Associations, and health care experts. The committee chaired by vermont independent senator bernie sanders. Not only is this unfair to working class and lower income americans, who cannot access a medical home when they need it, and we are losing over 60,000 people a year because they do not get to on time. But in addition to that, from a financial and costeffective perspective, what we have now is basically insane. We have a situation where people get sick, they do not go to the doctor, you know what happens when you dont go to the doctor and you are sick . You get sick or. Maybe you end up in an emergency room where the cost of primary care is ten times, or eight times more than it is if you walked into a Community Health center. If you cant afford prescription drugs, you get sticker, and you may end up in the hospital, and that will cost 100,000. So what we are talking about today is to, things my own personal view, and health care is a human right, and that we should emulate what g
Deduction to San Francisco filers so we think that its about 2. 1 billion for the state and local tax dedukd deduction a lot smaller, i dont know, 100 million or so in the property tax deduction. Supervisor cohen so overall theres less revenue going into the state budget and the local San Francisco budget for us to then reallocate during the budget process . I dont think that its a direct affect and if you take 2 2. 1 billion out of the local economy, you have to expect that it will affect the local business ability to invest or to expand supervisor cohen to hire. You have to expect that Discretionary Spending would decrease because the cost of necessities is going up and it would certainly affect your sales tax. The effect on the Housing Market and our transfer tax and the property tax as a result seems like it would if anything it would have to possibly drive down prices and just reflecting the fact that most buyers are going to have higher costs to finance and then pay taxes on thes
Hitting the people that we actually wanted in San Francisco versus the corporations that buy up a lot of real estate here that are going to get a huge break with this tax deduction. Lets just hope that people have a moral conscience and thats farfetched, i know, and well pushback on this but i think that we are i mean, its hard to see what the changes might be because everything is in flux but just looking at this i think that it could really hit a lot of San Francisco, but what were trying to do to get people middleclass folks in sa San Francisco to invest in a small piece of real estate here, its going to be detrimental to that effort. Supervisor cohen definitely. Any other tax wisdom that you want to share with us . Not at this moment. Ill turn it over to cindy comerford from the department of Public Health with an update on affordable care. Supervisor cohen okay. Okay, good afternoon supervisors, my name is cindy comerford and i manage the policy and planning at the department of P
Lets just hope that people have a moral conscience and thats farfetched, i know, and well pushback on this but i think that we are i mean, its hard to see what the changes might be because everything is in flux but just looking at this i think that it could really hit a lot of San Francisco, but what were trying to do to get people middleclass folks in sa San Francisco to invest in a small piece of real estate here, its going to be detrimental to that effort. Supervisor cohen definitely. Any other tax wisdom that you want to share with us . Not at this moment. Ill turn it over to cindy comerford from the department of Public Health with an update on affordable care. Supervisor cohen okay. Okay, good afternoon supervisors, my name is cindy comerford and i manage the policy and planning at the department of Public Health and today im going to give a very brief presentation on issues that Impact Health care reform. These are not all specifically around the a. C. A. But somehow impact our
To see what the changes might be because everything is in flux but just looking at this i think that it could really hit a lot of San Francisco, but what were trying to do to get people middleclass folks in sa San Francisco to invest in a small piece of real estate here, its going to be detrimental to that effort. Supervisor cohen definitely. Any other tax wisdom that you want to share with us . Not at this moment. Ill turn it over to cindy comerford from the department of Public Health with an update on affordable care. Supervisor cohen okay. Okay, good afternoon supervisors, my name is cindy comerford and i manage the policy and planning at the department of Public Health and today im going to give a very brief presentation on issues that Impact Health care reform. These are not all specifically around the a. C. A. But somehow impact our ability to provide health care in San Francisco. So im going to talk about six issues that are on the slide in front of you. Im going to give a very