Discretion to move forward with the meeting i want to be clear with the public and perhaps we can just call and see if theres call for any Public Comment on that. Lets call the meeting to order if theres phenomenon or anyone from the public that objects please let us know substantially well take that matter up at the later meeting theres no action so were on to addressing any items but well precede with tonight meeting seeing no objection can we have the role call. So commissioner president adams commissioner dooley commissioner dwight commissioner ortizcartagena is on his way commissioner white commissioner riley and commissioner toursarkissian mr. President , you have a quorum. All right. So the first matter of business as also the general Public Comment this allows members of the public to comment generally on the issues and suggests now items for that the future any Public Comment on that item . Seeing move on to item 3. Item 3 presentation and discussion on the city and county of
Coordinate and focusing think outside the box 25 corridors you see those strategies being revolted out across the city and attacking the challenges that those neighborhoods have with consistent and interim think Community Engagement to address the real needs on the ground were focused and didnt spend a lot of time but focused on transportation from and capacity this is the challenge whether youre a measuring e Manufacturing Business in district 10 or trying to get in on bart to work downtown whether its employees or customers Transportation Capacity is a key focus of us thats ultimately a limiter how much the city can be able to support the needs of the convoy were focused on transportation a number of key areas we didnt spend too much time but im happy to talk about finally the Economic Strategies laid out 4 areas that are priorities strengthen the infrastructure thats Manufacturing Industrial businesses as the Key Foundation for the economy people that are moving the goods and distri
And Community Health thank you very much. Thank you so next, i want to call up james and matt from the San Francisco aids foundation and. Good afternoon supervisors. Thank you first i want to thank you for bringing up this important discussion and opportunity im james the Vice President of Public Affairs at San Francisco aids foundation and i want to start by saying i stand before everyone with tremendous help the reason; right why the progress is one hundred percent when you think about it today Community Cross the United States for the very first time are designing and implementing plans to eliminate the transition of aided even a few years ago would have been unthinkable this is progress we cant take for granted now more than ever we have to identify threats to this as we work to make San Francisco the first hiv transition were here today to address one of the threats San Francisco aids foundation is concerned does the description between the lack of transparency in the health plans
To talk about the industry how it performed based on those are actions. Good afternoon ted where the Controllers Office as todd told we were asked to assist with this strategy update by focusing on an analyzed of how the citys economic and supervisor farrell you said the recent years the performance is strong across the board we over took a different time period 2004 to 2010 the reason we picked those points they were economic low points in the Business Cycle one of the reasons our economic economy is strong we have about in the recovery so if you compare where we were 5 years ago some of the growth because of the Business Cycle and maybe in a different Economic Cycle and difficult to separate those we want to see how the growth to the same period this is one of the long Term Economic development and this give us the long term prospective over quite a long period to look at data an Economic Performance in San Francisco in the late 60s to 2009 San Franciscos employment didnt change in f
Because of the lack of understanding of the speciality drugs i put speciality drug in quotations this may be based on costs the important point i want to make awhile making progress in california if we enact all the things in our tool dheft well not make a difference until the pharmaceutical Companies Come to the table theyre not there yet and extremely highpriced drugs make it difficult for Insurance Companies to make them affordable and the reason for that the plans are negotiators would the companies about the cost of those drugs so they need to have a type of mechanism like a tiering mechanism in order to bring the companies to the table to lower their prices this is unfortunate because the consumer losses so when we had extreme expensive drugs there shs cost sharing because of the necessity to negotiate and that at least a lot of assess and discrimination against people the first effort i want to talk about the cover california that is a groundbreaking effort and they brought toge