CHCF June 7, 2022
Early in the epidemic, I knew we had a problem. As the public health officer for San Francisco, I saw desperately sick people flooding health clinics daily. Doctors treated patients with the information they had but were flying blind: Paper files on existing health conditions were scattered across the state. It led to thousands of unnecessary tests, harmful delays in care, and avoidable suffering.
That was in the 1980s, amid San Francisco’s AIDS epidemic. Today, I see many of the same obstacles. Critical gaps in data are hampering everything from our response to the COVID-19 pandemic to our ability to rapidly support Californians in the path of wildfires and other natural disasters. It is slowing progress on addressing mental illness,...