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November 22.2025
3 Minutes Read

Fridays in San Francisco: The Day Business Takes a Hit and How to Change It

Downtown San Francisco street performance scene with audience.

The Changing Face of Downtown San Francisco

As the sun sets on yet another work week, downtown San Francisco experiences a stark transformation. For many businesses, Fridays that were once vibrant and filled with the hustle of office workers have devolved into quiet afternoons that cast shadows on recovery efforts. Business owners like Andy Chun, proprietor of a historic German restaurant, emphasize that Fridays have become a barometer of the city's evolving work culture, one dictated by the newfound permanence of hybrid and remote work.

Remote Work: The New Normal

Since the onset of the COVID-19 pandemic, remote work in San Francisco has surged from a mere 6% before the pandemic to over 45% by 2021, rendering traditional office attendance nearly obsolete. The shift has radically changed not only work-life balance but also the economic landscape. Local businesses that thrived on foot traffic from nearby employees are struggling as fewer people venture downtown, especially on Fridays—a day that many have now opted to work from home.

A Ripple Effect on Local Businesses

The ramifications of reduced office attendance are felt not just by bars and restaurants but by small businesses across the downtown area. Reports indicate that establishments with fewer than 100 employees have been declining, and vacancy rates for retail spaces have hit a 15-year high. One local bar owner noted that his establishment previously enjoyed Fridays as one of its busiest days, yet now, the mix of Fridays that once brought patrons has turned into a concern rather than a benefit. Events like Oktoberfest offer brief bursts of activity, yet overall, the trend of disengagement during the workweek endangers the vitality of downtown San Francisco.

Unpacking the Economic Impact

The economic fallout of this new Friday norm manifests in fiscal challenges for the city. San Francisco's overall office vacancy rates reached 31.6% through mid-2022, further complicating economic recovery plans. As business activity declines, tax revenues crucial for funding city services are also threatened. San Francisco is facing a significant fiscal deficit due to the lack of tax income generated from a bustling downtown workforce.

Strategies for Revitalization

To combat this trend, civic and business leaders are advocating for a reimagining of downtown. Initiatives to revive foot traffic include hosting events that utilize public spaces, activating neighborhoods, and improving public safety. The idea is that drawing people to the area for entertainment, cultural events, and community gatherings can infuse life back into the city. "We need to leverage concerts, arts, and food festivals to make the downtown area appealing at times when it currently isn't," expressed Laurie Thomas, executive director of the Golden Gate Restaurant Association.

A Path Forward

As stakeholders aim to create a livelier downtown atmosphere, it becomes evident that Fridays could evolve from a potential liability into an opportunity. Collaboration between local businesses and city planners is essential to ensure that downtown San Francisco can find a new identity that embraces the changing dynamics of work while fostering a vibrant cultural landscape. The proactive approach taken now will not only benefit businesses but also enhance the community's spirit, ensuring the downtown remains a cherished destination.

The Future: A United Vision for Downtown

Ultimately, Friday may no longer signify the end of the workweek, but rather a new beginning for San Francisco's economic recovery. As the city grapples with lingering effects from the pandemic and evolving work habits, a concerted and unified approach to cultivating a rich, inviting environment can lead to sustained revitalization. Embracing flexibility, creativity, and innovation will be critical as San Francisco charts its course forward and aims to restore its bustling spirit.

Readers interested in supporting a revitalized downtown San Francisco are encouraged to explore local events and businesses, fostering a community spirit that empowers growth and inclusivity during this pivotal transition.

San Francisco Spotlight

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Preparing for Rising Costs: Employer Health Plans in 2026

Update Understanding the Coming Sticker Shock in Employer Health Plans As we head towards 2026, a significant rise in employer health care costs is imminent, fueled by a surge in the popularity of certain medications such as GLP-1 drugs used for weight management. The anticipated increase in employer-sponsored health insurance costs, projected to exceed $18,500 per employee, raises alarm for both employers and employees alike. This unprecedented spike highlights critical issues surrounding health care affordability, impacting quality of life and corporate budgets. The Impact of Medication on Health Care Costs The increasing utilization of GLP-1 medications like Ozempic and Wegovy, which help in managing obesity, has already seen a dramatic rise in coverage amongst large employers—from 44% in 2024 to 49% in 2025. While these drugs offer potential health benefits, their high costs are a significant contributor to the rising premiums and out-of-pocket expenses that employees are likely to face. The fortunes of these medications illustrate the broader systemic issues within health care pricing and access. Employer Health Benefits: An Affordability Crisis According to Mercer’s survey data, health insurance costs have risen by 6% this past year—outpacing inflation and wage growth. With the current trajectory, employers are bracing for another 6.7% increase next year. This constant escalation places immense pressure on companies struggling to maintain competitive benefits packages while ensuring their workers can still afford health care. A startling 28% of workers with lower household incomes reported being unable to afford necessary health care, illuminating the disparity in access. Strategies for Affordability in Health Plans Employers are urged to explore various strategies to mitigate rising costs and enhance affordability for their employees. Ed Lehman, Mercer’s US Health and Benefits Leader, emphasizes the significance of providing diverse medical plan options tailored to the varying needs of workers. Additionally, reducing out-of-pocket costs through enhanced preventive care options and utilizing value-based care strategies can help employees manage their health expenses more effectively without sacrificing quality. Innovative Approaches: Navigating the Challenges The Business Group on Health’s 2026 Employer Health Care Strategy Survey highlights that employers can no longer afford to rely solely on traditional health plans. Innovative approaches such as value-driven models, enhanced utilization of telehealth services, and targeted wellness programs focusing on chronic illness management are critical in combatting the financial strain. Employers’ proactive engagement in these areas can pave the way for a healthier workforce and a more sustainable financial strategy. The Role of Mental Health in Overall Health Care Costs In the evolving landscape of employer health benefits, mental health has surfaced as a considerable cost driver, with many employers reporting increased utilization of mental health services. This surge necessitates a dual focus on expanding access while ensuring the quality of care. By integrating mental health support within health plans, employers can address the long-term financial implications typically associated with untreated conditions. Predicting Future Trends in Health Care Affordability As we look ahead, the convergence of rising costs from chronic illness management, medication utilization, and mental health services present a perfect storm impacting both employers and employees. Understanding these dynamics will be crucial in shaping strategic plans for the immediate future, with companies needing to embrace innovative solutions that amplify value and improve outcomes. Employers and employees together must navigate this impending affordability challenge by seeking transparent, smart options that focus not only on cost but also on quality of care. The time to act is now—employers must step up by exploring new models that prioritize health care access while keeping financial sustainability in sight. For a more robust discussion on how employers can adapt their health plans and tackle rising costs, keep informed of the latest trends by subscribing to our periodic updates. Being equipped with knowledge is crucial as we gear up for the health care challenges in the years to come.

Dr. Thomas Fogarty: A Tribute to His Lifelong Medical Innovations

Update The Pioneer of Cardiovascular Innovation: Remembering Dr. Thomas Fogarty Dr. Thomas Fogarty, the brilliant mind behind groundbreaking innovations in the medical technology field, passed away at the age of 91 on December 28, 2025. His legacy, marked by a relentless quest for better healthcare solutions, has left a profound impact on the world of cardiovascular surgery. Fogarty's notable inventions, particularly the Fogarty balloon catheter, revolutionized surgical practices by introducing minimally invasive techniques that have saved countless lives. Fogarty's Innovations: Shaping Modern Medicine Beginning his career in the early 1960s, Dr. Fogarty's inventions not only advanced cardiovascular procedures but also provided a foundation for many tools and techniques used in surgery today. The Fogarty balloon embolectomy catheter, designed to remove blood clots effectively, transformed what was once a high-risk open surgery into a safer, minimally invasive option, drastically reducing patient recovery times and improving outcomes. Over his distinguished career, he was awarded nearly 200 medical patents and co-founded over 45 medical technology companies, making his mark as a true innovator in the medical field. A Lasting Impact on Patients and Mentorship Beyond his technical achievements, Dr. Fogarty was a dedicated mentor to countless individuals in the medtech industry. His influence extended through his role at the Fogarty Innovation incubator in Mountain View, California, where he nurtured new startups and inspired budding entrepreneurs. Fogarty emphasized the patient-first approach, urging emerging innovators to always keep the end-user in mind. Brian Fahey, co-founder of Adona Medical, reflected on Fogarty's guidance, specifically highlighting his mantra: "Always put the patients first. Startups are messy, but never lose sight of the reason we do what we do. If the patients win, the company usually will too." Recognition and Honors Dr. Fogarty's contributions to medicine earned him numerous prestigious accolades, such as the Lemelson-MIT Prize and induction into the National Inventors Hall of Fame. Perhaps most notably, he received the Presidential National Medal of Technology and Innovation, recognizing his profound influence on healthcare and technological advancement. His work continues to inspire many in the medical community, reminding us of the importance of empathy and innovation in medicine. The Legacy Lives On As we mourn the loss of Dr. Fogarty, we also celebrate the indelible mark he left on the world. His vision and pioneering spirit ignited a movement towards better patient care and ignited a passion for innovation in countless individuals. The industry mourns the loss of such an influential pioneer, but his legacy will endure through the advancements he facilitated and the lives he changed. What the Future Holds for MedTech Fogarty's death raises questions about the state of medical innovation and who will carry the torch in the future. His model of mentorship and patient-centered innovation sets a benchmark for aspiring medical technology professionals. The medtech community must work collectively to honor his legacy by fostering new ideas and technologies that prioritize patient care and advance medical practices further. Conclusion: Reflecting on His Life Dr. Thomas Fogarty exemplified the power of perseverance and the impact one individual can have on an entire industry. His life's work serves as a reminder that every invention, whether large or small, can significantly improve lives. As we reflect on his accomplishments, let us also look to the future of medtech with the same spirit of innovation, underlining the importance of keeping patient welfare at the forefront of our efforts.

Could San Francisco Seize PG&E Assets? Exploring Public Power Solutions

Update Understanding the Power Struggles: San Francisco's Battle with PG&E After experiencing multiple blackouts, San Francisco residents are increasingly frustrated with Pacific Gas & Electric Company (PG&E). With reports indicating that these outages have disrupted businesses and left vulnerable populations in distress, the question arises: could the city take control of PG&E's infrastructure? Specifically, would San Francisco consider utilizing its eminent domain powers to replace a private utility company that has struggled with reliability and public trust for years? The Backdrop: Why Outages Have Sparked Outrage San Francisco has seen unprecedented power outages in recent months, and many residents are upset about losing access to electricity during critical times. From medical emergencies to economic losses, the continued failures of PG&E are a sore spot in a city known for its innovation and public services. Despite these challenges, the utility has operated for over a century, maintaining a monopoly that many now challenge. Emerging Solutions: The Role of Eminent Domain Eminent domain, the legal mechanism by which government can seize private property for public use, has become a focal point for those advocating for public control of utilities. If San Francisco decides to pursue this route, it would require significant legal groundwork and considerable financial resources. The city could argue that taking control would prioritize reliability and local accountability over profit margins aimed at distant investors. Valuable Insights from Past Utility Takeovers Historically, eminent domain has been effectively utilized for large public infrastructure projects, but it is rare for it to be applied in the context of a utility takeover. Utility companies, like PG&E, are expected to uphold their dominance and will likely fight hard against seizure actions. Experts indicate that any successful takeover would take years of legal battles, potentially delaying solutions for communities desperately in need. Finances: The High Cost of Changing Hands A takeover could cost San Francisco billions, sparking questions on feasibility and cost allocation. For the initial takeover, residents might wonder, will the city take on new debt, or will it tap into existing reserves? Public confidence in local government would be paramount, as any missteps in financial management could jeopardize ongoing utility operations. Future Predictions: What a Public Utility Could Look Like If San Francisco successfully seizes the infrastructure, a transition to a public utility might yield substantial benefits. Citizens could expect transparency, community-focused decision-making, and increased reliability in energy services - reflecting the values of the city’s residents. Yet the path is riddled with complications, as the Board of Supervisors would require significant majority backing to authorize such actions, ensuring the call for public utility control resonates across demographics. Considerations and Community Perspectives Public sentiment in San Francisco is split. While some residents back the push for a public utility, others fear potential mismanagement in a city already grappling with significant challenges. Community forums have emerged, providing platforms for dialogue and debate over the implications of such a bold move. The need for well-informed citizens has never been greater, enabling them to voice their concerns about the future of their city's energy supply. Next Steps: Building a Coalition for Action As community leaders and lawmakers converse about potential pathways forward, residents are urged to engage in local discussions, advocate for their needs, and hold leaders accountable. Public involvement could shape the narrative surrounding utility management in San Francisco, paving the way for a modeled public power utility that sets a precedent across the country. Conclusion: With the ongoing challenges posed by PG&E, San Francisco stands at a crossroads. The discussion on eminent domain offers an opportunity to rethink how a city can control its resources and prioritize the well-being of its citizens. As the situation develops, community engagement will be key to driving meaningful change. Now is the time to reflect on how energy management impacts our lives and consider what steps we can collectively take to advocate for more reliable and accountable utility services in our communities. Get involved in local discussions today; your voice matters!

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