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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 ...

>> next speaker. hi, my name is [speaker not understood] and i've been living with hiv since 2003. before i tested positive i was gainfully employed living in nob hill and i used drugs sometimes. but after i tested positive i started using [speaker not understood]. eventually i lost my job, lost my health insurance, and was living in an sro. things went from bad to worse. in 2007 i found [speaker not understood] wellness center, was able to see a doctor, talked to a case manager and find a social community. they really helped me navigate the system. but because of my drug use i was...

i am afraid that if these services are cut, people will end up in the emergency room for things that could have easily been prevented through outreach and engagement. the case health clinic provides. ~ going to their emergency room was a monthly occurrence for me, but in the last five years i've only had to go a few times. i don't think it's fair that i was able to get help, get support, get healthy, get housed, and most importantly, get employed and educated while others might not be able to have those opportunities if these cuts go through. i would humbly like to ask you to find a ...