The San Francisco County government meeting on July 4, 2025, highlighted critical issues surrounding healthcare services in the city, particularly the impact of Sutter Health's management of Saint Luke's Hospital. A key discussion point was the elimination of sub-acute care at Saint Luke's, which was the only facility in the city providing such services. This change has raised concerns about patient care, as moving sub-acute patients can lead to adverse health outcomes, including increased mortality.

Board members expressed frustration over the lack of effective plans from the Department of Public Health (DPH) to expand sub-acute care options. Despite ongoing discussions about utilizing other hospitals, such as Saint Mary's and Chinese Hospital, progress has been slow. One board member emphasized the need for DPH to develop a more comprehensive strategy to diversify healthcare services, which are currently overly concentrated in just a couple of facilities.

Another significant topic was the performance of UCSF in serving patients under the Healthy San Francisco program. Data presented indicated that in 2021, UCSF served only 16 Healthy SF patients, while Zuckerberg General Hospital served nearly 11,000. This disparity raised questions about UCSF's engagement with the program and its overall contribution to community health.

The meeting underscored the urgent need for improved healthcare planning and resource allocation in San Francisco, particularly in light of the challenges posed by the current hospital service landscape. As discussions continue, stakeholders are urged to prioritize the expansion of essential healthcare services to better meet the needs of the community.