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the emergency room, psychiatric emergency services, and the homeless -- [speaker not understood], significantly adding to the cost of care. many of our clients may become high users of medical services. the average [speaker not understood] client uses about $42,000 per year. if just three of our clients drop out of services, that cost could range up to $126,000 per year and that will negate any cost savings proposed by these cuts. please find a way to keep the services in the city intact. thank you very much. >> thank you. next speaker. hello. want to personally and publicly thank ...

understood]. and i first want to thank the mayor and the board for your strong hiv services in the city. i know we've been coming before you a lot over the last couple years and we appreciate the ongoing support. in particular want to thank supervisors wiener and campos for your strong leadership on this issue. excuse me. i'm here to speak about the need to backfill the federal cuts to hiv prevention and care. unfortunately, despite the mayor's $4 million backfill in his budget, we're still facing, as you've heard, an additional $3.1 million this year and $4 million next year to vita...

there are now various [speaker not understood]. instead of coming to wards people are coming to the adu. when we are not able to work with people there is nowhere to send people. we have to send people to the rests, they'll get arrested or go back to the 4079. this is the revolving door of social work. ~ streets [speaker not understood] health right 360, mission neighborhood center, levin street, all these places that are getting cuts. so, what that look like at our level where people come for two week is that you can't get appointments at these places within that amount of time. it ...