Minutes of the Health Commission Meeting
Tuesday, April 8, 2003
At 3:00 p.m.
101 Grove Street, Room #300
San Francisco, CA 94102
1) CALL TO ORDER
The meeting was called to order by President Chow at 3:11 p.m.
- Edward A. Chow, M.D., President
- Commissioner Roma P. Guy, M.S.W., Vice President
- Commissioner Lee Ann Monfredini
- Commissioner Harrison Parker, Sr., D.D.S.
- Commissioner Michael Penn, Ph.D.
- Commissioner David J. Sanchez, Ph.D.
- Commissioner John I. Umekubo, M.D. - left at 6:00 p.m.
2) APPROVAL OF THE MINUTES OF THE MEETING OF MARCH 18, 2003
Action Taken: The Commission approved the minutes of the March 18, 2003
Health Commission meeting.
Commissioner Chow noted that the Health Commission received a letter
from Walden House requesting amendments to the January 21st minutes. The
Commission had already approved these minutes when the letter was sent.
Commissioner Chow said that Walden House’s letter would be placed in the
public file for the February 5th meeting so that it is part of the public
Commissioner Chow expressed sorrow at the death of Alfonso Acampora,
Executive Director of Walden House. The Commission sends its gratitude to
Mr. Acampora’s family.
3) APPROVAL OF THE CONSENT CALENDAR OF THE BUDGET COMMITTEE
(3.1) PHP-AIDS Office - Request for approval of a retroactive
contract renewal with Institute for Community Health Outreach, in the
amount of $327,711 per year, for a total contract amount of $655,422, to
provide HIV prevention services to behavioral risk populations, for the
period of January 1, 2003 through December 31, 2004.
(3.2) PHP-AIDS Office - Request for approval of a retroactive
contract renewal with Mobilization Against AIDS International, Inc., in
the amount of $427,138 per year, for a total contract amount of
$854,276, to provide HIV prevention services to behavioral risk
populations for the period of January 1, 2003 through December 31, 2004.
(3.3) PHP-AIDS Office - Request for approval of new contract with
Shanti, in the amount of $320,533, to provide HIV Health Services
Planning Council support services for the period of April 1, 2003
through February 29, 2004.
- Because this is a new role for the agency, the Budget Committee
asked that a six-month status report be presented to the Population
Health and Prevention Joint Conference Committee.
(3.4) PHP-AIDS Office - Request for approval of a retroactive
contract renewal with Public Health Foundation Enterprises, Inc., in the
amount of $156,437, to provide HIV research services targeting men who
engage in high risk behavior, for the period of July 1, 2002 through
June 30, 2003.
Lauren Connor, DPH Program Manager, noted that the term of the
contract should be corrected in the Health Commission agenda and Summary
Report. The term is September 1, 2002 to July 31, 2003.
(3.5) PHP-Behavioral Health Services - Request for approval of new
contract with Community Vocational Enterprises-Industrial Maintenance
Engineers, in the amount of $231,232, to provide job training and
counseling services targeting mentally ill adults, for the period of
July 1, 2002 through June 30, 2003.
Action Taken: The Commission approved the Budget Committee Consent
Calendar. For Item 3.3 the Commission requested a six-month status report
to the Population Health and Prevention Joint Conference Committee.
4) DIRECTOR’S REPORT
Mitchell H. Katz, M.D., Director of Health, presented the Director’s
Severe Acute Respiratory Syndrome (SARS)
“Severe Acute Respiratory Syndrome” or SARS is a new emerging
infection that has currently been recognized in 19 countries in Asia,
Europe and the Americas. It is thought to result from the corona family of
viruses that can cause the common cold in humans, but can cause more
serious disease in animals. At this time, there is no treatment or vaccine
for SARS. To date, there are over 150 cases of SARS in the U.S. The
majority of ill people caught the disease outside the U.S. in areas where
there has been community transmission of SARS: People’s Republic of
China (i.e. mainland China and Hong Kong), Vietnam and Singapore.
Symptoms include high fever, cough and difficulty breathing. At this
time, DPH believes that SARS is primarily spread to others through
prolonged exposure to large droplets (via the respiratory route).
Individuals are thought to be infectious while they are symptomatic. For
these reasons, individuals who have returned from Asia, but are not
symptomatic, do not have to change their daily routine and are free to go
to work and school. In addition, DPH is not recommending that members of
the general public wear masks to protest themselves. At this time, locally
we have one probable case of SARS under investigation.
DPH has developed a “Frequently Asked Questions” sheet on SARS in
both English and Chinese (attached). DPH will be translating this sheet
into Vietnamese, Spanish and Tagalog. The FAQ’s have been distributed to
all San Francisco clinicians and will be distributed to the media later
this week. In addition, DPH has developed a Health Advisory that was
distributed to all San Francisco Emergency Departments, hospital and
infection control staff and practicing clinicians. The alert and
additional links are available on-line at: http://www.dph.sf.ca.us/HealthInfo/SARS/SARS.htm.
DPH Environmental Health Inspectors Respond to Families Living in
In mid-2001, DPH funded a community-led, citywide census of families
with children living in SROs in San Francisco. The census found 450
families and 760 children living in 158 hotels (40% of the hotels
visited). 78% of children were age 0-12 with many having spent their
entire lives in an SRO; 40% of children were age 0-5; and over half of the
families had at least one child age 0-5.
Following the publication of these findings, the Environmental Health
section of DPH responded by meeting regularly with community groups and
systematically inspecting over 100 hotels this past year. Due to the high
proportion of children under age five and the concern about lead exposure,
Children’s Environmental Health section joined the inspection teams.
Ninety-eight percent (98%) of the hotels inspected were found to have
health code violations, including structural violations, vermin, poor
sanitation, and lead violations. Diligent follow-up on the part of DPH
inspectors and their close collaboration with community groups resulted in
over 96% of the hotels abating their health code violations. The
Environmental Health inspectors will continue to monitor these hotels to
assure that the violations do not gradually return.
Social Work Month
March was Social Work Month in San Francisco and Dr. Katz took this
opportunity to salute all the DPH social workers for their continuing
commitment to the underserved of San Francisco. DPH rely on social workers
throughout the system, in the clinics, in medical and psychiatric
settings, in the jails and in patient psychiatry. They are clinicians,
case managers, and discharge planners. Dr. Katz expressed his appreciation
to DPH social workers for their had work and dedication to their mission.
CDC Rapid Response Team Deployed to Assist with Syphilis Case
In mid-March, in response to a 25% increase in syphilis cases since the
first of the year, a three person CDC Rapid Response Team was detailed to
San Francisco to assist local staff with syphilis case management. All
three CDC staff have established good working relationships with the local
syphilis response team. Working together, cases and contacts are being
followed up in the shortest possible time and DPH is reinstituting the
Private Medical Doctor (PMD) visitation program.
STD Awareness Month
April is STD Awareness Month in San Francisco. A variety of activities
are planned, including STD screening events at gay bars and clubs. For the
second year in a row DPH will be having a Spring Cleaning STD Awareness
Campaign that entitles individuals who test for syphilis during the
campaign to receive discounts on merchandise from participating merchants.
North of Market Senior Services Renamed Curry
In honor of Francis J. Curry, M.D., a young boy from North Beach who
delivered newspapers in the Tenderloin, washed dishes in area restaurants
to earn money for medical school, and grew up to become Director of Public
Health of San Francisco, North of Market Senior Services has been renamed
Curry Senior Center. . Dr. Curry never forgot the places he knew or the
people he met during his early years and he made it his personal mission
to provide services to seniors that promote independent living while
maintaining their dignity and self-esteem. Dr. Curry opened North of
Market Senior Services in 1972. Thirty years later the agency has
developed into a multi-purpose agency serving approximately 2,600 seniors
throughout the Tenderloin/South of Market area. Curry Senior Center is
proud to take the name of its founder to illustrate its continuing
devotion to his mission.
Relocation of Adult Immunization Clinic
The Adult Immunization Clinic has moved to a new and bigger space at
101 Grove St., Room 102. The clinic is open to the public 9 a.m. to 4 p.m.
- Commissioner Parker asked if the SRO units were violation free when
the families moved in. Ms. Kronenberg said that they have no
indication that the rooms did not have violations. However, families
typically did not report the violations because they were happy to
have a room.
5) RESOLUTION HONORING DR. EVELYN LEE
Commissioner Chow presented a resolution honoring the life and work of
Dr. Evelyn Lee. Dr. Lee passed away suddenly on March 26, 2003. The
Commission conveys its heartfelt condolences to her family. Mr. Kent Woo,
Executive Director of NICOS, accepted the resolution on behalf of the
- Commissioner Guy stated that Dr. Lee made a tremendous contribution
to improving the quality of life for all San Franciscans. She inspired
Action Taken: The Commission approved Resolution # 6-03, “Resolution
Honoring Dr. Evelyn Lee”, (Attachment A).
6) PRESENTATION OF THE DEPARTMENT OF PUBLIC HEALTH EMPLOYEE
RECOGNITION AWARDS FOR THE MONTH OF APRIL
Commissioner Chow presented the April Employee Recognition Awards.
DPH Jail Health Services/ STD
Mary Evans and Wendy Wolf
IS Desktop Support Team Awardees
SFGH Information System Department
Patient Flow Team Awardees
Lynne Eggers, RN, LCSW
Liz Gray, MSN, RN
Elayne Hada, RN
CHN Community Mental Health Service
7) FISCAL YEAR 2003-04 CONTINGENCY BUDGET UPDATE, AND CONSIDERATION
OF A RESOLUTION REGARDING THE FY 2003-04 CONTINGENCY BUDGET
Mitchell H. Katz, M.D., Director of Health, presented an update on the
proposed FY 2003-04 Contingency Budget. San Francisco’s financial
situation continues to be very fluid. February payroll tax returns, hotel
and sales tax collections were lower than anticipated, resulting in the
City revising its revenue projections. At this time the City is projecting
a shortfall for FY 03-04 of $347 million. This shortfall is reduced to
$200 million when the six percent base budget reductions from all City
departments are factored in. The Mayor’s Budget Office is proposing the
close this gap through increased $45 million in increased State funding,
$80 million from City employees’ retirement contributions, and $75
million of citywide Departmental contingencies.
As the Health Department represents approximately 25% of the City’s
discretionary General Fund, the Mayor’s Budget Office may reduce DPH’s
General Fund by an additional $18.75 million. If the City were not able to
get the $80 million of savings and/or if the more optimistic State
projections do not hold, then the Department could be asked for the full
10% General Fund reduction, which is $27 million. At this time the Mayor’s
Budget Office has said that they will be subtracting $12 million from DPH’s
DPH has increased its projected current year year-end surplus by $2.6
million. The Department is also projecting a net increase in revenue for
next year of $4.1 million. The Mayor’s Budget Office has accepted this
$6.7 million as the first installment of the Health Department
In addition, the Mayor’s Budget Office has decided to enter into the
budget an additional $5.3 million of General Fund cuts from the Health
Department. The full list of these cuts is attached (Attachment B). The
focus of the cuts was in administrative areas and/or support services.
Forty positions were eliminated throughout the Department. In addition,
cuts were made in: Medical Care Substance Use Services O/P and Prevention
Program; Baker Places-Westside Lodge Day Treatment; HIV Health Services,
Employee Assistance Program and Health at Home.
Commissioner Chow presented the Health Commission resolution regarding
the contingency budget.
- John Gould spoke in support of the Maxine Hall Clinic.
- Sandra MacKay, Public Health Nursing, spoke in support of public
health nurses, particularly those at the Castro-Mission clinic.
- Hywel Simms, Executive Director of Shanti, said the budget for 03-04
will at least disable, if not destroy, the public health system. Costs
will rise of budget cuts are made and the city will lose a valuable
resource if Shanti is cut.
- Jennifer Oberly, Shanti professional volunteer, said cutting seven
staff would result in 100 volunteers not getting connected to 1200
clients, to whom they provide 25,000 hours of service.
- Jennifer McGaugh, Women’s Services Coordinator at Shanti, spoke
against cuts in program services. She read a letter from one of Shanti’s
- Janie Willey, on behalf of Shanti and the Black Coalition on AIDS.
Shanti has connected her to a safe place to live and allowed her to
regain self-respect. She urged the Commission not to cut their
- Veronica Cauley, client of Shanti, advocated for continued funding
for Shanti. She added that the computer system at SFGH can discourage
people from receiving services.
- Frank Demusiac, spoke in support of the acupuncture program at Tom
Waddell Clinic. Please don’t cut the program.
- Timothy Bradley receives excellent care at the Minna Clinic. He
asked the Commission not to cut mental health funding.
- Sandra Roberts spoke in support of the OMI Family Center and
- Dr. Ray Cendanna, psychiatrist at OMI Family Center, said that the
mental health of children, adolescents and adults will be negatively
affected by the budget reductions. Those people with few options will
have even less.
- Malik Looper expressed concern about the budget process. The budget
cuts will result in destabilization of families. He is also opposed to
the closure of the OMI Family Center.
- Governor Johnson spoke on behalf of his foster son, advocating
against the closure of the OMI Family Center. OMI Family Center has
helped his foster son.
- Selene Mitlyng, OMI Family Center, spoke against cuts to the
program. Clients will not go across town to other clinics to receive
services. They will go to SFGH, which costs the City more money in the
- Isa Hershoff-Looper, counselor at the OMI Family Center, submitted a
petition in support of keeping the center open. She also read a letter
from Assembly member Leland Yee.
- James Gregg, psychology trainee at OMI Family Center, spoke against
the closure of the center. There is already a shortage of training
programs in San Francisco.
- Regina Blosser, OMI Neighbors in Action, spoke against closing the
OMI Family Center.
- Joy Almquist, student nurse, spoke in support of Mission-Castro
Clinic and Westside Lodge.
- Philip Robinette spoke against cutting OMI Family Center.
- James Huey asked the Commission to keep the OMI Family Center open.
- Rick Arce spoke in support of the OMI Family Center.
- Florence Hightower and Kenneth Hightower spoke in support of the OMI
- Jewel Bartlett spoke in support of the OMI Family Center.
- David Riley spoke in support of the OMI Family Center.
- James Gregg read the testimony of Martha H. in support of the
services at the OMI Family Center.
- Scottie Kenyon spoke in support of the OMI Family Center. It’s
shortsighted to cut health services.
- Jeremiah Jeffrey, client of Westside Lodge, spoke in support of the
program. If you cut the budget, you’ll be cutting lives.
- Dave Jameson spoke in support of the services at Westside Lodge.
- Jonathan Vernick, Executive Director of Baker Places, said that the
cut to the lodge is a cut of 20 beds and 64-day treatment slots, which
would impact services to 250 people over the course of a year. These
cuts will not save money in the long run.
- Judith Stevenson, Director of Operations for Baker Places, spoke
against cuts to the Westside Lodge. The reduction of 20 beds will
negatively impact the patient flow effort.
- Sonia Bailey, Westside Lodge, spoke against cuts to the program.
- Grace Fong, OMI Family Center client, asked that the center be kept
- David Fried spoke in support of the OMI Family Center.
- Charles Anderson spoke in support of the OMI Family Center.
- Valerie Gentle asked the Commission to keep the OMI Family Center
- Cynthia Finis spoke in support of the OMI Family Center, which does
so much work for the community.
- Mary Gennoy spoke on behalf of patients in pain for in home support
- Barbara Farrell, Executive Director of Ohlhoff Recovery Services,
said further reductions to the public health system would be
- Janice Cohen, M.D., said the proposed budget represents criminal
failure from our leadership. Do not approve any more cuts in public
health. She submitted a series of recommendations (on file).
- Jarman Michaels spoke in support of Tom Waddell Health Center.
- Barbara Rothkrug, public health nurse at Castro-Mission Health
Center, submitted testimony of two patients (on file), and spoke
against cuts to Health at Home and psychiatric services.
- Edmond Larry spoke in support of Tom Waddell Clinic.
- Henry Prybysh, patient of Tom Waddell, spoke in support of the
- Zoila Veliz spoke in support of Mission-Castro clinic. Submitted
petition with more than 750 signatures opposed to clinic cuts (on
- Juanita Camarena spoke in support of services at Mission-Castro
- Aminta Serrano spoke in support of services at Mission-Castro
- Maria Wilson spoke in support of services at Mission-Castro clinic
and read some statements from clinic clients.
- Luis Barrera spoke in support of public health nursing and the
Mission Castro Health Center.
- Terese Nguyen, PHN, spoke in support of public health nursing.
- Sam Kupferberg spoke in support of the Bayview Clubhouse.
- Michael Lyon spoke against the budget cuts and suggested additional
- Dr. Kevin Grumbach, Chief of Family Community Medicine at SFGH,
submitted a letter on behalf of the Chiefs of Service at SFGH (on
file). The worst case budget scenario brings the system to the point
of collapse, and Health Commission leadership is critical.
- Martha Hawthorne, public health nurse at Castro Mission Health
Center, is grateful for the temporary reprieve but very concerned
about the contingency budget. They are already over capacity and
further cuts will cripple them.
- Micah Frazier, representing the Harm Reduction Coalition, to support
harm reductions programs and Castro Mission Health Center and the
- Nancy Lewis, FNP within the CHN to ask the Health Commission on
behalf of the NP group in the CHN to please save primary care
- Bruce Folsom, Geriatric Day services, to explain to the Commission
how dependent elderly persons are for medical and psychiatric services
to prevent hospitalizations.
- Evangelist LaVonne Macintosh, came to commend the services provided
by the Maxine Hall Health Center.
- Luther Ricker, to say that if Tenderloin Self Help Center goes away
it will be a tremendous loss.
- Anonymous, to say that it would be very sad if clinics were to
- Dr. Deborah Brown, physician at Castro-Mission Health Center, said
that if the clinics were cut by 50 percent, there would be chaos.
Cutting the number of providers would also not be workable. Doctors
cannot see two patients at one time.
- Dr. Shira Shavit, resident physician from SFGH, said that when
community programs are cut, SFGH is impacted. It is a sad day when
these budget cuts are proposed.
- Philippa Ruttgaizer, RN at the MHRF, said patients at the MHRF have
been on the discharge fast track. Some of the patients’ families do
not drive and will not be able to visit patients who are not in San
- Eve Meyer, San Francisco Suicide Prevention, thanked the Commission
for its resolution.
- Sasha Mosalov spoke against cuts to the Ocean Park Health Center. He
submitted a petition in support of keeping the clinic open (on file).
- Ellen Sakoloff, PHN, spoke in support of saving public health
nursing, which she feels are very vulnerable for cuts. Spoke in
support of prevention.
- Leigh Ann Surgent, RN at St. Anthony Free Medical Clinic and SFGH,
said the Community Clinic Consortium clinics provide hundreds of
thousands of visits to people in San Francisco. Cuts though DPH would
devastate their clinics.
- M.P.R. Howard spoke in support of the Tom Waddell Health Center. He
is a former chair of the TWHC advisory board.
- Ken Hodnett spoke against cuts to the Castro-Mission Health Center.
The staff provides excellent services.
- Dr. Allegra Melillo, SFGH physician, said healthcare is already in a
crisis situation. The ER is filled with patients who have already been
admitted, but there are no available rooms. Cutting community clinics
would lead to more overcrowding.
- Kara Graziano spoke against the baseline budget cut at the OSHUN
- Martha Ryan, director of the Homeless Prenatal Program, thanked the
Commission for opposing the contingency budget. Continue to urge the
Mayor to look elsewhere.
- Dr. Maggie Jones, Primary Care Resident at SFGH, said she glad the
primary care clinics might not be reduced by 50 percent, because the
patients they serve are extremely complicated. Doctors spend a lot of
time advocating for their patients.
- Anne Rosenthal, medical resident at SFGH primary care, said she is
horrified to the prospect of cuts to basic medical services and to the
salaries of physicians.
- Kim Tavaglione, Local 250, spoke against cuts to Health at Home.
These cuts are neither cost efficient nor in the best interest of
patient care. She also spoke against cuts to the MHRF. Employees have
a lot of good ideas but are not being listened to.
- Larry Bevan, Local 250, commended the Commission for opposing the
contingency cuts. He is still concerned about the cuts, because he
does not think they will save money.
- Richard Fuller, patient at Health Center 1, said that closing the
health care centers will back up the emergency rooms. HIV will not go
away just because the system can no longer provide treatment.
- Dr. Jacek Skarbinski, SFGH primary care resident, spoke against the
budget cuts. Emergency and acute care services are already on the
verge of collapse.
- Dr. Sara Levin, Internal Medicine Resident, said cuts to primary
care would decimate health care services. She also spoke against pay
cuts to residents.
- Dr. Greg Zaharchuk, Radiology Resident at SFGH, spoke against pay
cuts to residents. It is a small amount of money for the budget, but a
large amount for the individuals.
- Dr. Jeff Critchfield, Vice Chief of Medicine at SFGH, thanked the
Commission for its position on the contingency budget. He also urged
the Commission to fight the fear, and offered the services of the SFGH
medical staff to help do so.
- Patrick Monette-Shaw’s testimony:
“A little over a year ago, Tom Nolan was faced with a budget
shortfall at Project Open Hand. As Open Hand’s Executive Director,
Nolan voluntarily took a self-imposed pay cut, because he believed
leaders should share the burden by not punishing workers at the bottom
of the pay scale by having them shoulder all of the budget pain.
Mitch Katz should learn from Nolan’s example. Dr. Katz should
volunteer to cut his own salary. Combining Katz’s $214,000 base pay
with his $4,000 bonus, cutting 10% of his City income would find him
still earning $196,000. Cutting 20% of his salary - as suggested by
Board of Supervisor’s Tom Ammiano -- would find Katz earning
$174,000 … more than sufficient to live on, even with an adopted
child to feed.
Dr. Katz: It’s time to demonstrate some leadership. Cut your
salary now, to help save healthcare services and to save City jobs”.
- Commissioner Monfredini agrees with all of the speakers, and is
grateful that the Department identified additional revenue to give
back to the City.
- Commissioner Chow is glad that the Department was able to identify
new revenue and that the Mayor’s Budget Office accepted this
revenue. The proposed resolution attempts to address all of the
concerns raised by the Commission at the March 18th meeting. He
thanked the public for its advocacy, and urged them to continue to
advocate to the Mayor and the Board of Supervisors. The entire
community needs to work to protect the Strategic Plan vision.
- Commissioner Sanchez said the resolution conveys a strong message,
but there is a long, tough fight ahead at all levels-City, State and
- Commissioner Parker said no data has been presented to the
Commission that justifies any budget cuts. The federal government has
found the money to fight a war, and will find the money to rebuild a
country they are currently supportive. So they are able to fund health
care, and need to step up to the plate.
- Commissioner Penn thanked the public speakers for reminding the
Commission about how wonderful our public health system is. He
encouraged people to advocate to the Mayor and Board of Supervisors.
He also thanked the Department staff for continuing to evaluate the
proposals to see if there are other alternatives.
- Commissioner Guy said that there is a vision about what the
Department of Public Health should be, and this vision is being
threatened. We need to hold fast to this vision in our negotiations.
Action Taken: The Commission (Chow, Guy, Monfredini, Parker, Penn,
Sanchez) approved Resolution # 7-03, “Rejecting the Department of Public
Health’s Contingency Budget for fiscal year 2003-04, and Urging the
Business Community, Organized Labor, and Residents to Work with the Mayor
and the Board of Supervisors to Avoid Devastating Cuts to the County’s
Health Safety Net Services,” (Attachment C).
8) PUBLIC HEALTH WEEK: HEALTHY EATING AND PHYSICAL ACTIVITY
The American Public Health Association has identified April 7-13, 2003
as “National Public Health Week.” This year’s theme is “Getting in
Shape for the Future: Health Eating and Active Living.” Barbara Garcia,
DPH Deputy Director, highlighted various Department activities
commemorating Public Health Week. There will be two “brown bag” lunch
presentations and a participatory demonstration of “Tai Chi in the Park”
at the Civic Center. In addition DPH will launch its web page that begins
to develop web-based resources for developing nutrition and physical
activity programs and services.
- Commissioner Monfredini said that the web page has a tremendous
amount of resources. It is important to get this information out to
- Commissioner Guy said that the budget testimony reflects what public
health is about right now, which is health care financing. Healthy
living is a combination of healthy eating, exercise, and healthy,
supportive food systems. Public Health Week activities reflect these
- Commissioner Chow wants to continue to receive updates on the
Department’s long-term emphasis on healthy food systems.
9) PUBLIC COMMENTS
Patrick Monette-Shaw’s testimony:
“The City’s budget deficit for next FY reportedly is $350
million. Currently, the City’s total payroll is $800 million. Fully
42.5% of the payroll is consumed by 3,143 employees earning greater than
$90,00 annually; these 3,143 represent just 11% of the City workforce,
yet they are collectively paid $340 million ($10M shy of the deficit).
That’s right, 11% of City employees earn 42.5% of the City’s
DPH employees comprise 22.6% of these 3,143 employee, as DPH has 709
employees earning upper-strata salaries. DPH’s “managerial”
employees gobble $79.3 million (23.3%) of the $340 million in salaries
paid to City employees earning more than $90K.
Before this Health Commission recommends slashing healthcare services to
the City’s most vulnerable, and approves chopping jobs from the bottom
of the ladder, you should examine just how much management “fat”
exists at the top of the salary food chain, and chop at the top, first”.
The meeting was adjourned at 6:55 p.m.
Michele M. Olson, Executive Secretary to the Health Commission