lyons_-powell.jpg

Participants appreciate safety-net health access program, but note gaps

Customer service is a problem as patient load continues to grow
Most participants in Healthy San Francisco, the city’s 2007 initiative to expand care to more than 50,000 uninsured patients, appreciate the overall access to preventative care and treatment for chronic health conditions. A 2009 survey showed that more than nine in 10 are “very” or “somewhat” satisfied with the program. Patients cite the affordability of the program and the quality of care they receive from the health care practitioners. But program participants and medical care providers also note the inconsistency in the services they receive under Healthy San Francisco.

20110409-0129-hires-cmyk.jpg

City steps in where state fails to regulate toxic manis and pedis

WORKING CONDITIONS: San Francisco program pushes nail salons to use safer chemicals
Heidi Hoang was pregnant when she first started working at Nails by Linda in San Francisco’s Sunset District. “There’s a lot of people who say, ‘You have to be careful with this kind of job. Maybe, no more baby,’” Hoang, now the salon manager, said. “I was so nervous.” Nail salon workers, many of whom are Vietnamese immigrants and refugees with limited English skills, have long endured toxic chemicals that emanate from products they use to beautify their clientele. The chemicals not only produce noxious fumes, but workers often complain of itchy skin, rashes and headaches after prolonged exposure to the substances. In an effort to combat the problem, San Francisco is developing guidelines to encourage nail salons to go green. In the absence of federal or state regulations protecting salon workers from toxic exposure at work, the city is working to educate salon owners about healthier alternatives.