afford it prior to the ac a1 medical episodes will literally put you in jeopardy of bankruptcy no standards and all of that got cleared up with the labor unions and the cbo clinics the system of care people didnt is to tear if what about enrolled and start not just responding to an episode but the more important things to have ongoing coverage to diabetes ive heard two stories about this afternoon or aneurysms that may not have caused dedicated but people to get checked out and treated and ongoing treatment with one treatment so those episodes in fact, they have an 11yearold that was presented to me with 4 pages of petition signed and a cover letter that will break our heart she hoped she wrote about her brother how they needed this coverage in order to afford the medicine she doesnt want her brother without the coverage to a mother who wasnt there but she got treated and now she wasnt there are shes working i like it i had to hear the stories because prior to the coverage and someones brother who doesnt b know about the Affordable HealthCare Coverage those people would so been in complete economic and arithmetic devastation that is what we wanted to do today to present those stories and quite frankly their not just stories their about lives theyre about whether we care about people or not those are reale. Episodes in peoples life we care about in San Francisco their real theyre not alternative facts theyre real because people live through them, they really understood after they got coverage what their fear was doing to their health and economics and now we have the 3 thousand people in San Francisco about one and 334 thousand people that didnt necessarily live in fear of not having health conform that is so important and life saving i wanted to insure he appeared to join all the volunteers at the United Health care workers to call the elected officials that are attempting to repeal the ac a without an adequate replacement or discussion again what we some do to reduce the fear thank you to all the volunteers today, were calling Congress People and elected people and the staves nevada and arizona and right here in california ill expect to make the calls myself im joining mayors across the country and mayors in the statistic lets not repeal this law if that so valuable such a foundation of hope for themselves their families and lie people to work and really join this incredible economy in the bay area and they wouldnt be able to do it that unless a pass forward to take care of their Families Health that is one the most important things to improve peoples lives i know that jeff knows this were elected officials we ask ours probably at the beginning of our careers but the beginning of everyday how am i supposed to help People Health is one were doing housing and transportation and if we dont take care of the fear of the lack of Health Coverage well be a big disservice to so many people i want to 82 say thank you and take that day of action and move forward and make my calls i want to i know know i come from a culture youre supposed to take care of our health first, you cant take care of anyone unless your health so with that, let me introduce gil District Attorney and thank you, very much. For your leadership as well. clapping. thank you. Im gil District Attorney ceo of planned parenthood in Northern California it is a great honor standing with the brothers and sisters with u h w and other leaders as you may know that planned parenthood is in the cross hairs the administration when you no strainers to advocacy 3 brave women opposed a clinic in brooklyn and were arrested it is not easy for us over the last one hundred years we know this fight and more importantly how to survive were ready to fight and ready to fifth because of weathered thousand patient it come to us in the most vulnerable days of their lives would weve been here for us of 55 thousand other young people in the schools providing answers and needed information they couldnt get and the other 70 thousand people through the building we know the fight is worth it and were going to be here no matter and player i heard you say recently, i picked up excuse me because we wouldnt go up and not back down not now not every this is a pleasure to be here. Ii represent the clinic consortium our 11 members are the major nonprofits Community Clinics serving San Francisco diverse population we serve one hundred thousand people 10 percent over 10 percent of San Franciscos population along with the partners all represented here we feel like we do a good job in providing connections to people to an excellent system of care the clinics are unique we offer high care regardless of the ability to pay but like others weve voonsz from 50 years ago we were founded now we have advanced medical practices using data to improve the quality of care and use the programs for intervention to ward off diseases we have become modern listed but as the clinic we welcome everyone and have a lot of language and culture diversity so that all people of San Francisco feel comfortable coming i personally worked on Health Care Coverage for 20 years and nothing makes me angrier when the politician say break a leg go to the emergency room i hope they bring me to zuckerberg San Francisco general, however, the vast majority of people need the competitive appropriated care and counseling about nutrition and void diabetes we need assessment so depression didnt ruin their lives and need Something Agency for i do he provided with the pediatrics care that very inexpensive and ice easy intervene what help ward off things for the rest of their lives if the ac a expansion goes away some clinics will survive by the ability of the clinic to approve the quality for this evidence based care will be affirmative list from the financial point of view here in San Francisco our clinics provide over 8 hundred jobs and clinic training jobs which is great Health Center patient on average 20 percent lower costs than others provider so there is a large statement to the mel program in San Francisco were lucky to have the haight system as a safety net for those no eligible for the private Insurance Companies or mel but not money to the Community Clinics that is medical theyve been wells as well as a federal grant it is threatened without the ac a and the San Francisco percent reduction in the Health Care Grant in San Francisco 5 hundred jobs will be lost and over 41 thousand patient will be taken care of elsewhere the result 60,000 higher ill close with the words of a working mother for the children this particular family had two Sick Children with the parent had to pay for urgent care for their healthy child like pneumonia the other child had to go without medication this was the moms words having to choose one childs medication is one of the worst position my husband and i were devastated hard to watch it hits the couldnt stopping his medication what could we do weve made prognosticating and particularly in california and San Francisco and cant go back because some politicians in San Francisco think that is exhibitor to stop healthy thank you for we dont go backwards. clapping. good afternoon. Im maria i work at the st. Francis Memorial Hospital and was for the Viral Services if the Affordable Health care act is over turned that will cause a lot of harm im speaking personally my fiance is a worker had a fulltime job by the job didnt give him Health Orange coverage he said he didnt need the Health Coverage i was grateful, however, december 2016 i was rushed to the emergency room where we thought he was having a heart attack they admitted him into the hospital and found out he had high Blood Pressure and other medical issues and you know we were grateful for that, however, the Health Coverage at the time juans bill was to big there 0 was no way i could pay it and him to pay it the Affordable Health care act helped my fiance stay alive hes doing great and does his doctor environmentalist thank you to the Affordable Health care act i want everyone to be able to keep their Health Care Coverage none should live in fear of getting sick and not have something that is affordable so thats why im here im calling on voters today and asking him to contact their elected officials to protect the Affordable Health care act we need this law to keep People Health and safety and need to give people a sense of hope and we need to keep people like juan if he didnt have is it he could have been bad im asking everyone to support find Affordable Health care act because as a community we need it and as americans we need it thank y thank you. clapping. good afternoon. Im Barbara Garcia the Health Director of San Francisco and as Health Directors my obligation to insure the health of everyone in San Francisco it is my job to protect health care and the healthy with 8 thousand employees and others have been providing care for dozens of years in the city over 12 years ago we developed it to make sure that everyone be has access to health care and the ac a helps that it is important to check with them over the last 5 years received over one billion dollars to build our new Trauma Center and rebuild the existing clinics the mayor was talking about one of the clinics we have an information to protect the infrastructure of the Health Care System in San Francisco and today, im here to sherry, support of union work and call the representatives and our obligation 8 thousand employees of the department of behind me to make sure we work hard to insure we save the health care to everyone has care we dont want people to go to the emergency room but well try to protect and we will fight to insure that all san franciscans my personal obligation and the obligation of the urgent care to protect the health care in San Francisco thank you. Good afternoon im sheree the director of department of aging Adult Services in San Francisco want to thank you and mayor for having a day of action i wanted to highlight two things that the evicting for the people with disabilities the first our Department Administrators the inhome care project far inform we serve over just under 23 thousand people in the program and the workers are represented by u h w and the expansion has loitsd for nine hundred plus people to assess the Inhome Care Services without Inhome Care Services will be in institutionstion and medical has afforded them up to an average of two hours of inhome care a week would have cost 3000 a month and people in expanded medical cant afford that is allowed people to stay in their homes 31 percent of people are Asian Pacific islanders and 20 percent of the people are africanamerican and those are populations that we really want to keep living in San Francisco we want to keep it affordable and in addition the Affordable Health care has given some is more help to medical so medicare benefits are wellness for people that come into medicare as part of that they get a screening and also allows for annual visits and allows for cancer screenings mammograms and things like that that is critical to people i want to thank mayor ed lee for having this event and thank you u h w and good afternoon. clapping. highway im supervisor jeff sheehy, you know, i both approach this in a policy point of view when i was diagnosed with hiv i didnt have insurance one of the reasons i didnt get test until i was starting to get sick i didnt have Insurance Companies i know what that feels like to not feel well, not know what to do and where to go and not an option i know that feeling having gone to see a doctor and number one was where i presented that will mean you can see a doctor and get care and spent a night in the San Francisco general i know the care we provide it outstanding favtd two years ago later that the Affordable Health care act we have been able to really think and start to ach