 So, you may know that the Health Collaborative conducts community health needs assessment every three years to assess the needs of the community, basically to find out about the diabetes rates, poverty rates, suicide, anything you want to know about the county in terms of health. That's what this research does, and we recently found out in 2016 some of those results, and we found out, for example, that there is a 20 year difference in life expectancy whether you live in the north of San Antonio versus the south. So we want to talk about that because there are several factors that may explain this difference in life expectancy, and those factors are what we call social determinants of health. So factors that determine the health, and those are really the conditions where people grow, play, live, work, and age. So by those conditions we mean the schools in our neighborhoods, we mean our workplaces, we mean our churches like this one, we mean our parks and our homes, and so all of those different contexts have an impact on our health. We're also referring to the social environment, so it's the quality of our education, employment, income, social support, public safety, so all these things that they talk about at City Council really impact our health. So with this in mind, that's the framework that we're going to have today's discussion that health is in all policies that they talk about at City Council. For example, transportation decision about improving our bus system, that can really provide greater access to food, to community resources, and even health care services to the residents. A community development plan about neighborhood improvements, for example, can have a direct impact on providing accessible, stable, and affordable housing to some of our residents. And an economic development decision can have a critical impact also on our workforce. So every decision, I keep repeating it, but every decision that City Council makes does affect our health. And so the future District 7 City Council women or councilmen will be representing the health of the 137,000 residents in the district. So to proceed, I would first like you to introduce yourself and tell us why health is important. Sure. First, can everyone hear me okay? Yeah, sorry. Thank you. So my name is Ana Sandoval and I'm a candidate for City Council in District 7. And I want to thank all of you who took the time to be here tonight. Obviously your city government is important to you, but so is the health of your community. And thank you for taking the opportunity to hear me out or the other candidates had they been here on our positions on community health. So like I said, my name is Ana Sandoval. I grew up here in San Antonio down the street actually on Donaldson Avenue. And for several years, I worked in the field of air pollution control, so protecting public health from large pollution sources, small pollution sources, you know, how development occurred in the community also determined what air quality we had and ultimately what health impacts we had. So after many years of doing that, I worked in planning, I worked in community relations and as part of running the chief of staff of the executive officer there. But after many years of doing that, I decided to go back to school and study public health and I was specifically interested in the health impacts of air quality on the body. I wanted to know every detail I could about the physiology and I wanted to know about environmental epidemiology, how diseases that are influenced by our environment are prevalent in the population. Where do they occur? In what types of populations do they occur? Is it in older people? Is it in younger people? Geographically, where are they? So I spent two years of my life with lots of computers and lots of books and lots of libraries delving into that field and came out learning a lot more than I had expected to including what Dr. Bergeron just mentioned is the social determinants of health. How really everything in our environment, our community, our social pressures, the education we have access to, the built environment we have access to, how all of these things influence public health. So I know that if I become an elected official, the decisions that we make on council will also affect public health and I want to make sure that my decisions are helpful to public health because if we don't have our health, what do we have? So thank you. Thank you. So we'll start with another question. So as you know, community health and the wellness is not really a priority at City Hall. It ranks as lower than streets in terms of a survey that was conducted by speakups in Antonio. Yet it impacts our well-being, workforce, economic development, everything we've been talking about. So what health-related areas do you think deserve increased attention, priority and local resources and if elected, how would you elevate the discussion of these health issues at City Hall and lead effective action to improve health and health care in our community? Okay, that's a, can everyone hear me okay? That's a great question. The City of San Antonio just hired a director for the Metro Health Department in the past few weeks. This is a position that had been vacant for approximately two years. We are a city of over a million individuals, 1.4 million. Having a vacancy in that type of position for two years to me also indicates that maybe public health is not a priority to the city. So I, you know, if I'm on council I want to make sure we don't go through periods like that again where we have two years without a leader in that position. Number two, the budget for the Department of Metro Health has shrunken over time and it certainly hasn't kept up with the pace of the growth in our population. So to me that's another way in which we can prioritize public health is making sure that our public health department has the resources to deal with our growing population. Number three, the city council has a number of committees where they actually roll up their sleeves and delve into policies at the detailed level. So we have something called the transportation and the utilities committee. We have a housing committee, neighborhoods committee. We don't have a health and human services committee. But I think if we are serious about improving public health in San Antonio, we should consider having a committee like that at the policy level with elected officials on it, someone who's accountable making those decisions, someone that you can vote in or out making those decisions. And lastly, I would say now that we do have our Metro Health director on board, I think it's a perfect time to work with Metro Health and see how that department would feel about having a citizens advisory committee assist them in their work. So those are some of the ideas I've had so far about how we can push to improve public health in our community. Thank you. Next question. Bear County is the primary source of funding for indigenous healthcare in our area through the Bear County Hospital District and University Health System. How would you, if elected, promote cooperative efforts to increase services and access to care for the residents of San Antonio? So like you mentioned, it's actually the county that works on indigent health, not the city at this point in time. So some people might say we don't need to worry about it if that's in the county's hands. But the truth is, A, any of us could become indigent at some point in time and it will affect us, but B, the funding that the county receives is taxes, it's property taxes that we all pay and we definitely want to see them used wisely and efficiently. So how can we do that? I think we have a lot of great organizations in the area doing good work. We have community health clinics and as of a few years ago, with the passage of the Affordable Care Act, we saw a rise in the number of clinics called federally qualified health centers that do more comprehensive health services. So it's not just you and one doctor, but maybe you and the additional social services that you might need to keep your health up to, I was going to say up to code. I've obviously attended too many forums to keep your health in check. So I think as a city, what we can do is work with the many nonprofit organizations that we have, the philanthropic organizations that we have in town, as well as those clinics that we're talking about and see where we have gaps and maybe where we have overlaps in service. That will help our dollars, our tax dollars and our philanthropic dollars go a lot further in caring for individuals that need help. Third question, the disparity in health between our poorest and our wealthiest zip codes or districts is quite striking. So that also relates to the 20 year difference in life expectancy that I was talking about. So how would you if elected reduce health disparities and improve health outcomes for our lower income communities and residents? Sure. So this is one of those subjects. Health disparities is one of those subjects that I studied in school and I had not expected to study it. I thought, oh, I'm just going to go learn about environmental stuff and how that how that affects health. But I took this course called Society and Health and really it just paints such a broad picture about what what affects our health. So it's not just the decisions that that you make, you know, whether you decide to work out or not work out or whether you decide to eat healthy or get your checkup. But there are so many other factors in life that influence them. So I do have to say I went back and I looked at some notes before today's interview and I'm going to look at those notes now and read those things aloud. So there are factors called determinants of health. And so so this disparity that we see in health is influenced by by the determinants of health or economic stability, the education that we have access to the social context, you know, what's what's acceptable, where you live and in the community where you are, what's, you know, what's frowned upon, as well as, of course, what access what health care access you have, but also what built environment is like around you. If you have, as you were mentioning, you know, access to to a place where you can have active transportation, so bike lanes or or sidewalks. So I think the best thing we can do as policymakers on the council is look at what are these things that influence health? How are they different in the north? North of Hildebrand and south of Hildebrand, where that disparity line is and and try to improve the conditions south of Hildebrand so that we do have a great built environment, great education and economic opportunities, as well as access to health care. So I would I guess I would go upstream of just you and your doctor, but I would go and try to address those things that influence, you know, whether or not you end up going to your doctor's office. Just is that that answer is a question? OK, yes. Speaking about who goes to the doctor or not, though. So as you know, there are high incidences of obesity and diabetes here and we're actually ranked as the second in the nation for obesity. Past city efforts of attempting to improve these rates, such as trying to reduce the prevalence of sugary drinks in the community and have them now with a lot of controversy. So what ideas do you have to reduce the incidence of these chronic health issues here in District Seven and in the city? Diabetes is a big topic, so I know I've made some notes about it here. So I can't find them. So we have, like you said, second in the nation, diabetes rate, obesity. And that's about that's over one fourth of the adults in San Antonio or Bear County suffer from obesity. There are already if you're if you work in the health field, you know that there are a number of programs out there that help people with with obesity or managing diabetes. And it's great that they're there. I do think we want to convene and apply something like the if anyone's heard of the collective impact model where you bring together organizations that are all working on the same area and you build on the strengths that they have and see, like I mentioned before, where the gaps are and and try to address those. Are you familiar with the diabetes collaborative? Oh, well, that's exactly the kind of thing that we would. Yeah. Yeah. Yeah. So we could invite you on that. Great. I would also want to stress just how significant diabetes is in our community. I've lived in other places and you can go months without meeting someone with diabetes. But in San Antonio, all of us know someone with diabetes. And all of us probably know many people that that suffer with diabetes. And I think it really needs to come more to more to the forefront. Diabetes is it's a life changing disease for people who suffer from it. And if you have some of the more severe consequences, it also becomes a life changing disease for your family members because they will have to care for you. And if you are unfortunate enough to to be so ill that you have to take disability, then that becomes that begins to affect your employer. And given the prevalence that we have in our community, that means a lot of employers are actually affected by people suffering from diabetes. And that becomes a broader economic impact to our whole community. So, you know, if we don't have healthy people, we can't have a healthy workforce. And and we really short change our community on that. OK, like this. Thank you. OK. So other than the collective impact model to address diabetes. So how how do you think we could try to decrease incidences of chronic diseases? Right. So so you we know that chronic diseases are we're talking about heart disease. We're talking about diabetes and obesity. Well, you don't want to focus on the disease itself, but all the things that happened before that disease occurs. So that is a matter of not having an active lifestyle and access to healthy food. So how can we address that? We want to we want to make sure that we have a transportation infrastructure that supports an active lifestyle so that you don't have to separately say, oh, I've got to go to the gym and do something but that you're actually able to walk, you know, a few blocks away to get your dinner that day or go to the grocery store or run whatever errand you need to run that you do not have to depend on your automobile to do that. But you have the opportunity to take a walk while you're running your errands. I just, you know, how many people actually have time to just, you know, go to the gym for 45 minutes and travel there and back. It's that's a lot harder to fit in than a short walk that you need anyway to do something else. And in terms of healthy foods, I think that's that's a much broader conversation that we can have. But number one is as policymakers, when we're beginning to do this as a city is addressing what we call the food deserts in in our community, where there are, you know, swaths of land where you can't get a healthy meal. You have to walk, I think, more than a mile and it's just the access isn't there. So making sure that people have access to healthy foods as well. Anyway, thank you. We're at the last prepared question. So according to the Centers for Disease Control and Prevention, child abuse and neglect are serious problems that can have lasting harmful effects on its victims. The goal in preventing child abuse and neglect is clear to stop this violence before it even takes place. So what local policies, resources and efforts will you support to promote safe, stable, nurturing relationships and environments for all children and families? So child abuse is I think everyone's read the stories about CPS and how it's underfunded and the terrible heartbreaking stories that come out in the paper when, you know, a child is found or several children are found in neglect or under a situation of abuse. And one thing I learned was that there's no parent who, you know, sets off to abuse their child or to neglect their child. That's nobody wants to be a bad parent. That it's really the result of when a parent doesn't have a network to rely on, that's when the likelihood of abuse or neglect increases. If you and we see that when we have families that move back to San Antonio or move back to their hometown because are we going to have children? We want to be near our parents and we know that that we need that support in order to balance our lives and raise our children in a healthy way. But for some people, that's not that's not there. This could happen in the case of teenage pregnancies or when teenagers have multiple pregnancies as well. So one way to avoid not having that support network is to make sure we have planned pregnancies and help teenagers avoid having unintended pregnancies because really at that age, nobody, you know, nobody's really ready to have a family and it's very unlikely that you're going to have a whole network in place and teen pregnancies are risky health-wise for the baby and for the mother. So let's say that's one tool that we definitely want to support and use as well as access to prenatal care that also helps us build nurturing relationships. Thanks. Thank you. We're now up for questions from the audience. Does anybody have a question? If you do, you want to come up to the microphone possibly to ask a question for some of us. Yes, come on over. So you want to say your name, what you're from or which organization you represent? Thank you very much. The former, just a former customer who just had a migrant district client. I don't live in this district but I have a lot of family in this district and this had one question is I would like to know if you would look into a critical problem that we've tried to address for many, many years and has fallen on deaf ears of those that are elected now. And that is the one point of fluoride was in our water, is in our water and we fought against that, we voted against it but they still put it in the water. So many of us have and my community in particular, district five, we don't drink the water, we buy the water. So we end up taking a bath and washing our toes with fluoride water but I would like to all ask if you will look into what have been the results. It was intended to upgrade or I guess to make it better for tea for children but for a few years now, we've been asking for the leadership there to give us a result. Have we really made a change? And then there's a lot of history or that fluoride is really not for us and there are some fluid neighborhoods like Alamo Heights that they voted to not have the fluoride water and in other cities it has been reversed like in San Francisco. They over journeyed to get fluoride out of the water so I think that it, we're talking about health but I think it's something that needs to be addressed. Are we wasting our money buying this for example, be included in the water? And if it is not for what are the results and we need some results or take the fluoride out of the water, it's not being the main dollar additional fee. It's not like that research should be part of the community health needs assessment that is done at the health collaborative and among the community. So are you saying you're taking this one and I have to worry about it? I was given my time to think. I appreciate it. So Councilwoman Galvan, thank you for bringing up that very important topic. I did come across that same question during my campaigning when I have been block walking. I came across a constituent who had an allergy to fluoride in the water. So she was concerned about it as well and said, we really need to reconsider this. So what I would recommend that the city do if I'm elected and if I'm able to get the support of my colleagues do some research into the later science that has come out regarding the use of fluoride in populations, there may already be studies that we can look at without having to fund our own study in our own population and then we can act a lot faster if that information is already out there. I think it would be very interesting to do a study in our own population and see what the effect has been. I do know that that's something that would take a much longer time to do and probably more money, but I think at the very least what we can start with is revealing the science and making a more informed decision at this point in time. So thank you for bringing that up. And a million dollars could be used in other places if we find that it's not good for hell, thank you. I am assuming maybe she also wanted a commitment from you that you would look into that if elected. Is that? Yeah, okay. I will look into that if I am elected. Thank you. Thank you. Anybody else? Yes, please. My name is Amy Smartagas and though I don't live in this between my parents, I build a house in 1957 until we have family that's living in this territory. We need to find that. Of the health issue that I'm going to bring up is alcohol consumption. I think that we tolerate a lot and it takes a lot of other families to come to grips with the amount of accepted tolerated. It's affected my family very seriously, contributing enormously to my father's dementia and as a result of which I believe would have a lot of conversations with people who turns out also had alcohol problems in their family. Now in my father's case the cops let him drive away because he talked about it in the tickets. I'm sure there are new police chiefs that's a different attitude but I don't want it to be a temporary change. I really think that if you look at some of those issues having to do with the longevity, you'll see that alcohol consumption is and I'm just talking about those 12 fat spheres that was seen by the Walgreens yesterday that we really have a community tolerance for a lot of recreational drinking and while we score in the sugary drinks those people here aren't exactly nutritious drinks either. So I'm just saying that in general from a public office I think we have a very good party atmosphere and we don't always actually let people out for drinking. So I think that there is a relationship to trauma injury, to dementia, blood pressure and a lot of diseases and I think that if it is already the Indian Health Collaborative such an issue we just need to be there. So substance abuse and alcohol is part of the community health needs assessment and we are working on the community health improvement plan right now to develop strategies so just different issues that were brought up in the needs assessment. So I am 99% sure that there is one group that is working on alcohol and substance abuse but I will let it now to Anna to see if you have any comments related to her comment. No, I think that's a very good point. When you look at going back to the theme of the social determinants of health one of those areas is what is your social and community context? What is acceptable around you? And we have fiesta coming up and I'll tell you what's acceptable at fiesta is a lot of drinking is very much acceptable. So I think I don't have the solution right now for that but I do think it's going to take some creative thinking about how do we also make it acceptable or just as fun to take part without having alcohol be such a large part of that. And how do we make, is this a follow up question? It's a follow up question because I, I think around myself, I'm surprised to see that what we are doing is in favor of arriving and companies has been that it reduces you know, even more, I mean, even more to me. But really, is that the reason why we use research because we know we have too many drugs on the road? So I, I find it as a community problem because it involves enforcing the recognition as well as just sort of a personal choice. That's the fact that Uber was being promoted as a way to reduce drug driving, I thought. That's just an option that we have somewhere. That's a great point and a great issue especially to talk about enforcement of those laws, what policies are out there to address that important issue and how is it being enforced? I've heard the same argument about in fact, a former mayor, Nelson Wolfe said, you know, we've seen the numbers come down on DUIs and definitely saving lives is important but I think you bring up a good point is we have to go back a little bit further and say, why do we have so many people in that situation? So I think we need to look at our social and community context for drinking in San Antonio, especially when it comes to having parties. I am by no means saying I'm outlawing drinking at an event like that but, and making sure that perhaps some kind of, maybe your group is working on this already, but having individuals recognize those signs of overconsumption, when is it not okay? When should we begin to worry about someone's health? And you're right, there are all of these consequences, health consequences to drinking for women more than one alcoholic beverage a day and for men I believe it's more than two alcoholic beverages a day comes with the risk of increased heart disease and many other diseases. So thank you for bringing that up. Yes. Can you double check that the microphone is on please? Yeah. Hi, my name is Vanessa, thank you for being here. I thank you for the show that shows in terms of you being to the table because you know how the voice in this your attitude towards you, you're representing this right so I say thank you. I just have a question as far as what you would do for advocating as far as the funding for community health as compared to other priorities that might be more development or business maybe personal interest kind of thing. So what would you do as a candidate to help bring that funding to a very important issue especially regarding social determinants of health and to bring the mortality rates to something that's not new to our community? So I just wanted to see what you just was advocating for. No, thank you for that question. I think when it comes to advocating for funding, the most important thing a council person can do is show up and be at the table when those discussions happen and to do their homework about what exactly is needed and what benefits that's going to bring. So being able to make a well-informed case and a persuasive case to the fellow council members I think is number one most important how we can get more funding from our city budget. Number two is we also have to look at our partners in the community and see what we can do together. So earlier I mentioned all the philanthropic organizations that have a focus on health. So I think working with them should be our first step but then we have a number of other philanthropic organizations where maybe we can persuade or work with them to increase our funding for health. Or if the city is going to put in this much what can they bring to the table as a partnership? And I'm with you on infant mortality. Our numbers are too high. And I did a little project on this in school actually for the San Antonio infant mortality to look at what was the biggest risk for that. And the biggest risk is not having access to prenatal care. So which I probably didn't need to do a whole school project on it. Someone could have just told me. But having access to prenatal care and how does that happen? I think it just means we have to be insured because in your first three months of pregnancy you may not know you're pregnant and you're not going to necessarily seek out prenatal care until you know that you're pregnant. So if you're not planning a pregnancy and if you're not seeing your doctor regularly that leaves you at risk for not getting prenatal care in time. Those are very specific things that we should target to reduce our infant mortality rate. Related to funding. What do you think about implementing taxes that can help improve neighborhoods in your district or a soda tax? So that's just the idea. But to bring in more, that that money brings in more money for, generous more money revenue for the city that you can use then to better improve the health. What do you think about that? Sure, I think prior probably to introducing a tax we might want to find other funding sources that we can draw from. Maybe if there's leftover funding from a project that didn't consume all of its funding that's probably the first thing that we want to do. The second thing I would recommend is before, before using the word tax which some people are opposed to is we look at something called a fee. So a fee is actually directly tied. It funds something that's directly tied to what you use. So it doesn't mean like when you tax, if I were to tax a beverage five cents maybe I could use that money on anything. But if I have a fee that's directly associated with I don't know, maybe perhaps a vending machine that sells that, then I directly use them or we directly use that money for programs that help us with the impacts of sugary beverages. We've seen this happen with, we've seen this happen with cigarettes and it works. So I think we do need to consider doing this with not just sugary beverages perhaps but exactly, but other ingestibles that contribute to poor health. Anybody else? Yes. Hi, I'm Kimberly Gorgibow and I'm representing the local front-runner, Carmen, who will put you back on the way from here. We are part of Jefferson County Mother's Church in this neighborhood and I guess my question is two-fold. I'll start with the whole county issue because we do pay county's hospital tax here and that was designed long time ago to provide for the health of this county. And then also there's a bunch of decisions that are made at the Austin level by corporate companies that control our children's mental health and our healthcare and things like those issues. And so what would you see as a council person as your ability to break down some of those long held territorial open and work all together? That's my first question. So recently our sitting council person did take a bus of people to Lobby Day in Austin. I think something like that needs to be multiplied 10-fold. You know, we don't need to do it on just one day and we don't need to do it with just one council person. We need all of us together on the same page and that is, and even not just our council persons, but what about in Houston or Dallas where we're facing the same problems? There are cities throughout Texas that they're facing the same problems with the legislature and I think it is time to create a network with them where we can actually have some influence at the legislative level. So that may sound like pie in the sky to some people, but I think we need to think big because there's a lot we can do at the local level but we could do so much more if we had partners in Austin. Yeah, I agree, and I think when we start talking about whether these dreams to call back the ones that are already there is really important. But the other part of my question is, you know, we have a district obviously is very active in the community. We have a lot of churches. We have excellent million instructors who got the Jefferson Outreach for older people during this area. There's a lot of different ways that organizations can be tied together and how did you see that the city council as a whole could identify organizations that can work together to address these? Thank you, Kimberly. I think we already, we do have a department of human services in the city is my understanding. So I would want to ensure that that department is well versed with the community organizations that we have that provide services and make that information available to the constituents. So I'll give you an example. I attended a neighborhood association meeting a few months ago in Culebra Park and some of the residents were concerned about how their elders could stay in their homes if, you know, now they needed a wheelchair ramp or needed some home repairs. And fortunately, because I had been on the Area Foundation's grant committee for senior services, I was aware of organizations that did that. But that's a very lucky experience that I had. You know, how do we make sure that information is easily available to residents? So, you know, I ended up calling back this woman and gave her a phone number and hopefully she was able to follow up and get the ramp built that she needed in her sister's house. But I do see a need for making that information easily available to residents, whether that's, and I think that's something that's a perfect fit for a council person who's supposed to be in touch with their constituents and making the community's resources available to them. So that could be, you know, by other hosting town forums, town halls, by snail mail newsletters or by electronic newsletters as well for starters. Maybe if we're able to build a partnership with Nowcast SA, we can feature, we can feature, you know, small segments on public access television, highlighting what all of these programs do. You know, if we could do a couple a week, maybe we could cover quite a few over time, but we need to find how, what are the ways people get their information and how can we tap into that instead of just sitting back and expecting them to come to us? I think the city does have a role to play in making that information available. So thank you for bringing that up. My list of commitments is growing as we speak. That's why we have these types of events, right? So I have two questions for you. The first one, have you ever heard of the community health bridge? No, so it's a tool. I'm promoting the health collaborative. I'm so very unbiased. So the community health bridge is a tool developed in the last six years, in line with the health collaborative. And it's actually like a website and an app with all these resources available in the community on any topic possible, housing, elderly assistance, transportation, family planning, anything you want. So we are also looking for feedback on that tool. So communityhealthbridge.com, in case you want to look it up and then send us an email about it. So if as a council woman, you could help to promote that because it is free that's available to the entire community. We would appreciate that. So you know what? Maybe that's something that we can commit to even sooner. I don't see my campaign manager, but maybe we can put that on our campaign website. Sure, thank you. It is a link to that or even at least on our Facebook page. Thank you. Can I ask my second question? My second question was, how do you plan on being available to your constituents, to the people you represent in your district if and when you are elected? Thank you. That is one thing that I've thought of a lot and I've gotten some input from my team as well as the people that I've met along the way. So I'm definitely open to more input on this. But number one is, we want to make sure it's easy for constituents to access the elected official. So I'd like to host regular office hours in the evening, not just during the day, but in the evening where working families can access them. So it's not necessarily at City Hall or the field office, but maybe a more public location that's easy to find. I'd also like to have drop-in office hours so that you don't have to schedule a meeting in advance, but because there are glitches when you do that sometimes. But where you could just drop in, maybe it's not a full half hour meeting, but you do get some face time, maybe about five minutes or 10 minutes enough to convey your concern. And sometimes email just doesn't let you express what you want to express or a phone call doesn't let you do that. And the truth is some people are more comfortable talking face-to-face than they are via email and via phone. So we want that to be an option for constituents. Number two, I do want to host regular town hall meetings where I tell you what I've been up to, what's coming up down the line, and hear what people are concerned about, what's out there on the streets. If I could, I would block walk through the whole term if I had time to do it, because that is actually how I'm hearing the most nuanced concerns by individual. So those are a couple of ways that we've thought about in addition to simply being present at events that are important to the community, where people can see me and feel comfortable coming up to me. The last thing I would want is for people to feel like they can't just come up to me and talk to me. So, thank you. Thank you. Lisa Artega-Scully, founder of Let's Ride. Let's Ride. Do you want to come up and ask a question please? Really? You can tell us a little bit about the coalition too, if you want. Now, actually, I'm just going to comment on your question. I think that the city, I think that the whole of this is why I'd like to, a meeting or something that they had, that they're essentially together, or a city of San Antonio called City for Good, or City of Good, and what they're trying to do is, what they're wanting to do is get all of them in combination together, so that people can start sharing their resources. Oh, no, no, no, no, no, no, no. But anyway, I think, actually, I'm all about what's called City for Good, and it just started just talking to me, so, City, yes. Thank you. That makes a lot of sense why, that makes a lot of sense why you wanted to say it. Thank you. We can, perfect. Quite a follow. Now, cast a say, thank you. Good comments. Vince. Vince, one second, everybody. Doctor. How would you commit, or what would you commit to, to relaying back to your perspective on whatever it is that citizens have spoken? That citizens are bringing up their problems, their concerns, will never, ever hear anything back? So when you have people showing up, I sure would like to see every council person and the mayor say, this is what I think on that topic related to you, my boss, the mayor. Thank you. I've heard the same concerns about that part of the, that part of the agenda called citizens to be heard. I think, I would actually even backtrack and say, maybe that's not the only way in which we take public input, but there could be other ways to do it too, submissions online. I would also be open to making those comments that are submitted public, so that your peers also know what questions are being asked. I would be, as a citizen, curious to know, okay, what types of questions are being asked, what types of comments are being made on this particular issue. So when I worked, and I, when I worked at the Bay Area Air Quality Management District, it was a regulatory agency. We developed clean air rules that affected industrial sources, generally. That rule-making process included issuing a draft of the regulation and a report that went with it, and it was out for comment for some time. And all the comments were listed in the final report, and there was a response to every single comment in the final report. So not only was there accountability, but there was transparency in that accountability. So I, that did take a lot of resources, obviously, but I think it also helped us do a better job, a more thorough job, by understanding the concerns of the stakeholders and making sure we had addressed them. So I think you bring up a very good suggestion. I will certainly consider doing that in my office if I'm elected, is having a response to the comments made at Citizens to be Heard. Thank you. And it also means that you know what the issues are, and you can better advocate for them when it comes directly from the community. Any other questions? I'm waiting for one from Dr. Santos in the front about mental health, anything? So I'm going to go to Dr. Santos, I work at the VA right now. And one of the things that I wanted to ask you was, yeah, specifically in the Dominican Republic, if you have considered any programs that can make actually a big impact in terms of mental health care. And also, I wonder what kind of challenges you think you're going to face once you're elected. Obviously, you have heard a lot of different concerns, and I'm obviously feeling overwhelmed just by hearing them and thinking how can you be elected and realistic, you know, address them. So I just wanted to kind of to add that are there any specific plans that you think are going to be the most impact that you think that are focused on this because I think that by doing that, we can address chronic diseases, et cetera, et cetera. Thank you for simplifying that because I too was beginning to feel overwhelmed by all the questions. But I would have meant, I would of course rely on the great staff at the city to help make these things happen and hope to have their collaboration in doing so. But in terms of health and all the other things that I want to address as a councilwoman, it's probably my number one focus would be pedestrian infrastructure so that people can move around safely and have access to get to work, to get to the clinic, to get to the pharmacy, to have exercise, but also to have the freedom of moving around if you're not able to drive a car, having that independence to get yourself somewhere and as long as we have a strong pedestrian infrastructure and a good public transportation system. To me, those things can improve quality of life in so many ways, not just health, but access to work, access to education, access to your loved ones if you can do that. So that would be my primary focus is pedestrian infrastructure and as well as access to good public transportation. Thank you. And taking a walk is great for mental health as well. Can you, I know it's kind of what differentiates you between your other candidates and each of the club, which is for those that might not be familiar with the other candidates and kind of your stance whether in community health or making up that ties to a little bit of differentiating from your other candidates. Thank you for that question. It gives me a direct opportunity to campaign, I guess. So I'll just give a little bit more of my background and say how that is actually very different from that of the other individuals in this race. So I was raised here in District 7, like I mentioned down the street on Donaldson Avenue and attended public schools here. I live where I grew up right now. I live next door to my parents. I bought the house next door to theirs. It was a fixer upper and I like to joke that it's still a fixer upper right now. So I have seen where our community was 25 years ago and I see what things have gotten better, worse and what things have stayed the same very much where I lived and how San Antonio has grown and how some of that growth, our community hasn't always benefited from it. So I would say I have a very personal tie to at least this part of the district. So number one, that's one thing that's different. Number two is I'm not, I'm someone who has over 10 years of experience in public service and government and I've served that here in San Antonio and outside of San Antonio. So I think that makes me familiar with the issues here, the resources we have here, the partners that we have here, but it also means that I've seen other things in other places and I've seen things that don't work and I've seen things that do work and I'm ready to bring the better ones home and try them out. To make progress, we do have to be a little bit innovative and we have to take risks and we have to try things and I'm someone who's willing to do that. And number three, the other thing that really differentiates me from the other candidates is I have a very different academic and professional background. I have a background in engineering so I am very analytically driven and I have a background in civil and environmental engineering and in environmental epidemiology so that when you look at the experience and the background that I have, direct experience in transportation, direct experience in environmental quality and direct experience in public health, those are all very important issues in San Antonio and I'm someone who's worked on all of them on the ground. So I think that's how I would summarize the difference between myself and the other candidates. Thank you. Good question. Anybody else dying question? Okay, well thank you Anna, Sandoval very much. Thank you to everybody for being here today, for participating. I also wanna thank Naukas, I say for being here and for the Bear County Medical Society for preparing the questions today. Before we leave, I just wanna let you know that early voting starts next Monday so if you are planning on doing that, you have until Monday to May 2nd and then voting the actual election day is May 6th from 7 a.m. to 7 p.m. So you can go to your polling site and go vote for your choice, whoever you choose for District 7. So thank you everybody, have a good evening.