By Steven T. Jones
Mayor Gavin Newsom and his administration are so intent on following through with their promise to deliver free wireless Internet to SF residents that they’ve basically dispensed with seeking input from the public or Board of Supervisors, locked into private and protracted negotiations with Google and Earthlink, and simply decided not to do the board-approved study of Sup. Tom Ammiano’s plan for a municipal broadband system. The unilateral, secretive approach has driven journalists and activists nuts. But there is an opportunity tonight at 6 p.m. to weigh in during a hastily called and little noticed hearing before the Department of Telecom and Info Services. Media Alliance has been raising hell over the issue and this week the group is releasing a study showing that the city could make $2 million per year with a municipal Internet system, as opposed to going with Newsom’s so-called “free” system, which wouldn’t make the city any money and would subject citizens to targetted advertising. The tradeoff might be worth it, but there are still too many unknown details to know that, so show up this evening to talk about it.
Tom Ammiano
Why WiFi?
Why WiFi?
By Steven T. Jones
Mayor Gavin Newsom and his administration are so intent on following through with their promise to deliver free wireless Internet to SF residents that they’ve basically dispensed with seeking input from the public or Board of Supervisors, locked into private and protracted negotiations with Google and Earthlink, and simply decided not to do the board-approved study of Sup. Tom Ammiano’s plan for a municipal broadband system. The unilateral, secretive approach has driven journalists and activists nuts. But there is an opportunity tonight at 6 p.m. to weigh in during a hastily called and little noticed hearing before the Department of Telecom and Info Services. Media Alliance has been raising hell over the issue and this week the group is releasing a study showing that the city could make $2 million per year with a municipal Internet system, as opposed to going with Newsom’s so-called “free” system, which wouldn’t make the city any money and would subject citizens to targetted advertising. The tradeoff might be worth it, but there are still too many unknown details to know that, so show up this evening to talk about it.
Sue Bierman memorial, Sept. 3
By Sarah Phelan
A memorial will be held for Sue Bierman on Sunday, Sept. 3, 2-4pm at Delancey St, 600 Embarcadero.
News that former San Francisco Sup. Sue Bierman died on the afternoon of Monday August 7 after her car crashed into a dumpster in the Cole Valley, got the current supervisors sharing memories of her at the August 8 Board of Supes meeting.
Sup. Gerardo Sandoval said “volumes could be written about the accomplishments” of this woman, who was “probably a grandmother/sister figure to many of us.”
Sup. Aaron Peskin called her “an incredible person, an FDR-type Democrat,” who was behind the demolition of the old Embarcadero freeway.”Said Sup. Ross Mirkarimi, “she was a hero in so many battles in San Francisco..most recently, when we were trying to bring attention to excessive, disproportionate closure of schools, Sue Bierman and her daughter were on the front line. She was very disarming, but very strong. I will miss her dearly.”
Sup. Sean Elsbernd acknowledged that “should she and I have served on the board together, we would have had a few disagreements. I’ll miss her look.”
Sup. Tom Ammiano recalled how,”When Carole Migden put on lipstick, Sue would follow, You knew something was going to happen, as if a secret handhske was involved…I don’t know if there’s a highway to heaven, but thanks to Sue it ain’t a freeway.”
Sup. Dufty remembered how she had a lot of influence over Mayor Willie Brown. “If you heard him cussing at Sue, you knew she’d won one over him.”
Sup. Alioto-Pier, noting how she and Bierman often did not agree when they were both on the Port Commission said, “She very eloquently told you, she was very forceful, she was always the first person to call, it was dismaying to hear her voice on the machine, saying, “michela,” in a shaky voice.
Sup. Daly said she was the champion of young adults–and renters.
‘She understood what made San Francisco great.”
And Gloria Young, clerk of the board, recalled trying to get Bierman, who served on the board from 1992-2000, to vacate her office at noon on the day she was termed out, so to tidy up before the new supe [Peskin] arrived.
“Absolutely not,” bierman is said to have said. “I’ll be working until the end of the day, It’s immportant to acknowledge thew constituents who put us in office.”
“And she left me with a big stack of books,” added Peskin. “They’re still on the shelf.”
Peskin’s political playbook
By Steven T. Jones
Board of Supervisors president Aaron Peskin helped engineer the placement of some solid progressive measures on the fall ballot yesterday — and unsuccessfully tried to derail one that would give sick days to all SF workers. The Golden Gate Restaurant Association had been trying to weaken the measure with fewer sick days (five, rising to 10 after an employee works three years in the same job, which few in this category of worker do) and exemption of part-time employees (which, again, is most workers who don’t get sick days). Measure advocates say they were willing to compromise a little on the former request, but not the latter. So Peskin at the last minute not only said he won’t support the measure (after advocates say his aides said he probably would), but he also convinced Sup. Sophie Maxwell to pull her support, even though she’d already signed on the dotted line. That might have left advocates without the four supervisors needed to place the measure on the ballot, but they convinced Sup. Jake McGoldrick to lend his support. But in the end, election law requires all sponsoring supervisors to agree to let a colleague withdraw, and since Sup. Tom Ammiano couldn’t be found as the 5 p.m. deadline neared, the measure ended up going to the ballot with supervisors Chris Daly, Ross Mirkarimi, Ammiano and Maxwell as sponsors.
So what happened here? Well, it’s more than meets the eye.
Farewell, Sue Bierman
I never had the honor of meeting Sue Bierman, but news that the former San Francisco supervisor died Monday afternoon after her car crashed into a dumpster in the Cole Valley, got the current supes sharing memories of her at the August 8 Board meeting. leaving me with the impression of a much loved, sometimes feared, outspoken and universally respected 82-year old.
Here’s just a sampling of some of the many tributes made:
“Volumes could be written about the accomplishments of this woman,” said Sup. Gerardo Sandoval said. “She was probably a grandmother/sister figure to many of us.”
Sup. Aaron Peskin called her “an incredible person, an FDR-type Democrat,” and the woman responsible for stopping the expansion of the freeway into the panhandle.
Said Sup. Ross Mirkarimi, “she was a hero in so many battles in San Francisco..most recently, when we were trying to bring attention to excessive, disproportionate closure of schools, Sue Bierman and her daughter were on the front line. She was very disarming, but very strong. I will miss her dearly.”
Sup. Sean Elsbernd acknowledged that “should she and I have served on the board together, we would have had a few disagreements. I’ll miss her look.”
Sup. Tom Ammiano recalled how,”When Carole Migden put on lipstick, Sue would follow. You knew something was going to happen, as if a secret handshake was involved…I don’t know if there’s a highway to heaven, but thanks to Sue it ain’t a freeway.”
Sup. Bevan Dufty remembered how Bierman had a lot of influence over Mayor Willie Brown. “If you heard him cussing at Sue, you knew she’d won one over him.”
Sup. Michela Alioto-Pier noted how she and Bierman often did not agree when they were both on the Port Commission.
“She very eloquently told you, she was very forceful, she was always the first person to call, it was dismaying to hear her voice on the machine, saying, ‘Michela,’ in a shaky voice,” Alioto-Pier recalled.
Sup. Chris Daly said bBerman was the champion of young adults–and renters.
‘She understood what made San Francisco great.”
And Gloria Young, clerk of the board, recalled trying to get Bierman, who served on the Board from 1992 until she was termed out in 2000, vacate her office at noon on the last day , so to tidy up before the new supe [Peskin] arrived.
“Absolutely not,” Bierman is said to have said. “I’ll be working until the end of the day, It’s important to acknowledge the constituents who put us in office.”
“And she left me with a big stack of books,” added Peskin. “They’re still on the shelf.”
Farewell, Sue Bierman
By Sarah Phelan
News that former San Francisco Sup. Sue Bierman died Monday afternoon after her car crashed into a dumpster in the Cole Valley, got the current supervisors sharing memories of her at the August 8 Board of Supes meeting.
Sup. Gerardo Sandoval said “volumes could be written about the accomplishments” of this woman, who was “probably a grandmother/sister figure to many of us.”
Sup. Aaron Peskin called her “an incredible person, an FDR-type Democrat,” who was behind the demolition of the old Embarcadero freeway.”Said Sup. Ross Mirkarimi, “she was a hero in so many battles in San Francisco..most recently, when we were trying to bring attention to excessive, disproportionate closure of schools, Sue Bierman and her daughter were on the front line. She was very disarming, but very strong. I will miss her dearly.”
Sup. Sean Elsbernd acknowledged that “should she and I have served on the board together, we would have had a few disagreements. I’ll miss her look.”
Sup. Tom Ammiano recalled how,”When Carole Migden put on lipstick, Sue would follow, You knew something was going to happen, as if a secret handhske was involved…I don’t know if there’s a highway to heaven, but thanks to Sue it ain’t a freeway.”
Sup. Dufty remembered how she had a lot of influence over Mayor Willie Brown. “If you heard him cussing at Sue, you knew she’d won one over him.”
Sup. Alioto-Pier, noting how she and Bierman often did not agree when they were both on the Port Commission said, “She very eloquently told you, she was very forceful, she was always the first person to call, it was dismaying to hear her voice on the machine, saying, “michela,” in a shaky voice.
Sup. Daly said she was the champion of young adults–and renters.
‘She understood what made San Francisco great.”
And Gloria Young, clerk of the board, recalled trying to get Bierman, who served on the board from 1992-2000, to vacate her office at noon on the day she was termed out, so to tidy up before the new supe [Peskin] arrived.
“Absolutely not,” bierman is said to have said. “I’ll be working until the end of the day, It’s immportant to acknowledge thew constituents who put us in office.”
“And she left me with a big stack of books,” added Peskin. “They’re still on the shelf.”
Come on, Mr. Sheriff
By Tim Redmond
Here’s a great idea: Supervisors Tom Ammiano and Ross Mirkarmimi are pushing for a resolution that would call on the San Francisco sheriff to refuse to carry out Ellis Act evictions. Sheriff Mike Hennessey doesn’t seem so hot on this; he says he doesn’t want to face a contempt of court citation and wind up in his own jail.
But hey, it’s a San Francisco tradition: Back in 1977, then-Sheriff Dick Hongisto refused to evict the residents of the International Hotel, and spent five days in jail before relenting. The worst that would happen to Hennessey: He’d be stuck for a few days in his own clink, where I suspect he’d be treated well (and would learn a bit about how the inmates feel day to day). Eventually, he’d probably have to relent, too — but what a glrious legal battle. It would be an other great example of what we call Civic Disobedience — using the clout of the city and the full legal resources of the city to defy an immoral law. Gavin Newsom did it with same-sex marriage. Now, Hennessey has a chance to make history. Go for it, Mike.
Don’t move the mayoral elections
The Board of Supervisors is slated to vote July 25th on a plan that’s attracted little press attention, but could have a profound impact on San Francisco politics. Sup. Jake McGoldrick has proposed a charter amendment that would move mayoral elections to coincide with presidential elections. The idea, McGoldrick says, is to increase turnout: In 2004, when John Kerry was running against George W. Bush, more than 70 percent of San Franciscans voted. When Matt Gonzalez ran against Gavin Newsom for mayor in 2003, only 55 percent showed up at the polls.
It sounds good, and generally, we’re for anything that increases voter turnout. But there are some real tricky questions about this proposal, and there hasn’t been enough public discussion around it. So the supervisors should vote against placing it on this fall’s ballot.
Our main concern with the plan is that it might diminish local interest in the mayoral contest. When the presidential race is at the top of the ticket, and likely a U.S. Senate race at the same time, the news media tends to focus on those campaigns, and the public’s attention is focused on them, too. The advantage of having a San Francisco mayor’s race in what is otherwise an off-year for elections is that all the energy in local politics centers on a high-stakes local campaign (The district attorney’s race is also on the ballot, and that might totally get lost in the presidential-year madness).
Some critics oppose the plan because, in practice, it would give the next mayor – at this point, probably Gavin Newsom – an additional year in office. That shouldn’t be an issue, really: This is about more than one mayor, and more than one year. It’s about the future of politics in the city.
It shouldn’t be about the Democratic Party, either. Some people worry that party money – always big in a presidential year – will flow to the anointed Democratic mayoral candidate, drowning out the voices of (say) a Green candidate, or a democrat who didn’t get the party’s nod. Maybe – but maybe all the money will go to the top of the ticket, and there will be less local cash spent on the San Francisco mayor’s race. And the power of the Democratic Party in a presidential year didn’t stop Ross Mirkarimi – a green – from getting elected supervisor from District Five in 2004.
Both supporters and opponents of the plan are trying to calculate how it would help or hurt progressive candidates, but there’s another factor here. Mayoral races are about more than just winning. The 1999 campaign, in which Tom Ammiano lost to Willie Brown, was a turning point in progressive politics in San Francisco. The runoff between Gavin Newsom and Matt Gonzalez in 2003 created an immense outpouring of community activism and brought thousands of new people into local politics. In a presidential year, some of that excitement – which is, in the end, crucial to any progressive movement – might have been diffused.
We don’t see any clear mandate or case for making the change right now, and we see some serious downsides. After extensive hearings and public debate, we might be convinced that this is a good idea, but that hasn’t happened yet. So for now, we urge the supervisors not to place it on the November ballot.
Don’t move the mayoral elections
The Board of Supervisors is slated to vote July 25th on a plan that’s attracted little press attention, but could have a profound impact on San Francisco politics. Sup. Jake McGoldrick has proposed a charter amendment that would move mayoral elections to coincide with presidential elections. The idea, McGoldrick says, is to increase turnout: In 2004, when John Kerry was running against George W. Bush, more than 70 percent of San Franciscans voted. When Matt Gonzalez ran against Gavin Newsom for mayor in 2003, only 55 percent showed up at the polls.
It sounds good, and generally, we’re for anything that increases voter turnout. But there are some real tricky questions about this proposal, and there hasn’t been enough public discussion around it. So the supervisors should vote against placing it on this fall’s ballot.
Our main concern with the plan is that it might diminish local interest in the mayoral contest. When the presidential race is at the top of the ticket, and likely a U.S. Senate race at the same time, the news media tends to focus on those campaigns, and the public’s attention is focused on them, too. The advantage of having a San Francisco mayor’s race in what is otherwise an off-year for elections is that all the energy in local politics centers on a high-stakes local campaign (The district attorney’s race is also on the ballot, and that might totally get lost in the presidential-year madness).
Some critics oppose the plan because, in practice, it would give the next mayor – at this point, probably Gavin Newsom – an additional year in office. That shouldn’t be an issue, really: This is about more than one mayor, and more than one year. It’s about the future of politics in the city.
It shouldn’t be about the Democratic Party, either. Some people worry that party money – always big in a presidential year – will flow to the anointed Democratic mayoral candidate, drowning out the voices of (say) a Green candidate, or a democrat who didn’t get the party’s nod. Maybe – but maybe all the money will go to the top of the ticket, and there will be less local cash spent on the San Francisco mayor’s race. And the power of the Democratic Party in a presidential year didn’t stop Ross Mirkarimi – a green – from getting elected supervisor from District Five in 2004.
Both supporters and opponents of the plan are trying to calculate how it would help or hurt progressive candidates, but there’s another factor here. Mayoral races are about more than just winning. The 1999 campaign, in which Tom Ammiano lost to Willie Brown, was a turning point in progressive politics in San Francisco. The runoff between Gavin Newsom and Matt Gonzalez in 2003 created an immense outpouring of community activism and brought thousands of new people into local politics. In a presidential year, some of that excitement – which is, in the end, crucial to any progressive movement – might have been diffused.
We don’t see any clear mandate or case for making the change right now, and we see some serious downsides. After extensive hearings and public debate, we might be convinced that this is a good idea, but that hasn’t happened yet. So for now, we urge the supervisors not to place it on the November ballot.
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› tredmond@sfbg.com
It’s your Guardian. That’s the message we posted on the cover today, and I mean it: The new sfbg.com website is designed to be fully interactive. You can post your comments on every article, every review, every editorial. You can join in on five new blogs. In a few weeks, we’ll have a reader’s blog, just for you.
Newspaper publishing should never be a one-way communication. For more than 20 years, I’ve been hearing from readers (yeah, I answer my own phone), and your ideas and suggestions (and complaints) are what make this paper great.
And now you can share your thoughts with all the other readers, too. Argue, fight, tell me I’m full of shit, point out great San Francisco ideas that ought to be in the mix … It’s easy. Registration takes about 30 seconds. And keep coming back – there’s going to be more, much more, rolling out in the next few weeks.
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The first thing I did when I learned that private housing developers in San Francisco were demanding 28 percent profit levels (see page 5) was to call my brother Mike, who runs a small business building houses in New York. He almost dropped the phone.
“Let me get this straight,” he said. “These guys say they need 28 percent profit?” That’s the minimum, I told him.
“Shit, sign me up,” he laughed. “I’ll take the whole crew and we’ll be on the next plane.”
Mike is thrilled when he walks away with 10 percent profit on a job. So is everyone he knows. So are most small businesses (and quite a few large ones). The only ones who can get away with demanding that sort of return are oil companies, daily newspaper publishers, and, it appears, San Francisco real estate developers.
This isn’t really shocking news: We’ve known for a long time that developers make a killing in an inflated housing market. Compared to the boom years of the 1980s, when the office market was running rampant and out of control, the 28 percent margins aren’t that outrageous – high-rise office developers made even more.
But there’s a bottom line for the city: These folks aren’t just getting rich; they’re getting really rich – purely off a market that exists simply because of the appeal of San Francisco. They owe it to the city to give more than a pittance of that back.
Now this: Just about every small-business owner in San Francisco is sitting down with a spreadsheet and trying to figure out how much Sup. Tom Ammiano’s health care legislation is going to cost. A lot of them seem to be nervous – in part because of the fearmongering campaign put out by the Chamber of Commerce and the Committee on Jobs.
But when you actually look at what the law says, it’s not that scary. I’ve gone over the final language, and here are some key points:
1. The requirement that employers pay for health care doesn’t affect anyone with fewer than 20 employees, which is most of the small businesses in town.
2. Nobody’s going to have to pay anything until July 2007, and companies with between 20 and 50 employees aren’t going to have to pay anything until April 2008.
3. There’s a 90-day waiting period before anyone has to pay for a new employee.
4. Nobody will have to pay for employees who either have health insurance already (from a spouse, say) or who voluntarily decline health insurance.
5. Employers will pay based on how many hours an employee works, so the price for a part-timer will be comparatively small.
6. If you have more than 20 employees and don’t currently provide health insurance for all of them (or the amount you pay for that insurance is low), you’ll have to ante up, either by buying insurance in the private market or paying into the city plan. For companies with 20 to 99 employees, the city plan will run about $1.12 an hour next year for anyone who works more than 12 hours a week. Pencil it out; it may not kill you.
It’s absolutely an imperfect system. Employer-based health insurance is the wrong model. But for now it’s all we have – and this is a way to offer at least basic primary health care to everyone in the city. It’s worth the price. SFBG
Healthy Compromises
Sup. Tom Ammiano and Mayor Gavin Newsom took another step today towards making health care accessible to all uninsured San Franciscans.
The San Francisco Health Care Security Ordinance, which Ammiano and Newsom announced their joint support for July 11, offers access to comprehensive medical services, while requiring that medium and large business meet minimum spending requirement on employees’ health care.
While the agreement is optimsitic, it wasn’t reached without compromise on the employer spending mandate.
From July ’07, when the ordinance would become law, until Jan. 2008, employers will have to provide healthcare for employees who work 12 hours or more. That requirement tightens to 10 and then 8 hours, in Jan. ’08 and Jan.’09, respectively.
Meanwhile, medium sized businesses, (20-50 employees) have until March 31 2007, to start making mandatory payments, (which amounts to about a $1 an hour per worker.
Other tweaks: employers won’t have to make health insurance payments, if their employee has coverage elsewhere (through a parent, a spouse, or presumably another job), but the employee decides who pays.
Of all three compromises, the 12-10-8 compromise spells the greatest danger for the local labor pol (what if stores cut workers’ hours to 11 each per week?)
A special Budget and Finance Committee meeting is set for Monday July 17 at 1pm, and the full Board will discuss it July 18, with a final vote expected on July 25.
With Sups. Sean Elsbernd and Michela Alioto-Pier continue to stand on the sidelines? Will Mayor Gavin Newson step inside the county supes’ chambersn? and How many signatures does the business community need to get a referendum on this matter launched by August 9? Stay tuned.
Ammiano’s health care plan is fair
OPINION Universal health care. These days, most people want it, but no one wants to pay for it.
But like it or not, we all share in the expense of providing health care. We pay for it directly in our health care premiums or indirectly from higher costs for goods, services, and taxes. According to the activist group Health Care for All, “We spend over $6,000 per person in the US — two to three times the amount spent in other countries that insure everyone and have better health outcomes.” Our health care system, if you can call it that, is currently based on a corporate, for-profit model that increasingly leaves large numbers of people uninsured — and they must rely on taxpayer-subsidized public health programs.
Mayor Gavin Newsom is pushing for universal health care in San Francisco, and there are three ways on the table to fund it.
The Committee on Jobs, Chamber of Commerce, and Golden Gate Restaurant Association champion a plan in which all businesses pay a set fee, whether or not they are providing health care for their employees. Under this plan, large businesses that are not providing health care for their employees will save big money. Small businesses — and every business already doing the right thing — would subsidize the minority of large businesses that don’t provide health care.
In fact, 63 percent of the projected $50 million in revenue raised by this plan would come from businesses with fewer than 20 employees. A full 80 percent would be paid by employers with fewer than 50 employees.
The local papers say Newsom supports a voluntary plan. I assume that means employers can choose whether to pay. I’m surprised anyone would propose this with a straight face. Most employers do provide health care. This legislation is about those that don’t. They haven’t volunteered to pay for their own employees’ health care; why would they pay for a city plan?
Then there’s Sup. Tom Ammiano’s proposal.
Ammiano’s plan includes a minimum spending requirement for health care services for all employers with 20 or more employees. Small businesses with less than 20 employees (the vast majority of registered businesses in San Francisco) don’t have to pay anything. Of the three proposals, Ammiano’s seems the fairest to the majority of employers that already provide health care.
The Committee on Jobs tells us that small businesses will be hurt by this plan. I’m always suspicious when a well-funded organization that exists to lobby for the interests of the largest corporations in San Francisco leads with an argument related to the impact to the small business community.
The SFSOS thinks that any decision on Ammiano’s health care plan will be made “predominantly by people who have never worked in retail business, never managed a staff, nor ever had to make a payroll.”
I operated a temporary employment business in San Francisco for 25 years. Ammiano’s plan levels the playing field for all businesses.
For the record, many of my former colleagues within the small business community provide very generous health care benefits. Employees in small businesses, after all, are like family. Many small business owners think that those who do not provide health care have an unfair competitive advantage.
If we’re going to have universal health care, everyone should pay. SFBG
Barry Hermanson
Barry Hermanson is running for state assembly in District 12 on the Green Party ticket.
Downtown’s deceptions
By Steven T. Jones
The rancorous debate over providing health care to all San Franciscans finally comes to the Board of Supervisors for a vote tomorrow, culminating a truly ugly political spectacle. The business community has aggressively gone after the measure’s sponsor, Tom Ammiano, angrily accusing him of not listening and not caring.
Now, it’s understandable that some small business people on the verge of going under would be upset about having to give health coverage to their employees. It’s a legitimate concern, but it’s also a valid point that Ammiano’s measure makes: providing a living wage and health coverage to employees is a reasonable cost of doing business in this city, and if you can’t afford to do these things, then your business plan doesn’t really pencil out, sorry.
This might have been a good political debate to have, but unfortunately, the issue has been sullied and convoluted by the intentional deceptions of a few downtown groups (notably the Committee on Jobs, Golden Gate Restaurant Association, and the San Francisco Chamber of Commerce), distorted and inaccurate presentations of the issue by the Chronicle and Examiner, and the political cowardice of Mayor Gavin Newsom.
If you’ve been reading the Guardian then you know that the “Newsom plan” was simply one component of the “Ammiano plan,” not the workable stand-alone plan that the dailies and business elites tried to present it as (by itself, Newsom’s plan didn’t pay for itself and it threatened to make the number of uninsured in the city grow by providing the perverse incentive for businesses to drop their employees’ health insurance in favor of cheaper but less comprehensive access to city clinics). Even the dailies finally got around to saying the two plans relied on one another last week after playing up the deceptive competition for weeks.
Here’s the bottom line: Ammiano’s plan got eight co-sponsors because it was an honest attempt to deal with a serious problem using an approach (employer mandates) popular with most citizens (as shown by 69 percent of the people voting for a statewide mandate in Prop. 72). But downtown has done nothing but obstruct and obfuscate the issue. And they’re loud and have tons of money, so they’ve managed to bring out Newsom’s most cowardly instincts and they’ve cowed the media into bearing false witness to what’s going on.
Will they also peel off a supervisor or two who have already pledged their support? I guess we’ll find out tomorrow.
The best health care plan
EDITORIAL The health care model that’s been established, largely by default, in the United States is an utter mess. Most working people get their insurance through their employers. That means people who have jobs that don’t provide insurance are out of luck, and people who don’t have jobs are out of luck, and the self-employed are stuck with crazy bills, and small businesses are getting hit harder and harder with rising insurance rates that they can’t afford.
It’s a ridiculous way to handle health care: In most other western democracies, everyone is part of a national health care program, and under the best systems, the government is the single insurer and pays all the bills.
Among other things, that prevents the sort of crisis that San Francisco faces today, where the large numbers of uninsured residents have no choice but to seek care at the overburdened San Francisco General Hospital. That leaves the taxpayers on the hook for more than $100 million a year.
For businesses, particularly small businesses, that scrape and suffer to provide health insurance for their workers, the system is fundamentally unfair: Those companies pay twice, first for their own employees, and then again in higher taxes to cover the costs of the uninsured. Businesses that can well afford health insurance (the Wal-Marts of the world) but don’t pay are forcing others to cover their costs.
In a perfect world, with national health insurance, this wouldn’t be an issue. But it’s almost impossible for a single city to implement a single-payer system — which is why Mayor Gavin Newsom is struggling to present a functional health plan, and why Sup. Tom Ammiano’s employer mandate plan is absolutely necessary.
But the small business advocates who complain about the burden of paying more than $100 a month for each uninsured employee have a point, too — and this entire plan ought to be linked (at least in the long run) to Sup. Aaron Peskin’s proposals to change the city’s business tax.
Newsom’s dramatic announcement last week of a complex plan to cover all residents won overwhelmingly favorable press coverage. But so far, the plan itself is little more than a glorified press release. There are a lot of devilish details, particularly when it comes to funding.
There’s no new money in the mayor’s plan. He argues, correctly, that San Francisco currently spends $104 million on health care for the city’s 82,000 uninsured, and shifting that money into a city-run health care program will underwrite a significant amount of the cost. But that money can’t just be moved like a chess piece — it’s part of the San Francisco Department of Public Health budget, and if everyone does not sign up for the new program and very sick patients (including, say, undocumented workers who don’t understand or fear enrolling in the city plan) keep showing up at General, there won’t be enough money to go around.
There’s also the very real prospect that some unscrupulous employers will simply quit paying health insurance premiums and dump their employees into the city plan. That would overwhelm the program and push it quickly toward financial ruin.
So the mayor’s plan has no chance at success unless Ammiano’s employer mandate passes, too. The Ammiano plan would offer additional funding for the program by requiring that employers either provide private health insurance or pay into a city pool — and would prevent businesses from tossing their health expenses into the city’s lap.
Ammiano’s plan isn’t perfect — no employer-based plan ever will be. The health insurance requirement would hit all businesses with more than 20 employees, and that might be a bit low. The plan already has some progressive gradations (companies with more than 100 employees would pay a higher fee), but linking the costs more directly to the size of the business (in other words, hitting the large outfits — which can well afford health insurance — a bit harder and giving more of a city subsidy to the smallest companies) could help ease the burden on struggling merchants.
But in the end, his plan — which would have no impact on employers who already offer health insurance to their workers — is crucial to any effort to get the uninsured into a decent health program (and to end the stiff taxpayer subsidy for companies that don’t provide insurance). The supervisors should approve it.
Still that’s not the end of the story. At the same time that Ammiano’s addressing health care, Peskin has floated a proposal for a new gross receipts tax on local business. Here’s the way to proceed: The supervisors need to fund a complete study of how much gross revenue local firms take in; write a new tax that allows the city to eliminate the payroll tax; add a progressive gross receipts tax; and use the next tax policy to help deal with the costs of health care. Big, rich companies pay a lot (enough to help subsidize the citywide health plan). Small firms pay less (and the reduced tax burden helps offset the costs of paying for health insurance). In the end, San Francisco would be the first US city to launch a progressive system for providing health insurance to all. SFBG
Downtown’s “Hail Mary” lawsuit
EDITORIAL This one is way over the top: The San Francisco Chamber of Commerce and the Committee on Jobs filed suit last week against the San Francisco Board of Supervisors, alleging that the supes won’t implement Proposition I, the 2004 ballot measure that was aimed at derailing progressive legislation. The suit makes little legal sense: The downtown crew is demanding that the city do something that it’s already doing, for the most part. But it shows an aggressive new strategy on the part of Mayor Gavin Newsom’s allies, who are out to scuttle three important bills that will probably win board approval.
Prop. I was designed to do two things: Delay anything that downtown might consider "antibusiness" and promote the political fortunes of Michela Alioto-Pier, who authored the ballot measure. The idea: Create an Office of Economic Analysis, under the city controller, with the responsibility to do an "economic impact analysis" of any legislation that comes before the board. Of course, that economic impact analysis will by definition be fairly narrowly focused; it won’t consider the social impacts or consequences of decisions.
That was always the flaw in Prop. I, and that was the reason we opposed the measure. Economic impact studies that show only how much a proposal would cost or how it might harm the "business climate" ignore the fact that a lot of government regulation improves things that aren’t quantifiable. And even when they can be measured, certain effects are ignored: Clean air has a tremendous value — but typical studies of antipollution measures focus only on the costs of compliance. Safe streets, nice parks, and good schools are worth a fortune — but a study that examines the tax burden required to pay for them won’t account for that.
Downtown spent a fortune promoting the measure (and sending out colorful flyers with Alioto-Pier’s face on them, which didn’t hurt her reelection efforts). It narrowly passed — but since Alioto-Pier never put in a request for the additional money the plan would cost, it took an entire city budget cycle to fund and hire the two staff economists who will do the work.
Now, for better or for worse, they’re on board, and the analyses are beginning — but downtown isn’t satisfied. Chamber spokesperson Carol Piasente told us the group wants to eliminate any board discretion in deciding what needs analysis and what doesn’t; right now, the board president can waive the analysis on relatively trivial things like resolutions and appointments.
But what’s really going on, according to Sup. Chris Daly, is that downtown is gearing up for a full-scale attack on three bills: Sup. Tom Ammiano’s proposal to require employers to pay for health care; Sup. Sophie Maxwell’s plan to better enforce the minimum wage laws; and Daly’s proposal to require additional affordable housing in all market-rate developments. "Downtown’s hail mary pass involves using the economic analysis to kill these socially critical proposals," Daly wrote in his blog.
Oh, and while the chamber is always worried about city spending, the group’s lawyer, Jim Sutton, is asking for attorney’s fees (likely to be a big, fat chunk of taxpayer change) if the suit prevails.
This is ridiculous. City Attorney Dennis Herrera needs to defend this aggressively, but that’s only the legal side. The mayor, who has become ever more closely allied with these downtown forces (see page 11), ought to join the supervisors in publicly denouncing the suit. SFBG
SFPUC: Get on the stick
EDITORIAL The goal of San Francisco’s energy policy ought to be to remove all private interests from the generation, distribution, and sale of electric power, and the fastest way to get there is to condemn, buy out, and municipalize Pacific Gas and Electric Co.’s local grid. But community-choice aggregation — a system under which the city acts as the equivalent of a buyer’s cooperative and purchases power in bulk to resell at a discount to consumers — is a good first step.
Even Mayor Gavin Newsom seems to realize that. Under pressure from CCA advocates, including Sup. Tom Ammiano, Newsom has earmarked $5 million in his next budget to begin implementing an aggregation system that the Local Agency Formation Commission (LAFCO), under chair Ross Mirkarimi, has been putting together.
Now it seems the last roadblock is the San Francisco Public Utilities Commission, whose members suddenly and unexpectedly had issues with the budget allocation when it came up a couple of weeks ago. They wanted more information. They wanted to hold hearings. We understand their concerns — CCA is complex and important, and it has to be done right.
But the SFPUC should have been the lead agency pushing for public power years ago. The commissioners should have been holding hearings long ago — on the high costs of PG&E power, on the city’s legal mandate to run a public-power system, and on the value of CCA. They should have been pushing the mayor to allocate a few million dollars for a full public power feasibility study and pushed for this CCA allocation as part of their regular budget discussions.
Instead, it’s been up to the supervisors to analyze, promote, and advocate for the program, and it’s been Ammiano, Mirkarimi, and the LAFCO people who have done most of the work.
It’s really annoying that the mayor is willing to put up $5 million for CCA when advocates have had to fight tooth and nail for a few hundred thousand dollars for a municipalization study. But it’s the first time in decades that any mayor has done anything but stand in the way of anything that looked even a tiny bit like public power, so it’s a historic moment (of sorts). The SFPUC needs to actively support this project and begin talking about the next step — how to get rid of PG&E for good. SFBG
In SF, health care for all
OPINION The question before us as San Francisco voters, health care providers, activists, legislators, and consumers is: "Can our community provide access to health care for people who work?"
In a surprising, welcome, and wise political partnership, Sup. Tom Ammiano and Mayor Gavin Newsom have joined their hearts and minds in a two-pronged approach to improve health access. The scope of the problem is simple.
In San Francisco, 84 percent of workers are privately insured. Employees contribute through premiums and co-payments. But there are now 82,000 uninsured adults in San Francisco. They rarely use preventative or primary care health services and (because of cost) only pursue health services when acutely ill. The overwhelming majority find their way to the overburdened emergency department at San Francisco General Hospital, where the taxpayers pick up the cost, estimated at more than $29 million a year.
It’s difficult and prohibitively expensive for individuals to get private health coverage. So group insurance is the obvious solution — and right now, that means insurance from employers.
The first of two complementary endeavors, initiated in November 2005 by Supervisor Ammiano, is the Worker Health Care Security Ordinance. It would direct employers with 20 employees or more to provide health insurance or contribute financially toward paying the cost of health care services for uninsured employees who work at least 80 hours a month.
The second part of the initiative comes from Mayor Newsom, who appointed a 37-member Universal Health Care Council, which will submit recommendations by May 2006 for a "defined benefits plan" establishing a "medical home" for the uninsured. It will also clarify the scope and cost of defined services, such as prevention and primary care, including behavioral or mental health services, dental health services, and prescription drugs, all in a plan delivered by the Department of Public Health clinics and the nonprofit coalition of community clinics.
San Franciscans overwhelmingly support universal health care.
By May the Universal Health Care Council, led by Sandra Hernandez, who runs the San Francisco Foundation, and Lloyd Dean, CEO of Catholic Health Care West, will recommend the scope of a plan, and health care benefits and costs, for both uninsured employees and the unemployed. For uninsured employees, this defined benefit plan could be heard at the same time as the final hearings on the Worker Health Care Security Ordinance currently in the budget and finance committee.
The opportunity to legislate a defined health care benefit for 30,000 uninsured working people in San Francisco is a historic step forward in improving the health status of all San Franciscans. Let us join both Sup. Tom Ammiano and Mayor Gavin Newsom to make history by the summer of 2006 and expand health coverage to working San Franciscans. SFBG
Roma Guy is a member of the clinical faculty of the Health Education Department at San Francisco State University and a city health commissioner.
Real tolerance
OPINION On March 24, 2006, the Board of Supervisors voted unanimously to pass a resolution opposing the message that a group called Battle Cry for a Generation was set to deliver the following Friday on the front steps of City Hall. The appearance of Ron Luce’s teen program at the site had nothing to do with the group’s apparent reason for being in the city, which was to promote Christianity amid smoke machines and rock bands at SBC Park. Luce decided to rally on the steps of City Hall specifically because gay marriages had been performed there two years earlier.
The intent to somehow purify the steps with prayerful teens, the quick response by citizens of San Francisco, and the meaning of that entire encounter was lost completely as local journalists and former politicians rushed to smear the Board of Supervisors with labels like "clueless" and "intolerant."
In doing so, John Diaz at the San Francisco Chronicle and Joanna Thigpen at the San Francisco Sentinel both missed an opportunity to summarize for their readers the meaning behind the meeting of two groups. Instead, both city leaders and organizers of the counterprotest were admonished for their lack of tolerance.
For those in need of a working definition of tolerance, the American Heritage College Dictionary offers the following: "The capacity for or the practice of recognizing and respecting the beliefs or practices of others." The key word within that sentence is recognize, which is hard to do if all you do when the Christian right comes to town is stay home and fume. Engagement (another version of recognition) is also a value, one that walks hand in hand with tolerance as the citizens of this fair city go forward in search of bigger and better expressions of human and civil rights. Showing up and shouting back don’t indicate intolerance. And staying away doesn’t display tolerance, just benumbed passivity.
Curiously, the charge was made that by issuing resolutions and press statements, both Sup. Tom Ammiano and Assemblymember Mark Leno were attempting to stifle Battle Cry’s right to free speech. Supervisor Ammiano’s office, which was the primary sponsor of the resolution, was contacted by neither the Chronicle nor the Sentinel. What he would have pointed out was that no one in city government made any attempt to silence anyone. The resolution was simply the progressive community’s proverbial two cents thrown into a debate Battle Cry started when the group assembled on City Hall’s steps. No public official ever came close to opposing Battle Cry’s right to frankly indict both queers and women who have chosen abortion or who support its legality.
Civic engagement like the sort displayed by Ammiano and Leno is what makes this city a haven for those who could not get tolerance for themselves, on their own terms, elsewhere. Far from impeding the right of Battle Cry to spread a message of hate disguised as love, we are forwarding the rights of speech to those whose voices are still being suppressed by fear and hate disguised as Christian love and tolerance.
Elizabeth Creely
Elizabeth Creely works with the Bay Area Coalition for Our Reproductive Rights.
Make Wal-Mart pay
EDITORIAL According to the University of California’s Labor Center, the state spent $86 million last year paying for heath care and social services for the families of people who work at Wal-Mart. That’s right: Wal-Mart pay is so low, and so few of its workers have decent health insurance, that a lot of employees wind up using public health clinics — and the taxpayers foot the bill.
It’s unfair not only to the Wal-Mart employees and the rest of us who have to pay the bills for one of the most successful and lucrative companies in the world, but also to other employers in the state, particularly small businesses that struggle to provide health insurance.
State senator Carole Migden has introduced a bill that would force Wal-Mart to quit demanding millions in public subsidies. SB 1414 would require any business with 10,000 or more employees in California either to put 8 percent of its total payroll into health insurance for workers or pay an equivalent amount of money to the Department of Industrial Relations. That’s still a fairly low payment — a lot of companies spend far more than 8 percent on health benefits, and Wal-Mart can well afford to do better. But it’s a good start, and it sends the message that employers who won’t pay a living wage can’t just count on California to make up the difference.
Wal-Mart is under fire from activists around the country for its cutthroat competition and its attempts to keep unions out and wages low. But it’s by no means the only employer that is trying to get out of paying health benefits. Migden’s bill would only hit the biggest of the big, but it’s similar to legislation proposed by Sup. Tom Ammiano that would force San Francisco businesses (including much smaller companies) to provide some sort of health care.
In the end, all of this is the wrong model: Employer-based health insurance is an unstable, inefficient, and hugely expensive way to cover medical bills. At some point, even the Wal-Marts of the world should realize that paying taxes to fund a national single-payer health system is cheaper and better for everyone.
But that’s not happening today, and Wal-Mart’s corporate welfare is. The legislature should pass Migden’s bill posthaste.