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You have obviously the costly it is. So i would encourage you to really think this true, and possibly under the umbrella of the department. And i greatly appreciate that is in the alignment on it and it is in alignment with the chiefs that i have spoken to at San Francisco general great. Commissioner taylormcghee . Thank you. And clearly there was a paradigm shift in 2010 when medical cited that transgender surgery or sexual reassignment surgeries were medically necessary. So obviously that obviously helps to pave the way particularly that it relevant you lated the insurance commissioner and t...

They started to carry that cash and luckily i got pushed into it and a shelter, which was a good thing in the beginning i was lucky enough to get in housing, so the thing that helped me mostly was getting involved with the community and i speak to you guys and the other part was just recently happen is by a lucky turn not going through a drug program or not being arrested or anything like that, i have got exposed to a trauma recovery, and point being, it made me aware of the culture that we live in, and the people that do live in the sro it is like a trauma culture and i want to push out liste...

The total allegation of 116 million, and ten percent of that only ten percent is going to the employment and education, initiatives and i think that we need to bump that figure up i want to close with a comment that i saw this morning and something that i was familiar with over time, several years ago a group of people gathered in this city to propose, an alternative model on or for cooperation, and i am quoting here. The reason they were proposing this model, is to reaffirm faith in the fundamental rights and equal rights of men and women and to practice tolerance and live together in peace a...

Those criteria as evidence based and sensible as they could be. We have developed guidelines and trainings that we have been rolling out across the Healthcare Centers both the dph and the Health Centers and the jail Health Service and to help and providers understand what our criteria are and how do we access those services. And we are currently developing a and we will start this week, our first series of education and preparation sessions for the patients who are planning on under going transgender surgery within our system and specifically four, threehour sessions that we have developed in ...

Incredible and the stake holders and i want to thank him as well. And i want to join garcia to give dr. Zevin the accolades because we recently celebrated. And i think that that is something that as a city and we as a Health Department with be proud of because we are leading the way for good and really appropriate transgender healthcare and with that i actually have a question. And it is really about the role map that that you have mentioned at the end. And the providers of the surgeries and i believe that there are some conversations happening before, and at ucsf which is teaching institute. ...