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Of that initiative and so you know that is really looking at how do we take products that are currently supported by the government dollars but if we want to broaden the population that is served, how do we the health department. What is i am mri menable now and then start doing that over these next couple of years so that we are ready when it comes to San Francisco, and now, we know that there is always this possibility that the managed care will not come here. But we also believe that a lot of the recommendations are or it is Good Practice for us to do them any way. So, nothing is lost by im...

Is that it will help the Nonprofit Community to be able to be competitive in the market place. They will be purchased by the managed Care Organizations and the hospital and the group and now everyone is pdsing that the only way that they can have an effective cost Healthcare System, is to integrate there needs to be much more funding for the ages and the workers and i know that a lot of care givers live in our district, especially in the richmond and a lot of the patients or the people that they serve are in our districts too, but what more supports do you need from the city . Well, what is go...

Programs that really serve our really diverse community, yes. If you looked in at the next slide it just gives you an idea of what were the kinds of programs that we believe. And that the council and this Design Committee and the work groups believe are crucial Long Term Care services and supports and it is a variety of things and it is pretty ininclusive and i would say. And then we go on to the next recommendations, you will see number nine talks about alzheimers and demen dementia and the resources that they will need regarding that Quality Assurance and going back to the Community Living f...