Healthcare

Strange bedfellows: Moderate Mark Farrell endorses progressive David Campos for Assembly

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Political moderate Supervisor Mark Farrell announced his endorsement of Supervisor David Campos for Assembly today. It’s a real shocker, here’s why. 

A bastion of Marina district politics and part of the city’s neoliberal to fiscal conservative faction, Farrell is about as ideologically opposed to Campos’ brand of progressive politics as you can get in this city. If Campos is a firebrand with a picket sign, Farrell is a tie-wearing venture capitalist with his nose in a budget book. But still, Farrell has found an ally in Campos, and vice versa. 

“From working to close loopholes in San Francisco’s universal healthcare law to enhancing public safety and reducing homelessness by helping to implement Laura’s Law, David has proven his commitment to finding solutions through cooperation and compromise,” Farrell said in a press statement. “I trust his dedication to the public interest and know that he will find ways to bridge his progressive ideals with the pragmatic realities facing our state. I firmly believe he will be an effective leader for San Francisco in the State Assembly.”

The two worked together to find compromise solutions on a number of measures, including a deal to save St. Luke’s Hospital. But few deals were more controversial than Laura’s Law, which worried advocates for the homeless community, and Campos. The problem? The community felt that if homeless people would be forced into mental health treatment, their care and mental well-being would be threatened. On Farrell’s side, he was concerned for public safety, and felt those with mental health problems weren’t getting the treatment they needed.

There was an ideological split on how to help those with mental health problems. 

But Campos and Farrell eventually forged an agreement, allowing for interventions offering voluntary care from family and peer advocates, before involuntary treatment was invoked. Wrap around services would also be available to help alleviate the real life stressors that contribute to mental health issues, another win.

Farrell got Laura’s Law, and Campos and homeless advocates won vital protections. That’s the kind of compromise Board President David Chiu, Campos’ opponent in the Assembly race, has said time and time again that Campos is not capable of due to his staunch progressive values.

Clearly, Farrell disagrees, hence his endorsement.  

“I’m honored to have earned Mark’s endorsement,” Campos said, in a press statement. “We have worked together on a number of significant projects and pieces of legislation, from the CPMC rebuild project to small business tax legislation, and through community-minded negotiations, we have been able to find common ground on a number of issue critical to the residents of San Francisco.”

Although Chiu has passed much legislation, and brands himself as the “compromise candidate,” many political insiders noted that’s an easy political position when you maneuver yourself into becoming a key swing vote. When the board is split and you are the lone vote that could make or break legislation, people have to compromise with you. There’s a hammer over their heads. 

But Campos and Farrell are on opposite sides of the political spectrum, as far to either political pole on the Board of Supervisors as you can get. So the two talk, compromise, and make deals that help all their constituents win. 

No matter which Assembly candidate eventually goes to Sacramento, neither Chiu nor Campos will walk in wielding a hammer. The new Assemblyperson will be a freshman lawmaker, the back of the pack, as it were.

When we brought up that point with Farrell, he echoed the sentiment. 

“As a new legislator you don’t come up there with a ton of authority,” Farrell told us. “It’s about forging relationships and working for compromise. David Campos did that with me on the Board of Supervisors, and I believe he could do that in the Assembly.”

UPDATE 12:31 PM: David Chiu’s campaign consultant, Nicole Derse, got back to the Guardian with some observations from Chiu’s camp. 

“I don’t know why Farrell decided to endorse Campos, but when you look at endorsements that affect the district, Kamala Harris or Dianne Feinstein, those are what really affect the state,” Derse said. “This is one random supervisor. The deep support [for David Chiu] from statewide and elected officials is really strong.” 

The endorsement of Campos by Farrell is unique for its aisle-reaching quality. It’s as if the late, well-known Republican Warren Hellman endorsed the progressive anti-speculation tax. To that point, Derse said Chiu had an aisle-crossing endorsement as well. 

“Debra Walker is a pretty good comparison, she ran for the Harvey Milk LGBT Democractic Club and she came out really early for Chiu right out the gate,” Derse said.

Walker was appointed to the Building Inspection Commission by Chiu near the time she endorsed him. Even then, she told the Bay Area Reporter she was considering a dual endorsement.

End mass incarceration

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EDITORIAL We at the Bay Guardian wholeheartedly support the Stop Mass Incarceration Network and its call for the month of October to be “a month of resistance to mass incarceration, police terror, repression, and the criminalization of a generation.” It’s time to rediscover our humanity, redirect our resources, and invest in this country’s underclass instead of attacking it.

The United States has the highest incarceration rate in the world, 717 per 100,000 citizens last year, or about 2.3 million people behind bars. Put another way, the US has about 5 percent of the world’s population but 25 percent of the world’s prisoners, costing this country over $60 billion a year.

San Francisco has long been a leader in criminal justice reform, pursuing policies based on rehabilitation and redemption instead of the mindless “tough-on-crimes” approach of other jurisdictions. Two of our state legislators, Sen. Mark Leno and Assemblymember Tom Ammiano, have chaired their respective Public Safety Committees and been important statewide leaders on prison reform.

Yet it hasn’t been enough in a state that still has among the world’s highest incarceration rates, and which is still resisting demands by federal judges that we reduce our prison population to address severe overcrowding and its unconstitutionally inadequate health care system.

So we need to join this broad and growing national movement that seeks to drastically reduce our prison population and redirect those resources into social services, education, and other more productive pursuits.

The Stop Mass Incarceration Network began in 2011 with a proclamation by Carl Dix and Cornell West, two important thinkers who have highlighted the disproportionately high arrest and incarceration rates of Latino and African American young men.

“If you don’t want to live in a world where people’s humanity is routinely violated because of the color of their skin, JOIN US. And if you are shocked to hear that this kind of thing happens in this so-called homeland of freedom and democracy — it does happen, all the damned time — you need to JOIN US too — you can’t stand aside and let this injustice be done in your name,” they wrote.

Recently, this movement has been joined by a wide variety of activists from the Bay Area, including Van Jones and Matt Haney, who have co-founded #50Cut, an initiative focused on cutting the US prison population in half in the next 10 years (see “Schools not prisons,” 9/3/14).

While dissident Chinese artist Ai WeiWei laudably uses his new exhibit on Alcatraz Island to focus attention on political prisoners and prisoners of conscience, the injustice of incarceration here in the US is even broader and deeper, affecting entire generations of young people and their families. It must end.

 

New protections for abortion seekers proposed, but may face rival efforts

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After a years-long saga of trying to regulate the loudest and rudest protesters outside clinics that offer abortions, a new law may finally protect patients and employees of Planned Parenthood in San Francisco from harassment. Sup. David Campos introduced a resolution yesterday [Tues/23] that would refine his previous legislation creating a buffer zone outside reproductive healthcare centers, the latest in legal maneuverings to protect free speech while sparing medical care-seekers from harm.

Although San Francisco houses only one of Planned Parenthood’s 22 health centers in Northern California, the opposition to its Valencia Street location stands out. “In San Francisco, there are particularly harassing protesters, a small but vocal group,” Adrienne Bousian, the vice president of public affairs of Planned Parenthood Northern California, told us. “They film women and men walking down the street, shout insults, and follow women. They try to block access with their arms and get in front of the door.”

It’s the same old song, as pro-life protesters tout the sins of abortion to anyone who will listen. Sometimes, the people they harass are customers seeking STD checks or other health care. Sometimes the people they harass are simply neighbors. Large photographs of fetuses and bloody remains greet passers-by. When former Guardian staff writer Caitlin Donohue visited last year, she cataloged clinic-protester Erika Hathaway’s gem arguments.

“Don’t kill your baby! If it could talk it would say ‘Mommy, don’t judge me,'” she shouted. Hathaway is one of the protester mainstays. Another favored tactic of Hathaway’s: playing Christmas music on full blast, to remind those inside the Planned Parenthood that “Christ was a baby once.”

As Bousian told us, sometimes women facing the life-changing choice of abortion have to face down the “gauntlet” of these protesters, and their frightening photos. One can only imagine how scarring that could be, while already facing a decision that could color the rest of one’s life.

abortion protesters

Outside the Planned Parenthood, last year. GUARDIAN PHOTO BY CAITLIN DONOHUE.

Campos’ “buffer zone” resolution last year was intended to end “the gauntlet” of harassment, establishing a 25-foot space in front of reproductive healthcare clinics protesters were barred from crossing. But after the US Supreme Court knocked down a similar buffer zone law in Massachusetts, the city got skittish over enforcing the law, and the protesters came back in earnest.

Now, it’s time for another crack at removing the emboldened protesters. The new resolution calls for a 25-foot zone around a reproductive health care facility that protesters cannot follow or harass people within, a tweak that may make all the difference. It will also bar anyone from impeding entry into a reproductive health care facility, and bar use of amplified sound or shouting within 50 feet (with reasonable exceptions, like car horns).

Perhaps this new resolution was what tipped Planned Parenthood into endorsing Campos’ candidacy for the 17th California Assembly District. Notably, it wasn’t the nonprofit itself that endorsed him, but rather their political arm, the Planned Parenthood Northern California Action Fund. Bousian, putting on her political hat, said the action fund felt Campos distinguished himself in defending women’s rights, including with this resolution.

“We want California to lead the way as a state expanding access,” she said. “That’s our goal.”

Still, an open question lingers: What will become of Mayor Ed Lee and Sup. Malia Cohen’s planned resolution to protect healthcare providers from harassment? Normally, a resolution like this would be a slam-dunk at the Board of Supervisors. But Lee and Cohen’s resolution mirrors Campos’, and was announced earlier this month. Some political insiders indicated to us that the mayor may be open to merging his efforts with Campos, but Campos’ office said it received no word from the mayor yet. And with Cohen’s District 10 supervisorial race and Campos’ Assembly race giving both cause to want to take ownership on this issue, there’s a chance for political strife and gamesmanship along the way.

Hopefully, political squabbles and posturing won’t postpone needed efforts to protect women and other healthcare seekers.

“San Francisco should be leading the way,” Bousian told us.

Yes, it should.

Golden Gate unions to strike this week, stall commutes

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The Golden Gate Bridge Labor coalition announced it will strike this week, impacting commutes via bridge or ferries, and perhaps both.

Thirteen unions in the Golden Gate Highway and Transportation District are members of the coalition, whose talks with the district stalled today, representatives told us.

It is still unclear which unions in the coalition will strike, but commutes will definitely be affected, Alex Tonisson, co-chair of the Golden Gate Bridge Labor Coalition said.

“There’ll be an announcement in a day or two,” he told us. As to which unions specifically would strike, “I can’t say exactly who it will be right now, to be honest.”

“None of us wants to be on strike,” said Michelle Shalagin, currently a member of LiUNA!, Local 261 (Laborers) working on landscaping, in a press statement. “But what choice do we have? The District has not moved, and the raises they are offering are completely wiped out by the high cost of the healthcare premiums they are proposing.”

The district and the coalition are deadlocked over healthcare proposals. As we reported last week, the unions maintain that the cost of living in the Bay Area has skyrocketed. Housing prices are up, gas prices are up, everything is up. Though the district’s offer includes a 3 percent wage increase next year, and further increases in subsequent years, the new health care plan would cost 2 percent of workers’ wages, largely nullifying any increases.

The district posted a full response to arguments against their healthcare offer at its blog. The district argues the workers are paid higher than their counterparts in other districts. The unions say the other districts don’t have to contend with local cost of living burdens, warnings which representatives said are largely falling on deaf ears. 

“The last strike was purposefully giving [the district] a warning another strike would happen,” Tonisson said. He was referring to last week’s iron workers strike, which garnered a bit of media attention, but for the most part did not move the needle on their contract negotiations. The two parties are still stalled on healthcare talks, despite the first “warning shot” picket line.

“This was their reaction,” Tonisson said. “The sense I had is they want us to strike.”

The impact of a strike depends on which of the 13 unions participate. Toll taking is now automated on the Golden Gate, but the unions still have options to affect commuters and garner attention. Workers changing the lanes on the bridge could snarl traffic during commutes, Golden Gate Transit drivers could strand bus-goers, and ferry workers could strand folks by the water.

“Imagine the backup on Lombard or Van Ness,” Tonisson said, referring to lane changers on strike. “It wouldn’t shut the bridge down entirely but it would make a mess of things.”

The real mess, though, is the state of the workers’ health care. But who’s willing to bet the public cares more about the snarled traffic than a thriving a middle class?

Below we’ve embedded a flyer from the union coalition, demonstrating its argument about cost of living and health care.



Golden Gate Bridge strikes won’t effect commuters…yet

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Golden Gate Bridge iron workers are on strike today [Tues/16], protesting retiree healthcare issues their union says were not addressed in 2012. Commuters will not be affected during the strike, however. Machinists Local 1414 made that choice consciously, its representative told us. 

The machinists purposefully made a decision to not impact services,” said Alex Tonisson, co-chair of the Golden Gate Bridge Labor Coalition. The coalition is comprised of the 13 various unions that work on the Golden Gate Bridge, all of whom negotiate with the district together. “We want the public to understand how serious things have gotten.” 

The strike started early this morning and is scheduled to end at 3:30pm. Though the strike is not directly related to current labor negotiations for health care with the district, at this point those negotiations could best be described as… rocky.

The sticking points are health care and living wages. The Golden Gate Bridge District, with a board with nine San Francisco representatives and members spanning the Bay Area, said the increases in health care costs are still competitive in the Bay Area.

The District has sought modest increases to the amount that Coalition employees have been contributing to their health benefits,” the Golden Gate Bridge District said, in a press statement. “District employees enjoy world class health benefits.”

But the unions noted that the cost of living in the Bay Area has skyrocketed. Housing prices are up, gas prices are up, everything is up. Though the district’s offer includes a 3 percent wage increase next year, and further increases in subsequent years, the new health care plan would cost 2 percent of workers’ wages, largely nullifying any increases. And the workers gave up much ground during the worst of the Great Recession.

We bargained significant concessions and changes,” in previous years, Tonisson told us. 

Strikes from the Golden Gate Bridge’s ferry workers could potentially impact thousands of Bay Area commuters. The labor coalition seemingly took lessons to heart from last year’s BART strike, when the public’s support of strikers waned in the face of nearly impossible commutes.

Tonisson didn’t directly comment on the BART strikes, but said “we’re definitely aware how any strike that shuts down the bridge or ferries impacts the lives of residents.”

To keep the commuting public aware of an impending strike, the coalition took out radio and newspaper ads, and passed out leaflets on ferry commutes. 

We’re hoping we don’t have to take further action,” Tonisson said. “We want them to understand it’s a possibility. The public should take that seriously.” 

Racing for solutions

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rebecca@sfbg.com

Although there are five seats on the San Francisco Board of Supervisors up for reelection this fall, incumbents face few contenders with the requisite cash and political juice needed to mount a serious challenge. The one race that has stirred interest among local politicos is the bid to represent District 10, the rapidly changing southeastern corner of San Francisco that spans the Bayview, Hunters Point, Visitacion Valley, Dogpatch, and Potrero Hill neighborhoods.

Sup. Malia Cohen, who narrowly beat an array of more than a dozen candidates in 2010, has raised way more money than her best-funded opponent, progressive neighborhood activist Tony Kelly, who garnered 2,095 first-place votes in the last D10 race, slightly more than Cohen’s, before the final outcome was determined by ranked-choice voting tallies.

For the upcoming Nov. 4 election, Cohen has received $242,225 in contributions, compared with Kelly’s $42,135, campaign finance records show. But Kelly, who collected the 1,000 signatures needed to qualify for the November ballot and qualified for public financing, has secured key progressive endorsements, including former Mayor Art Agnos, Assemblymember Tom Ammiano, Sups. David Campos and John Avalos, and the Potrero Hill Democratic Club.

Others who’ve filed to run for this office include Marlene Tran, a retired educator who has strong ties to families in the district, especially in Visitacion Valley, through her teaching and language-access programs (she’s known by kids as “Teacher Tran”); Shawn Richard, the founder of a nonprofit organization that offers workshops for youth to prevent gun violence; and Ed Donaldson, who was born and raised in Bayview Hunters Point and works on economic development issues. DeBray Carptenter, an activist who has weighed in on police violence, is running as a write-in candidate.

But the outcome in this dynamic district could be determined by more than campaign cash or political endorsements. That’s because the D10 supervisor faces the unique, unenviable challenge of taking on some of the city’s most intractable problems, which have disproportionately plagued this rapidly changing district.

Longstanding challenges, such as a high unemployment and crime rates, public health concerns, social displacement, and poor air quality, have plagued D10 for years. But now, fast-growing D10 is becoming a microcosm for how San Francisco resolves its growing pains and balances the interests of capital and community.

 

MIX OF CHALLENGES

While candidate forums and questionnaires tend to gauge political hopefuls on where they draw the line on citywide policy debates, such as Google bus stops or fees for Sunday parking meters, neighborhood issues facing D10 have particularly high stakes for area residents.

While other supervisors represent neighborhoods where multiple transit lines crisscross through in a rainbow of route markers on Muni maps, D10 is notoriously underserved by public transit. The high concentration of industrial land uses created major public health concerns. A Department of Public Health study from 2006 determined that Bayview Hunters Point residents were making more hospital visits on average than people residing in other San Francisco neighborhoods, especially for asthma and congestive heart failure.

Unemployment in D-10 hovers near 12 percent, triple the citywide average of 4 percent. Cohen told us efforts are being made on this front, noting that $3 million had been invested in the Third Street corridor to assist merchants with loans and façade improvements, and that programs were underway to connect residents with health care and hospitality jobs, as well as service industry jobs.

“The mantra is that the needle hasn’t moved at all,” Cohen noted, but she said things are getting better. “We are moving in the same downward trend with regard to unemployment.”

Nevertheless, the high unemployment is also linked with health problems, food insecurity — and violence. In recent months, D10 has come into the spotlight due to tragic incidents of gun violence. From the start of this year to Sept. 8, there were 13 homicides in D10.

Fourth of July weekend was particularly deadly in the Bayview and D10 public housing complexes, with four fatal shootings. Cohen responded with a press conference to announce her plan to convene a task force addressing the problem, telling us it will be “focused on preventing gun violence rather than reacting to it.”

The idea, she said, is to bring in expert stakeholders who hadn’t met about this topic before, including mental-health experts and those working with at-risk youth.

“I think we need to go deeper” than in previous efforts, Cohen said, dismissing past attempts as superficial fixes.

But Cohen’s task force plan quickly drew criticism from political opponents and other critics, including Sheriff Ross Mirkarimi, who dismissed it as empty rhetoric.

“How many people are cool with yet another task force?” Kelly said in a press statement challenging the move. “We can’t wait any longer to stem the deadly tide of violence in District 10. Supervisor Cohen’s task force won’t even propose solutions till 2017. We can’t wait that long.”

Kelly told us he’s formulated a five-point plan to tackle gun violence, explaining that it involved calling for a $10 million budget supplemental to bolster family services, reentry programs, job placement, and summer activities aimed at addressing poverty and service gaps. Kelly also said he’d push for a greater emphasis on community policing, with officers walking a beat instead of remaining inside a vehicle.

“How do you know $10 million is enough?” Cohen responded. “When you hear critics say $10 million, there is no way to indicate whether we’d need more or less.” She also took issue with the contention that her task force wouldn’t reach a solution soon enough, saying, “I never put a timeline on the task force.”

Cohen also said she wanted to get a better sense of where all of the past funding had gone that was supposed to have alleviated gun violence. “We’ve spent a lot of money — millions — and one of the things I am interested in doing is to do an audit about the finances,” she said.

She also wants to explore a partnership with the Guardian Angels, community volunteers who conduct safety patrols, to supplement policing. Cohen was dismissive of her critics. “Tony was not talking about black issues before this,” she said. “He hasn’t done one [gun] buyback. There’s no depth to what any of these critics are saying.”

Tran, who spoke with the Guardian at length, said she’d started trying to address rampant crime in Visitacion Valley 25 years ago and said more needs to be done to respond to recent shootings.

“There was no real method for the sizable non-English speaking victims to make reports then,” Tran wrote in a blog post, going on to say that she’d ensured materials were translated to Chinese languages to facilitate communication with the Police Department. “When more and more residents became ‘eyes and ears’ of law enforcement, community safety improved,” she said.

Richard, whose Brothers Against Guns has been working with youth for 20 years and organizing events such as midnight basketball games, said he opposed Cohen’s task force because it won’t arrive at a solution quickly enough. He said he thought a plan should be crafted along with youth advocates, law enforcement, juvenile and adult probation officers, and clergy members to come up with a solution that would bolster youth employment opportunities.

“I’ve talked with all 13 families” that lost young people to shootings this year, Richard said, and that he attended each of the funerals.

 

CHANGING NEIGHBORHOOD

Standing outside the Potrero Terrace public housing complex at 25th and Connecticut streets on a recent sunny afternoon, Kelly was flanked by affordable housing advocates clutching red-and-yellow “Tony Kelly for District Supervisor” campaign signs. The press conference had been called to unveil his campaign plan to bolster affordable housing in D10.

Pointing out that Cohen had voted “no endorsement” at the Democratic County Central Committee on Proposition G — the measure that would tax property-flipping to discourage real estate speculation and evictions — Kelly said, “This is not a time to be silent.”

While Cohen had accepted checks from landlords who appeared on the Anti-Eviction Mapping Project’s list of worst offenders for carrying out Ellis Act evictions, Kelly said he’s pledged not to accept any funding from developers or Ellis Act evictors. Asked if any had offered, Kelly responded, “Some. They’re not knocking down my door.”

Cohen told us that she hadn’t supported Prop. G, a top priority for affordable housing advocates, because she objected to certain technical provisions that could harm small property owners in her district. As for the contributions from Ellis Act evictors, she said the checks had been returned once the error was discovered. Her formal policy, she said, is not to intentionally take money from anyone involved in an Ellis Act eviction.

Speaking outside Potrero Terrace, Kelly said he thought all housing projects built on public land should make at least one-third of their units affordable to most San Franciscans. He also said renovation of public housing projects could be accelerated if the city loaned out money from its $19 billion employee retirement fund. Under the current system, funding for those improvements is leveraged by private capital.

Mold, pests, and even leaking sewage are well-documented problems in public housing. Dorothy Minkins, a public housing resident who joined Kelly and the others, told us that she’s been waiting for years for rotting sheetrock to be replaced by the Housing Authority, adding that water damage from her second-floor bathroom has left a hole in the ceiling of her living room. She related a joke she’d heard from a neighbor awaiting similar repairs: “He said, Christ will come before they come to fix my place.”

Lack of affordable housing is a sweeping trend throughout San Francisco, but it presents a unique challenge in D10, where incomes are lower on average (the notable exceptions are in Potrero Hill, dotted with fine residential properties overlooking the city that would easily fetch millions, and Dogpatch, where sleek new condominium dwellings often house commuters working at tech and biotech firms in the South Bay).

Home sale prices in the Bayview shot up 59 percent in two years, prompting the San Francisco Business Times to deem it “a hot real estate market adorned with bidding wars and offers way above asking prices.”

One single-family home even sold for $1.3 million. Historically, the Bayview has been an economically depressed, working-class area with a high rate of home ownership due to the affordability of housing — but that’s been impacted by foreclosures in recent years, fueling displacement.

Although statistics from the Eviction Defense Collaborative show that evictions did occur in the Bayview in 2013, particularly impacting African Americans and single-parent households, Cohen noted that evictions aren’t happening in D10 with the same frequency as in the Tenderloin or the Mission.

“When it comes to communities of color in the southeast, it’s about foreclosure or mismanagement of funds,” explained Cohen.

She said that a financial counseling services center had opened on Evans Street to assist people who are facing foreclosure, and added that she thought more should be done to market newly constructed affordable units to communities in need.

“There’s an error in how they’re marketing,” she said, because the opportunities are too often missed.

But critics say more is needed to prevent the neighborhood from undergoing a major transformation without input from residents.

“This district is being transformed,” Richard said. “A lot of folks are moving out — they’re moving to Vallejo, Antioch, Pittsburg. They don’t want to deal with the issues, and the violence, and the cost.”

At the same time, he noted, developers are flocking to the area, which has a great deal more undeveloped land than in other parts of the city.

“The community has no one they can turn to who will hold these developers accountable,” he said. “If the community doesn’t have a stake in it, then who’s winning?”

 

Taking a cue from SF, California Legislature bans plastic bags and offers paid sick leave

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California lawmakers took two big steps forward last week, passing a statewide plastic bag ban and a measure providing workers with three sick days a year, both issues borrowed from San Francisco. California is the second state to pass each bill, with Hawaii banning plastic bags in January of this year and Connecticut enacting a similar sick leave measure in 2012.

Gov. Jerry Brown pushed hard for the paid sick leave measure, which barely made it through both houses after losing steam following an amendment that excluded in-home health care workers. Passing the plastic bag ban was also uncertain near the end, but it passed the Assembly with a 44-29 vote and then made it through the Senate by a 22-15 count.

“It took six years of advocacy and the building of a grassroots movement to make this happen,” California Director of Clean Water Action Miriam Gordon said in a statement about the plastic bag ban. “But with 121 local ordinances already on the books across California, our Legislature finally followed the will of the people.”

Brown was similarly thrilled about the passing of the sick leave bill, calling the legislation a “historic action to help hardworking Californians…This bill guarantees that millions of workers – from Eureka to San Diego – won’t lose their jobs or pay just because they get sick.”

San Francisco voters passed a similar measure in 2006 called the Paid Sick Leave Ordinance. The law, which made it through with 61 percent of the vote in the November election, requires all employers to provide paid sick leave to employees (including part-timers) working in the city.

The state sick leave bill that passed on Saturday was a notable achievement for labor advocates, but some Democrats weren’t thrilled about the amendments that gave in-home health workers the short end of the stick. Sen. Holly Mitchell (D-Los Angeles) called it “BS” and told The Sacramento Bee, “I resent the fact that we are picking between two sets of workers.”

Lawmakers passed a few other notable measures last week, including a bill regulating groundwater and a gun-restraining measure that would give judges the power to temporarily remove firearms from those deemed dangerous or mentally unstable. The shooting incident in Isla Vista at UC Santa Barbara in May prompted the bill, while California’s extreme drought pushed the groundwater measure forward. Many believe the state is long overdue in making progress on gun control.

The firearm measure is key in preventing many of the mass shootings that have plagued the country in recent years. Assemblywoman Nancy Skinner (D-Berkeley) noted, via the Los Angeles Times, that “none of those individuals had a criminal record or a criminal background. So we need tools such as this.”

Though it also took an extreme event to stimulate the groundwater regulation bill, the new legislation figures to make serious inroads in the effort to stop a drought that is affecting more than 80 percent of the state. If Brown signs off on the bill, making California the last western state with such regulation, the state would have the ability to enforce restrictions, and local governments would be required to develop groundwater regulations.

“A critical element of addressing the water challenges facing California involves ensuring a sustainable supply of groundwater,” said Assemblyman Roger Dickinson (D-Sacramento) in a statement. “Overdrafting our groundwater leads to subsidence and contamination — consequences we cannot afford.”

 

Tom’s legacy

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steve@sfbg.com

At a moment when San Francisco politics has slid toward the slippery center — when one-time progressives align with business elites, the political rhetoric seems hollow, and the vaunted value of “civility” in City Hall increasingly looks more like a deceptive power grab by the Mayor’s Office — it feels so refreshing to talk with Tom Ammiano.

For one thing, he’s hilarious, always quick with quips that are not only funny, but often funny in insightful ways that distill complex issues down to their essence, delivered with his distinctive nasally honk and lightning timing. Ammiano developed as a stand-up comedian and political leader simultaneously, and the two professional sides feed off each other, alternatively manifesting in disarming mirth or penetrating bite.

But his humor isn’t the main reason why Ammiano — a 72-year-old state legislator, two-time mayoral candidate, and former supervisor and school board member — has become such a beloved figure on the left of state and local politics, or why so many progressives are sad to see him leaving the California Assembly and elected office this year for the first time since 1990.

No, perhaps the biggest reason why public esteem for Ammiano has been strong and rising — particularly among progressives, but also among those of all ideological stripes who decry the closed-door dealmaking that dominates City Hall and the State Capitol these days — is his political integrity and courage. Everyone knows where Tom Ammiano will stand on almost any issue: with the powerless over the powerful.

“Don’t make it about yourself, make it about what you believe in,” Ammiano told us, describing his approach to politics and his advice to up-and-coming politicians.

Ammiano’s positions derive from his progressive political values, which were informed by his working class upbringing, first-hand observations of the limits of American militarism, publicly coming out as a gay teacher at time when that was a risky decision, standing with immigrants and women at important political moments, and steadily enduring well-funded attacks as he created some of San Francisco’s most defining and enduring political reforms, from domestic partner benefits and key political reforms to universal health care.

“He has been able to remain true to his values and principles of the progressive movement while making significant legislative accomplishments happen on a number of fronts,” Sup. David Campos, who replaced Ammiano on the Board of Supervisors and is now his chosen successor in the California Assembly, told the Guardian. “I don’t know that we’ve fully understood the scope of his influence. He has influenced the city more than most San Francisco mayors have.”

So, as we enter the traditional start of fall election season — with its strangely uncontested supervisorial races and only a few significant ballot measures, thanks to insider political manipulations — the Guardian spent some time with Ammiano in San Francisco and in Sacramento, talking about his life and legacy and what can be done to revive the city’s progressive spirit.

 

 

LIFE OF THE CAPITOL

Aug. 20 was a pretty typical day in the State Capitol, perhaps a bit more relaxed than usual given that most of the agenda was concurrence votes by the full Senate and Assembly on bills they had already approved once before being amended by the other house.

Still, lobbyists packed the hall outside the Assembly Chambers, hoping to exert some last minute influence before the legislative session ended (most don’t bother with Ammiano, whose name is on a short list, posted in the hall by the Assembly Sergeant-at-Arms, of legislators who don’t accept business cards from lobbyists).

One of the bills up for approval that day was Ammiano’s Assembly Bill 2344, the Modern Family Act, which in many ways signals how far California has come since the mid-’70s, when Ammiano was an openly gay schoolteacher and progressive political activist working with then-Sup. Harvey Milk to defeat the homophobic Briggs Initiative.

The Modern Family Act updates and clarifies the laws governing same-sex married couples and domestic partners who adopt children or use surrogates, standardizing the rights and responsibilities of all parties involved. “With a few simple changes, we can help families thrive without needless legal battles or expensive court actions,” Ammiano said in a press statement publicizing the bill.

Ammiano arrived in his office around 10am, an hour before the session began, carrying a large plaque commending him for his legislative service, given to outgoing legislators during a breakfast program. “Something else I don’t need,” Ammiano said, setting the plaque down on a table in his wood-paneled office. “I wonder if there’s a black market for this shit.”

Before going over the day’s legislative agenda, Ammiano chatted with his Press Secretary Carlos Alcala about an editorial in that morning’s San Francisco Chronicle, “Abuse of disabled-parking program demands legislators act,” which criticized Ammiano for seeking minor changes in a city plan to start charging for disabled placards before he would sponsor legislation to implement it. The editorial even snidely linked Ammiano to disgraced Sen. Leland Yee, who is suspended and has nothing to do with the issue.

“I’ve had these tussles with the Chronicle from day one. They just want people to be angry with me,” Ammiano told us. “You stand up for anything progressive and they treat you like a piñata.”

He thought the criticism was ridiculous — telling Alcala, “If we do a response letter, using the words puerile and immature would be good” — and that it has as much to do with denigrating Ammiano, and thus Campos and other progressives, as the issue at hand.

“Anything that gets people mad at me hurts him,” Ammiano told us.

But it’s awfully hard to be mad at Tom Ammiano. Even those on the opposite side of the political fence from him and who clash with him on the issues or who have been subjected to his caustic barbs grudgingly admit a respect and admiration for Ammiano, even Lt. Gov. Gavin Newsom, who told the Guardian as much when we ran into him on the streets of Sacramento later that day.

Ammiano says he rarely gets rattled by his critics, or even the handful of death threats that he’s received over the years, including the one that led the San Francisco Police Department to place a protective detail on him during the 1999 mayor’s race.

“You are buoyed by what you do, and that compensates for other feelings you have,” Ammiano said of safety concerns.

Finally ready to prepare for the day’s business, he shouts for his aides in the other room (“the New York intercom,” he quips). The first question is whether he’s going to support a bill sponsored by PG&E’s union to increase incentives for geothermal projects in the state, a jobs bill that most environmental groups opposed.

“That is a terrible bill, it’s total shit, and I’m not going to support it,” Ammiano tells his aide. “It’s a scam.”

As Ammiano continued to prepare for the day’s session, we headed down to the Assembly floor to get ready to cover the action, escorted by Alcala. We asked what he planned to do after Ammiano leaves Sacramento, and Alcala told us that he’ll look at working for another legislator, “but there would probably be a lot more compromises.”

 

 

SPARKING CHANGE

Compromises are part of politics, but Ammiano has shown that the best legislative deals come without compromising one’s political principles. Indeed, some of his most significant accomplishments have involved sticking to his guns and quietly waiting out his critics.

For all the brassy charm of this big personality — who else could publicly confront then-Gov. Arnold Schwarzenegger at a Democratic Party fundraiser in 2009 and tell him to “kiss my gay ass!” — Ammiano has usually done the work in a way that wasn’t showy or self-centered.

By championing the reinstatement of district supervisorial elections and waging an improbable but electrifying write-in campaign for mayor in 1999 (finishing second before losing to incumbent Willie Brown in the runoff election), Ammiano set the stage for progressives to finally win control of the Board of Supervisors in 2000 and keep it for the next eight years, forming an effective counterbalance to Gavin Newsom’s pro-business mayoralty.

“I just did it through intuition,” Ammiano said of his 1999 mayoral run, when he jumped into the race just two weeks before election day. “There was a lot of electricity.”

After he made the runoff, Brown and his allies worked aggressively to keep power, leaning on potential Ammiano supporters, calling on then-President Bill Clinton to campaign for Brown, and even having Jesse Jackson call Ammiano late one night asking him to drop out.

“That’s when we realized Willie really felt threatened by us,” Ammiano said, a fear that was well-founded given that Ammiano’s loss in the runoff election led directly into a slate of progressives elected to the Board of Supervisors the next year. “It was a pyrrhic victory for him because then the board changed.”

But Ammiano didn’t seize the spotlight in those heady years that followed, which often shone on the younger political upstarts in the progressive movement — particularly Chris Daly, Matt Gonzalez, and Aaron Peskin — who were more willing to aggressively wage rhetorical war against Newsom and his downtown constituents.

By the time the 2003 mayor’s race came, Ammiano’s mayoral campaign became eclipsed by Gonzalez jumping into the race at the last minute, a Green Party candidate whose outsider credentials contrasted sharply with Newsom’s insider inevitability, coming within 5 percentage points of winning.

“I just bounced back and we did a lot of good shit after that,” Ammiano said, noting how district elections were conducive to his approach to politics. “It helped the way I wanted to govern, with the focus on the neighborhoods instead of the boys downtown.”

Perhaps Ammiano’s greatest legislative victory as a supervisor was his Health Care Security Ordinance, which required employers in San Francisco to provide health coverage for their employees and created the Healthy San Francisco program to help deliver affordable care to all San Franciscans.

The business community went ballistic when Ammiano proposed the measure in 2006, waging an aggressive lobbying and legal campaign to thwart the ordinance. But Ammiano just quietly took the heat, refused to compromise, and steadily lined up support from labor, public health officials, and other groups that were key to its passage.

“Maybe the early days of being a pinata inured me,” Ammiano said of his ability to withstand the onslaught from the business community for so long, recalling that in his 1999 school board race, “I really became a pinata. I got it in the morning from the Chronicle and in the afternoon from the Examiner.”

Ammiano kept Newsom apprised of his intentions and resolve, resisting entreaties to water down the legislation. “I kept talking to him and I told him I was going to do it,” Ammiano said. “Eventually, we got a 11 to zip vote and Newsom couldn’t do anything about it. That was a great journey.”

In the end, Newsom not only supported the measure, but he tried to claim Ammiano’s victory as his own, citing the vague promise he had made in his 2007 State of the City speech to try to provide universal health care in the city and his willingness to fund the program in his 2007-08 budget.

But Ammiano was happy with the policy victory and didn’t quibble publicly with Newsom about credit. “I picked my battles,” Ammiano said, contrasting his approach to Newsom with that of his more fiery progressive colleagues. “I tried to go after him on policy, not personality.”

Ammiano isn’t happy with the political turn that San Francisco has taken since he headed to Sacramento, with the pro-business, fiscally conservative faction of the city controlling the Mayor’s Office and exerting a big influence on the Board of Supervisors. But San Francisco’s elder statesman takes the long view. “Today, the board has a moderate trajectory that can be annoying, but I think it’s temporary,” Ammiano said. “These things are cyclical.”

He acknowledges that things can seem to a little bleak to progressives right now: “They’re feeling somewhat marginalized, but I don’t think it’s going to stay that way.”

 

FLOOR SHOW

Back on the Assembly floor, Ammiano was working the room, hamming it up with legislative colleagues and being the first of many legislators to rub elbows and get photos taken with visiting celebrities Carl Weathers, Daniel Stern, and Ron Perlman, who were there to support film-credit legislation

“Ron Perlman, wow, Sons of Anarchy,” Ammiano told us afterward, relating his conversation with Perlman. “I said, ‘They killed you, but you live on Netflix.’ I told him I was big fan. Even the progressives come here for the tax breaks.”

When Little Hoover Commission Chair Pedro Nava, who used to represent Santa Barbara in the Assembly, stopped to pose with Ammiano for the Guardian’s photographer, the famously liberal Ammiano quipped, “You’ll get him in trouble in Santa Barbara. Drill, baby, drill!”

Ammiano chairs the Assembly Public Safety Committee, where he has successfully pushed prison reform legislation and helped derail the worst tough-on-crime bills pushed by conservatives. “We have a lot of fun, and we get a chance to talk about all these bills that come before us,” Bob Wieckowski (D-Fremont), who chairs the Judiciary Committee, told the Guardian when asked about Ammiano. “You can see how these bad bills get less bad.”

Ammiano gave a short speech when his Modern Family Act came up for a vote, noting that it “simplifies the law around these procedures,” before the Assembly voted 57-2 to send it to the governor’s desk, where he has until Sept. 30 to act on it. “I think he’ll sign it,” Ammiano told the Guardian, “even though it’s about reproduction and naughty bits.”

“He’s a hoot,” Assemblymember Reggie Jones-Sawyer (D-Los Angeles) said of Ammiano, whose desk is right behind his own. Jones-Sawyer said that he’d love to see Ammiano run for mayor of San Francisco, “but he’s waiting for a groundswell of support. Hopefully the progressives come together.”

Jones-Sawyer said Ammiano plays an important role as the conscience of a Legislature that too often caters to established interests.

“There’s liberal, progressive, socialist, communist, and then there’s Tom,” Jones said. “As far left as you can go, there’s Tom, and that’s what we’re going to miss.”

Yet despite that strong progressive reputation, Ammiano has also been an amazingly effective legislator (something that might surprise those supporting the campaign of David Chiu, which has repeatedly claimed that ideological progressives like Ammiano and Campos can’t “get things done” in Sacramento).

Last year, Ammiano got 13 bills through the Legislature — including three hugely controversial ones: the TRUST Act, which curbs local cooperation with federal immigration holds; the Domestic Workers Bill of Rights; and a bill protecting transgender student rights in schools, which was savaged by conservative religious groups — all of which were signed into law by Gov. Jerry Brown.

“A lot of it is personal relationships, some is timing, and some is just sticking to it,” Ammiano said of effectiveness.

Some of his legislative accomplishments have required multiyear efforts, such as the Domestic Workers Bill of Rights, which was vetoed in 2012 before being signed into law last year with only a few significant changes (see “Do we care?” 3/26/13).

“Tom Ammiano was so incredible to work with,” Katie Joaquin, campaign coordinator for the California Domestic Workers Coalition, for whom the bill had long been a top priority, told the Guardian.

The large grassroots coalition backing the bill insisted on being a part of the decision-making as it evolved, which is not always easy to do in the fast-paced Capitol. But Joaquin said Ammiano’s history of working with grassroots activists made him the perfect fit for the consensus-based coalition.

“That’s difficult to do in the legislative process, and working with Tom and his office made that possible,” Joaquin told us. “He wanted to make sure we had active participation in the field from a variety of people who were affected by this.”

When the bill was vetoed by Gov. Brown, who cited paternalistic concerns that better pay and working conditions could translate into fewer jobs for immigrant women who serve as domestic workers, Joaquin said Ammiano was as disappointed as the activists, but he didn’t give up.

“It was really hard. I genuinely felt Tom’s frustration. He was going through the same emotions we were, and it was great that he wanted to go through that with us again,” Joaquin told us. “Sometimes, your allies can get fatigued with the long struggles, but Tom maintained his resolve and kept us going.”

And after it was over, Ammiano even organized the victory party for the coalition and celebrated the key role that activists and their organizing played in making California only the second state in the nation (after New York) to extend basic wage, hour, and working condition protections to nannies, maids, and other domestic workers excluded under federal law.

“He has a great sense of style,” Joaquin said of Ammiano, “and that emanates in how he carries himself.”

 

 

COMING OUT

Ammiano came to San Francisco in 1964, obtaining a master’s degree in special education from San Francisco State University and then going on to teach at Hawthorne Elementary (now known as Cesar Chavez Elementary). He quickly gained an appreciation for the complex array of issues facing the city, which would inform the evolution of his progressive worldview.

“In teaching itself, there were a lot of social justice issues,” Ammiano said. For example, most native Spanish-speakers at the time were simply dumped into special education classes because there wasn’t yet bilingual education in San Francisco schools. “So I turned to the community for help.”

The relationships that he developed in the immigrant community would later help as he worked on declaring San Francisco a sanctuary city as waves of Central American immigrants fled to California to escape US-sponsored proxy wars.

Growing up a Catholic working class kid in New Jersey, Ammiano was no hippie. But he was struck by the brewing war in Vietnam strongly enough that he volunteered to teach there through a Quaker program, International Volunteer Service, working in Saigon from 1966-68 and coming back with a strong aversion to US militarism.

“I came back from Vietnam a whole new person,” he told us. “I had a lot of political awakenings.”

He then worked with veterans injured during the war and began to gravitate toward leftist political groups in San Francisco, but he found that many still weren’t comfortable with his open homosexuality, an identity that he never sought to cover up or apologize for.

“I knew I was gay in utero,” Ammiano said. “I said you have to be comfortable with me being a gay, and it wasn’t easy for some. The left wasn’t that accepting.”

But that began to change in the early ’70s as labor and progressives started to find common cause with the LGBT community, mostly through organizations such as Bay Area Gay Liberation and the Gay Teachers Coalition, a group that Ammiano formed with Hank Wilson and Ron Lanza after Ammiano publicly came out as a gay teacher in 1975.

“He was the first public school teacher to acknowledge that he was a gay man, which was not as easy as it sounds in those days,” former Mayor Art Agnos told us, crediting Ammiano with helping make support for gay rights the default political position that it became in San Francisco.

San Francisco Unified School District still wasn’t supportive of gay teachers, Ammiano said, “So I ran for school board right after the assassinations [of Mayor George Moscone and Sup. Harvey Milk in 1978] and got my ass kicked.”

Shortly thereafter, Ammiano decided to get into stand-up comedy, encouraged by friends and allies who loved his sense of humor. Meanwhile, Ammiano was pushing for SFUSD to name a school after Milk, as it immediately did for Moscone, a quest that dragged on for seven years and which was a central plank in his unsuccessful 1988 run for the school board.

But Ammiano was developing as a public figure, buoyed by his stand-up performances (which he said Chronicle reporters would sometimes attend to gather off-color quotes to use against him in elections) and increased support from the maturing progressive and queer communities.

So when he ran again for school board in 1990, he finished in first place as part of the so-called “lavender sweep,” with LGBT candidates elected to judgeships and lesbians Carole Migden and Roberta Achtenberg elected to the Board of Supervisors.

On the school board, Ammiano helped bring SFUSD into the modern age, including spearheading programs dealing with AIDS education, support for gay students, distribution of condoms in the schools, and limiting recruiting in schools by the homophobic Boy Scouts of America.

“I found out we were paying them to recruit in the schools, but I can’t recruit?” Ammiano said, referencing the oft-raised concern at the time that gay teachers would recruit impressionable young people into homosexuality.

As his first term on the school board ended, a growing community of supporters urged Ammiano to run for the Board of Supervisors, then still a citywide election, and he was elected despite dealing with a devastating personal loss at the time.

“My partner died five days before the election,” Ammiano said as we talked at the bar in Soluna, tearing up at the memory and raising a toast with his gin-and-tonic to his late partner, Tim Curbo, who succumbed to a long struggle with AIDS.

Ammiano poured himself into his work as a supervisor, allied on the left at various points in the mid-late ’90s with Sups. Sue Bierman, Terrence Hallinan, Leland Yee, Mabel Teng, Angelo Alioto, and Carole Migden against the wily and all-powerful then-Mayor Brown, who Ammiano said “manipulated everything.”

But Ammiano gradually began to chip away at that power, often by turning directly to the people and using ballot measures to accomplish reforms such as laws regulating political consultants and campaign contributions and the reinstatement of district supervisorial elections, which decentralized power in the city.

“People frequently say about politicians, when they want to say something favorable, that they never forgot where they came from,” Agnos told us. “With Tom, he never forgot where he came from, and more importantly, he never forgot who he was…He was an authentic and a proud gay man, as proud as Harvey Milk ever was.”

And from that strong foundation of knowing himself, where he came from, and what he believed, Ammiano maintained the courage to stand on his convictions.

“It’s not just political integrity, it’s a reflection of the man himself,” Agnos said, praising Ammiano’s ability to always remain true to himself and let his politics flow from that. “A lot of politicians don’t have the courage, personal or political, to do that.”

 

 

WHAT’S NEXT

Ammiano’s legacy has been clearly established, even if it’s not always appreciated in a city enamored of the shiny and new, from recent arrivals who seem incurious about the city’s political history to the wave of neoliberal politicians who now hold sway in City Hall.

“Tom has carried on the legacy of Harvey Milk of being the movement progressive standard bearer. He has, more than anyone else, moved forward progressive politics in San Francisco in a way that goes beyond him as an individual,” Campos said, citing the return of district elections and his mentoring of young activists as examples. “He brought a number of people into politics that have been impactful in their own right.”

Campos is one of those individuals, endorsed by Ammiano to fill his District 9 seat on the Board of Supervisors from among a competitive field of established progressive candidates. Ammiano says he made the right choice.

“I have been supportive of him as a legislator and I think he’s doing the right things,” Ammiano said of Campos, adding an appreciation for the facts that he’s gay, an immigrant, and a solid progressive. “He’s a three-fer.”

Ammiano said that Campos has been a standout on the Board of Supervisors in recent years, diligently working to protect workers, tenants, and immigrants with successful efforts to increase tenant relocation fees after an eviction and an attempt to close the loophole that allows restaurants to pocket money they’re required to spend on employee health care, which was sabotaged by Chiu and Mayor Lee.

“I like his work ethic. He comes across as mild-mannered, but he’s a tiger,” Ammiano said of Campos. “If you like me, vote for David.”

But what about Ammiano’s own political future?

Ammiano said he’s been too busy lately to really think about what’s next for him (except romantically: Ammiano recently announced his wedding engagement to Carolis Deal, a longtime friend and lover). Ammiano is talking with universities and speakers bureaus about future gigs and he’s thinking about writing a book or doing a one-man show.

“Once I get that settled, I’ll look at the mayor’s race and [Sen. Mark] Leno’s seat,” Ammiano said, holding out hope that his political career will continue.

Ammiano said the city is desperately in need of some strong political leadership right now, something that he isn’t seeing from Mayor Lee, who has mostly been carrying out the agenda of the business leaders, developers, and power brokers who engineered his mayoral appointment in 2011.

“Basically, he’s an administrator and I don’t think he’ll ever be anything but that,” Ammiano said. “We are so fucking ready for a progressive mayor.”

If Ammiano were to become mayor — which seems like a longshot at this point — he says that he would use that position to decentralize power in San Francisco, letting the people and their representatives on the Board of Supervisors have a greater say in the direction of the city and making governance decisions more transparent.

“I don’t believe in a strong mayor [form of government],” Ammiano said. “If I was mayor, all the commission appointments would be shared.”

But before he would decide to run for mayor, Ammiano says that he would need to see a strong groundswell of public support for the values and ideals that he’s represented over nearly a half-century of public life in San Francisco.

“I don’t want to run to be a challenger,” Ammiano said. “I’d want to run to be mayor.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ranks of opposition to 16th and Mission development grow as Plaza 16 pushes forward

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In the sea of nonprofit leaders, career organizers, and rabblerousers, one old man put the Mission’s struggle into context, last night [Thu/28]. It was a majority Latino district even as recently as the ’90s, he told the crowd gathered in St. John’s Episcopal Church last night. But now: “Here in the Mission, I can count the Latinos on my hands.”

The stakes are high as the Plaza 16 coalition raised its concerns about a proposed housing project that would tower over the BART plaza at 16th and Mission last night, with representatives from nonprofits and other organizations around the city gathering to seek more community support for the struggle. 

The 10-story residential behemoth proposed by Maximus Real Estate Partners is hotly contested. Organizers of Plaza 16  (so named for the plaza across from the development at 16th and Mission), say the development has only 42 proposed affordable housing units which would be built on site, and those aren’t even a sure thing. The rent for the rest of the building’s units range between $3,500 to $5,000 a month. Gabriel Medina, policy manager of the Mission Economic Development Agency, stated the obvious: That’s a price most current Mission residents can’t afford. 

“Does that sound like units for the Mission community?” Medina asked the crowd. “No!” they shouted in reply. 

Of course, the development isn’t meant for Mission residents, but for the incoming wave of upper middle class workers who can afford $42,000 a year in rent. But that sticker shock is only part of the problem.

Many supply-side housing development advocates argue San Francisco needs to build, build, build in order to offer enough housing supply to bring rental prices down (a theory many progressives disagree with). But last night, the focus was on exactly what type of construction the city is encouraging, and how that will hurt the Mission in the short term. 

I was born and raised here on 16th and Mission,” Elsa Ramos, 23, told the crowd, microphone in hand. “There’s no way for us to have another space. We’re a family of nine now, I just saw the birth of my first niece.”

Ramos is worried the Maximus development would drive up the price of her family’s unit, or lead to their eviction. When speaking with the Guardian, Ramos said her father has diabetes, and depends on city services for his healthcare. Her siblings all depend on city aid as well. Ramos’ fears were echoed by representatives of the nonprofits present, but scaled to the entire neighborhood. 

If everyone is evicted, we’re going to lose our client base,” Maria Zamudio, an organizer from Causa Justa/Just Cause, told the crowd. “We will not have clients to provide safety nets for. There will be no communities of color.”

Some of the nonprofit representatives present expressed concern with Plaza 16’s plan. “You can’t just show them you’re opposed,” one man said. “You have to show them your vision.”

Plaza 16 representatives said they want to see the Maximus project abandoned entirely. Some executives from Maximus were involved with predatory lending schemes, they allege. They also allege Maximus executives were partly responsible for the Parkmerced debacle, where many rent-controlled units were seemingly lost, the subject of a controversial court case. Maximus representatives didn’t return a Guardian call for comment. 

Though there was some dissent, ultimately the nonprofits gathered expressed unified support. The spectre of forcing longtime local residents into suburban ghettos lingered over the discussion.

Ferguson is [an example of] suburbanized poverty and segregation,” Medina told the Guardian. It’s one thing living in a low-income community in a city, he said, where nonprofits can lend aid like tutoring, shelters, free food or legal services. But like Ferguson, the suburban ghettos of the Bay Area often lack those safety nets, he said.

It seems the nonprofits present got the point, as over 15 new organizations joined the Plaza 16 coalition last night.

Midway through the meeting, Zamudio handed out cards to each of the nonprofit representatives present. A red card meant the organization would now support the fight against Maximus, an orange card would signify a need to stay neutral, a green card meant Maximus support, and a yellow card would signal an undecided vote.

When asked who was in support of the coalition, a sea of hands with red cards raised up high.

They say it’s a gold rush. This isn’t a gold rush,” Carlos Gutierrez from HOMEY told the crowd. “This is where people live, these are people’s homes.”

Public hospitals are too Lean

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OPINION

The San Francisco Department of Public Health is paying Rona Consulting Group, an out-of-state consulting firm, $1.3 million of taxpayer dollars to implement a program called “Lean,” allegedly to improve patient services. The “Lean” program is based on the Japanese Toyota automobile production model.

Hospital quality improvement schemes such as the Lean promise decreased waiting times, improved communication, more satisfied patients, and safer care. Quality care should also decrease the incidence of hospital-acquired conditions so that patients leave the hospital without getting new infections, falling, or getting pressure ulcers such as “bed sores.”

Hospital administrators are telling health care workers and patients that Lean will achieve these widely shared goals. Yet despite years of efforts, there is no evidence that it works, and growing concern that resources must be increased rather than prescribing the Lean diet to an already starving public health infrastructure.

Health care should be based on the best available science — not corporate sales. The Lean program encourages the hospital staff to consider its workplace as a factory shop floor, and to consider their patients and work as a product. The competition for well-insured patients and improved satisfaction for reimbursement has caused hospital administrators and Lean consultants to propose surgical clinics that resemble Nordstrom or the Hyatt Regency.

Lean’s management methodology, based on Toyota’s selected Japanese words, is used to mystify and dazzle. Instead of the pharmacy window, we are told that all staff must go to the “gemba,” which the consultants (not the dictionary) say is Japanese for “where the work happens.” Many highly paid hospital administrators and even clinical staff have been re-named as “kaizen promotion office” leaders. Those who have completed advanced training are awarded a “black belt.” The use of Japanese terms is clearly meant to add a sense of authority.

Evidence-based medicine and nursing have been examining high-quality studies of the effectiveness of improvement schemes such as Lean. According to “Guiding Inpatient Quality Improvement: A Systematic Review of Lean” (The Joint Commission, 2012), “the true impact of these approaches is difficult to judge, given that the lack of rigorous evaluation or clearly sustained improvements provides little evidence supporting broad adoption.” This leads to very expensive, wishful thinking. When consultants are paid from $4,700 to $25,000 a day from public funds intended to construct a seismically sound hospital (see “Toyota work methods applied at General Hospital” San Francisco Bay Guardian, May 7, 2014) it seems important to consider what randomized controlled trials tell us. The taxpayers have a right to know what to expect from this scheme, but there are no controlled scientific studies to tell us.

Despite more than 10 years of multiple published studies, very few consulting firms even report statistics. Those that do show weak evidence of effectiveness, and none show sustained improvement. If Lean were a medication, it would never receive approval from the Food and Drug Administration, as we don’t know if it helps or hurts the care of patients. As it is, hospitals are performing a single-group intervention study without ethical approval or consent from the workers and the patients.

Hospitals should be providing their patients with the best care, not the cheapest. Even if Lean didn’t come with a price tag to taxpayers ranging in millions of dollars for consultants to do the work that administrators should be doing, the underlying notion of speed is dangerous in health care. Public health patients are even more vulnerable with increased prevalence of poverty-related co-morbidities, from diabetes to tuberculosis. If there were a way to more quickly cure our population of its many ills, we would embrace Lean.

Nobody likes to wait around, but the human connection between caregiver and patient takes time. Efficiency should not be valued over safety. Furthermore, many patients would be unhappy to learn that they are being viewed as inanimate products on an assembly line. Nor does it please health workers to think of themselves as robots.

Hospital safety under Lean is being modeled after the same automobile corporation that was just forced to pay $1.2 billion for concealing safety defects (“Toyota Is Fined $1.2 Billion for Concealing Safety Defects” New York Times, March 19, 2014). The safety defects were implicated in unintended acceleration of some Toyota vehicles that led to injury and death. Speed was certainly not helpful in that situation. Perhaps DPH should critically examine Lean before prescribing a diet to our vulnerable safety-net patients. Maybe we need more, not faster, health care workers.

Ed Kinchley has worked for DPH for 30 years, after spending nine years in Japan.

Rise up singing

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cheryl@sfbg.com

FILM A remarkably effective — and remarkably simple — form of music therapy pioneered by New York social worker Dan Cohen finds a strong advocate in filmmaker Michael Rossato-Bennett, whose documentary Alive Inside benefits greatly from its awesomely cinematic results. The doc sprang from a 2011 YouTube video, “Man In Nursing Home Reacts to Hearing Music from His Era,” a six-minute clip that went viral after a Reddit post. (It’s since garnered nearly 1.5 million views.)

The scene is a typically depressing nursing home, where an elderly man named Henry sits hunched over in a wheelchair. But once he’s given a pair of headphones and an iPod loaded with the gospel songs he used to love, he lights up. His eyes open wide. He boogies in his chair. He croons along at the top of his lungs. Even more incredibly, after the headphones are lifted, he’s able to converse with Rossato-Bennett, enthusing about Cab Calloway and his long-ago job as a “grocery boy.” In just seconds, the music he’d long forgotten seemingly zapped Henry with fresh life, enabling him to connect with his memories and express himself with surprising energy.

No wonder Rossato-Bennett, who filmed numerous examples of this phenomenon over the three years he followed Cohen, chose to make Alive Inside his first feature-length doc. Even though we know what to expect after seeing Henry’s reaction, the before-and-afters are intensely moving with every patient: the bipolar schizophrenic whose constant distress is alleviated, however briefly, by a spontaneous encounter with a funky tune; the man with dementia who sparks with his healthy wife, to her teary-eyed delight, as they listen to the Shirelles; the middle-aged woman whose frustration with her forgetfulness is soothed by a much-needed dose of the Beach Boys. And it’s not just the pleasure of hearing the music, Alive Inside suggests; it’s the regained sense of identity and emotion that music triggers in people whose memories have been essentially wiped clean.

Though the film could’ve probably sustained interest just based on these small yet monumental moments, Rossato-Bennett widens his focus to include neurology — Dr. Oliver Sacks explains how music is “a back door into the mind” for patients with Alzheimer’s and related diseases — and the history of American elder care, expanded upon by physicians and others who think the current system favors efficiency over nurturing. (It also struggles against a culture where youth is prized, and aging people are seen as something to be hidden away.) Care facilities emphasize regimented schedules, and most patients are overly medicated. As activist and geriatric medicine specialist Dr. Bill Thomas points out, the big bucks in health care are in pharmaceuticals. One social worker’s dream of distributing iPods filled with big band jams and other music tailored specifically to each patient is a fringe idea at best, no matter how effective it’s proven to be.

Alive Inside also investigates music’s primal powers, with Bobby “Don’t Worry, Be Happy” McFerrin and Musicians for World Harmony co-founder Samite Mulondo offering their expertise. More of an enigma is Cohen (Rossato-Bennett handles the occasionally over-sentimental narration), a lanky, soft-spoken man who cares deeply about the people he’s trying to help, even doing an awkward shuffle with a patient enjoying her first iPod experience. Cohen’s nonprofit, Music & Memory, came about as a result of his volunteer work in nursing homes, which he describes as a “life-changing experience.” Unfortunately, not everyone shares his point of view. We see him networking at a long-term care conference with some success, but he’s also shown pleading his case to facilities that refuse to accommodate him, and prodding deep-pocketed corporations that decline to donate.

Alive Inside‘s delighted chronicling of its own viral origins — Henry and his gospel awakening — caps the movie with a sense of hope that maybe The Kids can be bothered to care about The Olds, after all. One way to start: At screenings across America, including at San Francisco’s Opera Plaza, Cohen’s Music & Memory will have donation boxes to scoop up working iPods for its cause. *

 

ALIVE INSIDE opens Fri/8 in Bay Area theaters.

Everyone’s hospital

15

rebecca@sfbg.com

“I am a survivor of the AIDS epidemic,” Daniel volunteered, beginning to tell us his very San Francisco story.

He was diagnosed with HIV in the 1980s. Working in fine dining rooms of San Francisco hotels at the time, he had health insurance, and had gone to Kaiser for an unrelated procedure. That led to a blood test — and then wham.

“They just bluntly, without any compassion, just told me: You have it,” Daniel said. “Like telling you that you have a pimple on your nose or something.”

All around him, friends were dying from the disease. “I didn’t freak out, because that’s just my personality,” he recalled. “I know a lot of people who have been diagnosed, and they want to take their lives or whatever.”

Today, he’s unemployed and living on a fixed income. He lost his left eye years ago to an infection linked to HIV; he now has a prosthetic eye.

“I’m single, disabled, and low-income,” reflected Daniel, who didn’t want his last name printed due to privacy concerns. Originally from El Salvador, his family came to the U.S. when he was 10 and Daniel has permanent resident status. But despite the disadvantages he faces, Daniel still isn’t freaking out. His medical needs are met.

He got on MediCal after having to drop Kaiser. “And then I ended up at SF General,” he said, “with some of the most professional staff, doctors rated worldwide. It has some of the most professional health care providers for HIV, all in one place.”

Daniel is one satisfied San Francisco General Hospital patient, and he might as well be a poster child for how public health is supposed to work in big cities. Rather than being deprived of primary care and then showing up at the emergency room with preventable complications stemming from his disease, he’s keeping everything in check with regular doctor’s visits — and he can access this high level of care even though he’s on a very tight budget.

There’s a concerted effort underway in the San Francisco Department of Public Health to give more patients precisely the kind of experience Daniel has had, while also expanding its role as the region’s go-to trauma center.

But a difficult and uncertain road lies ahead of that destination, shaped in part by federal health care reform. The new course is being charted amid looming financial uncertainty and with more patients expected to enter the system and the doors of SF General.

Not every General Hospital patient is as lucky as Daniel. For scores of others, SF General is the last stop after a long, rough ride.

 

EMERGENCY CARE

Craig Gordon and Dan Goepel drive an ambulance for the San Francisco Fire Department, regularly charging through congested city streets with sirens blaring as they rush patients to SF General and other care facilities. They see it all: Patients who are violent and psychotic and need to be restrained in the back of the ambulance, folks who’ve just suffered burns or gunshot wounds.

Sometimes, in the thick of all of this, SF General’s Emergency Department is closed to ambulances — in public safety lingo, it’s called being “on diversion” — so the medics will have to reroute to different hospitals.

SF General might go on diversion because the Emergency Department is too slammed to take on anyone new, or because it’s too short-staffed to take on new patients without pushing nurse-to-patient ratios to unsafe levels.

For serious trauma cases, strokes, heart attacks, or traumatic brain injuries, however, the doors are always open. Patients with less-serious cases are the ones to be turned away when the hospital is on diversion.

Patients who wind up en route to SF General in Gordon and Goepel’s ambulance might be living on the margins. “If you’re kind of living on the cusp … you’re not likely going to pursue getting a primary care physician,” Goepel pointed out. “When something comes up, then you find yourself in the emergency room.”

Or their patients might be getting rescued from a spectacularly awful situation, like a plane crash. In this densely populated, earthquake-prone region, there is only one top-level trauma center between Highway 92 and the Golden Gate Bridge: SF General. Anyone in the city or northern San Mateo County unfortunate enough to experience a life-threatening incident — a car wreck, shooting, nasty fall, boating accident — winds up there, regardless of whether they’re rich or poor, indigent or insured. Ranked as a Level 1 trauma center, SF General is equipped to provide the highest level of care.

“In the summer, when school is out, we have a high season of gunshot wounds and stab wounds,” explained Chief Nursing Officer Terri Dentoni, who recently led the Guardian on a tour of the Emergency Department. “When it’s really nice outside, you have a lot of people who get into bike accidents, car accidents. … Last week, we were just inundated with critical care patients.”

Around 100,000 patients flow through SF General’s doors each year, and more than 3,900 need trauma care. On July 6, 2013, when Asiana Airlines’ Flight 214 crash-landed at San Francisco International Airport, more than 60 crash victims were rushed to SF General with critical issues ranging from organ damage to spinal injuries.

“It was a very big tragedy,” Dentoni said. “But it was amazing how many people we took care of, and how well we took care of them.”

Aside from being the sole trauma center, SF General is also designated as the county’s safety-net hospital, making it the only healthcare option for thousands who are uninsured, poor, undocumented, homeless, or some combination thereof. This makes for complex cases. Patients might require translators, be locked in psychiatric episodes, or need a social worker to help them get to a medical respite facility after being discharged if they’re too weak to fend for themselves and don’t have anyplace to go. There isn’t always a place to send them off to.

“We’re seeing people who are dealing with poverty, and often homelessness, in addition to mental health issues,” explained Jason Negron, a registered nurse in the Emergency Department. “You’re seeing patients who often have a number of things going on. Someone who has multiple illnesses — HIV, heart failure, Hepatitis C — even under the best of circumstances, they would be juggling medications. So what happens when they’re out on the streets?”

San Francisco ranks high on the list of health-conscious cities, a haven for organic food aficionados, yoga addicts, and marathon runners. It’s also a world of high stakes struggles and mounting economic pressures. With the city’s skyrocketing cost of living, sudden job loss can spell disaster for someone without a financial cushion. SF General is the catchall medical care facility for anyone who’s slipped through the cracks.

But while rank-and-file hospital staff must tackle grueling day-to-day problems, like how to juggle multiple patients with complex health issues when all the beds are full and the hospital is understaffed, hospital administrators face an altogether different challenge.

For the past several years, the city’s Department of Public Health has been preparing for the implementation of the Affordable Care Act, aka Obamacare, the federal policy that is reshaping the health care landscape. Since public hospitals are mandated to provide safety-net care, they are uniquely impacted by the ACA.

Even with a sweeping new rule mandating health insurance for all, some segment of the population will nevertheless remain uninsured. But they’ll still need medical care — and when health crises come up, they’ll turn to SF General. Trouble is, no one knows exactly how much funding will be available to meet that need as the financial picture shifts.

 

FUNDING CUTS LOOM

Even as ACA aims to increase access to medical care, it’s also going to trigger major funding cuts at the local level. With both state and federal funding being slashed, San Francisco’s county health system stands to lose $131 million in financial support over the next five years, a budgetary hit totaling around 16 percent.

That’s a significant shortfall that will directly impact SF General — but the cuts are being made with the expectation that these gaps will be filled by reimbursements riding in on the waves of newly insured patients enrolled in ACA. Before federal health care reform took effect, around 84,000 San Franciscans lacked health insurance. At the start of this year, 56,000 became eligible to enroll in a health insurance plan.

SF General serves most of the area’s MediCal patients, the subsidized plan for people living on less than $16,000 a year. And since the county gets reimbursed a flat rate for each patient, the expansion of MediCal under federal health care reform will presumably help San Francisco absorb the state and federal funding losses.

“There’s a certain set of patients who previously were not paid for, who now will have MediCal,” explained Ken Jacobs, an expert in health care policy and professor at the UC Berkeley Labor Center.

But there’s a catch. Since MediCal and insured patients will be able to choose between San Francisco’s public system (called the San Francisco Health Plan) and a private medical provider, SF General also runs the risk of losing patients. If too many decide to go with Anthem Blue Cross instead, the system could veer into the red.

“There’s some question of what share of those we’ll keep,” Jacobs noted.

Asked about this, hospital CEO Sue Currin sounded a note of confidence. “Because our outcomes and our quality of care has been so high…75 percent of everyone who’s enrolled in MediCal managed care default to the Department of Public Health,” she told us.

But the journey toward ACA has only just begun, and things are still falling into place. Costs are projected to rise if nothing is done to improve efficiency, while at the same time, the pending state and federal funding shortfalls could take a toll.

Retaining and attracting insured patients is the only way to avoid a resource crunch — but patients could always walk away if they’re dissatisfied. This uncertainty “makes financial planning and management of risk even more challenging,” according to a report issued by the City Controller.

“We don’t know yet today how the Affordable Care Act will impact the safety net,” acknowledged Erica Murray, CEO of the California Association of Public Hospitals, which represents 21 public safety-net institutions throughout the state. “How are these health care systems evolving to be competitive? How do we continue to fulfill our core mission of being the safety net? That is the fundamental challenge. And we don’t know today, and we can’t be certain, that these public health systems will have sufficient funding.”

It’s all “very dynamic,” Murray said. “We don’t have sufficient data to be able to draw any definitive conclusions. It’s just too short of a time to be able to make any predictions. It will take several years.”

For all the newly insured patients under ACA, a certain segment will continue to rely on the safety net. Undocumented immigrants who don’t qualify will be left outside the system. Some individuals can be expected to outright refuse ACA enrollment, or be too incapacitated to do so. Others will opt out of Covered California, the ACA plan for people who make more than about $29,000 a year, because their budgets won’t stretch far enough to afford monthly payments even though they technically qualify. They’ll need safety-net care, too.

Yet under the new regime, “We can’t, as a safety net, go forward only with uninsured patients — because there won’t be funding to sustain the whole organization,” explained hospital spokesperson Rachael Kagan. “We will still have uninsured patients, always. But it won’t be sufficient to serve only them.”

Mike Wylie, a project manager in the Controller’s Office, worked on the city’s Health Reform Readiness project, an in-depth assessment performed in tandem with DPH and consultants. “The million dollar question is: Are we going to be on target with the projections?” Wylie asked.

Instead of standing still, San Francisco’s health system must transform itself, the Health Reform Readiness study determined. Ask anyone who works in health care management in the city, and they’ll tell you that DPH has been working on just that. The idea is to focus on network-wide, integrated care that runs more efficiently.

“We need to switch from being the provider of last resort, to the provider of choice,” Wylie noted, voicing an oft-repeated mantra.

This could mean fielding more patient calls with nursing hotlines, or using integrated databases to improve communication. There’s also emphasis on increasing the number of patients seen by a care provider in a given day. The report urged the department to ramp up its productivity level from 1.5 patient visits per hour, where it currently stands, to 2.25 patient visits per hour. Currin noted that the hospital has also been looking into group patient visits.

“Part of getting ready for health care reform was creating more medical home capacity,” Currin said, referring to a system where multiple forms of care are integrated into a single visit, “so we knew we needed to have better access to primary care.”

If no changes are made, the Health Reform Readiness study found, the city’s General Fund contribution to DPH is projected to rise substantially — to $831 million by 2019, up from $554 million in 2014-15.

“We’re a little concerned about this rising General Fund support,” Wylie noted. And even though staffing represents a major expenditure, “They didn’t assume cuts in staff,” while performing the assessment, he said. “What they’re trying to get is more outputs, more efficiency. The managers went over this and said: in order for us to survive, we’ve got to get more out of our system. We may have to cut money — we may have to cut later, if city leaders don’t commit to this rising General Fund. We’ve got to do all these best practices.”

Throughout crafting this road map, he added, “There were some uncomfortable meetings and uncomfortable moments. But I think [DPH Director] Barbara Garcia got everyone to agree to these strategies.”

Talk to rank-and-file hospital staff, however, and some will tell you that getting more out of the system is a tall order — especially when the system already feels like it’s busting at the seams.

 

SPACE CRUNCH, STRESSED STAFF

“We hit capacity every single day,” said Negron, the RN in the Emergency Department. Patients are regularly placed on beds in the hallways, he said. Wait times for the Emergency Department can last four to six hours, or even longer. The hospital is working on limiting those waits, not just because it’s better in practice, but because timely patient care is mandated under ACA.

“Now, we have 26 or 27 licensed beds in our Emergency Department,” Negron said. But in reality, on a regular basis, “We function with 45 to 50 patients.”

A nurse who works in the Psychiatric Emergency Services unit described her work environment as “a traffic jam with all lanes blocked. This is totally business as usual.”

The workload is on the rise, she added. “The psych emergency room used to see 500 patients a month,” she said. “Now we see 600 patients a month, sometimes more. People are moving faster and faster through the system.”

Her unit is the receiving facility for anyone who is placed on an involuntary psychiatric hold, known as a 5150, for individuals who are a danger to themselves or others or gravely disabled.

“It doesn’t matter who they are,” she said. “We get homeless and destitute. We get CEOs. And we have had CEOs — it’s an experience for everyone involved.” Some patients have been involved in criminal activity. “I’ve had high profile people in my unit; people who have done things that, if I tell you what they did, you would easily be able to Google them.”

Patients who come to her wing need to be evaluated, because someone has determined that they are dangerous. It could be that they are “eating rotten food, or running naked in the street, or suicidal, or want to jump off Golden Gate Bridge, or their family thinks they’re out of control.” Sometimes, patients have to be let go once they’re no longer deemed to be a threat, but they still aren’t altogether recovered, she said.

In the psychiatric inpatient unit, meanwhile, the total number of beds has declined from 87 to 44 in the past five years — leading some staff members to voice concerns.

“There is more to do, and there’s less time to do it,” said another staff member who did not want to be named. This person said one psych unit was essentially shut down and another left open — “but then … a patient climbed up into the ceiling, broke some pipes, and flooded the room” in the open unit, so everything was shifted back to the closed unit.

In part, the daily patient crunch is due to a vacancy rate in the hospital nursing staff that hovers around 18 percent — but steps are being taken to address this problem, caused in part by the city’s Byzantine hiring process.

“The nurses are concerned about how, on a day-to-day basis, they don’t feel they have the support and resources they need,” said Nato Green, who represented the nurses’ union, SEIU Local 1021, in recent contract negotiations. “Staff was expected to do more with less. SF General chronically operates at a higher capacity than what it is budgeted for.”

Currin, the hospital CEO — who started out as a nurse herself — rejected this assertion, saying it is not the norm for the hospital to operate over budget. She added that she would like to reduce the nursing staff vacancy rate down to just 5 percent.

“We have had a fairly significant vacancy rate,” she acknowledged. “But just like any other hospital in the city and the country, you have countermeasures that you put in place to address staffing shortages. And so we use nurse travelers. We use as-needed staff, who work here part-time. We’ve been able to fill those gaps with these other staffing measures. We do want to have a more permanent workforce. We’re working with the city and [DPH] to bring in new hires.”

Roland Pickens, director of the San Francisco Health Network (the patient-care division of the Department of Public Health), said he was working with the city’s Human Resources Department to further streamline operations and get a jump on filling vacancies.

“[Chief Financial Officer] Greg Wagner is working with City Controller’s office and the Mayor’s Office, so everyone is addressing the issue of having a more expedited hiring process,” he said.

Negron, the RN, seemed to think it couldn’t happen soon enough. “For us, at the end of the day, who do we actually have that’s on the schedule, that’s on the floor?” he said. Being fully staffed is important, he added, “so we don’t have any more shortages. So we don’t close beds, or go on divert unnecessarily.”

Staff members, who deal hands-on with a vulnerable patient population, lament that there doesn’t seem to be enough resources flowing into the system to care for people who are at the mercy of the public safety net. After all, San Francisco is a city of incredible wealth — shouldn’t there be adequate funding to care for the people who are the most in need?

“Poor people are not profitable,” Green said. “Without regulatory intervention, poor people would not have adequate health care.”

 

EVOLVING INTO THE FUTURE

For all the concerns about staffing and the financial uncertainty caused by ACA, SF General still has plenty to brag about. For one, it’s moving into a brand new, nine-story facility in December 2015, which will be equipped with a seventh-floor disaster preparedness center and nearly twice as much space in the Emergency Department.

It will have 283 acute care beds, 31 more than there are now. Most of the patient rooms will be private, and the new hospital will be seismically sound — a critical upgrade in a city prone to earthquakes. The hospital construction was funded with an $887.4 million bond approved by voters in 2008.

“In a new care environment, it will be more comfortable for the patients and the staff,” Currin said. “It’s just a much better environment. We’re hoping with the expansion … the wait times [in the Emergency Department], instead of taking four to six hours, we’re hoping to decrease that by 50 percent,” she said. “There will be more nurses, physicians, housekeepers.”

Pickens, the Health Network director, said he felt that “the stars had aligned” to have the hospital rebuild nearing completion just as ACA gets into full swing, since the new facility can help attract the patients needed to make sure the health system is fully funded.

The hospital has also launched an initiative to reduce patient mortality linked to a deadly infection. “Sepsis is a reaction the body has to a severe infection,” explained Joe Clement, a medical surgical unit clinical nurse specialist. “It causes organ dysfunction, and in some cases death. It’s very common, it’s growing, there’s more and more of it every year, and about a third of hospital deaths have been associated with sepsis in some way.”

In 2011, SF General began implementing new practices — and successfully reduced the hospital mortality rate from 20 percent in 2010 to 8.8 percent in 2014.

SF General was also recently lauded in The New York Times for being a top performer in quality and safety scores for childbirth. In San Francisco, low-income women who may be uninsured and dealing with harsh life circumstances can nevertheless get full access to multilingual doctors, midwives, lactation consultants, and doulas. The World Health Organization has even designated it as “Baby Friendly,” because of practices that support breastfeeding.

As things move ahead, management is projecting a sense of confidence that SF General’s high-quality care will allow the hospital to attract patients and maintain a healthy system that can continue to support the insured and uninsured alike.

“Value, we usually define as improving health outcomes, and optimizing the resources we have, for as many people as we can,” said William Huen, associate chief medical officer.

Speaking about the sepsis initiative, he said, “This is kind of our model program of, how do you focus on one area where you know you can improve health outcomes, with integration throughout the system, education at every level … and then having the data and perfecting the care. That can be applied to anything. So as a system, I think we’ve developed infrastructure to support that type of work.”

But for the staff members who are actively involved in the union, it continues to be a waiting game to see if the promises of new staffing levels are realized. Until then, many have said that the low staffing levels are a threat to patient safety. “They are waiting to see if DPH lives up to its commitment to hire the people they said they were going to hire, and staff it at the level they were going to staff at,” Green said.

It all comes down to providing care for people who really have nowhere else to turn, Negron told us in the Emergency Department. “I’m sure we see the highest portion of uninsured patients in the city,” he said. “We’re doing that in many different languages, with people from all over the world. I feel like it’s a real honor to be able to work there in that context. I feel honored to meet a need — that’s not always able to be met.”

King of the commons

9

steve@sfbg.com

When Susan King attends the Aug. 24 Sunday Streets in the Mission District — the 50th incarnation of this car-free community gathering, coming the week before her 50th birthday — it will be her last as director of an event she started in 2008.

That successful run was made possible by King’s history as a progressive community organizer who also knew how to do fundraising, a rare combination that has made Sunday Streets more than just a bicycle event, a street faire, or a closure of streets to cars that the city imposes on its neighborhoods on a rotating basis.

Instead, King took the ciclovia concept that started in Bogota, Colombia in the late ’70s — the idea was creating temporary open space on streets usually dominated by cars (See “Towards Carfree Cities: Everybody into the streets,” SFBG Politics blog, 6/23/08) — and used it as a tool for building community and letting neighborhoods decide what they wanted from the event.

“I regard the organizing as community organizing work rather than event organizing, and that’s significant,” King told the Guardian. “We’re creating the canvas that community organizations can use.”

San Francisco was the third US city to borrow the ciclovia concept to create open streets events — Portland, Ore, was the first in June 2008, followed quickly by New York City — but the first to do one that didn’t include food trucks and commercial vending, which Sunday Streets doesn’t allow.

“It’s not a street fair, it’s about meeting your neighbors and trying new things,” King said, referring to free activities that include dance, yoga, and youth cycling classes and performances. “It’s a really different way of seeing your city. A street without cars looks and feels different.”

Now, after seeing how Sunday Streets can activate neighborhoods and build community, and watching the concept she helped pioneer be adopted in dozens of other cities, King says she’s ready for the next level.

“I want to apply what I know on a larger scale, ideally statewide,” King said of her future plans. “This really opened my eyes up to the possibilities.”

 

WORKING WITH COMMUNITIES

After a lifetime of progressive activism — from grassroots political campaigns to city advisory committees to working with the Green Party — King knew the value of listening to various community stakeholders and earning their trust.

“We try to be culturally competent and work with each neighborhood,” King said. “We want to work with the neighborhood instead of dropping something on the neighborhood.”

That distinction has been an important one, particularly in neighborhoods such as Bayview and the Western Addition, where there is a long history of City Hall officials and political do-gooders trying to impose plans on neighborhoods without their input and consent.

“We worked really closely together and she gave me a lot of leeway to do Sunday Streets in a way that it worked for the community,” said Rebecca Gallegos, who managed public relations for the Bayview Opera House 2010-2013. “I can’t say enough great words about Susan. She was a truly a mentor to me. They’re losing someone really great.”

The first Sunday Streets on Aug. 31, 2008, extended from the Embarcadero into Bayview, opening up that neighborhood to many new visitors. King cited a survey conducted at the event showing 54 percent of respondents had never been to Bayview before.

“Susan wore a lot of hats. Not only did she create community in all the neighborhoods in San Francisco, but she knew how to go after the money,” Gallegos told us. “She walks the walk and doesn’t just talk the talk.”

Meaghan Mitchell, who worked with the Fillmore Community Benefits District, also said King’s skills and perspective helped overcome the neighborhood’s skepticism about City Hall initiatives.

“Susan came in and was very warm and open to our concerns. She was a joy to work with,” said Mitchell, who went on to work with King on creating Play Streets 2013, an offshoot of Sunday Streets focused on children.

The neighborhood was still reeling from a massive redevelopment effort by the city that forced out much of its traditional African American population and left a trail of broken promises and mistrust. Mitchell said King had to spend a lot of time in community meetings and working with stakeholders to convince them Sunday Streets could be good for the neighborhood — efforts that paid off as the community embraced and helped shape the event.

“It was nice to know the Fillmore corridor could be included in something like this because we were used to not being included,” Mitchell told us. “Community organizing is not an easy job at all because you’re dealing with lots different personalities, but Susan is a pro.”

 

ROUGH START

It wasn’t community organizing that got King the job as much as her history with fundraising and business development for campaigns and organizations, ranging from the San Francisco Symphony to the San Francisco Women’s Building.

At the time, when city officials and nonprofit activists with the Mode Shift Working Group were talking about doing a ciclovia, King was worried that it would get caught up in the “bike-lash” against cyclists at a time when a lawsuit halted work on all bike projects in the city.

“I thought that would never fly,” King said. “We started Sunday Streets at the height of the anti-bike hysteria.”

But her contract with WalkSF to work on Masonic Avenue pedestrian improvements was coming to an end, she needed a job, and Sunday Streets needed a leader who could raise money to launch the event without city funds.

“I know how to raise money because I had a background in development,” said King, who raised the seed money for the first event with donations from the big health care organizations: Kaiser, Sutter Health/CPMC, and Catholic Healthcare West. And as a fiscal sponsor, she chose a nonprofit organization she loved, Livable City, for which Sunday Streets is now a $400,000 annual program.

King had a vision for Sunday Streets as an exercise in community-building that opens new avenues for people to work and play together.

Immediately, even before the first event, King and Sunday Streets ran into political opposition from the Fisherman’s Wharf Merchants Association, which was concerned that closing streets to cars would hurt business, and progressive members of the Board of Supervisors who were looking to tweak then-Mayor Gavin Newsom, whose office helped start the event.

City agencies ranging from the Police Department to Municipal Transportation Agency required Sunday Streets to pay the full costs for city services, something that even aggressive fundraising couldn’t overcome.

“We were in debt to every city department at the end of the second year. It was the elephant in the room going into that third year,” King said.

But the Mayor’s Office and SFMTA then-Director Nat Ford decided to make Sunday Streets an official city event, covering the city costs. “It was the key to success,” King said. “There’s no way to cover all the costs. The city really has to meet you halfway.”

King said that between the intensive community organizing work and dealing with the multitude of personalities and interests at City Hall, this was the toughest job she’s had.

“If I would have known what it would be like,” King said, “I would never have taken the job.”

 

SUNDAY STREETS SOARS

But King had just the right combination of skills and tenacity to make it work, elevating Sunday Streets into a successful and sustainable event that has served as a model for similar events around the country (including at least eight others also named Sunday Streets).

“The Mission one just blew up. It was instantly popular,” said King, who eventually dropped 24th Street from the route because it got just too congested. “But it’s the least supportive of our physical activity goals because it’s so crowded. It was really threatening to be more of a block party.”

That was antithetical to the ethos established by King, who has cracked down on drinking alcohol and unpermitted musical acts at Sunday Streets in order to keep the focus on being a family-friendly event based on fitness and community interaction.

Even the live performances that Sunday Streets hosts are required to have an interactive component. That encouragement of participation by attendees in a noncommercial setting drew from her history attending Burning Man, as well as fighting political battles against the commercialization of Golden Gate Park and other public spaces.

“It was my idea of what a community space should look like, although I didn’t invent it…We really want to support sustainability,” King said. “We’re not commodifying the public space. Everything at Sunday Streets is free, including bike rentals and repairs.”

As a bike event, the cycling community has lent strong support to Sunday Streets, with the San Francisco Bicycle Coalition strongly promoting it along the way.

“The success of Sunday Streets has been a game changer in showcasing how street space can be used so gloriously for purposes other than just moving and storing automobiles. At every Sunday Streets happening we are reminded that streets are for people too,” SFBC Director Leah Shahum told us. “Susan’s leadership has been such an important part of this success.”

Betty Yee cleared for November runoff after Perez halts Controller’s race recount

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California Controller candidate Betty Yee, a San Francisco Democrat, will officially square off against Fresno Mayor Ashley Swearengin, a Republican, in the November runoff election after rival Democrat John Perez today called off a recount request. Perez finished in third place, just 481 votes behind Yee.

Perez, formerly the first openly gay speaker of the California Assembly, had asked for recounts in Kern, Imperial, and San Bernardino counties on July 6. But as those counts dragged on and the deadlines for printing fall ballots neared, the California Democratic Party was pressuring Perez to withdraw, last week contributing $50,000 to her campaign.

The Perez campaign released the following statement just before 5pm today:

“Today I have made the decision to bring the recount process to an end, and pledge my full support to Betty Yee to be California’s next Controller.  

While I strongly believe that completing this process would result in me advancing to the General Election, it is clear that there are significant deficiencies in the process itself which make continuing the recount problematic. Even in the effort so far, we have found uncounted ballots, but there is simply not enough time to see this process through to the end, given the fact that counties must begin printing ballots in the next few weeks in order to ensure that overseas and military voters can receive their ballots in a timely manner. 

I began this process because every vote deserves to be counted fairly and accurately, and as the recount has made clear, California needs to rethink our approach and incorporate best practices from across the nation. This effort was not about the outcome of a particular election, but the integrity of every election, and the issues brought to the light over the last two weeks need to be addressed in a comprehensive and thoughtful manner. 

It has been an honor and a privilege to serve in the Assembly these last six years, and to have led the Assembly at a time when we’ve turned multi-billion dollar deficits into multi-billion dollar reserves, expanded healthcare for more than three million Californians and made college affordable again by enacting the Middle Class Scholarship Act. I am grateful for the support my campaign has received from everyday Californians who have seen the work my colleagues and I have done in the Legislature, and embraced our vision of fiscally responsible and progressive government which expands opportunity for all Californians. We built a tremendous record of accomplishment together, and I look forward to making contributions to build on that record of progress in the future.

In the immediate term, I will be continuing my service in the Assembly, and working hard to help elect Democrats up and down California.”

Justice delayed is justice denied

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EDITORIAL Members of the San Francisco Board of Supervisors who try to identify with both the progressive movement and business-oriented Mayor Ed Lee — most notably, Sups. David Chiu and Jane Kim — engaged in a strange bit of self-congratulations during their June 10 meeting, patting themselves on the back for a trio of “progressive” reforms.

Yet in each case, the measures are weaker than they should be and too long overdue — and they have their full implementation delayed for years, while the needs of the people they aim to serve are immediate. What Kim and Chiu presented as a demonstration of political effectiveness on behalf of needy constituents is actually just the opposite. It is political cowardice and not political courage.

The best of the trio of approvals was a measure by Sup. David Campos that finally closes the loophole that allows employers to satisfy their employee healthcare mandate by creating healthcare savings accounts, which they make difficult to use and then pocket the money that remains.

This should have been enacted three years ago when Campos first won approval for it, only to see Lee veto it and Chiu sponsor a watered-down alternative that didn’t address the problem. Even now, in order to win over Sups. Mark Farrell and London Breed to attain a veto-proof majority, Campos had to delay full implementation until 2017.

“I also want to commend Sup. Campos for finding compromise,” Chiu said before joining the inevitable majority, a snide dig at his Assembly race opponent that only served to reinforce Campos’ campaign trail points that Chiu’s compromises are often just sellouts to downtown interests. This watered-down version, albeit better than the last watered-down version, also won unanimous approval.

Another kumbaya moment came with the introduction of a consensus ballot measure for increasing the minimum wage in San Francisco, with the Mayor’s Office and business community finally agreeing with the campaign by labor and progressive groups to increase the minimum wage to $15 — but delaying that implementation to 2018. How much displacement and economic hardship will San Franciscans experience between now than then?

Chiu and Kim also sang the praises of Lee for finally agreeing to finally keep his word and support a local increase in the vehicle license fee to fund safer and smoother streets and more money for Muni. But rather than this year as promised, that measure will be on the November 2016 ballot, pushing it back from prosperous to uncertain times.

At the June 12 Guardian community forum, Sup. Scott Wiener said he may still move forward with his proposed charter amendment to give Muni more general fund money until the local VLF is approved, and we strongly urge him to so do.

“Justice delayed is justice denied” is a legal maxim that this board full of lawyers is certainly familiar with. Their delays of crucial reforms are disgraceful and damaging to the city, and for them to congratulate themselves for doing so is insulting.

American revolution: Smith Henderson talks ‘Fourth of July Creek’

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Smith Henderson is all smiles. His debut novel, Fourth of July Creek, has been receiving rave reviews since its release two weeks ago, has a 100,000 copy pressing from HarperCollins, and was recently called “the best book I’ve read so far this year” by Washington Post critic Ron Charles.

“I was not expecting the Ron Charles thing … that was amazing,” Henderson says, sipping his beer on the outdoor patio of Farley’s East in Oakland. (He’ll be reading from the book Tue/17 at San Francisco’s Book Passage.) While the degree of success that the book is receiving tickles Henderson, he doesn’t pretend to be shocked that people are enjoying his work. “When people tell me ‘I love your book,’ I’m happy, but not chagrined. I wrote the book toward my interests, so of course I like my book.” Henderson smokes a cigarette as he chuckles. 

His novel explores the plight of Pete Snow, a Montana social worker who discovers a feral boy, Benjamin, and his survivalist father Jeremiah Pearl. While dealing with the dissolution of his own family, several other cases, and a tumultuous romance, Snow uncovers Pearl’s revolutionary ideas and begins to question his own safety and that of his entire community, the rural town of Tenmile. Henderson’s intertwining plot confronts a plethora of contemporary societal ailments, including alcoholism, suspicion of government, child neglect, cultural polarization, and the gift and curse of religion. 

Much of our conversation concerned the intricate plot points that Henderson somehow manages to sew together seamlessly. Such a combination of topicality and technical flourish has led Charles and several other high-profile critics to throw around words like “Great American Novel,” meaning work consistent enough and broad enough in  political scope to say something profound and lasting about the nation. 

Henderson isn’t one to label his own work, but he doesn’t entirely laugh off the potential hyperbole either. “I think it’s tricky to use words like ‘Great American Novel’ because it’s set in Montana — it’s a very white state. There’s a lack of diversity that I think is necessary in talking about the whole country.” After a moment of rumination, however, he offers a partial refutation of his own point. “That being said, the novels that come to mind are pretty regional as well; Beloved is pretty focused on a single location and group.”

While Montana might not be the optimal mirror for America, it’s a place that Henderson knows quite well. A native son, he grew up in the state and went to college, like Pete Snow, in Missoula. (He now lives in Portland, Ore.) “My whole family are cowboys and loggers. My dad is still a logger,” he says proudly. “Montana is a weird place … there’s a libertarian streak that is pretty unique in how it manifests itself.” 

Henderson cites the 2004 election, in which Montana voted for George W. Bush, legalized medical marijuana, and constitutionally banned gay marriage all on the same ballot. The odd mix between “live free or die” and socially conservative practices in the state provided an ideal climate for the confrontation between Snow, a government employee with the Department of Family Services, and the fiercely anti-authority Pearl. The eventual escalation between the government and the community is easy to believe. 

“Things are always liable to get a bit wacky and out of control up there,” says Henderson. 

Yet Henderson, while by no means conservative or religious, isn’t trying to write a book about extreme zealots. “At first it’s possible to look at Pearl and think he’s completely insane. But a lot of his paranoia is not entirely unfounded.” 

Near the end of the book, Pearl uses an example of government agencies  replenishing the Montana wolf population as an example of how dangerous Federalism can become. “Pearl basically suggests, ‘You may think your wolves are pretty, but they are liable to eat me.’ That lack of practicality is real.” 

While Henderson set Fourth of July Creek in the early 1980s, he was inspired by the rhetoric going on in national politics today. “Arguments like those of Pearl’s are all over the place right now, and initially they may seem just as paranoid. But when you have unmitigated drone strikes and NSA surveillance it isn’t impossible to see where people are coming from.” 

He does, however, see the value of government intervention — Helena pays his ultimately heroic (or at least likeably anti-heroic) protagonist, after all. “On the other hand, you have health care, gay rights, the environment, all receiving meaningful support.”

Though informed and interested in the modern state of affairs, Henderson was very intentional in his chronological setting of the book. He leans forward and takes on a quieter, more intense tone as he talks about the era directly succeeding Carter’s economic and military failures. “1980 was an inflection point. Obviously Carter, while getting a lot right, struggled a ton in the implementation. And the backlash to that, coming in the form of the Reagan Revolution, has really defined modern society … We learned how to make wealth out of thin air — at least for some people.” 

Reagan’s election and the surrounding rhetoric takes center stage in the book. Judge Dyson, an aging and alcoholic Democrat, openly weeps as he watches the election results with Snow. “It was the death of the LBJ, rural-big-government Democrat. And that’s something I’m not sure we’ll ever get back.” 

In addition to highlighting the philosophical shifts that have led to the urbanization of liberal thought, Henderson also uses the relatively unorganized pre-digital bureaucracy as a major plot device. “There was no concept of secondary trauma in 1980 Montana. There was no social worker to help Pete deal with the horrific things that he sees on a daily basis.” 

The dearth of support systems fuel Snow’s drinking bouts, depression, and difficulty in handling his daughter’s disappearance and ex-wife’s instability; he may be a great social worker, but the state’s inability to track his emotional progress and casework eats away at his life.

A fascinating storyteller and political force, Henderson is also often  technically experimental. The portion of the book that details Snow’s daughter’s descent is done in the form of an anonymous question and answer. “When I write, I almost always write questions to myself: ‘Where is Pete Snow from?’ ‘Choteau.’ ‘Why Choteau?’ For the Rachel section, I just left it in that form.” 

But the section is far from unfinished. Henderson left the section as is because of the intensity of its content — in a pure third-person narrative it felt too stilted. “The voices are full of an anxiety and intensity that couldn’t be captured with the more impartial voice in the rest of the book.”

The frenetic 90 minutes that we spent discussing Fourth of July Creek further convinced me that the book cannot be distilled to one message, but is rather a varied rumination on insecurity, suspicion, and government. When I asked Henderson what he thinks the primary takeaway is, however, he was remarkably candid and quick in his response. He pointed me to the Thoreau quotation that opens the book: “If I knew for a certainty that a man was coming to my house with the conscious design of doing me good, I should run for my life.” 

Henderson then highlighted a passage in which Snow is likened to a priest for how much he gives up to help dysfunctional families. “America in the ‘80s was losing trust for institutions, and continues to. Despite all of his flaws, Pete is worthy of our trust, and hopefully represents a powerful refutation of Thoreau’s instant suspicion for government or those who come to help us.”

Henderson’s creation, while transcending political ideology, powerfully shows the potential for altruism even in a country as broken as the US.

 

Smith Henderson

Tue/17, 12:30pm, free

Book Passage

1 Ferry Building, SF

www.bookpassage.com

New minimum wage proposal less ambitious, has broader support

San Francisco bears the unfortunate distinction of having the fastest-growing income inequality nationwide. At the same time, the city may retain its more progressive status as having the highest nationwide minimum wage — if voters approve a November ballot measure unveiled today by Mayor Ed Lee and 10 members of the Board of Supervisors.

The consensus measure would increase the minimum wage for all San Francisco employees to $15 an hour by 2018. Currently, the city’s lowest-paid workers earn $10.74 per hour under the existing minimum wage ordinance.

The proposed increase, announced at a June 10 press conference held in Mayor Lee’s office, calls for minimum wage workers to earn $12.25 per hour by May Day of next year, followed by paycheck increases amounting to $13 an hour in 2016, $14 an hour in 2017, and $15 an hour in 2018.

Crafted by representatives from labor, business, and the nonprofit sector in conjunction with Mayor Lee and Sup. Jane Kim, this November ballot measure proposal is less ambitious than an earlier minimum wage increase floated by the Campaign for a Fair Economy, although both guarantee workers an eventual $15 an hour.

The earlier proposal, backed by a coalition that included city employee union SEIU Local 1021, the Progressive Worker’s Alliance, San Francisco Rising, and other progressive organizations, sought to increase the minimum wage to $13 an hour by 2015, $14 by 2016, and $15 by 2017.

So at the end of the day, the newly unveiled consensus proposal would leave minimum wage earners with $0.75 less per hour in 2015 and $1 less in 2017 than what the Campaign for a Fair Economy originally called for, but the broader support for this measure might mean brighter prospects for lowest-paid workers in the long run. The consensus proposal also eliminates the idea of an enforcement committee tasked with holding employers to the mandatory wage increases, yet continues to allocate resources for this purpose.

Shaw San Liu of the Campaign for a Fair Economy, who was part of the negotiations for the consensus measure, noted that this piece was especially important: “It is meaningless to raise the minimum wage if they’re not going to enforce it,” she said. The Office of Labor Standards and Enforcement, tasked with upholding the minimum wage, is currently experiencing a backlog due to case volume.

Shaw San Liu speaks about the importance of the proposed wage increase.

Moderates’ strong opposition to the more ambitious wage increase posed the threat of having two competing measures going to voters in November. Now that a single unified measure is headed to the ballot, there may be less of a risk that workers will end up with an inadequate increase or none at all.

The across-the-board increase to $15 an hour makes this a stronger proposal than a similar wage increase moving forward in Seattle, although that city has a lower cost of living than San Francisco, so the wage will stretch a lot farther. San Francisco has a notoriously high cost of living; former Mayor Willie Brown once famously quipped that anyone earning less than $50,000 simply shouldn’t try to live in the city, and rents were much lower then. Under this proposal, minimum wage workers can hope to earn $31,200 before taxes by 2018, with wages continuing up from there in correlation with Consumer Price Index adjustments.

The San Francisco Chamber of Commerce was adamantly opposed to the earlier ballot measure proposal, but is now on board. “We think that with consensus built up around this measure, which residents will be voting on, we’ve reached that compromise,” Wade Rose, co-chair of the Public Policy Committee of the SFCOC, said at the press event.

However, the SFCOC played a minimum role in the negotiations, with the key players being labor leader Mike Casey, Liu of the Progressive Workers Alliance, Sup. Kim and her staff, and Mayor Lee and his staff, with input from a variety of minimum wage earners, employers, and other stakeholders.

Kim called the measure “the most progressive and strongest minimum wage proposal in the country,” and later clarified that unlike a similar proposal in Seattle, this measure guarantees a $15 wage across the board regardless of business size or additional benefits. “There will be no tip credit or health care credit – this will be pure wages that San Francisco workers will be bringing home to their families,” Kim said. “Despite setting a successful precedent in 2003, which set the highest minimum wage in the country then, in the last years in particular we’ve been seeing a widening income gap between our lowest paid workers and our highest paid workers. In times of economic prosperity, no one should be left behind.”

“We’ve heard input from all of the different affected sectors of our community – earners, and people who pay the minimum wage, we’ve heard from nonprofits as well as small businesses and large businesses,” Mayor Lee said at a June 10 press conference. “And today, with the current minimum wage at $10.74, there’s been an across the board agreement that that just doesn’t cut it; that’s not enough.”

Lee emphasized that with the unveiling of the consensus proposal, “there are no two measures. There is one measure,” destined for the November ballot. He added that in the course of negotiations between opposing sides, “there was reality that needed to be checked in on all sides.”