, who are the uninsured who need the most outreach. san francisco applied for an education grant and was not awarded the grant due to our significant process in reaching out to our uninsured, it identified those special populations that are most likely to be uninsured and may require special outreach, young adults are critical to health reforms success, younger healthier people are critical to balance out the older who are often sicker and help keep costs down for the whole system and will eventually lower prices overall. latino and asian adults with a specific focus on chinese adults, information from covered california will be available only in english and spanish and not chinese so this will require a local effort, residents of the southeast corridor and small business -- small proprietors and other businesses, the final is messaging, and this is the simple three step message that we've been saying all along, new opportunities for health insurance coverage are coming and we are here to help you. health insurance is better than healt

impact of health reform on the uninsured in san francisco, also about the aca implementation activity that dph and noel simmons will talk about the aca implementation verses at the human services agency. so, as supervisor campos said, it was assigned into law by president obama to expand health care coverage, it is the biggest initiative since the creation of medicaid and medicare, as a result of health reform , the rate of uninsurance will be reduced by half, and 92% of all u.s. residents will have health insurance. locally, approximately 56 thousand san franciscans who are uninsured today will have access to health insurance. how does health reform propose to expand access too insurance? it requires that people have insurance and it gives them more options to obtain it. the requirement for people to have insurance is called the individual mandate as the supervisor mentioned previously. most but not all u.s. residents will be subject to the mandate which becomes effective on january 1. those that are not subject to the mandate include undocumented individuals, that will be the larges

impact of health reform on the uninsured in san francisco, also about the aca implementation activity that dph and noel simmons will talk about the aca implementation verses at the human services agency. so, as supervisor campos said, it was assigned into law by president obama to expand health care coverage, it is the biggest initiative since the creation of medicaid and medicare, as a result of health reform , the rate of uninsurance will be reduced by half, and 92% of all u.s. residents will have health insurance. locally, approximately 56 thousand san franciscans who are uninsured today will have access to heth insurance. how does health reform propose to expand access too insurance? it requires that people have insurance and it gives them more options to obtain it. the requirement for people to have insurance is called the individual mandate as the supervisor mentioned previously. most but not all u.s. residents will be subject to the mandate which becomes effective on january 1. those that are not subject to the mandate include undocumented individuals, that will be the largest

of caring for the uninsured. now, speaking of the uninsured, the san francisco insurance will allegation be affected. the healthy san francisco has definitely helped some of the families in hunter's point bayview. we do have agencies like the southeast center, the bayview medical center and we have health fairs throughout our community but we need more outreach, we need our families to know how to obtain these services in insurance, so i want to see more outreach out in hunter's point bayview, and i'm sure you are aware in my community that we have a high rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the parents have more access of insurance and know the health benefits available to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this pr

of caring for the uninsured. now, speaking of the uninsured, the san francisco insurance will allegation be affected. the healthy san francisco has definitely helped some of the families in hunter's point bayview. we do have agencies like the southeast center, the bayview medical center and we have health fairs throughout our community but we need more outreach, we need our families to know how to obtain these services in insurance, so i want to see more outreach out in hunter's point bayview, and i'm sure you are aware in my community that we have a high rate of asthma, diabetes and cancer and also trauma, a lot of trauma related issues are in hunter's point bayview and this causes a problem with our children. i am an employee with the unified school district, and i would just like to see that the parents have more access of insurance and know the health fiavailable to them because you must realize that good health is a conduit for closing this educational gap for children of color, so please keep this program g

some are unconvinced they'll lower it in their state because of the typical pool of the uninsured. jim axelrod, cbs news, new york. >>> coming up after your local news on "cbs this morning," an update on the wildfire near palm springs, california, that is threatening thousands. we'll be live from the scene. >>> plus, detroit has become the biggest u.s. city to become file for bankruptcy. mellody hobson will have the details. >>> and we'll see how landlines are disappearing in the age of wireless communications. that is the "cbs morning news" for this friday. thanks for watching. i'm vinita nair. have a great day. -- captions by vitac -- www.vitac.com -- captions by vitac -- www.vitac.com >> your realtime captioner: linda marie macdonald >>> good morning, friday has arrived! hooray! july 19. i'm frank mallicoat. >> i'm michelle griego. time now is 4:29. it is friday! >> yes. >> are you guys excited? >> i am. >> i would like to work all weekend with you guys. >> you should. >> but i can't. >> i'll tell the boss. >> so moving right along. [ laughter ] >>> patchy fog not as thick as it

i think it's important we get the uninsured insured. i think it's important we get health care affordable, and it's important that we make sure the employers understand what this mandate is. if that means we have to prolong some to get it rit, that seems pragmatic to me. neil: if you think thi would have been approved if pople knew the problems that would cropp? >> i think anytime that you're speaking about near 20% of the economy, there's going to be significant bumps the road. it's ver difficult to see how you smooth this out without taking ti. so i think i makes sense that we take theime. i think arguing whether we're going forward with it or not, that's already been decided. we're proceeding. so let's figure out how to proceed the best way. neil: so you don't buy the arment that you can't chan a law midstream by moving the deadlines. it's one thing to change the enforcement provisions, it's quite another to change the dates on the participation provisions. >> i think if you change dates because it's going to make implementation bett

i think it's important we get the uninsured insured. i think it's important we get health care affordable, and it's important that we make sure the employers understand what this mandate is. if that means we have to prolong some to get it right, that seems pragmatic to me. neil: if you think this would have been approved if people knew the problems that would crop up? >> i think anytime that you're speaking about near 20% of the economy, there's going to be significant bumps in the road. it's very difficult to see how you smooth this out without taking time. so i think it makes sense that we take the time. i think arguing whether we're going forward with it or not, that's already been decided. we're proceeding. so let's figure out how to proceed the best way. neil: so you don't buy the argument that you can't change a law midstream by moving the deadlines. it's one thing to change the enforcement provisions, it's quite another to change the dates on the participation provisions. >> i think if you change dates because it's going to make

the med contract allows us to have the paramedic benefits for the uninsured folks so they can receive permission at the varies paramedics and so medications are provided in a cost effective manner and we concur with the budget analysts recommendation >> thank you very much mr. rose please. yes mr. chairman and members on page 25 of our report we state that is showed in table 4 based on the estimated projected expenditures of 3 million accomplice the proposed contract should be reduced by 68 million plus we recommend that i all the time the proposal to allow the approve to july 1st nevada's. on page 6 we ask i all the time that proposal be amended for the purchases to make amendments to the contract the liability of the city. we recommend that you reduce the amount by 68 million plus not to steady amount of 25593 and we recommend you approve the recommendation >> thanks we'll open thirty this up to public comment seeing none, public comment is closed. colleagues we have our budget analyst recommendations can i have a motion to approve. we can do see without opposition. we can send that

the low wage workers who will not become a part of it and the uninsured who are no longer interested in it and now our bosses who were effectively going to be paying for it. four key groups opting out for the time being that spells big trouble for health care law now on life support. we'll keep you posted. up next, how ed went from hero to zero. it is not that a lot of countries do not like ed. it is just like we have been saying. they like our dollars more. and build me a pyramid. is this another upon -- another ponzi scheme in the making? you have egyptians celebrating again and you paying again after their coup, your cash. we expense it, you decide it. you have had enough of it. >>> that was there. this is now. oil spiking today as the chaos in cairo is coming to a head and egypt's leader is brought down fast. egypt is not a major oil producer, but here is the fear. look at the neighborhood it is in. a lot of big oil producers and a suez canal which the oil is transported. it is all important to the future direction of oil prices which once over $100 a barrel oftentimes has troubl

shifting to the characteristic of the uninsured and another document in the packet that we released earlier this week. a larger portion of the rural population escaped specially the uninsured would be eligible for some of the expansions whether it's medicaid expansion, or the new subsidizes than in urban county. that's the general conclusion of both bullet. a larger portion of the rural uninsured are in-house holds that will become eligible for either the subsidizes or medicaid expansion. assuming for the moment over the next period of time medication expansion becomes striebl all of them. what we're doing to invest in rural health service on the availability side, the community health center fund that was created in the aca have effected access to care in rural places through the grant program and the 229 million of new expansion money in the national health service corp. in system change in rural places, i'll focus on the key example, which is a accountable care organization. these are new organizations set up by the aca in the medicare program whose intention is to over a three-year peri

on the uninsur uninsured. folks going to the emergency rooms and expensive care to treat them, that's the tax now. obama care is going to turn that around because people are going to -- you're saving money in the long run. >> igor, the real cost of the uninsured is under medicare and medicaid, the low reimbursement rates. it's not the uninshourd. it's a small part and people need to know that government reimbursement rates to doctors and hospitals, 20% below what they are going to get for a private patient. >> not going to solve it all. a bunch of taxes will come. >> $1 trillion. >> got to weigh it with the tax from not having an efficient health system. >> very inopportune time. we'll see if this thing gets off the ground. i have my doubts. sally pipes, good to see you and igor volsky. >> the real act today on the market not in stocks but in gold. what's that means? we'll debate that next coming up on "the kudlow report." you're not just looking for a house. you're looking for a place for your life to happen.

care of the remaining uninsured and many as you know will be the undocumented and our families that come to the health center they work very, very hard. some of them work two jobs and this job -- they work to support san francisco. they support the infrastructure of the city and we need to keep them healthy so they provide for us. we need to provide for them. mission neighborhood health center provides care to about 4,000 to 5,000 immigrants who will continue to be uninsured. the city of san francisco is estimating that about 20,000 uninsured will remain. about 25% of the families will continue to come to the health center so we need the city's support in helping us do this work and keeping our communities healthy. thank you very much. >> thank you very much. next speaker please. >> good afternoon supervisors. my name is mark alton and the father of an 11 year old, a teacher at betty carmichael school and a soma resident. i appreciate the opportunity to provide public comment. i have been a student of san francisco for most of my life, something about this area has always fascinated

however, a lot of the care given to people, even the uninsured, not through the emergency room manassites some statistics in the book. it is a misconception that people without insurance don't get access to care. so some of these issues, people that it accessorizes rooms that really don't need them. on the other hand, i think it has really been remarkably -- markedly distorted. >> to the embarrassment of the government's decentralize health care restricting access government officials themselves will circumvent restrictions when they're own personal care is a stake. the national health service in great britain spent more than one-half million pounds to pay for thousands of its of staff members of the leapfrog the waiting lists. the prime minister and of italy was to have his or cardiac pacemaker surgery at the renowned cleveland clinic in '06. and when president obama was asked pointed glean to promise that he would not seek out a plan help for his wife $4 if they became sick, the president refused saying if it is my family member, wife, if it is my children, if it is my grandmother i alw

would it benefit the poor, the uninsured, seniors, the middle or thepeople like you, country overall? what we found was that since last september when, during the campaign, the president was aggressively defending the law, there has been a marked deterioration, a decline in the share of americans who believe that it would benefit either the middle class, families like them, or the country overall while the proportion who believe it would benefit the poor and uninsured remained largely stable. what it suggests is a most americans now see this precisely in the opposite way the obama administration had hoped. rather than seeing it as a broad benefit for society overall, like social security and medicare, most americans do seem to be reviewing it primarily as a welfare or transfer program that will benefit the needy but people like them. host: ron brownstein, what do you think it means for the obama administration's efforts to roll this out? they have this october 1 deadline. is, again, challenge people do not see a personal benefit as it stands now. hillhat creates a harder to convince t

so the result is we still will have a large residual uninsured population in the state and in san francisco. there will still be insignificant need for the safety net system and the health care security ordinance can continue to play an important role both in shoring up health care coverage so we don't see a shift into public programs and through the public option to make sure people have the resources they need to be able to get coverage and to participate in coverage. er >> thank you, next speaker. >> mr. chair, honorable supervisors, the health of san francisco and the affordable care act, many people are left out of the affordable care act. we need to defend healthy san francisco now, more than ever, many immigrants are completely ineligible for health coverage through covered california, the h health care exchange, they depend on healthy san francisco for their health care. that includes tens of thousands of san francisco resident, 10 thousand more that work in san francisco but do not live in san francisco, san francisco has been a huge success, all it takes to perceive for the future

this expansion of insurance to the uninsured next year, that's unchanged. >> glor: wyatt, we've talked policy here. what is the further political fallout for the administration? >> reporter: jeff, right now, this is a gift to republican critics who've argued that the health reform law is too complicated and too much of a burden on businesses. republican leaders are already saying this proves their point. they're planning a full investigation on how this decision got made. you can already see this becoming an issue in next year's congressional elections. >> glor: wyatt andrews, thank you. the fire in arizona that killed 19 firefighters this week is still only 8% contained. late last night, a community vigil was held in prescott for family members to remember the fallen. nine-year-old ty green held an american flag in the stands there. the governor has ordered flags flown at half-staff for 19 days in honor of the 19 fallen heroes. tonight, as the fire is investigated, carter evans has new information. >> reporter: this is our first look at the damage from the yarnell fire that's destroye

but the president said today costs are already falling and will fall even more when uninsured americans begin enrolling in health care exchanges, where insurance companies will compete for customers. jim axelrod has found there are potentially big savings if the right customers sign up. >> you notice these envelopes are unopened. >> reporter: charles lenchner, 43 and uninsured for most of the last four years doesn't even open emergency room bills any more for treatment of his migraines. >> because when you can't pay a hospital bill you know they keep on sending them, you still can't pay. >> reporter: so what is the point of opening it. >> what is the point of opening it. >> reporter: two weeks ago lenchner, a self-employed social media consultant finally got insurance for $550 a month. his girlfriend angel gibson also self-employed pays $350 a month for hers. but beginning in january they can buy insurance through exchanges new york state is setting up and save big. lenchner expects to save more than $200 a month in premiums. >> your reaction is what? >> yay! >> finally!. and not just f

the goal here, to get coverage for the nearly 50 million americans who are currently uninsured. critics of the law -- and there are many, many of them -- they're warning there's going to be chaos. the obama administration has already started a massive education push. a cost, no surprise, a matter of fierce debate. joining me from los angeles, our chief medical correspondent, dr. sanjay gupta. good morning, sanjay. >> good morning, christine. the country's largest group of actuaries really sounded alarm bells when they said in certain cases, the costs -- insurance costs -- may go up by more than one-third. they were talking specifically about people who had to buy their own policies either as individuals or part of small businesses. but you might imagine that caused a lot of concern. so we decided to investigate what was happening here. we started in milwaukee, wisconsin. >> reporter: dan runs t's hair studio in the trendy bay view neighborhood in milwaukee. he estimates it takes about six of these haircuts to pay his monthly medical insurance bill. >> how long do you think you w

and without the employer spending requirement to finance our local safety unit, the remaining uninsured will have to utilize more emergency rooms and acute [speaker not understood] which will not only increase health care costs because we'll be treating folks in emergent conditions, but also shift the cost of care to taxpayerses in the city. so, again, i want to highlight the guideline 3.1.14 preserving healthy katrina voss program should be more [speaker not understood] critical need and employer spending requirement should also be a part of that. >> thank you. are there any further public comment on this item? >>> yes, good afternoon. my name is hiroshi fakuda. just a few comments in regard to the healthy s.f. master plan. i'm not sure there is enough emphasis being put on mental health services. i saw a line in connection with behavioral health medical services. and i think there needs to be a stronger emphasis on the mental health aspect. it is a major problem in the country. we're having a number of veterans returning from the war and i don't think it's being addressed enough. for

even if it means convincing the uninsured to remain uninsured. joining us now, my friend, jonathan cohnn, senior editor at the "new republic." good to see you tonight. >> thanks for having me on the show. >> let's say they get the folks to burn the draft card and not take the insurance and they're uninsured. what does freedom works say to a 24-year-old who in 2014 gets into an accident and can't pay their bills? >> what we're seeing here is really something i think is different than what we've seen before. this isn't just fighting a law, isn't just saying we want the law off the books. this is telling people who stand to benefit from the law, hey, don't take advantage of it. it's like telling people don't take your social security checks because we don't like the system. when you turn 65, don't enroll in medicare because it's a bad idea. i don't know what they're going to say to these people. the truth is there's a reason we're trying to make health insurance available to people. it's because people get sick. they get in accidents and end up in t

the president will also talk about efforts to expand manufacturing, signing up the uninsured for health-care coverage, and educational opportunities for college students. >> pope france this is in route to his first trip aboard. he took off from rome earlier this morning for a week-long visit. the pope is expected to meet with legions of young roman catholics at the world use the excess will. more than a million people are expected to attend. >> we are also watching wall street this morning as investors are hoping the recent surge in stock market continues today. here is a look at the closing numbers from friday. the nasdadow lost nearly five points in the day at 16,543. the nasdaq fell 23 points to close at 3587. the s&p 500 rose two points, closing at 1692. >> michelin is voluntarily recalling 100,000 tires after a reseller discover that some of them had holes and they quickly deflated. the recall of sex and sizes of michelin tires. the tires are to be used on light trucks and as you these. the puncture, and the sidewalk, was caused by machines using the handles that since the tires. there

half of the uninsured stand to benefit from the adjustment going forward. but we do have states across the country that so far declined become partners in this effort to take advantage of the expansion in the result is many low-income adults that will likely remain uninsured with predictable results and for society. >> also look get this through the economic clinton as the economy continues to improve more people still find themselves in need of this health care safety net. cutting medicaid that is cutting jobs for every dollar spent is good economics. according to one study by the kaiser family foundation $1 cover medicaid is $1 and $0.6 cut from the state's economy in which that occurs. of loss of dollars means activity across the country which means you move states in exactly the wrong direction. in terms of economic recovery states in the federal government need to focus on creating jobs or incentivizing economic growth not just cutting the most colorful programs like medicaid slightly the expansion program under the affordable care act is not only some

even the uninsured to be interested tsign up in now to be delayed, and now they're running and other@ financing options? >> also shong there is no respect for the rule of la now planning to take 15 percent of the economy with four ars' notice they cannot get it together. now they say congress will pass a series of laws, just with the administration wanted but now chivvying treasury discretion? where does that a? when your? by year's? en does congress ever pass anything to give them discretion to implement. >> medicare is a good example in terms of little things but be that as it may with jfk coming up with initiatives, many returns and w is this diffent? >> isn't. you could make the argument that the knicks have not been fixed with medicare. look at the irs to receive bonuses, to look across the governmengovernmen t and what it has ecuted now we deal with health care. our plans are changing. of course, there are bumps along the way, it does not show no matter how much glitz or glamour it will cover up that will have flawed execution in. neil: but it is unpopular right now and american

even the uninsured to be interested to sign up in now to be delayed, and now they're running and other@ financing options? >> also showing there is no respect for the rule of law. now planning to take 15 percent of the economy with four years' notice they cannot get it together. now they say congress will pass a series of laws, just with the administration wanted but now chivvying treasury discretion? where does that and? when your? by year's? when does congress ever pass anything to give them discretion to implement. >> medicare is a good example in terms of little things but be that as it may with jfk coming up with initiatives, many returns and how is this different? >> isn't. you could make the argument that the knicks have not been fixed with medicare. look at the irs to receive bonuses, to look across the governmengovernmen t and wh it has executed now we deal with health care. our plans are changing. of course, there are bumps along the way, it does not show no matter how much glitz or glamour it will cover up that will have flawed execution in. neil: but it is unpopular right n

anything that cuts down like the uninsured will be a real big benefit for them. they should see some extra procedure volume covering uninsured but mostly reducing the bad debt. they announce ad great acquisition of vanguard health. looks like that could add a dollar a share to earnings when fully integrated. >> you have another pick with a pharmaceutical with a new diabetes drug. diabetes is one of the top five or top three problems that vexes many mention and this is lexicon. why do you believe this will be a winner in the second half? >> this is a small cap name. it gets the kid anies to help treat the diabetes. they don't have a partner yet for the drug but they're shopping it around. they are talking to all the big pharmaceutical companies and could have something signed bit ind. year with a big up front payment. and up-front cost of the phase three clinical trial and get royalties and marketing when finally approved. there is a catalyst that could come by the end of the year. liz: we have those names. you see on his list, baxter international. where is the o

either from corporations or low wageworkers from the inevitable the -- uninsured who don't want it. >> you tell me that uninsured, would rather not have insurance. neil: 2 out o3 downant into this. >> they don't know anything about it, the republicans have done a phenomenal job of demonizing a law. neil: if you all of a sudden had healthcare coverage comin your way, and you are thinking twice, whatever you say, you know low wageworkers who cannot afford i -- >> but they get subsidies. neil: my point the foundation for this is dissolving. >> it not, you wish it was. neil: money in money out. i am a business guy. more money is going out. >> much like republicans were against medicare, and the programs in '60s tha are popular now, bottom line, look, the law is the law. the republicans can vote to defund it or repeal it or whatever theyment. it will bthey want. neil: then you say you could fix it, you could dress it up but sometimes you can't put lipstick on a pig. >> i don't think it is a fig. neil: scott i finish. >> >> i do, he said republicans are trying to know what is in the law, na