David Gorn is the former Deputy News Director of KQED Radio. His public radio pieces have appeared on NPR, the World, Marketplace and the California Report.
By David Gorn
With Climate Change, Valley Fever Spreads in California—and This Year Could Be the Worst Yet
In California, Saving Teeth and Money — One Mouth at a Time
Is Help on the Way for Californians With Tainted Water?
Thousands of Californians Live in Cars. Will This Man’s Lawsuit Stop Cities From Impounding Them?
California’s Push to Make People Healthy—and Save Taxpayers Money
Along California’s ‘Rehab Riviera,’ Sober Living Is Often Anything But
Rebelling Against California's 'Sanctuary' Laws -- From Inside California
FDA Injunctions Send Clear Message: Stem Cell Clinics Beware
Calif. Stem Cell Agency Has Yet to Fund an FDA-Approved Cure. Will Voters Give It $5 Billion More?
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"content": "\u003cp>Rob Purdie is an upbeat guy. You can hear it in his unfailingly positive statements, his voice tinged with a Central Valley twang from a life spent in Bakersfield. \u003c/p>\n\u003cp>You wouldn’t guess this is a man with a reservoir surgically built into the top of his skull, and that he spends one full day a month with antifungal drugs pumping directly into his brain.\u003c/p>\n\u003cp>Purdie has Valley fever, or coccidioidomycosis, a disease he caught in 2012 that’s caused by an airborne soil fungus. In his case, the fungus gave him meningitis, a swelling of the membranes that line the brain and spinal cord. The pain in his head has been intense, and the monthly drug injections are even more excruciating, he said.\u003c/p>\n\u003cp>“It sounds horrible, and it is,” Purdie said. But “lucky for me, Valley fever meningitis can be treated.”\u003c/p>\n\u003cp>The number of reported Valley fever cases set a record in California in 2016, with more than 6,000 infections. That number jumped to 8,103 in 2017, an increase of more than a third—growth many experts link to climate change. This year could be the worst yet.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Valley fever season starts this month. Most cases surface between September and November, but through\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/CocciinCAProvisionalMonthlyReport.pdf#search=valley%20fever\" rel=\"noopener\" target=\"_blank\"> August this year more than 5,000 cases were reported\u003c/a> in California, putting the state on pace for a new record.\u003c/p>\n\u003cp>“We’re seeing a huge increase in new cases in the past two-and-a-half years. It’s striking,” said Ian McHardy, co-director of the Center for Valley Fever at UC Davis. “We’re seeing double and triple the cases. It’s a catastrophic change, and it’s getting worse.”\u003c/p>\n\u003cp>The fungus typically infects the lungs after spores are inhaled (it is not contracted person-to-person), producing a persistent cough and chest pain or other flu-like symptoms that can require months of treatment. In some cases—like Purdie’s—it can spread. It can be hard to diagnose because it can mimic those of other ailments, and in many people symptoms fade away on their own.\u003c/p>\n\u003cp>This month, Gov. Jerry Brown signed three bills into law to help combat Valley fever. The current state budget includes $8 million for research and education, to keep more Californians from catching the infection and to foster better diagnoses so symptoms can be treated accurately.\u003c/p>\n\u003cp>But despite the state response, experts say the disease likely will continue to expand, with more people getting it in more areas of the state. \u003c/p>\n\u003cp>\u003ca href=\"https://agupubs.onlinelibrary.wiley.com/doi/pdf/10.1002/2017GL073524\" rel=\"noopener\" target=\"_blank\">One big reason\u003c/a>, McHardy said, is climate change. A growing number of dust storms in California have spread the fungal spores far beyond the Central Valley, where the infections traditionally have been concentrated. \u003c/p>\n\u003cp>“We know there’s \u003ca href=\"https://www.scientificamerican.com/article/valley-fever-on-the-rise-in-us-southwest/\" rel=\"noopener\" target=\"_blank\">a direct correlation\u003c/a> between these dust storms and Valley fever, and we know climate change is increasing the \u003ca href=\"https://www.scientificamerican.com/article/valley-fever-on-the-rise-in-us-southwest/\" rel=\"noopener\" target=\"_blank\">extreme weather patterns here\u003c/a>, including the dust storms,” he said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws.jpg\" alt=\"\" width=\"2200\" height=\"2820\" class=\"alignright size-full wp-image-11695473\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws.jpg 2200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-160x205.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-800x1025.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1020x1307.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-936x1200.jpg 936w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1920x2461.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1180x1513.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-960x1231.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-240x308.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-375x481.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-520x667.jpg 520w\" sizes=\"(max-width: 2200px) 100vw, 2200px\">\u003c/p>\n\u003cp>Valley fever is no longer strictly a Valley phenomenon. It has \u003ca href=\"https://www.ucdavis.edu/news/climate-change-threats-and-solutions-sacramento-valley/\" rel=\"noopener\" target=\"_blank\">spread north to Sacramento\u003c/a> and west all the way to the coast.\u003c/p>\n\u003cp>“(In places) like Monterey, Los Angeles and San Luis Obispo counties, where we don’t expect to find it, it’s becoming much more common,” McHardy said.\u003c/p>\n\u003cp>Democratic Assemblyman Rudy Salas Jr. of Hanford wrote the three Valley fever bills the governor signed. He said the infection has been reported in 53 of California’s 58 counties, and he has family members and friends who have contracted it.\u003c/p>\n\u003cp>The state’s health care costs have spiraled higher with the increase in infections, he said. “The costs to our health care system … were around $2 billion” in a 10-year period ending in 2011, Salas said, citing the most recent \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3810749/\" rel=\"noopener\" target=\"_blank\">state cost study\u003c/a>. “And we have only seen an increase in cases since then.”\u003c/p>\n\u003cp>The $8 million is “the largest allocation in our state’s history specifically targeting Valley fever,” he said. About $3 million of it will go toward expansion of the Valley Fever Center in Kern County and its research on why some people who inhale the fungus get sick and others don’t. \u003c/p>\n\u003cp>Because Valley fever can resemble the flu, many physicians outside of the Central Valley don’t consider it in their diagnoses, even though the blood test to identify it is inexpensive and simple. \u003c/p>\n\u003cp>The federal Centers for Disease Control and Prevention estimated there are about 150,000 undiagnosed cases a year, and McHardy said he thinks the number is higher.\u003c/p>\n\u003cp>The most dangerous manifestation is meningitis, he said—“and by the time they go to the hospital it’s too late, and I think a lot of people die from it without ever being diagnosed,” McHardy said. \u003c/p>\n\u003cp>The California Department of Public Health doesn’t regularly track deaths from Valley fever but did compile statistics \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937113/\" rel=\"noopener\" target=\"_blank\">in one study\u003c/a>. Officials concluded that 1,098 people died of the disease in California from 2000 to 2013, averaging about 73 deaths a year statewide. \u003c/p>\n\u003cp>The downside is obvious and can be terrifying, Purdie said. But he circled back to the bright side, saying that educating both patients and physicians to better recognize the infection could make a huge difference. Once people figure out they have Valley fever, especially in the earlier stages of the infection, he noted, it’s treatable.\u003c/p>\n\u003cp>And “fortunately,” he added, “most people won’t get it as severely as I did.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" rel=\"noopener\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Rob Purdie is an upbeat guy. You can hear it in his unfailingly positive statements, his voice tinged with a Central Valley twang from a life spent in Bakersfield. \u003c/p>\n\u003cp>You wouldn’t guess this is a man with a reservoir surgically built into the top of his skull, and that he spends one full day a month with antifungal drugs pumping directly into his brain.\u003c/p>\n\u003cp>Purdie has Valley fever, or coccidioidomycosis, a disease he caught in 2012 that’s caused by an airborne soil fungus. In his case, the fungus gave him meningitis, a swelling of the membranes that line the brain and spinal cord. The pain in his head has been intense, and the monthly drug injections are even more excruciating, he said.\u003c/p>\n\u003cp>“It sounds horrible, and it is,” Purdie said. But “lucky for me, Valley fever meningitis can be treated.”\u003c/p>\n\u003cp>The number of reported Valley fever cases set a record in California in 2016, with more than 6,000 infections. That number jumped to 8,103 in 2017, an increase of more than a third—growth many experts link to climate change. This year could be the worst yet.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Valley fever season starts this month. Most cases surface between September and November, but through\u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/CocciinCAProvisionalMonthlyReport.pdf#search=valley%20fever\" rel=\"noopener\" target=\"_blank\"> August this year more than 5,000 cases were reported\u003c/a> in California, putting the state on pace for a new record.\u003c/p>\n\u003cp>“We’re seeing a huge increase in new cases in the past two-and-a-half years. It’s striking,” said Ian McHardy, co-director of the Center for Valley Fever at UC Davis. “We’re seeing double and triple the cases. It’s a catastrophic change, and it’s getting worse.”\u003c/p>\n\u003cp>The fungus typically infects the lungs after spores are inhaled (it is not contracted person-to-person), producing a persistent cough and chest pain or other flu-like symptoms that can require months of treatment. In some cases—like Purdie’s—it can spread. It can be hard to diagnose because it can mimic those of other ailments, and in many people symptoms fade away on their own.\u003c/p>\n\u003cp>This month, Gov. Jerry Brown signed three bills into law to help combat Valley fever. The current state budget includes $8 million for research and education, to keep more Californians from catching the infection and to foster better diagnoses so symptoms can be treated accurately.\u003c/p>\n\u003cp>But despite the state response, experts say the disease likely will continue to expand, with more people getting it in more areas of the state. \u003c/p>\n\u003cp>\u003ca href=\"https://agupubs.onlinelibrary.wiley.com/doi/pdf/10.1002/2017GL073524\" rel=\"noopener\" target=\"_blank\">One big reason\u003c/a>, McHardy said, is climate change. A growing number of dust storms in California have spread the fungal spores far beyond the Central Valley, where the infections traditionally have been concentrated. \u003c/p>\n\u003cp>“We know there’s \u003ca href=\"https://www.scientificamerican.com/article/valley-fever-on-the-rise-in-us-southwest/\" rel=\"noopener\" target=\"_blank\">a direct correlation\u003c/a> between these dust storms and Valley fever, and we know climate change is increasing the \u003ca href=\"https://www.scientificamerican.com/article/valley-fever-on-the-rise-in-us-southwest/\" rel=\"noopener\" target=\"_blank\">extreme weather patterns here\u003c/a>, including the dust storms,” he said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws.jpg\" alt=\"\" width=\"2200\" height=\"2820\" class=\"alignright size-full wp-image-11695473\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws.jpg 2200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-160x205.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-800x1025.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1020x1307.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-936x1200.jpg 936w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1920x2461.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-1180x1513.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-960x1231.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-240x308.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-375x481.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/09/Graphic_-Valley-fever-laws-520x667.jpg 520w\" sizes=\"(max-width: 2200px) 100vw, 2200px\">\u003c/p>\n\u003cp>Valley fever is no longer strictly a Valley phenomenon. It has \u003ca href=\"https://www.ucdavis.edu/news/climate-change-threats-and-solutions-sacramento-valley/\" rel=\"noopener\" target=\"_blank\">spread north to Sacramento\u003c/a> and west all the way to the coast.\u003c/p>\n\u003cp>“(In places) like Monterey, Los Angeles and San Luis Obispo counties, where we don’t expect to find it, it’s becoming much more common,” McHardy said.\u003c/p>\n\u003cp>Democratic Assemblyman Rudy Salas Jr. of Hanford wrote the three Valley fever bills the governor signed. He said the infection has been reported in 53 of California’s 58 counties, and he has family members and friends who have contracted it.\u003c/p>\n\u003cp>The state’s health care costs have spiraled higher with the increase in infections, he said. “The costs to our health care system … were around $2 billion” in a 10-year period ending in 2011, Salas said, citing the most recent \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3810749/\" rel=\"noopener\" target=\"_blank\">state cost study\u003c/a>. “And we have only seen an increase in cases since then.”\u003c/p>\n\u003cp>The $8 million is “the largest allocation in our state’s history specifically targeting Valley fever,” he said. About $3 million of it will go toward expansion of the Valley Fever Center in Kern County and its research on why some people who inhale the fungus get sick and others don’t. \u003c/p>\n\u003cp>Because Valley fever can resemble the flu, many physicians outside of the Central Valley don’t consider it in their diagnoses, even though the blood test to identify it is inexpensive and simple. \u003c/p>\n\u003cp>The federal Centers for Disease Control and Prevention estimated there are about 150,000 undiagnosed cases a year, and McHardy said he thinks the number is higher.\u003c/p>\n\u003cp>The most dangerous manifestation is meningitis, he said—“and by the time they go to the hospital it’s too late, and I think a lot of people die from it without ever being diagnosed,” McHardy said. \u003c/p>\n\u003cp>The California Department of Public Health doesn’t regularly track deaths from Valley fever but did compile statistics \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4937113/\" rel=\"noopener\" target=\"_blank\">in one study\u003c/a>. Officials concluded that 1,098 people died of the disease in California from 2000 to 2013, averaging about 73 deaths a year statewide. \u003c/p>\n\u003cp>The downside is obvious and can be terrifying, Purdie said. But he circled back to the bright side, saying that educating both patients and physicians to better recognize the infection could make a huge difference. Once people figure out they have Valley fever, especially in the earlier stages of the infection, he noted, it’s treatable.\u003c/p>\n\u003cp>And “fortunately,” he added, “most people won’t get it as severely as I did.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" rel=\"noopener\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>At the children’s dental clinic that Dr. John Blake runs in Long Beach, toddlers come in all the time with problems so severe they need root canals.\u003c/p>\n\u003cp>Children as young as 2 or 3 show up with blackened teeth and swollen faces, unable to eat because of the pain and in need of whole mouth restorations.\u003c/p>\n\u003cp>“It’s rampant,” Blake said, “and it’s really a disaster to see.”\u003c/p>\n\u003cp>In California, the state with the highest \u003ca href=\"https://www.census.gov/data/tables/2018/demo/income-poverty/p60-263.html\" target=\"_blank\" rel=\"noopener\">poverty\u003c/a> rate, tooth decay in children outpaces the national average. Hoping to save both teeth and money, the state is addressing the problem with an overhaul of Denti-Cal, part of the Medi-Cal health system for low-income Californians.\u003c/p>\n\u003cp>Pilot programs are underway to get more kids into a dentist’s chair, and the state plans to kick off an educational campaign next month. Officials have also reduced red tape, streamlined billing, raised payments to dentists and offered cash to those willing to accept more state patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The moves fit into a larger state \u003ca href=\"https://calmatters.org/articles/category/california/health/wellness/\" target=\"_blank\" rel=\"noopener\">focus\u003c/a> on prevention as a way to reduce chronic conditions, emergency care, surgeries and the high related treatment costs. Medi-Cal covers about a third of Californians and consumes more than $100 billion annually in state and federal money. Denti-Cal accounts for about 2 percent of that, or just under $2 billion.\u003c/p>\n\u003cp>Not long ago, Blake said, he was exasperated by the state program; some of its payment rates were “almost comically low.” His nonprofit clinic had mostly Denti-Cal patients, and he needed private donations to fund about half of his operating expenses. The system was a constant hassle, with unnecessary paperwork and delayed payments.\u003c/p>\n\u003cp>“I was one of the fiercest critics of Denti-Cal,” Blake said. “I can remember sitting before the Legislature and telling them, ‘This is not a functional program.'”\u003c/p>\n\u003cp>But in the past few years, the state has aside money for rate increases — $210 million in the current budget. It has also signed up hundreds more dentists, expanded the number of patients seen by individual providers and placed new emphasis on prevention, according to the California Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>“Now I have to give them some praise,” Blake said. Almost all of the problems and possible solutions he testified about years ago have been addressed or implemented, he said — although he’ll continue fundraising because the increases still don’t meet his costs.\u003c/p>\n\u003cp>“These changes at Denti-Cal are great … And I can tell you,” he said with a little chuckle, “I don’t think I’ve ever used ‘great’ and ‘Denti-Cal’ in the same sentence before.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/2a4c428a-2547-4669-98e0-b381186e5d66?src=embed\" title=\"Cavities in California's children\" width=\"800\" height=\"850\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The Little Hoover Commission, a state oversight panel, has also pushed for change.\u003c/p>\n\u003cp>It initiated public hearings in 2015 to examine Denti-Cal’s rock-bottom utilization rates — at the time, only a third of enrolled children ages 3 and younger had seen a dentist in the previous year. The commission issued a damning \u003ca href=\"http://www.lhc.ca.gov/sites/lhc.ca.gov/files/Reports/230/Report230.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> in 2016 that called the system “broken” and one of the state’s “greatest deficiencies.”\u003c/p>\n\u003cp>“It’s not there still,” Blake said, adding that payments now are about 30 percent of what he’d get from private insurance — better than the 25 percent or so he used to get, but not enough. And “paperwork is still a factor,” he said.\u003c/p>\n\u003cp>Signing up dentists with a negative view of Denti-Cal has been a big challenge for the department. But the latest data shows a turn. A recent \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/Medi-Cal2020DY13-Q3ProgressReport.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Department of Health Care Services says that, from July 2017 to March 2018, 360 new providers joined Denti-Cal, bringing the participant total to nearly 10,000.\u003c/p>\n\u003cp>And from 2014 to 2016, the department \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/DTIPY1FinalReport.pdf\" target=\"_blank\" rel=\"noopener\">reported\u003c/a>, the number of dentists seeing 10 or more Denti-Cal children rose by more than 6 percent, which means roughly 400 more dentists across the state have expanded their practices to include more low-income kids. Cash bonuses go to those who expand their Denti-Cal load by 2 percent, a target that will grow to 10 percent over five years.\u003c/p>\n\u003cp>In addition, the state has:\u003c/p>\n\u003cul>\n\u003cli>Expanded teledentistry efforts, allowing providers to supervise some care remotely, increasing their availability to underserved areas.\u003c/li>\n\u003cli>Switched to electronic billing and trimmed paperwork requirements.\u003c/li>\n\u003cli>Begun testing ways to reach more patients and offer better preventive services, through the pilot programs across California. In Sonoma County, for instance, the goal is to eliminate new cavities in 75 percent of children within five years.\u003c/li>\n\u003cli>Appointed a state dental director, Jayanth Kumar, charged with reducing oral-health disparities in California and developing a statewide oral-health plan in coordination with multiple government agencies.\u003c/li>\n\u003c/ul>\n\u003cp>Harvey Lee is chief dental officer for the nonprofit Healthy Smiles for Kids, which provides care to low-income children in Orange County. He said the Denti-Cal changes helped convince him to treat low-income youngsters, outside of his fee-for-service practice in Irvine.\u003c/p>\n\u003cp>He had heard “the nightmare stories of waiting for six months to get approval” as a provider, … and the red tape, … submission of X-rays and so forth just to get pennies on the dollar.”\u003c/p>\n\u003cp>But he was approved in a week. A Denti-Cal representative even came to his office to help with his application. Lee said the payments aren’t as high as what he gets in private practice, but “the increase helps.”\u003c/p>\n\u003cp>“Most dentists just know the old Denti-Cal, but they don’t know the little nuances in how it was improved,” Lee said. He’s treating a high volume of Denti-Cal patients through teledentistry.\u003c/p>\n\u003cp>With that kind of innovation, said Alani Jackson, chief of dental services at the Department of Health Care Services, “it’s like we’re riding the right wave of change.”\u003c/p>\n\u003cp>The main goal of the system overhaul is to establish a dental “home” for patients, where one dentist coordinates care for an individual or family. That can help lead to a lifetime of better oral health, Jackson said. And lower costs for the state.\u003c/p>\n\u003cp>In particular, the department is focusing on children 6 and younger. Jackson said the pilot program in Orange County includes presentations at schools. “We’re going to where the kids are,” she said.\u003c/p>\n\u003cp>There’s still work to do, Jackson and her staff acknowledge. And their successes must be maintained for the long term. Katie Andrew, oral health senior associate at Children Now, a nonprofit health advocacy group in Sacramento, agreed.\u003c/p>\n\u003cp>“For patients,” Andrew said, “this hasn’t been a dramatic change. Many still don’t know about Denti-Cal benefits, and in the rural counties especially, there just aren’t enough providers.”\u003c/p>\n\u003cp>Blake said it will take “many years to rebuild that system of care and earn back the trust of California’s dentists … Many dentists are waiting in the wings to see if this can be sustained.”\u003c/p>\n\u003cp>Meanwhile, Lee expressed surprise at how much it means to him to care for low-income, high-need patients.\u003c/p>\n\u003cp>“I never really thought I’d enjoy this part of being a dentist,” Lee said. “But it’s wonderful. I mean, you’re not doing it to make money, you do it because there’s a need.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org/\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics. This is the fifth article in a series on state efforts to foster healthy living as a way to reduce chronic illness.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At the children’s dental clinic that Dr. John Blake runs in Long Beach, toddlers come in all the time with problems so severe they need root canals.\u003c/p>\n\u003cp>Children as young as 2 or 3 show up with blackened teeth and swollen faces, unable to eat because of the pain and in need of whole mouth restorations.\u003c/p>\n\u003cp>“It’s rampant,” Blake said, “and it’s really a disaster to see.”\u003c/p>\n\u003cp>In California, the state with the highest \u003ca href=\"https://www.census.gov/data/tables/2018/demo/income-poverty/p60-263.html\" target=\"_blank\" rel=\"noopener\">poverty\u003c/a> rate, tooth decay in children outpaces the national average. Hoping to save both teeth and money, the state is addressing the problem with an overhaul of Denti-Cal, part of the Medi-Cal health system for low-income Californians.\u003c/p>\n\u003cp>Pilot programs are underway to get more kids into a dentist’s chair, and the state plans to kick off an educational campaign next month. Officials have also reduced red tape, streamlined billing, raised payments to dentists and offered cash to those willing to accept more state patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The moves fit into a larger state \u003ca href=\"https://calmatters.org/articles/category/california/health/wellness/\" target=\"_blank\" rel=\"noopener\">focus\u003c/a> on prevention as a way to reduce chronic conditions, emergency care, surgeries and the high related treatment costs. Medi-Cal covers about a third of Californians and consumes more than $100 billion annually in state and federal money. Denti-Cal accounts for about 2 percent of that, or just under $2 billion.\u003c/p>\n\u003cp>Not long ago, Blake said, he was exasperated by the state program; some of its payment rates were “almost comically low.” His nonprofit clinic had mostly Denti-Cal patients, and he needed private donations to fund about half of his operating expenses. The system was a constant hassle, with unnecessary paperwork and delayed payments.\u003c/p>\n\u003cp>“I was one of the fiercest critics of Denti-Cal,” Blake said. “I can remember sitting before the Legislature and telling them, ‘This is not a functional program.'”\u003c/p>\n\u003cp>But in the past few years, the state has aside money for rate increases — $210 million in the current budget. It has also signed up hundreds more dentists, expanded the number of patients seen by individual providers and placed new emphasis on prevention, according to the California Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>“Now I have to give them some praise,” Blake said. Almost all of the problems and possible solutions he testified about years ago have been addressed or implemented, he said — although he’ll continue fundraising because the increases still don’t meet his costs.\u003c/p>\n\u003cp>“These changes at Denti-Cal are great … And I can tell you,” he said with a little chuckle, “I don’t think I’ve ever used ‘great’ and ‘Denti-Cal’ in the same sentence before.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/2a4c428a-2547-4669-98e0-b381186e5d66?src=embed\" title=\"Cavities in California's children\" width=\"800\" height=\"850\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The Little Hoover Commission, a state oversight panel, has also pushed for change.\u003c/p>\n\u003cp>It initiated public hearings in 2015 to examine Denti-Cal’s rock-bottom utilization rates — at the time, only a third of enrolled children ages 3 and younger had seen a dentist in the previous year. The commission issued a damning \u003ca href=\"http://www.lhc.ca.gov/sites/lhc.ca.gov/files/Reports/230/Report230.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> in 2016 that called the system “broken” and one of the state’s “greatest deficiencies.”\u003c/p>\n\u003cp>“It’s not there still,” Blake said, adding that payments now are about 30 percent of what he’d get from private insurance — better than the 25 percent or so he used to get, but not enough. And “paperwork is still a factor,” he said.\u003c/p>\n\u003cp>Signing up dentists with a negative view of Denti-Cal has been a big challenge for the department. But the latest data shows a turn. A recent \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/Medi-Cal2020DY13-Q3ProgressReport.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Department of Health Care Services says that, from July 2017 to March 2018, 360 new providers joined Denti-Cal, bringing the participant total to nearly 10,000.\u003c/p>\n\u003cp>And from 2014 to 2016, the department \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/DTIPY1FinalReport.pdf\" target=\"_blank\" rel=\"noopener\">reported\u003c/a>, the number of dentists seeing 10 or more Denti-Cal children rose by more than 6 percent, which means roughly 400 more dentists across the state have expanded their practices to include more low-income kids. Cash bonuses go to those who expand their Denti-Cal load by 2 percent, a target that will grow to 10 percent over five years.\u003c/p>\n\u003cp>In addition, the state has:\u003c/p>\n\u003cul>\n\u003cli>Expanded teledentistry efforts, allowing providers to supervise some care remotely, increasing their availability to underserved areas.\u003c/li>\n\u003cli>Switched to electronic billing and trimmed paperwork requirements.\u003c/li>\n\u003cli>Begun testing ways to reach more patients and offer better preventive services, through the pilot programs across California. In Sonoma County, for instance, the goal is to eliminate new cavities in 75 percent of children within five years.\u003c/li>\n\u003cli>Appointed a state dental director, Jayanth Kumar, charged with reducing oral-health disparities in California and developing a statewide oral-health plan in coordination with multiple government agencies.\u003c/li>\n\u003c/ul>\n\u003cp>Harvey Lee is chief dental officer for the nonprofit Healthy Smiles for Kids, which provides care to low-income children in Orange County. He said the Denti-Cal changes helped convince him to treat low-income youngsters, outside of his fee-for-service practice in Irvine.\u003c/p>\n\u003cp>He had heard “the nightmare stories of waiting for six months to get approval” as a provider, … and the red tape, … submission of X-rays and so forth just to get pennies on the dollar.”\u003c/p>\n\u003cp>But he was approved in a week. A Denti-Cal representative even came to his office to help with his application. Lee said the payments aren’t as high as what he gets in private practice, but “the increase helps.”\u003c/p>\n\u003cp>“Most dentists just know the old Denti-Cal, but they don’t know the little nuances in how it was improved,” Lee said. He’s treating a high volume of Denti-Cal patients through teledentistry.\u003c/p>\n\u003cp>With that kind of innovation, said Alani Jackson, chief of dental services at the Department of Health Care Services, “it’s like we’re riding the right wave of change.”\u003c/p>\n\u003cp>The main goal of the system overhaul is to establish a dental “home” for patients, where one dentist coordinates care for an individual or family. That can help lead to a lifetime of better oral health, Jackson said. And lower costs for the state.\u003c/p>\n\u003cp>In particular, the department is focusing on children 6 and younger. Jackson said the pilot program in Orange County includes presentations at schools. “We’re going to where the kids are,” she said.\u003c/p>\n\u003cp>There’s still work to do, Jackson and her staff acknowledge. And their successes must be maintained for the long term. Katie Andrew, oral health senior associate at Children Now, a nonprofit health advocacy group in Sacramento, agreed.\u003c/p>\n\u003cp>“For patients,” Andrew said, “this hasn’t been a dramatic change. Many still don’t know about Denti-Cal benefits, and in the rural counties especially, there just aren’t enough providers.”\u003c/p>\n\u003cp>Blake said it will take “many years to rebuild that system of care and earn back the trust of California’s dentists … Many dentists are waiting in the wings to see if this can be sustained.”\u003c/p>\n\u003cp>Meanwhile, Lee expressed surprise at how much it means to him to care for low-income, high-need patients.\u003c/p>\n\u003cp>“I never really thought I’d enjoy this part of being a dentist,” Lee said. “But it’s wonderful. I mean, you’re not doing it to make money, you do it because there’s a need.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org/\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics. This is the fifth article in a series on state efforts to foster healthy living as a way to reduce chronic illness.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Is Help on the Way for Californians With Tainted Water?",
"title": "Is Help on the Way for Californians With Tainted Water?",
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"content": "\u003cp>Karen Lewis knows about water problems. The 67-year-old lives in Compton, where the water coming out of her tap is tinged brown by manganese, a metal similar to iron, from old pipes.\u003c/p>\n\u003cp>The water is supplied by the troubled Sativa Los Angeles County Water District. The district has been \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-sativa-water-district-20180711-story.html\" rel=\"noopener\" target=\"_blank\">plagued\u003c/a> by administrative scandal and charges of mismanagement, and it hasn’t been able to generate the money needed to fix the brown water. \u003c/p>\n\u003cp>Lewis has sat through innumerable community meetings and heard years’ worth of explanations, and she’s had enough. \u003c/p>\n\u003cp>“Nothing’s been changed,” she said. “They’re not going to change.” \u003c/p>\n\u003cp>Lewis is one of an estimated \u003ca href=\"https://www.sacbee.com/news/state/california/water-and-drought/article211474679.html\" rel=\"noopener\" target=\"_blank\">360,000 Californians\u003c/a> who can’t safely drink the water that flows to their homes. It’s not a new issue. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the Central Valley, in particular, excess amounts of arsenic, nitrates and other substances that can cause cancers and birth defects have tainted drinking water. In Compton, residents have been living with foul-smelling brown water because the cost of fixing the pipes is high, and many can’t afford to buy a constant supply of bottled water.\u003c/p>\n\u003cp>Now, in the wake of the state’s prolonged drought and the notorious water crisis in Flint, Mich., a number of new solutions have been proposed in California. \u003c/p>\n\u003cul>\n\u003cli>On Friday, lawmakers shelved two bills that supporters said would have helped. Under one voluntary \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB845\" rel=\"noopener\" target=\"_blank\">measure\u003c/a>, nearly all water districts in the state would have charged customers an additional 95 cents a month, unless the customers opted out of paying it. First proposed by Democratic state Sen. Bill Monning of Carmel as a mandatory tax, it didn’t muster the necessary two-thirds vote for passage, and Monning scaled it back.\u003c/li>\n\u003cli>Monning also advanced a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB844\" rel=\"noopener\" target=\"_blank\">tax\u003c/a> on dairies and fertilizer makers, industries that are heavy contributors to the nitrates found in some of the state’s groundwater. Associations representing those industries endorsed the bill, in part because the paying companies would have been protected from having to clean tainted water of nitrates. Legislators estimated that together the two bills could have raised more than $100 million a year. Assembly Speaker Anthony Rendon, a Democrat from Paramount, declined Friday to put the two measures to a vote.\u003c/li>\n\u003cli>In November, California voters will decide on \u003ca href=\"https://ballotpedia.org/California_Proposition_3,_Water_Infrastructure_and_Watershed_Conservation_Bond_Initiative_(2018)\" rel=\"noopener\" target=\"_blank\">Proposition 3\u003c/a>, which would permit the state to borrow almost $9 billion to help fund all kinds of water infrastructure projects: storage, dam repairs, watershed improvements and restoration of fisheries and other habitat. Voters in June approved a bond measure for more than $4 billion, some of it for waterway cleanup.\u003c/li>\n\u003cli>In this summer’s state budget agreement, more than $23 million was set aside for safer drinking water, with another $5 million to address lead in water at child-care centers.\u003c/li>\n\u003c/ul>\n\u003cp>Last week, activists rallied outside California’s Capitol, trying to build support for the two Monning bills. The measures wouldn’t have solved all the state’s drinking-water problems, but money from both could have been used for operations, not just infrastructure projects, said Phoebe Seaton, co-director of the nonprofit Leadership Counsel for Justice and Accountability, based in Fresno. \u003c/p>\n\u003cp>“The reason they’re so important is they provide the revenue necessary for operations maintenance,” Seaton said. The ballot measure bond money could be spent only on infrastructure improvements. \u003c/p>\n\u003cp>“That means helping … some districts get solvent so they can apply for grants,” she said. “They complement the bond funds.”\u003c/p>\n\u003cp>That was music to the ears of Compton residents. Their water district was the poster child for Monning’s bills. One crucial step for that district, Seaton said, is to get financially straight so it can secure the grants necessary to make improvements. Without the operational funding from the bills, she said, the Sativa district will continue to founder. \u003c/p>\n\u003cp>Cindy Tuck, deputy executive director of the Association of Water Agencies, a statewide trade group, said another tax is not the way to go and might cause more problems than it would solve. \u003c/p>\n\u003cp>“This is a social issue for the state of California, and the state should do something about it,” Tuck said.\u003c/p>\n\u003cfigure id=\"attachment_11690397\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-800x461.jpg\" alt=\"State Sen. Bill Monning, right, at a hearing. Money raised by two bills advanced by Monning could have been used for both water operations and water infrastructure projects. Assembly Speaker Anthony Rendon declined to put the two measures to a vote.\" width=\"800\" height=\"461\" class=\"size-medium wp-image-11690397\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-160x92.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-240x138.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-375x216.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-520x300.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Bill Monning, right, at a hearing. Money raised by two bills advanced by Monning could have been used for both water operations and water infrastructure projects. Assembly Speaker Anthony Rendon declined to put the two measures to a vote. \u003ccite>(Robbie Short/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The opt-out provision of the voluntary fee, she said, could have caused chaos in water companies’ billing systems. \u003c/p>\n\u003cp>“Water agencies have automated electronic systems,” Tuck said, and giving people a choice about paying one part of their bill runs counter to that. “I had one city tell me it would be over a million dollars just to change their system.”\u003c/p>\n\u003cp>Many customers might not even have known they’d paid an additional fee, she said, particularly if they used an auto-pay feature. \u003c/p>\n\u003cp>And if customers paid the voluntary charge without meaning to, they could have had their money refunded, setting off another complicated accounting procedure, Tuck said. \u003c/p>\n\u003cp>“It’s just a logistical nightmare,” she said. \u003c/p>\n\u003cp>Seaton had a different view: “There has been a lot of thinking on this. That’s why (there would have been) a notification period beforehand to include people.” \u003c/p>\n\u003cp>And the bill wouldn’t have gone into effect until 2020, she noted—enough time for some of those logistical details to be ironed out. \u003c/p>\n\u003cp>Lewis just wants relief from the brown stuff dribbling from her faucet.\u003c/p>\n\u003cp>“It’s not safe,” she said. “It can’t be safe.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Karen Lewis knows about water problems. The 67-year-old lives in Compton, where the water coming out of her tap is tinged brown by manganese, a metal similar to iron, from old pipes.\u003c/p>\n\u003cp>The water is supplied by the troubled Sativa Los Angeles County Water District. The district has been \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-sativa-water-district-20180711-story.html\" rel=\"noopener\" target=\"_blank\">plagued\u003c/a> by administrative scandal and charges of mismanagement, and it hasn’t been able to generate the money needed to fix the brown water. \u003c/p>\n\u003cp>Lewis has sat through innumerable community meetings and heard years’ worth of explanations, and she’s had enough. \u003c/p>\n\u003cp>“Nothing’s been changed,” she said. “They’re not going to change.” \u003c/p>\n\u003cp>Lewis is one of an estimated \u003ca href=\"https://www.sacbee.com/news/state/california/water-and-drought/article211474679.html\" rel=\"noopener\" target=\"_blank\">360,000 Californians\u003c/a> who can’t safely drink the water that flows to their homes. It’s not a new issue. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the Central Valley, in particular, excess amounts of arsenic, nitrates and other substances that can cause cancers and birth defects have tainted drinking water. In Compton, residents have been living with foul-smelling brown water because the cost of fixing the pipes is high, and many can’t afford to buy a constant supply of bottled water.\u003c/p>\n\u003cp>Now, in the wake of the state’s prolonged drought and the notorious water crisis in Flint, Mich., a number of new solutions have been proposed in California. \u003c/p>\n\u003cul>\n\u003cli>On Friday, lawmakers shelved two bills that supporters said would have helped. Under one voluntary \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB845\" rel=\"noopener\" target=\"_blank\">measure\u003c/a>, nearly all water districts in the state would have charged customers an additional 95 cents a month, unless the customers opted out of paying it. First proposed by Democratic state Sen. Bill Monning of Carmel as a mandatory tax, it didn’t muster the necessary two-thirds vote for passage, and Monning scaled it back.\u003c/li>\n\u003cli>Monning also advanced a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB844\" rel=\"noopener\" target=\"_blank\">tax\u003c/a> on dairies and fertilizer makers, industries that are heavy contributors to the nitrates found in some of the state’s groundwater. Associations representing those industries endorsed the bill, in part because the paying companies would have been protected from having to clean tainted water of nitrates. Legislators estimated that together the two bills could have raised more than $100 million a year. Assembly Speaker Anthony Rendon, a Democrat from Paramount, declined Friday to put the two measures to a vote.\u003c/li>\n\u003cli>In November, California voters will decide on \u003ca href=\"https://ballotpedia.org/California_Proposition_3,_Water_Infrastructure_and_Watershed_Conservation_Bond_Initiative_(2018)\" rel=\"noopener\" target=\"_blank\">Proposition 3\u003c/a>, which would permit the state to borrow almost $9 billion to help fund all kinds of water infrastructure projects: storage, dam repairs, watershed improvements and restoration of fisheries and other habitat. Voters in June approved a bond measure for more than $4 billion, some of it for waterway cleanup.\u003c/li>\n\u003cli>In this summer’s state budget agreement, more than $23 million was set aside for safer drinking water, with another $5 million to address lead in water at child-care centers.\u003c/li>\n\u003c/ul>\n\u003cp>Last week, activists rallied outside California’s Capitol, trying to build support for the two Monning bills. The measures wouldn’t have solved all the state’s drinking-water problems, but money from both could have been used for operations, not just infrastructure projects, said Phoebe Seaton, co-director of the nonprofit Leadership Counsel for Justice and Accountability, based in Fresno. \u003c/p>\n\u003cp>“The reason they’re so important is they provide the revenue necessary for operations maintenance,” Seaton said. The ballot measure bond money could be spent only on infrastructure improvements. \u003c/p>\n\u003cp>“That means helping … some districts get solvent so they can apply for grants,” she said. “They complement the bond funds.”\u003c/p>\n\u003cp>That was music to the ears of Compton residents. Their water district was the poster child for Monning’s bills. One crucial step for that district, Seaton said, is to get financially straight so it can secure the grants necessary to make improvements. Without the operational funding from the bills, she said, the Sativa district will continue to founder. \u003c/p>\n\u003cp>Cindy Tuck, deputy executive director of the Association of Water Agencies, a statewide trade group, said another tax is not the way to go and might cause more problems than it would solve. \u003c/p>\n\u003cp>“This is a social issue for the state of California, and the state should do something about it,” Tuck said.\u003c/p>\n\u003cfigure id=\"attachment_11690397\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-800x461.jpg\" alt=\"State Sen. Bill Monning, right, at a hearing. Money raised by two bills advanced by Monning could have been used for both water operations and water infrastructure projects. Assembly Speaker Anthony Rendon declined to put the two measures to a vote.\" width=\"800\" height=\"461\" class=\"size-medium wp-image-11690397\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-160x92.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-240x138.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-375x216.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/09/Senate-Judiciary-Committee_Robbie-Short_173-2-600x346-520x300.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Bill Monning, right, at a hearing. Money raised by two bills advanced by Monning could have been used for both water operations and water infrastructure projects. Assembly Speaker Anthony Rendon declined to put the two measures to a vote. \u003ccite>(Robbie Short/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The opt-out provision of the voluntary fee, she said, could have caused chaos in water companies’ billing systems. \u003c/p>\n\u003cp>“Water agencies have automated electronic systems,” Tuck said, and giving people a choice about paying one part of their bill runs counter to that. “I had one city tell me it would be over a million dollars just to change their system.”\u003c/p>\n\u003cp>Many customers might not even have known they’d paid an additional fee, she said, particularly if they used an auto-pay feature. \u003c/p>\n\u003cp>And if customers paid the voluntary charge without meaning to, they could have had their money refunded, setting off another complicated accounting procedure, Tuck said. \u003c/p>\n\u003cp>“It’s just a logistical nightmare,” she said. \u003c/p>\n\u003cp>Seaton had a different view: “There has been a lot of thinking on this. That’s why (there would have been) a notification period beforehand to include people.” \u003c/p>\n\u003cp>And the bill wouldn’t have gone into effect until 2020, she noted—enough time for some of those logistical details to be ironed out. \u003c/p>\n\u003cp>Lewis just wants relief from the brown stuff dribbling from her faucet.\u003c/p>\n\u003cp>“It’s not safe,” she said. “It can’t be safe.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Thousands of Californians Live in Cars. Will This Man’s Lawsuit Stop Cities From Impounding Them?",
"title": "Thousands of Californians Live in Cars. Will This Man’s Lawsuit Stop Cities From Impounding Them?",
"headTitle": "The California Dream | The California Report | KQED News",
"content": "\u003cp>[dropcap]S[/dropcap]ean Kayode says he watched his whole world roll away from him at 3:00 a.m. Kayode had been living in his car in San Francisco for about two years. During the early morning of March 5, traffic police towed and impounded his black 2005 Mercedes Benz -- for having too many overdue parking tickets.\u003c/p>\n\u003cp>“I wake up at 3 o’clock in the morning and there was a guy behind me. And I’m like, ‘What are you doing behind my car?’” Kayode said while standing in the lobby of the Next Door homeless shelter in downtown San Francisco. “He says, ‘I'm just waiting for the tow truck to come get you.'\"\u003c/p>\n\u003cp>For Kayode, who now lives at Next Door, his car wasn’t just a place to sleep, it was how he earned a living, he said, delivering food through Uber Eats. He shakes his head in disbelief at where he was, and where he is now.\u003c/p>\n\u003cp>“I am a homeless guy that worked my way out of homelessness,” Kayode said. “Bought my own car. Now you've taken my car, taken my job and now you're giving me food stamps. It doesn't make sense.”\u003c/p>\n\u003ch3>Is it Unconstitutional to Impound a Car for Unpaid Tickets?\u003c/h3>\n\u003cp>An estimated half million cars a year in California are impounded, unclaimed and sold, according to Jude Pond of the Lawyers’ Committee for Civil Rights in San Francisco. He said many of those cars belonged to poor people living in them.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Pond helped file a lawsuit on Kayode's behalf to challenge the California law that allows cities to tow a car away if that car has five or more overdue parking tickets. Many cities follow that policy, and Pond said it’s unconstitutional in several ways.\u003c/p>\n\u003cp>The government should not be allowed to take someone’s property without any notice and without a warrant, he said. That’s doubly true because these vehicles weren’t used in a crime, but were towed simply for financial reasons -- just to collect fines.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It makes absolutely no sense to take a homeless person's car, confiscating it, impounding it. If you take away their car, they’re going to be on the street. That’s not a benefit to society. Common sense has to be in play.'\u003ccite>Zev Yaroslavsky, UCLA\u003c/cite>\u003c/aside>\n\u003cp>Cities do not issue warnings, outside of the fine print on a parking ticket, that they’re coming to impound a vehicle. Parking officers just show up and take it away. And in the case of the homeless who live in their cars, city officials are taking their temporary home from them, which raises the stakes above the taking of a vehicle, Pond said.\u003c/p>\n\u003cp>\"We’re hoping that this case sets the precedent that the city should not take people’s only asset -- in this case their car -- for the purpose of satisfying a debt, based on just outstanding parking tickets,\" Pond said.\u003c/p>\n\u003cp>In San Francisco, officers towing a car with a homeless occupant will contact the police department and social services to help that person get services, according to Paul Rose, spokesman for the San Francisco Municipal Transportation Agency, who responded by email.\u003c/p>\n\u003cp>“There will be times when the [Homeless Outreach Team] will not be available to respond. If there is no urgency regarding the towing of the vehicle we will make an effort to delay the tow to allow services to respond,” Rose said. “We cannot completely avoid the removal of the vehicle as this would create an unintended exemption for vehicles that are in violation of city or state law.\"\u003c/p>\n\u003cfigure id=\"attachment_11689591\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/KayodeSmoking-800x590.jpg\" alt=\"Sean Kayode, outside the Next Door homeless shelter in San Francisco on July 26, 2018. Kayode is suing the city, saying he lost his means of food-delivery employment and his home when his car was impounded in March — for having too many parking tickets.\" width=\"800\" height=\"590\" class=\"size-medium wp-image-11689591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-800x590.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-160x118.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1020x752.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1200x885.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1180x870.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-960x708.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-240x177.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-375x277.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-520x384.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sean Kayode, outside the Next Door homeless shelter in San Francisco on July 26, 2018. Kayode is suing the city, saying he lost his means of food-delivery employment and his home when his car was impounded in March — for having too many parking tickets. \u003ccite>(David Gorn/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>A Tipping Point Toward Homelessness\u003c/h3>\n\u003cp>Tens of thousands of Californians are living in their cars. Because losing those cars to impoundment can mean the loss of work and home, it can be a tipping point into a life on the streets.\u003c/p>\n\u003cp>For many people, having their car towed for overdue parking tickets is a major annoyance and life disruption. But for homeless people, it’s a permanent loss, because most of them cannot afford to recover their cars.\u003c/p>\n\u003cp>The costs escalate quickly. \u003c/p>\n\u003cp>Offenders must reimburse the tow charge, roughly $500. They also need to pay off their original tickets and the accrued fines on those tickets, which can be $1,000 or more. On top of all of that, it usually costs $71 for each day the car is stored at the tow yard.\u003c/p>\n\u003cp>In Kayode’s case, more than five months after his car was impounded, it would cost him more than $21,000 to get his car back.\u003c/p>\n\u003cp>That’s about $20,000 more than he paid for it.\u003c/p>\n\u003cp>Ostensibly, the city is towing the car to collect a debt, but in many cases where cars are unclaimed and eventually sold, the city doesn’t make much money on the sale, if anything. That’s because the tow yard has first dibs on any cash collected.\u003c/p>\n\u003cp>For the cities, though, it’s not about the money, according to UCLA political expert Zev Yaroslavsky.\u003c/p>\n\u003cp>“It's the credibility of the restrictions,” Yaroslavsky said. “If the restrictions were not enforced, then no one would comply with them. The reason you and I rush out to the parking meter when it’s about to expire, to put another quarter in there, is because we don’t want to pay $80 for the privilege of having overstayed our welcome by a minute.\"\u003c/p>\n\u003cfigure id=\"attachment_11689602\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/PreppingToTow-800x533.jpg\" alt=\"The quickly escalating costs of having a vehicle impounded usually mean poor Californians can’t afford to get their cars back. Including original tickets, accrued fines and charges for towing and impounding, it would now cost Sean Kayode more than $21,000 to get his car back.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11689602\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The quickly escalating costs of having a vehicle impounded usually mean poor Californians can’t afford to get their cars back. Including original tickets, accrued fines and charges for towing and impounding, it would now cost Sean Kayode more than $21,000 to get his car back. \u003ccite>(John Moore/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yaroslavsky spent four decades in local government in Los Angeles, most of it on the county Board of Supervisors. He said he understands why cities hold onto their impound power with both hands.\u003c/p>\n\u003cp>“As a local elected official I was never concerned about the revenue stream we were getting out of the parking,” Yaroslavsky said. “It was motivated by getting turnover in the limited parking spaces we had available at curbside.”\u003c/p>\n\u003cp>At the same time, he said, there has to be a middle ground when towing cars from the homeless.\u003c/p>\n\u003cp>“It makes absolutely no sense to take a homeless person's car, confiscating it, impounding it. If you take away their car, they’re going to be on the street. That’s not a benefit to society. Common sense has to be in play.”\u003c/p>\n\u003cp>At the moment, though, the middle ground is hard to find.\u003c/p>\n\u003cp>Homeless advocates say cities could make exceptions for extremely low-income citizens -- maybe let them hold onto the car, but pay off the tickets in installments.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11689507/how-a-transportation-safety-net-could-keep-more-people-off-the-streets\">How a Transportation Safety Net Could Keep More People Off the Streets\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11689507/how-a-transportation-safety-net-could-keep-more-people-off-the-streets\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/MetroGoldLine-1180x785.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Some cities, including San Francisco, have a payment-plan program -- but nothing in place to return cars to the homeless or restrict impoundment of those cars in the first place.\u003c/p>\n\u003cp>A federal district court judge in San Francisco is expected to hear Kayode’s motion in September for a preliminary injunction to get his car back. A hearing on his lawsuit would be scheduled after a ruling on the injunction.\u003c/p>\n\u003cp>Of course, if the preliminary injunction is granted and San Francisco has to return Kayode’s car, he will still technically owe that $21,000 in parking, towing and storage fees until the case is decided.\u003c/p>\n\u003cp>Kayode, who has been homeless for the past six years, looks back on the incident and its aftermath with a mixture of anger and despair.\u003c/p>\n\u003cp>“If I have my car, I have my phone. That's all I need. I can earn money,” Kayode said. “But right now, they are holding my car hostage. What I want to know is, does taking my car from me help the city budget in one way or another? Is my car going to make them or break them?\"\u003c/p>\n\u003cp>He stops a moment, looks around the crowded and chaotic lobby of the homeless shelter he now calls home.\u003c/p>\n\u003cp>“I am back in the same hole,” Kayode said. “And I don't have any way to get out.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/series/californiadream/\" target=\"_blank\" rel=\"noopener\">The California Dream series\u003c/a> is a statewide media collaboration of CALmatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-11660142\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg\" alt=\"\" width=\"1867\" height=\"512\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner.jpg 1867w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-160x44.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-800x219.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-1020x280.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-1180x324.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-960x263.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-240x66.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-375x103.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/04/CADreamBanner-520x143.jpg 520w\" sizes=\"(max-width: 1867px) 100vw, 1867px\">\u003c/p>\n\n",
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"excerpt": "For Sean Kayode of San Francisco and thousands of other homeless people living in their cars across California, impoundment can be the tipping point into joblessness and a life on the streets.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">S\u003c/span>\u003c/p>\u003cp>ean Kayode says he watched his whole world roll away from him at 3:00 a.m. Kayode had been living in his car in San Francisco for about two years. During the early morning of March 5, traffic police towed and impounded his black 2005 Mercedes Benz -- for having too many overdue parking tickets.\u003c/p>\n\u003cp>“I wake up at 3 o’clock in the morning and there was a guy behind me. And I’m like, ‘What are you doing behind my car?’” Kayode said while standing in the lobby of the Next Door homeless shelter in downtown San Francisco. “He says, ‘I'm just waiting for the tow truck to come get you.'\"\u003c/p>\n\u003cp>For Kayode, who now lives at Next Door, his car wasn’t just a place to sleep, it was how he earned a living, he said, delivering food through Uber Eats. He shakes his head in disbelief at where he was, and where he is now.\u003c/p>\n\u003cp>“I am a homeless guy that worked my way out of homelessness,” Kayode said. “Bought my own car. Now you've taken my car, taken my job and now you're giving me food stamps. It doesn't make sense.”\u003c/p>\n\u003ch3>Is it Unconstitutional to Impound a Car for Unpaid Tickets?\u003c/h3>\n\u003cp>An estimated half million cars a year in California are impounded, unclaimed and sold, according to Jude Pond of the Lawyers’ Committee for Civil Rights in San Francisco. He said many of those cars belonged to poor people living in them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pond helped file a lawsuit on Kayode's behalf to challenge the California law that allows cities to tow a car away if that car has five or more overdue parking tickets. Many cities follow that policy, and Pond said it’s unconstitutional in several ways.\u003c/p>\n\u003cp>The government should not be allowed to take someone’s property without any notice and without a warrant, he said. That’s doubly true because these vehicles weren’t used in a crime, but were towed simply for financial reasons -- just to collect fines.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It makes absolutely no sense to take a homeless person's car, confiscating it, impounding it. If you take away their car, they’re going to be on the street. That’s not a benefit to society. Common sense has to be in play.'\u003ccite>Zev Yaroslavsky, UCLA\u003c/cite>\u003c/aside>\n\u003cp>Cities do not issue warnings, outside of the fine print on a parking ticket, that they’re coming to impound a vehicle. Parking officers just show up and take it away. And in the case of the homeless who live in their cars, city officials are taking their temporary home from them, which raises the stakes above the taking of a vehicle, Pond said.\u003c/p>\n\u003cp>\"We’re hoping that this case sets the precedent that the city should not take people’s only asset -- in this case their car -- for the purpose of satisfying a debt, based on just outstanding parking tickets,\" Pond said.\u003c/p>\n\u003cp>In San Francisco, officers towing a car with a homeless occupant will contact the police department and social services to help that person get services, according to Paul Rose, spokesman for the San Francisco Municipal Transportation Agency, who responded by email.\u003c/p>\n\u003cp>“There will be times when the [Homeless Outreach Team] will not be available to respond. If there is no urgency regarding the towing of the vehicle we will make an effort to delay the tow to allow services to respond,” Rose said. “We cannot completely avoid the removal of the vehicle as this would create an unintended exemption for vehicles that are in violation of city or state law.\"\u003c/p>\n\u003cfigure id=\"attachment_11689591\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/KayodeSmoking-800x590.jpg\" alt=\"Sean Kayode, outside the Next Door homeless shelter in San Francisco on July 26, 2018. Kayode is suing the city, saying he lost his means of food-delivery employment and his home when his car was impounded in March — for having too many parking tickets.\" width=\"800\" height=\"590\" class=\"size-medium wp-image-11689591\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-800x590.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-160x118.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1020x752.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1200x885.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-1180x870.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-960x708.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-240x177.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-375x277.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/KayodeSmoking-520x384.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sean Kayode, outside the Next Door homeless shelter in San Francisco on July 26, 2018. Kayode is suing the city, saying he lost his means of food-delivery employment and his home when his car was impounded in March — for having too many parking tickets. \u003ccite>(David Gorn/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>A Tipping Point Toward Homelessness\u003c/h3>\n\u003cp>Tens of thousands of Californians are living in their cars. Because losing those cars to impoundment can mean the loss of work and home, it can be a tipping point into a life on the streets.\u003c/p>\n\u003cp>For many people, having their car towed for overdue parking tickets is a major annoyance and life disruption. But for homeless people, it’s a permanent loss, because most of them cannot afford to recover their cars.\u003c/p>\n\u003cp>The costs escalate quickly. \u003c/p>\n\u003cp>Offenders must reimburse the tow charge, roughly $500. They also need to pay off their original tickets and the accrued fines on those tickets, which can be $1,000 or more. On top of all of that, it usually costs $71 for each day the car is stored at the tow yard.\u003c/p>\n\u003cp>In Kayode’s case, more than five months after his car was impounded, it would cost him more than $21,000 to get his car back.\u003c/p>\n\u003cp>That’s about $20,000 more than he paid for it.\u003c/p>\n\u003cp>Ostensibly, the city is towing the car to collect a debt, but in many cases where cars are unclaimed and eventually sold, the city doesn’t make much money on the sale, if anything. That’s because the tow yard has first dibs on any cash collected.\u003c/p>\n\u003cp>For the cities, though, it’s not about the money, according to UCLA political expert Zev Yaroslavsky.\u003c/p>\n\u003cp>“It's the credibility of the restrictions,” Yaroslavsky said. “If the restrictions were not enforced, then no one would comply with them. The reason you and I rush out to the parking meter when it’s about to expire, to put another quarter in there, is because we don’t want to pay $80 for the privilege of having overstayed our welcome by a minute.\"\u003c/p>\n\u003cfigure id=\"attachment_11689602\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/PreppingToTow-800x533.jpg\" alt=\"The quickly escalating costs of having a vehicle impounded usually mean poor Californians can’t afford to get their cars back. Including original tickets, accrued fines and charges for towing and impounding, it would now cost Sean Kayode more than $21,000 to get his car back.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-11689602\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1200x800.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/08/PreppingToTow-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The quickly escalating costs of having a vehicle impounded usually mean poor Californians can’t afford to get their cars back. Including original tickets, accrued fines and charges for towing and impounding, it would now cost Sean Kayode more than $21,000 to get his car back. \u003ccite>(John Moore/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yaroslavsky spent four decades in local government in Los Angeles, most of it on the county Board of Supervisors. He said he understands why cities hold onto their impound power with both hands.\u003c/p>\n\u003cp>“As a local elected official I was never concerned about the revenue stream we were getting out of the parking,” Yaroslavsky said. “It was motivated by getting turnover in the limited parking spaces we had available at curbside.”\u003c/p>\n\u003cp>At the same time, he said, there has to be a middle ground when towing cars from the homeless.\u003c/p>\n\u003cp>“It makes absolutely no sense to take a homeless person's car, confiscating it, impounding it. If you take away their car, they’re going to be on the street. That’s not a benefit to society. Common sense has to be in play.”\u003c/p>\n\u003cp>At the moment, though, the middle ground is hard to find.\u003c/p>\n\u003cp>Homeless advocates say cities could make exceptions for extremely low-income citizens -- maybe let them hold onto the car, but pay off the tickets in installments.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11689507/how-a-transportation-safety-net-could-keep-more-people-off-the-streets\">How a Transportation Safety Net Could Keep More People Off the Streets\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11689507/how-a-transportation-safety-net-could-keep-more-people-off-the-streets\">\u003cimg src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/08/MetroGoldLine-1180x785.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Some cities, including San Francisco, have a payment-plan program -- but nothing in place to return cars to the homeless or restrict impoundment of those cars in the first place.\u003c/p>\n\u003cp>A federal district court judge in San Francisco is expected to hear Kayode’s motion in September for a preliminary injunction to get his car back. A hearing on his lawsuit would be scheduled after a ruling on the injunction.\u003c/p>\n\u003cp>Of course, if the preliminary injunction is granted and San Francisco has to return Kayode’s car, he will still technically owe that $21,000 in parking, towing and storage fees until the case is decided.\u003c/p>\n\u003cp>Kayode, who has been homeless for the past six years, looks back on the incident and its aftermath with a mixture of anger and despair.\u003c/p>\n\u003cp>“If I have my car, I have my phone. That's all I need. I can earn money,” Kayode said. “But right now, they are holding my car hostage. What I want to know is, does taking my car from me help the city budget in one way or another? Is my car going to make them or break them?\"\u003c/p>\n\u003cp>He stops a moment, looks around the crowded and chaotic lobby of the homeless shelter he now calls home.\u003c/p>\n\u003cp>“I am back in the same hole,” Kayode said. “And I don't have any way to get out.”\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/series/californiadream/\" target=\"_blank\" rel=\"noopener\">The California Dream series\u003c/a> is a statewide media collaboration of CALmatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Diana Dooley may have led the \u003ca href=\"https://www.usgovernmentspending.com/california_state_spending_pie_chart\" target=\"_blank\" rel=\"noopener\">largest agency\u003c/a> in California’s government as secretary of health and human services for the past eight years, a job that led to her current post as Gov. Jerry Brown’s chief of staff—but she’s also a country gal from Hanford, in the Central Valley.\u003c/p>\n\u003cp>So despite the complexity of running an agency with an annual budget of \u003ca href=\"http://www.ebudget.ca.gov/2015-16/StateAgencyBudgets/4000/agency.html\" target=\"_blank\" rel=\"noopener\">$144 billion\u003c/a>, horse sense told her what was basically wrong with the American health care system:\u003c/p>\n\u003cp>“One of the biggest problems in health care,” Dooley said in an interview last week, “is we pay for treatment of illness but we don’t pay for the advancement of health.”\u003c/p>\n\u003cp>That idea is at the heart of the state’s effort over the past two decades to revamp its system for delivering health care to the neediest. The strategy has included a shift to managed care, meshing mental health services with physical care, and creating \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/Community-BasedAdultServices(CBAS)AdultDayHealthCare(ADHC)Transition.aspx\" target=\"_blank\" rel=\"noopener\">programs\u003c/a> specifically to coordinate an array of services so patients don’t have to hunt them down one at a time.\u003c/p>\n\u003cp>More recently, the state has launched several pilot projects designed to make people healthier overall rather than just treat the pain or discomfort of chronic illness. Taxpayers foot the bill for the care of about a third of all Californians through Medi-Cal, the state’s version of the federal Medicaid program for the poor, spending tens of billions of dollars annually on treatment of chronic conditions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A five-year, $1.5 billion \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\" target=\"_blank\" rel=\"noopener\">Whole Person Care\u003c/a> initiative, begun in 2016, aims to heal heavy users of medical services and save the state money by keeping them out of expensive emergency rooms and hospitals.\u003c/p>\n\u003cp>And a pilot program was created \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB97\" target=\"_blank\" rel=\"noopener\">last year\u003c/a> to use food as medicine—to try to reverse chronic illnesses such as congestive heart failure—in projects across seven counties. Officially launched last month, it’s modeled on a \u003ca href=\"http://journals.sagepub.com/doi/abs/10.1177/2150131913490737\" target=\"_blank\" rel=\"noopener\">project\u003c/a> in Philadelphia that showed a roughly one-third reduction in patient costs.\u003c/p>\n\u003cp>These two state efforts include:\u003c/p>\n\u003cul>\n\u003cli>A pilot project in Sonoma County, where meals are supplied to Medi-Cal patients with congestive heart failure, cancer, diabetes or renal disease in hopes that patients will be healthier, emergency-room use and hospital readmissions can be reduced and long-term savings can result;\u003c/li>\n\u003cli>A Los Angeles County program to provide more nutritious meals for patients with congestive heart failure and monitor their health after six months. Dietary changes have been \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666750/\" target=\"_blank\" rel=\"noopener\">shown\u003c/a> to ease the symptoms and progression of congestive heart failure.\u003c/li>\n\u003cli>Identification of Contra Costa County’s most frequent users of emergency, lab and hospital services, to give them individualized attention and help them better manage their health so they need those services less often.\u003c/li>\n\u003cli>In San Mateo County, use of a care coordinator in emergency departments to help identify frequent utilizers and work with them to get the services they need, so they won’t keep returning.\u003c/li>\n\u003c/ul>\n\u003cp>Nationally and in California, chronic conditions account for roughly 80 percent of all health care spending. California actually has lower obesity, diabetes and hypertension rates than most other states, but a 25 percent statewide obesity rate is still high—and expensive.\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-medium wp-image-11679492\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-800x1105.jpg\" alt=\"\" width=\"800\" height=\"1105\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-800x1105.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-160x221.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1020x1409.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-868x1200.jpg 868w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1920x2653.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1180x1631.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-960x1327.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-240x332.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-375x518.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-520x719.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>\u003ca href=\"http://cbcd.ucmerced.edu/Health/faq\" target=\"_blank\" rel=\"noopener\">Researchers\u003c/a> at the University of California’s Merced campus estimate that diabetes alone costs California employers, families and the government $13 billion a year, including lost productivity. Tack on $30 billion more for heart disease, congestive heart failure and hypertension. \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/obesityreport-jun2015.pdf\" target=\"_blank\" rel=\"noopener\">UCLA researchers\u003c/a> say the state spends an additional $21 billion on health conditions related to obesity.\u003c/p>\n\u003cp>“We just can’t keep doing things as we’ve done them in the past,” Dooley said.\u003c/p>\n\u003cp>Health organizations, from insurers to hospitals, have been pursuing food as medicine for years. Many medical centers have food kitchens, for example, to teach patients how to eat and cook in a more healthful way.\u003c/p>\n\u003cp>San Francisco General Hospital recently launched a one-year pilot program in which a doctor’s prescription to the \u003ca href=\"https://www.sfhealthnetwork.org/sfghfoodpantry/\" target=\"_blank\" rel=\"noopener\">Therapeutic Food Pantry\u003c/a> can get you 25 pounds of food and intensive training in how to cook it. Loma Linda University’s School of Medicine in Southern California offers sub-specialty training in using food as medicine.\u003c/p>\n\u003cp>“We can reverse the effects and progress of chronic disease” through changes in diet, said Brenda Rea, a physician who helps run the school’s family and preventive medicine residency program. She said eating better can slow inflammation, open arteries, make the body inhospitable to cancer cells and lower blood pressure.\u003c/p>\n\u003cp>“Patients sometimes don’t realize that what they eat can really impact their health,” she said. “But the tide is shifting.”\u003c/p>\n\u003cp>Californians have come to expect a high level of innovation in the state’s private sector. But now we’re also seeing some in state government, said Nadereh Pourat, director of research at the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>“This scope is unprecedented,” Pourat said, and especially striking in a state the size of California, with the largest Medicaid population in the country.\u003c/p>\n\u003cp>“I haven’t seen examples of this anywhere else,” she said. Across the country, Pourat said, “I don’t see anyone else taking on such a big task.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article is the first in a series on state efforts to foster healthy living as a way to reduce chronic illness. \u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics\u003c/em>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Diana Dooley may have led the \u003ca href=\"https://www.usgovernmentspending.com/california_state_spending_pie_chart\" target=\"_blank\" rel=\"noopener\">largest agency\u003c/a> in California’s government as secretary of health and human services for the past eight years, a job that led to her current post as Gov. Jerry Brown’s chief of staff—but she’s also a country gal from Hanford, in the Central Valley.\u003c/p>\n\u003cp>So despite the complexity of running an agency with an annual budget of \u003ca href=\"http://www.ebudget.ca.gov/2015-16/StateAgencyBudgets/4000/agency.html\" target=\"_blank\" rel=\"noopener\">$144 billion\u003c/a>, horse sense told her what was basically wrong with the American health care system:\u003c/p>\n\u003cp>“One of the biggest problems in health care,” Dooley said in an interview last week, “is we pay for treatment of illness but we don’t pay for the advancement of health.”\u003c/p>\n\u003cp>That idea is at the heart of the state’s effort over the past two decades to revamp its system for delivering health care to the neediest. The strategy has included a shift to managed care, meshing mental health services with physical care, and creating \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/Community-BasedAdultServices(CBAS)AdultDayHealthCare(ADHC)Transition.aspx\" target=\"_blank\" rel=\"noopener\">programs\u003c/a> specifically to coordinate an array of services so patients don’t have to hunt them down one at a time.\u003c/p>\n\u003cp>More recently, the state has launched several pilot projects designed to make people healthier overall rather than just treat the pain or discomfort of chronic illness. Taxpayers foot the bill for the care of about a third of all Californians through Medi-Cal, the state’s version of the federal Medicaid program for the poor, spending tens of billions of dollars annually on treatment of chronic conditions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A five-year, $1.5 billion \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\" target=\"_blank\" rel=\"noopener\">Whole Person Care\u003c/a> initiative, begun in 2016, aims to heal heavy users of medical services and save the state money by keeping them out of expensive emergency rooms and hospitals.\u003c/p>\n\u003cp>And a pilot program was created \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB97\" target=\"_blank\" rel=\"noopener\">last year\u003c/a> to use food as medicine—to try to reverse chronic illnesses such as congestive heart failure—in projects across seven counties. Officially launched last month, it’s modeled on a \u003ca href=\"http://journals.sagepub.com/doi/abs/10.1177/2150131913490737\" target=\"_blank\" rel=\"noopener\">project\u003c/a> in Philadelphia that showed a roughly one-third reduction in patient costs.\u003c/p>\n\u003cp>These two state efforts include:\u003c/p>\n\u003cul>\n\u003cli>A pilot project in Sonoma County, where meals are supplied to Medi-Cal patients with congestive heart failure, cancer, diabetes or renal disease in hopes that patients will be healthier, emergency-room use and hospital readmissions can be reduced and long-term savings can result;\u003c/li>\n\u003cli>A Los Angeles County program to provide more nutritious meals for patients with congestive heart failure and monitor their health after six months. Dietary changes have been \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666750/\" target=\"_blank\" rel=\"noopener\">shown\u003c/a> to ease the symptoms and progression of congestive heart failure.\u003c/li>\n\u003cli>Identification of Contra Costa County’s most frequent users of emergency, lab and hospital services, to give them individualized attention and help them better manage their health so they need those services less often.\u003c/li>\n\u003cli>In San Mateo County, use of a care coordinator in emergency departments to help identify frequent utilizers and work with them to get the services they need, so they won’t keep returning.\u003c/li>\n\u003c/ul>\n\u003cp>Nationally and in California, chronic conditions account for roughly 80 percent of all health care spending. California actually has lower obesity, diabetes and hypertension rates than most other states, but a 25 percent statewide obesity rate is still high—and expensive.\u003c/p>\n\u003cp>\u003cimg class=\"alignnone size-medium wp-image-11679492\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-800x1105.jpg\" alt=\"\" width=\"800\" height=\"1105\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-800x1105.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-160x221.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1020x1409.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-868x1200.jpg 868w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1920x2653.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-1180x1631.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-960x1327.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-240x332.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-375x518.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/07/Graphic_-Obesity-and-diabetes-on-the-rise-520x719.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>\u003ca href=\"http://cbcd.ucmerced.edu/Health/faq\" target=\"_blank\" rel=\"noopener\">Researchers\u003c/a> at the University of California’s Merced campus estimate that diabetes alone costs California employers, families and the government $13 billion a year, including lost productivity. Tack on $30 billion more for heart disease, congestive heart failure and hypertension. \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/obesityreport-jun2015.pdf\" target=\"_blank\" rel=\"noopener\">UCLA researchers\u003c/a> say the state spends an additional $21 billion on health conditions related to obesity.\u003c/p>\n\u003cp>“We just can’t keep doing things as we’ve done them in the past,” Dooley said.\u003c/p>\n\u003cp>Health organizations, from insurers to hospitals, have been pursuing food as medicine for years. Many medical centers have food kitchens, for example, to teach patients how to eat and cook in a more healthful way.\u003c/p>\n\u003cp>San Francisco General Hospital recently launched a one-year pilot program in which a doctor’s prescription to the \u003ca href=\"https://www.sfhealthnetwork.org/sfghfoodpantry/\" target=\"_blank\" rel=\"noopener\">Therapeutic Food Pantry\u003c/a> can get you 25 pounds of food and intensive training in how to cook it. Loma Linda University’s School of Medicine in Southern California offers sub-specialty training in using food as medicine.\u003c/p>\n\u003cp>“We can reverse the effects and progress of chronic disease” through changes in diet, said Brenda Rea, a physician who helps run the school’s family and preventive medicine residency program. She said eating better can slow inflammation, open arteries, make the body inhospitable to cancer cells and lower blood pressure.\u003c/p>\n\u003cp>“Patients sometimes don’t realize that what they eat can really impact their health,” she said. “But the tide is shifting.”\u003c/p>\n\u003cp>Californians have come to expect a high level of innovation in the state’s private sector. But now we’re also seeing some in state government, said Nadereh Pourat, director of research at the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>“This scope is unprecedented,” Pourat said, and especially striking in a state the size of California, with the largest Medicaid population in the country.\u003c/p>\n\u003cp>“I haven’t seen examples of this anywhere else,” she said. Across the country, Pourat said, “I don’t see anyone else taking on such a big task.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article is the first in a series on state efforts to foster healthy living as a way to reduce chronic illness. \u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>His name is Cameron High. Says so on his driver’s license, and on his cannabis card. And he has the counterculture aura down pat: dreadlocks, the soft yeah-dude voice and bright conspiratorial smile.\u003c/p>\n\u003cp>That’s what he was flashing a few months ago, kicking back on a thin strip of lawn outside a Starbucks on the outskirts of Anaheim. His drug of choice had been Xanax, he said, and since coming here from Georgia just two years ago to kick the habit, the 22-year-old has stayed in 10 different sober-living homes in half a dozen cities.\u003c/p>\n\u003cp>“They call it the sober-living dance,” he said.\u003c/p>\n\u003cp>At many of these group homes, he said, there’s no sober in sober living.\u003c/p>\n\u003cp>They’re more like party houses, rife with the drugs and alcohol use they’re supposed to prevent — temptations that may have contributed to High’s problem: He was arraigned in a Santa Ana courtroom in April on felony drug charges.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many of the homes in question, privately owned and in nice residential areas, are unlicensed, unsupervised and nearly impossible to \u003ca href=\"https://www.cacities.org/Resources-Documents/Policy-Advocacy-Section/Hot-Issues/Group-Homes/California-Land-Use-Laws-Related-to-Recovery-Facil\">regulate\u003c/a>. When residents’ or their parents’ cash or insurance money dries up, they’re dropped off in town and join the ranks of the homeless.\u003c/p>\n\u003cp>It’s a problem \u003ca href=\"https://www.library.ca.gov/Content/pdf/crb/reports/CRB_SoberLivingReport_2016.pdf\">all over the state\u003c/a>, with the largest concentration of sober-living homes in Orange County. California lawmakers are considering ways to monitor them, with five proposals that would establish new guidelines for how they are run and impose fines on some practices.\u003c/p>\n\u003cp>The homes don’t provide drug-rehabilitation programs. They’re meant to offer a supportive environment for like-minded peers recovering from addiction, sometimes in conjunction with a 12-step program. Local officials and patient advocates note that many of these places, like many licensed homes, do good work. But not all of them.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Orange County looks like it’s all nice, but behind the scenes, it’s bad. I never even saw heroin and meth until I came out here.’\u003ccite>Cameron High, former sobriety home resident\u003c/cite>\u003c/aside>\n\u003cp>A homeowner can make $10,000 a month or more by charging rent for typically six or so people, often through health insurance payments. They may find a supply of residents through “\u003ca href=\"https://energycommerce.house.gov/hearings/examining-concerns-patient-brokering-addiction-treatment-fraud/\">patient brokers\u003c/a>,” middlemen around the country who advertise to recruit drug-using, troubled youngsters looking for a change of scene in sunny California.\u003c/p>\n\u003cp>Those brokers can “sell” a block of patients to a recovery facility. Licensed venues often have financial relationships with unlicensed ones, and patients are sometimes shifted between them.\u003c/p>\n\u003cp>High was one of those recruits.\u003c/p>\n\u003cp>Back in Georgia, he was dealing pills and in constant trouble with his parents and the law. Over the past two years, he has leapfrogged from Huntington Beach to Laguna Beach to Costa Mesa.\u003c/p>\n\u003cp>The local chambers of commerce have named this area the Orange Coast. But with the proliferation of sober-living homes here in the past decade came another name: Rehab Riviera.\u003c/p>\n\u003cfigure id=\"attachment_11668234\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11668234\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CameronHigh-800x600.jpg\" alt=\"Since coming to California from Georgia just two years ago to kick his drug habits, 22-year-old Cameron High has stayed in 10 different sober-living homes in half a dozen cities.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Since coming to California from Georgia just two years ago to kick his drug habits, 22-year-old Cameron High has stayed in 10 different sober-living homes in half a dozen cities. \u003ccite>(David Gorn/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is home to 1,028 licensed drug-rehabilitation facilities, according to \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/Residential_and_Outpatient_Licensed_and_or_Certified_Facilities_List_092016.pdf\">state officials\u003c/a>, and some estimates peg the number of unlicensed sober-living homes at about \u003ca href=\"https://malibucity.org/AgendaCenter/ViewFile/Item/2829?fileID=3471\">2,000 more\u003c/a>. Roughly 15 percent of those facilities call Orange County home.\u003c/p>\n\u003cp>The small beachside community of Costa Mesa alone (population about 113,000) has an estimated 160 sober-living homes and rehab facilities, half of them unlicensed, according to \u003ca href=\"https://www.costamesaca.gov/index.aspx?page=2116\">city officials\u003c/a>.\u003c/p>\n\u003cp>That’s a huge problem for Costa Mesa, as it is for other cities, some of which have had limited success in curtailing the spread of such homes with zoning ordinances, mostly \u003ca href=\"http://192.168.1.1:8181/http:/www.costamesaca.gov/ftp/council/agenda/2017/2017-07-18/CC-5-Attach-2.pdf\">restricting\u003c/a> the concentration of them in certain areas. There are still complaints from neighbors about noise, secondhand smoke, too many cars. But the bigger issue is residents turned out to the streets, a practice called curbing.\u003c/p>\n\u003cp>“It creates a big challenge for a small city,” said Rick Francis, a former city administrator in Costa Mesa who recently switched to a quieter job as assistant airport director at the John Wayne Airport. He calls curbing the number-one cause of homelessness in Costa Mesa.\u003c/p>\n\u003cp>“You suddenly have a lot of young, drug-addicted people living on the street. That’s a problem for police, for hospitals, for social services,” adding as many as 200 newly homeless a year just in Costa Mesa, he said. “They end up using up a lot of city resources,” he said. “We don’t have the social-service infrastructure to handle that.”\u003c/p>\n\u003cp>Francis cautioned that “this is not happening in all of the unlicensed sober-living homes. Many of them do great work and are invested in good patient care.”\u003c/p>\n\u003cp>The bills now making their way through the Legislature would:\u003c/p>\n\u003cul>\n\u003cli>Allow the state Department of Health Care Services to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB992\">revoke\u003c/a> the license of a recovery facility for abuses by an unlicensed recovery facility associated with it, and would establish voluntary registration for unlicensed sober-living homes\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Direct the state’s Department of Health Care Services to develop \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1317\">guidelines\u003c/a> for handling unlicensed homes, particularly how to substantiate and investigate complaints\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Establish \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1268\">fines\u003c/a> for patient brokering, the recruiting and “selling” of patients to recovery facilities\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB1228\">Prohibit\u003c/a> licensed facilities from making money through patient referrals\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Establish a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB572\">pilot program\u003c/a> to place the headquarters of a state health inspector in the city of Costa Mesa to investigate complaints about facilities in the surrounding area\u003c/li>\n\u003c/ul>\n\u003cp>In addition, Orange County District Attorney Tony Rackauckas recently launched a task force on sober-living homes and has vowed to crack down on them. And U.S. Rep. Judy Chu, a Pasadena Democrat, has introduced a \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/4684\">bill\u003c/a> in Congress that would direct the federal Department of Health and Human Services to develop best-practices guidelines for recovery facilities.\u003c/p>\n\u003cp>Sober-living homes are protected by the federal \u003ca href=\"https://www.justice.gov/crt/fair-housing-act-1\">Fair Housing Act\u003c/a>. That law protects the right of individuals with disabilities to live together.\u003c/p>\n\u003cp>“There’s a lot of concern with the group homes that are unlicensed, but they’re protected by the Fair Housing Act,” said state Sen. Ed Hernandez, an Azusa Democrat and author of the revocation proposal. “A drug dependency is considered a disability. … So there are limitations on what we can do in the Legislature.”\u003c/p>\n\u003cp>That’s as it should be, according to Sherry Daley, governmental affairs director for the California Consortium of Addiction Programs and Professionals, a trade group representing recovery facilities.\u003c/p>\n\u003cp>“These homes are not licensed, and they shouldn’t be licensed,” Daley said. “They’re where people live and come together in a communal living arrangement.”\u003c/p>\n\u003cp>The not-in-my-back-yard sentiment from municipalities is understandable but unwarranted, she said. The homes are legal and here to stay, she said, so cities should work with them rather than against them.\u003c/p>\n\u003cp>“It just comes down to how do you achieve sober-living homes living with the community in harmony,” Daley said.\u003c/p>\n\u003cp>Cameron High said he had to travel pretty far inland to find a sober-living home that really was sober, one in Anaheim where the residents are older and a little more serious about giving up drugs. For this reason, his drug use and attraction to the easy, big-money payoff for dealing them have grown during his time in California.\u003c/p>\n\u003cp>“Out here it’s crazy,” High said. “Orange County looks like it’s all nice, but behind the scenes, it’s bad. I never even saw heroin and meth until I came out here.”\u003c/p>\n\u003cp>“I’m thinking, I may have to go somewhere else,” he continued, “… because around here, there’s just too much stuff around, and too many people I know who pull at you, you know? So yeah, maybe it’s time … and that means getting out of Orange County.”\u003c/p>\n\u003cp>That could take a while. At this writing, High remains in jail on charges of possessing drugs with intent to sell. He has pleaded not guilty.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org/\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>His name is Cameron High. Says so on his driver’s license, and on his cannabis card. And he has the counterculture aura down pat: dreadlocks, the soft yeah-dude voice and bright conspiratorial smile.\u003c/p>\n\u003cp>That’s what he was flashing a few months ago, kicking back on a thin strip of lawn outside a Starbucks on the outskirts of Anaheim. His drug of choice had been Xanax, he said, and since coming here from Georgia just two years ago to kick the habit, the 22-year-old has stayed in 10 different sober-living homes in half a dozen cities.\u003c/p>\n\u003cp>“They call it the sober-living dance,” he said.\u003c/p>\n\u003cp>At many of these group homes, he said, there’s no sober in sober living.\u003c/p>\n\u003cp>They’re more like party houses, rife with the drugs and alcohol use they’re supposed to prevent — temptations that may have contributed to High’s problem: He was arraigned in a Santa Ana courtroom in April on felony drug charges.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many of the homes in question, privately owned and in nice residential areas, are unlicensed, unsupervised and nearly impossible to \u003ca href=\"https://www.cacities.org/Resources-Documents/Policy-Advocacy-Section/Hot-Issues/Group-Homes/California-Land-Use-Laws-Related-to-Recovery-Facil\">regulate\u003c/a>. When residents’ or their parents’ cash or insurance money dries up, they’re dropped off in town and join the ranks of the homeless.\u003c/p>\n\u003cp>It’s a problem \u003ca href=\"https://www.library.ca.gov/Content/pdf/crb/reports/CRB_SoberLivingReport_2016.pdf\">all over the state\u003c/a>, with the largest concentration of sober-living homes in Orange County. California lawmakers are considering ways to monitor them, with five proposals that would establish new guidelines for how they are run and impose fines on some practices.\u003c/p>\n\u003cp>The homes don’t provide drug-rehabilitation programs. They’re meant to offer a supportive environment for like-minded peers recovering from addiction, sometimes in conjunction with a 12-step program. Local officials and patient advocates note that many of these places, like many licensed homes, do good work. But not all of them.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Orange County looks like it’s all nice, but behind the scenes, it’s bad. I never even saw heroin and meth until I came out here.’\u003ccite>Cameron High, former sobriety home resident\u003c/cite>\u003c/aside>\n\u003cp>A homeowner can make $10,000 a month or more by charging rent for typically six or so people, often through health insurance payments. They may find a supply of residents through “\u003ca href=\"https://energycommerce.house.gov/hearings/examining-concerns-patient-brokering-addiction-treatment-fraud/\">patient brokers\u003c/a>,” middlemen around the country who advertise to recruit drug-using, troubled youngsters looking for a change of scene in sunny California.\u003c/p>\n\u003cp>Those brokers can “sell” a block of patients to a recovery facility. Licensed venues often have financial relationships with unlicensed ones, and patients are sometimes shifted between them.\u003c/p>\n\u003cp>High was one of those recruits.\u003c/p>\n\u003cp>Back in Georgia, he was dealing pills and in constant trouble with his parents and the law. Over the past two years, he has leapfrogged from Huntington Beach to Laguna Beach to Costa Mesa.\u003c/p>\n\u003cp>The local chambers of commerce have named this area the Orange Coast. But with the proliferation of sober-living homes here in the past decade came another name: Rehab Riviera.\u003c/p>\n\u003cfigure id=\"attachment_11668234\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11668234\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/CameronHigh-800x600.jpg\" alt=\"Since coming to California from Georgia just two years ago to kick his drug habits, 22-year-old Cameron High has stayed in 10 different sober-living homes in half a dozen cities.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/CameronHigh-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Since coming to California from Georgia just two years ago to kick his drug habits, 22-year-old Cameron High has stayed in 10 different sober-living homes in half a dozen cities. \u003ccite>(David Gorn/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is home to 1,028 licensed drug-rehabilitation facilities, according to \u003ca href=\"http://www.dhcs.ca.gov/provgovpart/Documents/Residential_and_Outpatient_Licensed_and_or_Certified_Facilities_List_092016.pdf\">state officials\u003c/a>, and some estimates peg the number of unlicensed sober-living homes at about \u003ca href=\"https://malibucity.org/AgendaCenter/ViewFile/Item/2829?fileID=3471\">2,000 more\u003c/a>. Roughly 15 percent of those facilities call Orange County home.\u003c/p>\n\u003cp>The small beachside community of Costa Mesa alone (population about 113,000) has an estimated 160 sober-living homes and rehab facilities, half of them unlicensed, according to \u003ca href=\"https://www.costamesaca.gov/index.aspx?page=2116\">city officials\u003c/a>.\u003c/p>\n\u003cp>That’s a huge problem for Costa Mesa, as it is for other cities, some of which have had limited success in curtailing the spread of such homes with zoning ordinances, mostly \u003ca href=\"http://192.168.1.1:8181/http:/www.costamesaca.gov/ftp/council/agenda/2017/2017-07-18/CC-5-Attach-2.pdf\">restricting\u003c/a> the concentration of them in certain areas. There are still complaints from neighbors about noise, secondhand smoke, too many cars. But the bigger issue is residents turned out to the streets, a practice called curbing.\u003c/p>\n\u003cp>“It creates a big challenge for a small city,” said Rick Francis, a former city administrator in Costa Mesa who recently switched to a quieter job as assistant airport director at the John Wayne Airport. He calls curbing the number-one cause of homelessness in Costa Mesa.\u003c/p>\n\u003cp>“You suddenly have a lot of young, drug-addicted people living on the street. That’s a problem for police, for hospitals, for social services,” adding as many as 200 newly homeless a year just in Costa Mesa, he said. “They end up using up a lot of city resources,” he said. “We don’t have the social-service infrastructure to handle that.”\u003c/p>\n\u003cp>Francis cautioned that “this is not happening in all of the unlicensed sober-living homes. Many of them do great work and are invested in good patient care.”\u003c/p>\n\u003cp>The bills now making their way through the Legislature would:\u003c/p>\n\u003cul>\n\u003cli>Allow the state Department of Health Care Services to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB992\">revoke\u003c/a> the license of a recovery facility for abuses by an unlicensed recovery facility associated with it, and would establish voluntary registration for unlicensed sober-living homes\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Direct the state’s Department of Health Care Services to develop \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1317\">guidelines\u003c/a> for handling unlicensed homes, particularly how to substantiate and investigate complaints\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Establish \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1268\">fines\u003c/a> for patient brokering, the recruiting and “selling” of patients to recovery facilities\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB1228\">Prohibit\u003c/a> licensed facilities from making money through patient referrals\u003c/li>\n\u003c/ul>\n\u003cul>\n\u003cli>Establish a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB572\">pilot program\u003c/a> to place the headquarters of a state health inspector in the city of Costa Mesa to investigate complaints about facilities in the surrounding area\u003c/li>\n\u003c/ul>\n\u003cp>In addition, Orange County District Attorney Tony Rackauckas recently launched a task force on sober-living homes and has vowed to crack down on them. And U.S. Rep. Judy Chu, a Pasadena Democrat, has introduced a \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/4684\">bill\u003c/a> in Congress that would direct the federal Department of Health and Human Services to develop best-practices guidelines for recovery facilities.\u003c/p>\n\u003cp>Sober-living homes are protected by the federal \u003ca href=\"https://www.justice.gov/crt/fair-housing-act-1\">Fair Housing Act\u003c/a>. That law protects the right of individuals with disabilities to live together.\u003c/p>\n\u003cp>“There’s a lot of concern with the group homes that are unlicensed, but they’re protected by the Fair Housing Act,” said state Sen. Ed Hernandez, an Azusa Democrat and author of the revocation proposal. “A drug dependency is considered a disability. … So there are limitations on what we can do in the Legislature.”\u003c/p>\n\u003cp>That’s as it should be, according to Sherry Daley, governmental affairs director for the California Consortium of Addiction Programs and Professionals, a trade group representing recovery facilities.\u003c/p>\n\u003cp>“These homes are not licensed, and they shouldn’t be licensed,” Daley said. “They’re where people live and come together in a communal living arrangement.”\u003c/p>\n\u003cp>The not-in-my-back-yard sentiment from municipalities is understandable but unwarranted, she said. The homes are legal and here to stay, she said, so cities should work with them rather than against them.\u003c/p>\n\u003cp>“It just comes down to how do you achieve sober-living homes living with the community in harmony,” Daley said.\u003c/p>\n\u003cp>Cameron High said he had to travel pretty far inland to find a sober-living home that really was sober, one in Anaheim where the residents are older and a little more serious about giving up drugs. For this reason, his drug use and attraction to the easy, big-money payoff for dealing them have grown during his time in California.\u003c/p>\n\u003cp>“Out here it’s crazy,” High said. “Orange County looks like it’s all nice, but behind the scenes, it’s bad. I never even saw heroin and meth until I came out here.”\u003c/p>\n\u003cp>“I’m thinking, I may have to go somewhere else,” he continued, “… because around here, there’s just too much stuff around, and too many people I know who pull at you, you know? So yeah, maybe it’s time … and that means getting out of Orange County.”\u003c/p>\n\u003cp>That could take a while. At this writing, High remains in jail on charges of possessing drugs with intent to sell. He has pleaded not guilty.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The political whirlwind raging around California’s “sanctuary” laws isn’t doing much damage to the laws themselves, according to many state legal experts. In fact, the brunt of any legal damage may be felt most by the small city that started the rebellion.\u003c/p>\n\u003cp>“Los Alamitos could be in trouble,” said Jean Reisz of the University of Southern California’s Gould School of Law. She and other legal experts noted that the city went beyond passing a resolution of opposition, which more than a dozen other municipalities have done.\u003c/p>\n\u003cp>“What they’re doing is different from the other protests,” Reisz said. “They’re saying they won’t comply with state law.”\u003c/p>\n\u003cp>Reisz said that move — adoption of a noncompliance ordinance — may be unprecedented.\u003c/p>\n\u003cp>“A California city announcing it won’t follow state law? I haven’t been aware of that happening before,” she said. “The question is, can the [California Attorney General’s Office] force compliance? In this case, I think it can.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At issue is whether California policy violates federal law by limiting cooperation with U.S. immigration authorities.\u003c/p>\n\u003cp>State officials, including the governor, say immigration officers aren’t impeded in any way and deportations are continuing in California — that the state’s not breaking any laws and is fully cooperating with federal officials. What it’s not doing is volunteering certain information, such as the names of some immigrants who were jailed for lesser offenses than the 800 serious crimes enumerated in state law.\u003c/p>\n\u003cp>Opponents of the sanctuary laws, including the California State Sheriffs’ Association, have argued that they cause confusion for law enforcement officers and business owners. And the state Republican Party has \u003ca href=\"https://calmatters.org/articles/balancing-act-how-california-republicans-hope-to-survive-in-the-resistance-state/\">seized on the issue\u003c/a> in its quest for gains in this year’s elections.\u003c/p>\n\u003cfigure id=\"attachment_11667857\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11667857\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/TroyEdgar-800x501.jpg\" alt=\"Los Alamitos Mayor Troy Edgar talks to reporters.\" width=\"800\" height=\"501\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-800x501.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1020x639.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1200x752.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1180x739.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-960x602.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-240x150.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-375x235.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-520x326.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar.jpg 1350w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Los Alamitos Mayor Troy Edgar talks to reporters. \u003ccite>(Courtesy Troy Edgar)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Los Alamitos is a community of 12,000 tucked into western Orange County, roughly equidistant between the Long Beach harbor and Disneyland. It’s known for its horse-racing track, and now is also the birthplace of what President Trump called a “revolution” of opposition to the California laws.\u003c/p>\n\u003cp>In March, the City Council voted to \u003ca href=\"http://cityoflosalamitos.org/?wpfb_dl=3120\">exempt the city\u003c/a> from the California Values Act — one of three pieces of so-called sanctuary legislation that became law in January. The trio of measures does not offer \u003ca href=\"https://calmatters.org/articles/californias-new-sanctuary-law-will-aid-immigrants-not/\">sanctuary\u003c/a> in the way that, say, a church might. But they do offer some immigrants protection from being targeted by immigration officials and held for them.\u003c/p>\n\u003cp>Two of the three laws were not included in the Los Alamitos ordinance, which was finalized April 17. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB103\">One of those laws\u003c/a> puts a moratorium on expansion of immigration detention centers and gives the state attorney general power to monitor existing detention facilities. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB450\">The other\u003c/a> requires employers to make sure immigration agents have proper warrants to \u003ca href=\"https://calmatters.org/articles/caught-middle-california-businesses-face-conflicting-immigration-laws/\">enter workplaces\u003c/a> and to notify employees if immigration officials have requested to review immigration documents.\u003c/p>\n\u003cp>The city singled out the Values Act because of its limits on law enforcement. Los Alamitos wanted no part of that.\u003c/p>\n\u003cp>“When two governing documents contradict each other, the order of precedence needs to be invoked and followed,” stated a City Council staff report.\u003c/p>\n\u003cp>Mayor Troy Edgar, who advanced the measure, put it a little more colorfully: “You can’t just keep polishing the cannonball,” he said at the final hearing. “You got to shoot it.”\u003c/p>\n\u003cp>Since then, other cities and counties have piled on. Six counties, including San Diego and Orange, and at least 13 California cities have voiced opposition to the sanctuary laws, either by passing resolutions or by joining the U.S. Department of Justice lawsuit filed against California on March 6, which Los Alamitos also did.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e83eefb4-18ab-4452-9c78-d1fb348bd8ad?src=embed\" title=\"sanctuary laws\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>U.S. Attorney General Jeff Sessions said in announcing the suit that California had run afoul of the U.S. Constitution’s “supremacy clause,” which says states are subordinate to federal law. California Attorney General Xavier Becerra recently filed a \u003ca href=\"https://oag.ca.gov/system/files/attachments/press_releases/Dkt.%20No.%2074%20Defs%20Opp%20to%20PI%20Motion.pdf\">motion to dismiss\u003c/a> the suit.\u003c/p>\n\u003cp>According to Reisz, the resolutions and sign-ons to the federal lawsuit make political statements but carry no particular legal weight.\u003c/p>\n\u003cp>“I don’t think it changes anything at all,” Reisz said. “A judge doesn’t strike down law because it’s unpopular.”\u003c/p>\n\u003cp>That’s why Huntington Beach took another tack and sued the state, claiming the Values Act is unconstitutional because it restricts local government too tightly and spends general fund money that could be used by municipalities in other ways.\u003c/p>\n\u003cp>The Orange County Sheriff’s Department made its own statement in March, when it started listing the release dates of all inmates on its website, regardless of immigration status. The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB54\">state\u003c/a> bars local law enforcement agencies, including school police and security, from using money or personnel to perform immigration enforcement tasks.\u003c/p>\n\u003cp>If California isn’t technically breaking federal law, it’s certainly bending the intent of it, said Michelle Steel, a member of the Orange County Board of Supervisors who proposed joining the federal lawsuit against California.\u003c/p>\n\u003cp>“We cannot let the state begin cherry-picking which federal laws it decides to follow,” Steel said.\u003c/p>\n\u003cp>Ironically, the American Civil Liberties Union is making a similar cherry-picking argument in a lawsuit it recently filed against Los Alamitos.\u003c/p>\n\u003cp>The ACLU asserts that, beyond singling out a state law and deciding to disobey it, the Los Alamitos action promotes animosity toward immigrants. It also alleges the city is wasting taxpayer money by inviting state sanction and increasing legal expenses to make a political statement.\u003c/p>\n\u003cp>Becerra has not yet made a move — and would not say if he will — to counter the Los Alamitos ordinance, the Huntington Beach lawsuit or the cascading number of cities and counties adopting opposition resolutions.\u003c/p>\n\u003cp>“In this country, everyone has the right to express themselves,” Becerra said in an emailed statement. “However, the best place for us to figure out how to best move forward on this matter, whether we agree or disagree, is in federal court.”\u003c/p>\n\u003cfigure id=\"attachment_11617996\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11617996\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/09/Becerra-800x544.jpg\" alt=\"California Attorney General Xavier Becerra.\" width=\"800\" height=\"544\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-800x544.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-1020x694.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-1180x803.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-960x653.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-240x163.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-375x255.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-520x354.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Xavier Becerra. \u003ccite>(Alex Wong/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Becerra says the Values Act is legal and doesn’t conflict with federal law. “It works in concert with federal law,” he said.\u003c/p>\n\u003cp>Becerra does have the power to come down hard on Los Alamitos, according to Reisz — by withholding state law enforcement funding, for instance, or requesting a court injunction against its ordinance.\u003c/p>\n\u003cp>If the city were determined to have violated the sanctuary law in practice — by holding someone for immigration authorities without a warrant, for example — then the state might be able to impose more significant penalties on the city, she said.\u003c/p>\n\u003cp>Edgar said he understood from the beginning that his city could lose money.\u003c/p>\n\u003cp>“When we were first considering this, I looked at the penalties the state could levy,” Edgar said. “We get about $100,000 a year from the state for law enforcement. It’s something we don’t want to lose, of course. But if it came to that, that’s definitely something we considered.”\u003c/p>\n\u003cp>And the City Council knew it might need to fight its stance in court. But it’s worth it, Edgar said.\u003c/p>\n\u003cp>“This is a constitutional issue,” he said. “We knew exactly what we were doing. We consciously and deliberately exercised our power to take action for what we believe in.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org/\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The political whirlwind raging around California’s “sanctuary” laws isn’t doing much damage to the laws themselves, according to many state legal experts. In fact, the brunt of any legal damage may be felt most by the small city that started the rebellion.\u003c/p>\n\u003cp>“Los Alamitos could be in trouble,” said Jean Reisz of the University of Southern California’s Gould School of Law. She and other legal experts noted that the city went beyond passing a resolution of opposition, which more than a dozen other municipalities have done.\u003c/p>\n\u003cp>“What they’re doing is different from the other protests,” Reisz said. “They’re saying they won’t comply with state law.”\u003c/p>\n\u003cp>Reisz said that move — adoption of a noncompliance ordinance — may be unprecedented.\u003c/p>\n\u003cp>“A California city announcing it won’t follow state law? I haven’t been aware of that happening before,” she said. “The question is, can the [California Attorney General’s Office] force compliance? In this case, I think it can.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At issue is whether California policy violates federal law by limiting cooperation with U.S. immigration authorities.\u003c/p>\n\u003cp>State officials, including the governor, say immigration officers aren’t impeded in any way and deportations are continuing in California — that the state’s not breaking any laws and is fully cooperating with federal officials. What it’s not doing is volunteering certain information, such as the names of some immigrants who were jailed for lesser offenses than the 800 serious crimes enumerated in state law.\u003c/p>\n\u003cp>Opponents of the sanctuary laws, including the California State Sheriffs’ Association, have argued that they cause confusion for law enforcement officers and business owners. And the state Republican Party has \u003ca href=\"https://calmatters.org/articles/balancing-act-how-california-republicans-hope-to-survive-in-the-resistance-state/\">seized on the issue\u003c/a> in its quest for gains in this year’s elections.\u003c/p>\n\u003cfigure id=\"attachment_11667857\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11667857\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/TroyEdgar-800x501.jpg\" alt=\"Los Alamitos Mayor Troy Edgar talks to reporters.\" width=\"800\" height=\"501\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-800x501.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1020x639.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1200x752.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-1180x739.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-960x602.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-240x150.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-375x235.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar-520x326.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/TroyEdgar.jpg 1350w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Los Alamitos Mayor Troy Edgar talks to reporters. \u003ccite>(Courtesy Troy Edgar)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Los Alamitos is a community of 12,000 tucked into western Orange County, roughly equidistant between the Long Beach harbor and Disneyland. It’s known for its horse-racing track, and now is also the birthplace of what President Trump called a “revolution” of opposition to the California laws.\u003c/p>\n\u003cp>In March, the City Council voted to \u003ca href=\"http://cityoflosalamitos.org/?wpfb_dl=3120\">exempt the city\u003c/a> from the California Values Act — one of three pieces of so-called sanctuary legislation that became law in January. The trio of measures does not offer \u003ca href=\"https://calmatters.org/articles/californias-new-sanctuary-law-will-aid-immigrants-not/\">sanctuary\u003c/a> in the way that, say, a church might. But they do offer some immigrants protection from being targeted by immigration officials and held for them.\u003c/p>\n\u003cp>Two of the three laws were not included in the Los Alamitos ordinance, which was finalized April 17. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB103\">One of those laws\u003c/a> puts a moratorium on expansion of immigration detention centers and gives the state attorney general power to monitor existing detention facilities. \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB450\">The other\u003c/a> requires employers to make sure immigration agents have proper warrants to \u003ca href=\"https://calmatters.org/articles/caught-middle-california-businesses-face-conflicting-immigration-laws/\">enter workplaces\u003c/a> and to notify employees if immigration officials have requested to review immigration documents.\u003c/p>\n\u003cp>The city singled out the Values Act because of its limits on law enforcement. Los Alamitos wanted no part of that.\u003c/p>\n\u003cp>“When two governing documents contradict each other, the order of precedence needs to be invoked and followed,” stated a City Council staff report.\u003c/p>\n\u003cp>Mayor Troy Edgar, who advanced the measure, put it a little more colorfully: “You can’t just keep polishing the cannonball,” he said at the final hearing. “You got to shoot it.”\u003c/p>\n\u003cp>Since then, other cities and counties have piled on. Six counties, including San Diego and Orange, and at least 13 California cities have voiced opposition to the sanctuary laws, either by passing resolutions or by joining the U.S. Department of Justice lawsuit filed against California on March 6, which Los Alamitos also did.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e83eefb4-18ab-4452-9c78-d1fb348bd8ad?src=embed\" title=\"sanctuary laws\" width=\"800\" height=\"700\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>U.S. Attorney General Jeff Sessions said in announcing the suit that California had run afoul of the U.S. Constitution’s “supremacy clause,” which says states are subordinate to federal law. California Attorney General Xavier Becerra recently filed a \u003ca href=\"https://oag.ca.gov/system/files/attachments/press_releases/Dkt.%20No.%2074%20Defs%20Opp%20to%20PI%20Motion.pdf\">motion to dismiss\u003c/a> the suit.\u003c/p>\n\u003cp>According to Reisz, the resolutions and sign-ons to the federal lawsuit make political statements but carry no particular legal weight.\u003c/p>\n\u003cp>“I don’t think it changes anything at all,” Reisz said. “A judge doesn’t strike down law because it’s unpopular.”\u003c/p>\n\u003cp>That’s why Huntington Beach took another tack and sued the state, claiming the Values Act is unconstitutional because it restricts local government too tightly and spends general fund money that could be used by municipalities in other ways.\u003c/p>\n\u003cp>The Orange County Sheriff’s Department made its own statement in March, when it started listing the release dates of all inmates on its website, regardless of immigration status. The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB54\">state\u003c/a> bars local law enforcement agencies, including school police and security, from using money or personnel to perform immigration enforcement tasks.\u003c/p>\n\u003cp>If California isn’t technically breaking federal law, it’s certainly bending the intent of it, said Michelle Steel, a member of the Orange County Board of Supervisors who proposed joining the federal lawsuit against California.\u003c/p>\n\u003cp>“We cannot let the state begin cherry-picking which federal laws it decides to follow,” Steel said.\u003c/p>\n\u003cp>Ironically, the American Civil Liberties Union is making a similar cherry-picking argument in a lawsuit it recently filed against Los Alamitos.\u003c/p>\n\u003cp>The ACLU asserts that, beyond singling out a state law and deciding to disobey it, the Los Alamitos action promotes animosity toward immigrants. It also alleges the city is wasting taxpayer money by inviting state sanction and increasing legal expenses to make a political statement.\u003c/p>\n\u003cp>Becerra has not yet made a move — and would not say if he will — to counter the Los Alamitos ordinance, the Huntington Beach lawsuit or the cascading number of cities and counties adopting opposition resolutions.\u003c/p>\n\u003cp>“In this country, everyone has the right to express themselves,” Becerra said in an emailed statement. “However, the best place for us to figure out how to best move forward on this matter, whether we agree or disagree, is in federal court.”\u003c/p>\n\u003cfigure id=\"attachment_11617996\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11617996\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/09/Becerra-800x544.jpg\" alt=\"California Attorney General Xavier Becerra.\" width=\"800\" height=\"544\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-800x544.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-1020x694.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-1180x803.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-960x653.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-240x163.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-375x255.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/09/Becerra-520x354.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Xavier Becerra. \u003ccite>(Alex Wong/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Becerra says the Values Act is legal and doesn’t conflict with federal law. “It works in concert with federal law,” he said.\u003c/p>\n\u003cp>Becerra does have the power to come down hard on Los Alamitos, according to Reisz — by withholding state law enforcement funding, for instance, or requesting a court injunction against its ordinance.\u003c/p>\n\u003cp>If the city were determined to have violated the sanctuary law in practice — by holding someone for immigration authorities without a warrant, for example — then the state might be able to impose more significant penalties on the city, she said.\u003c/p>\n\u003cp>Edgar said he understood from the beginning that his city could lose money.\u003c/p>\n\u003cp>“When we were first considering this, I looked at the penalties the state could levy,” Edgar said. “We get about $100,000 a year from the state for law enforcement. It’s something we don’t want to lose, of course. But if it came to that, that’s definitely something we considered.”\u003c/p>\n\u003cp>And the City Council knew it might need to fight its stance in court. But it’s worth it, Edgar said.\u003c/p>\n\u003cp>“This is a constitutional issue,” he said. “We knew exactly what we were doing. We consciously and deliberately exercised our power to take action for what we believe in.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "FDA Injunctions Send Clear Message: Stem Cell Clinics Beware",
"title": "FDA Injunctions Send Clear Message: Stem Cell Clinics Beware",
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"content": "\u003cp>The Food and Drug Administration is getting serious about reining in stem cell clinics. On Wednesday, the agency \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm607257.htm\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> it wants to bar two of the largest clinic networks in the country from marketing their treatments, which would effectively halt their operations.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The clinic customers are really the guinea pigs here. And they’re paying [up to] $20,000 for that right to be a guinea pig.'\u003ccite>Paul Knoepfler, UC Davis\u003c/cite>\u003c/aside>\n\u003cp>At the FDA’s request, the Department of Justice will seek permanent injunctions to halt the core stem cell therapy used by U.S. Stem Cell Clinic of Sunshine, Florida, as well as the California Stem Cell Treatment Center and its affiliated Cell Surgical Network Corporation, located in Southern California. The two businesses\u003cb> \u003c/b>have affiliations with dozens of other stem cell clinics across the country, and the FDA said their method of stem cell therapy is unapproved, untested, and potentially dangerous for patients.\u003c/p>\n\u003cp>The request for the Florida injunction was prompted by four cases of blindness that occurred after patients received stem cell injections. In the filing against the California stem cell clinics, the FDA pointed to the use of smallpox vaccine to help create and use an unproven cancer therapy.\u003c/p>\n\u003cp>The agency’s action reflects its growing concern over the increase in stem cell clinics — an estimated 700 of them have popped up across the nation, with operations in almost every state.\u003c/p>\n\u003cp>Paul Knoepfler, a cell biology professor at UC Davis, is a stem cell researcher and one of the early critics of what he calls rogue stem cell clinics. These businesses leverage the power and hope resonant in the words “stem cell therapy,” while offering treatments that carry a big price tag and lack regulatory approval, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The clinic customers are really the guinea pigs here,” Knoepfler said. “And they’re paying [up to] $20,000 for that right to be a guinea pig. These stem cells can do unexpected things, like grow tumors, or grow things where they’re not supposed to – like scar tissue inside someone’s eyeball.”\u003c/p>\n\u003cp>Many stem cell clinics promise cutting‐edge treatment for just about every malady imaginable, from impotence to autism to lymphoma to multiple sclerosis. To get stem cells for the treatment, many clinics suction off a patient’s belly fat, which contains stem cells, then create an extract of those cells to inject into other parts of the body. The theory is some of these cells might promote healing.\u003c/p>\n\u003cp>More traditional stem cell research has produced some impressive cures. But that process involves many levels of clinical trials and proof of efficacy before a treatment goes on the market, something stem cell clinics do not provide.\u003c/p>\n\u003cp>Knoepfler has compiled \u003ca href=\"http://www.cell.com/cms/attachment/2062931415/2065421495/mmc2.xlsx\">a list\u003c/a> of the roughly 700 clinics nationwide. “California is a hotspot state,” he said. “It’s the number one state. It has more than 100 clinics here.”\u003c/p>\n\u003cp>And the epicenter of that stem cell clinic activity is Southern California, and Beverly Hills in particular, which has 18 clinics, Knoepfler said.\u003c/p>\n\u003cp>The FDA began increasing oversight of stem cell clinics in August of last year, when it sent a warning letter to the U.S. Stem Cell Clinic in Florida, and at the same time asked U.S. marshals to conduct a raid on a company called StemImmune in San Diego, seizing vials of smallpox vaccine that were planned for use at two California Stem Cell Treatment Centers in Beverly Hills and Rancho Mirage.\u003c/p>\n\u003cp>And in November last year, the FDA \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm585345.htm\">released tightened rules\u003c/a> for stem cell clinics, making clear that fat-derived stem cell therapies would be classified as a drug and should be subject to FDA approval.\u003c/p>\n\u003cp>The stem cell clinic owners at the two targeted sites said they’ll vigorously fight the requested injunctions. Their argument is that people’s own cells cannot be classified as a drug or drug therapy, and that people should be allowed to use them in any way they want.\u003c/p>\n\u003cp>In a company statement, the Florida-based U.S. Stem Cell said it “believes that the patient and physician have the right to decide whether or not to use a patient’s own cells for a therapeutic purpose without federal government interference.”\u003c/p>\n\u003cp>Knoepfler said the issue should not prompt a philosophical debate; it’s simply about patient safety.\u003c/p>\n\u003cp>“In theory the FDA can invoke criminal consequences, though we haven’t really seen that happen yet,” he said. “But with involvement of the Department of Justice in these particular cases with the injunctions, that to me seems a pretty serious indicator that this is something for stem cell clinics to take seriously.”\u003c/p>\n\u003cp>\u003cstrong>A Bigger Stick?\u003c/strong>\u003c/p>\n\u003cp>There is one more stick, yet to be wielded, that might be used to limit what therapies stem cell clinics can offer, and what claims they can make. The national Federation of State Medical Boards on May 8 released new\u003ca href=\"http://www.fsmb.org/globalassets/advocacy/policies/fsmb-stem-cell-workgroup-report.pdf\"> best-practices guidelines\u003c/a> for stem cell clinics. That’s significant because medical boards hold and can withdraw one of the things physicians value most: their medical license.\u003c/p>\n\u003cp>The recommendations are far-reaching: Medical boards can review and potentially withdraw licenses if stem cell clinics they are affiliated with make unsubstantiated claims, promote therapies not supported by science or use nondisclosure agreements to settle complaints.\u003c/p>\n\u003cp>Fines levied and court action taken by the FDA certainly can get people's attention, Knoepfler said, but the medical board federation's stance could be the real game-changer.\u003c/p>\n\u003cp>If doctors at stem cell clinics lose their medical license, it would cripple their credibility, impact their livelihood and potentially start an exodus of medical professionals out of the industry, he said.\u003c/p>\n\u003cp>“Somehow with the medical board license, for physicians it’s more of a tangible thing to take seriously,” Knoepfler said.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Food and Drug Administration is getting serious about reining in stem cell clinics. On Wednesday, the agency \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm607257.htm\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> it wants to bar two of the largest clinic networks in the country from marketing their treatments, which would effectively halt their operations.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The clinic customers are really the guinea pigs here. And they’re paying [up to] $20,000 for that right to be a guinea pig.'\u003ccite>Paul Knoepfler, UC Davis\u003c/cite>\u003c/aside>\n\u003cp>At the FDA’s request, the Department of Justice will seek permanent injunctions to halt the core stem cell therapy used by U.S. Stem Cell Clinic of Sunshine, Florida, as well as the California Stem Cell Treatment Center and its affiliated Cell Surgical Network Corporation, located in Southern California. The two businesses\u003cb> \u003c/b>have affiliations with dozens of other stem cell clinics across the country, and the FDA said their method of stem cell therapy is unapproved, untested, and potentially dangerous for patients.\u003c/p>\n\u003cp>The request for the Florida injunction was prompted by four cases of blindness that occurred after patients received stem cell injections. In the filing against the California stem cell clinics, the FDA pointed to the use of smallpox vaccine to help create and use an unproven cancer therapy.\u003c/p>\n\u003cp>The agency’s action reflects its growing concern over the increase in stem cell clinics — an estimated 700 of them have popped up across the nation, with operations in almost every state.\u003c/p>\n\u003cp>Paul Knoepfler, a cell biology professor at UC Davis, is a stem cell researcher and one of the early critics of what he calls rogue stem cell clinics. These businesses leverage the power and hope resonant in the words “stem cell therapy,” while offering treatments that carry a big price tag and lack regulatory approval, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The clinic customers are really the guinea pigs here,” Knoepfler said. “And they’re paying [up to] $20,000 for that right to be a guinea pig. These stem cells can do unexpected things, like grow tumors, or grow things where they’re not supposed to – like scar tissue inside someone’s eyeball.”\u003c/p>\n\u003cp>Many stem cell clinics promise cutting‐edge treatment for just about every malady imaginable, from impotence to autism to lymphoma to multiple sclerosis. To get stem cells for the treatment, many clinics suction off a patient’s belly fat, which contains stem cells, then create an extract of those cells to inject into other parts of the body. The theory is some of these cells might promote healing.\u003c/p>\n\u003cp>More traditional stem cell research has produced some impressive cures. But that process involves many levels of clinical trials and proof of efficacy before a treatment goes on the market, something stem cell clinics do not provide.\u003c/p>\n\u003cp>Knoepfler has compiled \u003ca href=\"http://www.cell.com/cms/attachment/2062931415/2065421495/mmc2.xlsx\">a list\u003c/a> of the roughly 700 clinics nationwide. “California is a hotspot state,” he said. “It’s the number one state. It has more than 100 clinics here.”\u003c/p>\n\u003cp>And the epicenter of that stem cell clinic activity is Southern California, and Beverly Hills in particular, which has 18 clinics, Knoepfler said.\u003c/p>\n\u003cp>The FDA began increasing oversight of stem cell clinics in August of last year, when it sent a warning letter to the U.S. Stem Cell Clinic in Florida, and at the same time asked U.S. marshals to conduct a raid on a company called StemImmune in San Diego, seizing vials of smallpox vaccine that were planned for use at two California Stem Cell Treatment Centers in Beverly Hills and Rancho Mirage.\u003c/p>\n\u003cp>And in November last year, the FDA \u003ca href=\"https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm585345.htm\">released tightened rules\u003c/a> for stem cell clinics, making clear that fat-derived stem cell therapies would be classified as a drug and should be subject to FDA approval.\u003c/p>\n\u003cp>The stem cell clinic owners at the two targeted sites said they’ll vigorously fight the requested injunctions. Their argument is that people’s own cells cannot be classified as a drug or drug therapy, and that people should be allowed to use them in any way they want.\u003c/p>\n\u003cp>In a company statement, the Florida-based U.S. Stem Cell said it “believes that the patient and physician have the right to decide whether or not to use a patient’s own cells for a therapeutic purpose without federal government interference.”\u003c/p>\n\u003cp>Knoepfler said the issue should not prompt a philosophical debate; it’s simply about patient safety.\u003c/p>\n\u003cp>“In theory the FDA can invoke criminal consequences, though we haven’t really seen that happen yet,” he said. “But with involvement of the Department of Justice in these particular cases with the injunctions, that to me seems a pretty serious indicator that this is something for stem cell clinics to take seriously.”\u003c/p>\n\u003cp>\u003cstrong>A Bigger Stick?\u003c/strong>\u003c/p>\n\u003cp>There is one more stick, yet to be wielded, that might be used to limit what therapies stem cell clinics can offer, and what claims they can make. The national Federation of State Medical Boards on May 8 released new\u003ca href=\"http://www.fsmb.org/globalassets/advocacy/policies/fsmb-stem-cell-workgroup-report.pdf\"> best-practices guidelines\u003c/a> for stem cell clinics. That’s significant because medical boards hold and can withdraw one of the things physicians value most: their medical license.\u003c/p>\n\u003cp>The recommendations are far-reaching: Medical boards can review and potentially withdraw licenses if stem cell clinics they are affiliated with make unsubstantiated claims, promote therapies not supported by science or use nondisclosure agreements to settle complaints.\u003c/p>\n\u003cp>Fines levied and court action taken by the FDA certainly can get people's attention, Knoepfler said, but the medical board federation's stance could be the real game-changer.\u003c/p>\n\u003cp>If doctors at stem cell clinics lose their medical license, it would cripple their credibility, impact their livelihood and potentially start an exodus of medical professionals out of the industry, he said.\u003c/p>\n\u003cp>“Somehow with the medical board license, for physicians it’s more of a tangible thing to take seriously,” Knoepfler said.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Calif. Stem Cell Agency Has Yet to Fund an FDA-Approved Cure. Will Voters Give It $5 Billion More?",
"title": "Calif. Stem Cell Agency Has Yet to Fund an FDA-Approved Cure. Will Voters Give It $5 Billion More?",
"headTitle": "KQED Future of You | KQED Science",
"content": "\u003cp>The year was 2004, and great medical breakthroughs were supposedly right around the corner.\u003c/p>\n\u003cp>In TV advertisements, celebrities\u003ca href=\"https://www.youtube.com/watch?v=fK9Eg0GVl7Q\" target=\"_blank\" rel=\"noopener\"> Michael J. Fox\u003c/a> and \u003ca href=\"https://preview-archives.nbclearn.com/portal/site/k-12/browse/?cuecard=4336\" target=\"_blank\" rel=\"noopener\">Christopher Reeve, \u003c/a>both suffering from incurable conditions, touted the promise of stem cell research, which could lead to a plethora of cures for life-threatening diseases.\u003c/p>\n\u003caside class=\"pullquote alignright\">Will California's appetite for funding stem cell research last?\u003c/aside>\n\u003cp>The ads ran in support of \u003ca href=\"https://ballotpedia.org/California_Proposition_71,_Stem_Cell_Research_(2004)\" target=\"_blank\" rel=\"noopener\">Proposition 71\u003c/a>, a $3 billion California bond measure that would create the first state-funded stem cell agency in the nation. Three years earlier, the George W. Bush administration had \u003ca href=\"http://www.presidency.ucsb.edu/ws/?pid=79025\" target=\"_blank\" rel=\"noopener\">issued\u003c/a> rules to limit use of stem cells obtained from human embryos. But California voters easily passed Proposition 71, 59-41 percent. The California Institute for Regenerative Medicine, or \u003ca href=\"https://www.cirm.ca.gov/\" target=\"_blank\" rel=\"noopener\">CIRM\u003c/a>, was born. Its mission: to fund and accelerate stem-cell-related treatments.\u003c/p>\n\u003cp>Fourteen years and billions of dollars later, the agency is running out of money, and backers of stem cell research \u003ca href=\"http://capitolweekly.net/stem-cell-agency-nears-5-billion-ballot-plan/\" target=\"_blank\" rel=\"noopener\">plan\u003c/a> on asking California voters to pony up for round two.\u003c/p>\n\u003cp>And those stem cell breakthroughs?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still right around the corner. Or, if you're an optimist, perhaps rounding it, now.\u003c/p>\n\u003caside class=\"alignright\">Promising but as yet unapproved therapies funded by CIRM\n\u003cul>\n\u003cli>Slowing or reversing \u003ca href=\"https://newswise.com/articles/jcyte-presents-results-of-clinical-testing-in-retinitis-pigmentosa2\" target=\"_blank\" rel=\"noopener\">retinitis pigmentosa\u003c/a>\u003c/li>\n\u003cli>New shunt for \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/12/new-stem-cell-technology-could-make-life-easier-for-kidney-disease-patients/\" target=\"_blank\" rel=\"noopener\">kidney dialysis patients\u003c/a>\u003c/li>\n\u003cli>Gene therapy for children with no \u003ca href=\"https://blog.cirm.ca.gov/tag/evangelina-padilla-vaccaro/\" target=\"_blank\" rel=\"noopener\">functioning immune system\u003c/a>\u003c/li>\n\u003cli>Help for \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/10/04/spinal-patients-continue-remarkable-recovery-after-stem-cell-injections-company-says/\" target=\"_blank\" rel=\"noopener\">spinal-injury victims\u003c/a>\u003c/li>\n\u003cli>Lab-modified cells to treat \u003ca href=\"https://blog.cirm.ca.gov/2017/07/20/stem-cell-agency-funds-phase-3-clinical-trial-for-lou-gehrigs-disease/\" target=\"_blank\" rel=\"noopener\">ALS patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>\u003cstrong>The Pitch\u003c/strong>\u003c/p>\n\u003cp>Stem cell research proponents — including the same advocacy group that backed Proposition 71 — want to ask voters in the November 2020 election for $5 billion in bond money to continue the work of CIRM.\u003c/p>\n\u003cp>For voters, there will be one major question, according to Zev Yaroslavsky, an expert on state politics and government at UCLA.\u003c/p>\n\u003cp>“The public will want to know what they’ve gotten for their money.”\u003c/p>\n\u003cfigure id=\"attachment_188656\" class=\"wp-caption alignleft\" style=\"max-width: 351px\">\u003cimg class=\" wp-image-188656\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/StemCells-800x534.jpg\" alt=\"Buttons with the slogan 'Save Lives With Stem Cells,' in support of Prop. 71 at the Stem Cell Research Proposition Party at the Biltmore Hotel Nov. 2, 2004 in Los Angeles, California.\" width=\"351\" height=\"234\">\u003cfigcaption class=\"wp-caption-text\">Buttons with the slogan 'Save Lives With Stem Cells,' in support of Prop. 71 in 2004. \u003ccite>(Frazer Harrison/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yaroslavsky expects to see plenty of funding measures on the 2020 ballot, including a parks bond and money for open space and schools, not to mention repeal of the gas tax.\u003c/p>\n\u003cp>“At what point do people start to vote no on everything?\" Yaroslavsky said. \"Or prioritize which of those many good causes they want to spend their money on?”\u003c/p>\n\u003cfigure id=\"attachment_262540\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-262540\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/10/HumanEScellsintoneurons.jpg\" alt=\"\" width=\"640\" height=\"588\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/10/HumanEScellsintoneurons.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2016/10/HumanEScellsintoneurons-400x368.jpg 400w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Human embryonic stem cells differentiating into neurons \u003ccite>(Guoping Fan/UCLA/CIRM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robert Klein, who spearheaded the original 2004 ballot measure and served as the CIRM board's first chairman, still heads the advocacy group, \u003ca href=\"https://americansforcures.org/\" target=\"_blank\" rel=\"noopener\">Americans for Cures\u003c/a>, that pushed Proposition 71. Medical science isn't exactly his field — he's president of a Palo Alto-based real estate development firm — but he got involved in stem cell funding because of his son's Type 1 diabetes, which is incurable.\u003c/p>\n\u003cp>Klein said re-funding the stem cell agency is not just a good cause, but good business.\u003c/p>\n\u003cp>“It has been a creator of jobs, and the state benefits from taxes by attracting research centers here,” he said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"Bv07QyLXQ031CUEZCQOytRKusurX2p1i\"]A 2012 \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/about_cirm/Econ_Impact_REPORT_updated_2012.pdf\" target=\"_blank\" rel=\"noopener\">independent review\u003c/a> commissioned by CIRM and looking forward through 2014 estimated that its grants plus matching funds would result in an average of over 4,000 jobs created per year, and $205 million in state tax revenue.\u003c/p>\n\u003cp>As for the proposed new funding, Klein said the $5 billion bond cost would be amortized over 40 years, so it’s not a huge cost compared to other government projects.\u003c/p>\n\u003cp>“Look, we paid \u003ca href=\"https://www.citylab.com/equity/2015/10/from-250-million-to-65-billion-the-bay-bridge-cost-overrun/410254/\">$6.5 billion\u003c/a> just to fix the eastern span of the Bay Bridge,” Klein said. “That’s road infrastructure — this is more like [funding] the intellectual infrastructure of California.”\u003c/p>\n\u003cp>\u003cstrong>Where Are the Cures?\u003c/strong>\u003c/p>\n\u003cp>Stem cells are undifferentiated cells that can be transformed into specific tissue and organ cells. The 2004 ballot initiative struck an emotional chord, in part because of the high-profile cases of actors Reeve and Fox, who personified the hope that the cells could play a role in new therapies for incurable medical conditions. Reeve, who died in 2004, became a quadriplegic after injuring his spine in a horse-riding accident; Fox has Parkinson’s, a neurodegenerative disease.\u003c/p>\n\u003cp>In Fox's \u003ca href=\"https://www.youtube.com/watch?v=fK9Eg0GVl7Q\" target=\"_blank\" rel=\"noopener\">30-second spot\u003c/a>, he used the word “cures” three times.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=fK9Eg0GVl7Q\u003c/p>\n\u003cp>So has CIRM produced any cures?\u003c/p>\n\u003cp>The family of 5-year-old \u003ca href=\"https://blog.cirm.ca.gov/tag/evangelina-padilla-vaccaro/\" target=\"_blank\" rel=\"noopener\">Evangelina Padilla-Vaccaro\u003c/a> would say yes.\u003c/p>\n\u003cp>Evangelina was born with a rare genetic condition called Severe Combined Immunodeficiency, or\u003ca href=\"https://www.genome.gov/13014325/learning-about-severe-combined-immunodeficiency-scid/\" target=\"_blank\" rel=\"noopener\"> SCID\u003c/a>, also known as “bubble baby” disease. The ailment renders a patient's immune system nonfunctioning. The National Institutes of Health \u003ca href=\"https://www.genome.gov/13014325/learning-about-severe-combined-immunodeficiency-scid/#al-3\" target=\"_blank\" rel=\"noopener\">estimates\u003c/a> approximately 40 to 100 children in the U.S. each year are diagnosed with the malady.\u003c/p>\n\u003cp>A team of UCLA clinical researchers, partially funded by CIRM, genetically modified Evangelina’s own blood stem cells to correct the SCID mutation.\u003c/p>\n\u003cp>She was cured.\u003c/p>\n\u003cp>Evangelina was the first to undergo the treatment, back when she was just a few months old. And now, CIRM says, at least 40 other children have been cured with the same procedure.\u003c/p>\n\u003cfigure id=\"attachment_438299\" class=\"wp-caption alignright\" style=\"max-width: 576px\">\u003cimg class=\"size-full wp-image-438299\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/evangelina_treatment.jpg\" alt=\"Baby in a hospital bed\" width=\"576\" height=\"768\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment.jpg 576w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-520x693.jpg 520w\" sizes=\"(max-width: 576px) 100vw, 576px\">\u003cfigcaption class=\"wp-caption-text\">Evangelina being treated by Don Kohn and his team in 2012. \u003ccite>(UCLA)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite this success, the SCID trial is only in Phase 2. CIRM has only two trials in Phase 3, a necessary step before FDA approval: one testing a \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/12/new-stem-cell-technology-could-make-life-easier-for-kidney-disease-patients/\" target=\"_blank\" rel=\"noopener\">new port\u003c/a> for kidney dialysis patients that is made out of human tissue and would not have to be replaced; and one that aims to\u003ca href=\"http://www.cirm.ca.gov/about-cirm/newsroom/press-releases/07202017/phase-3-clinical-trial-targeting-lou-gehrigs-disease\" target=\"_blank\" rel=\"noopener\"> slow down\u003c/a> the progression of Lou Gehrig's disease.\u003c/p>\n\u003cp>Other promising CIRM-funded therapies include slowing or \u003ca href=\"https://newswise.com/articles/jcyte-presents-results-of-clinical-testing-in-retinitis-pigmentosa2\" target=\"_blank\" rel=\"noopener\">reversing\u003c/a> retinitis pigmentosa, a genetic abnormality that destroys a person’s sight; and \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/10/26/paralyzed-patients-regain-movement-in-stem-cell-trial-is-it-too-early-to-celebrate/\" target=\"_blank\" rel=\"noopener\">injecting stem cells\u003c/a> into patients with severe spinal injuries.\u003c/p>\n\u003cp>The FDA has made several of these therapies eligible for priority review by granting them Regenerative Medicine Advanced Therapy, or \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/CellularGeneTherapyProducts/ucm537670.htm\" target=\"_blank\" rel=\"noopener\">RMAT\u003c/a>, status.\u003c/p>\n\u003cp>Clinical trials and research in less-advanced stages are ongoing for many other \u003ca href=\"https://www.cirm.ca.gov/grants\" target=\"_blank\" rel=\"noopener\">diseases and conditions\u003c/a>, including brain cancer, diabetes and HIV.\u003c/p>\n\u003cp>But the fact remains: Although this could change in the run-up to the election, no CIRM-funded stem cell treatment has yet to be approved by the FDA.\u003c/p>\n\u003cp>\u003cstrong>Miracles Capture the Imagination\u003c/strong>\u003c/p>\n\u003cp>Even outside of CIRM, only a handful of stem cell-related therapies have been approved for general use. Yet, stem cell research has captured the public's imagination with flashes of the miraculous.\u003c/p>\n\u003cfigure id=\"attachment_438300\" class=\"wp-caption alignright\" style=\"max-width: 594px\">\u003cimg class=\"size-full wp-image-438300\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/GettyImages-149183631.jpg\" alt=\"Middle aged man looks at camera.\" width=\"594\" height=\"396\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631.jpg 594w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-520x347.jpg 520w\" sizes=\"(max-width: 594px) 100vw, 594px\">\u003cfigcaption class=\"wp-caption-text\">Timothy Ray Brown, known as the 'Berlin patient' and the only person to have been cured of AIDS, at a press conference in 2012. \u003ccite>(T.J. Kirkpatrick/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timothy Ray Brown, the famous \"\u003ca href=\"http://defeathiv.org/berlin/\" target=\"_blank\" rel=\"noopener\">Berlin patient\u003c/a>,\" for example, is an HIV patient who received a bone marrow transplant from a donor with a genetic mutation that endowed resistance to HIV. The transplant effectively cured Brown of the disease. However, there are currently a dearth of potential donors with the correct mutation, so researchers hope to create them, for use in patients' blood systems.\u003c/p>\n\u003cp>The bubble baby breakthrough and positive initial results in other CIRM-funded trials are strong selling points, said David Jensen, a journalist who covers stem cell research and writes a blog called \u003ca href=\"http://californiastemcellreport.blogspot.com/\" target=\"_blank\" rel=\"noopener\">California Stem Cell Report.\u003c/a>\u003c/p>\n\u003cp>\"There are some things CIRM can point to that are really impressive,\" Jensen said. \"It’s a pretty big deal in the world of science. It's the largest single source of funding for embryonic stem cell research in the world, and that’s no small thing.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"jHMWEkOPxg4IYTLSL83TfP2I7GjhjcyI\"]That doesn't necessarily mean voters will agree to re-fund it, he said.\u003c/p>\n\u003cp>Kevin McCormack, CIRM’s director of public communications and patient advocate outreach, said there's still time for CIRM to make a bigger splash.\u003c/p>\n\u003cp>“We’ve still got two more years,” McCormack said. “By 2020 I think people will see that CIRM-funded therapies are not just changing lives but saving lives.”\u003c/p>\n\u003cp>\u003cstrong>Overpromising: Something CIRM Has 'Had to Live With'\u003c/strong>\u003c/p>\n\u003cp>Klein, the backer of Proposition 71, said the 2004 campaign never promised cures during the lifetime of the stem cell agency, only progress toward attaining them.\u003c/p>\n\u003cp>“What we put in the ballot arguments is that we had to make major progress in mitigating disease, and moving toward cures,” Klein said. He feels that certainly has been achieved— and more. “In terms of progress toward the ultimate goal of cures, it’s remarkable what progress has been made.\u003c/p>\n\u003cp>\"When I look back, I think we have out-achieved the representations we put on the ballot.”\u003c/p>\n\u003cp>But even CIRM's McCormack has said, in an \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/06/22/stem-cells-where-science-hope-and-hype-meet/\" target=\"_blank\" rel=\"noopener\">interview with KQED\u003c/a> in 2016, that overpromising by the Proposition 71 campaign is \"something [CIRM] has had to live with.\"\u003c/p>\n\u003cp>Opposition during the \u003ca href=\"https://ballotpedia.org/California_Proposition_71,_Stem_Cell_Research_(2004)\">first ballot measure\u003c/a> was based mostly on religious concerns about using embryonic stem cells, on the large amount of money (the $3 billion price tag actually costs taxpayers $6 billion when interest is included) and on the lack of any guarantees of specific achievements.\u003c/p>\n\u003cp>Jensen expects religious objections to resurface when the election campaigns ramp up — but that those might not gain traction, because the field has expanded into adult and \u003ca href=\"https://stemcell.ucla.edu/induced-pluripotent-stem-cells\" target=\"_blank\" rel=\"noopener\">induced pluripotent stem cells\u003c/a> in addition to embryonic cells.\u003c/p>\n\u003cfigure id=\"attachment_438301\" class=\"wp-caption alignleft\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-438301\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/cured_ar_2016_cover.png\" alt=\"\" width=\"570\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover.png 570w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-160x168.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-240x253.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-375x395.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-520x547.png 520w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">Evangelina Padilla-Vaccaro on the cover of CIRM's \u003ca href=\"https://www.cirm.ca.gov/about-cirm/cirm-annual-reports\">2016 Annual Report\u003c/a>. \u003ccite>(CIRM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And since the poster child for stem cell success could very well be the pint-sized and happy-faced Evangelina Padilla-Vaccaro, it may be hard to argue that these concerns outweigh not having to live in a bubble.\u003c/p>\n\u003cp>\"I mean, how can you be against that?\" Jensen said.\u003c/p>\n\u003cp>But some opposition has sprung up even inside the medical community. Barbara Koenig, head of the bioethics program at UCSF, pointed to ongoing concerns about conflict of interest at the agency — 90 percent of all spending benefited organizations that have been represented on the \u003ca href=\"https://www.cirm.ca.gov/board-and-meetings/list-icoc-members\" target=\"_blank\" rel=\"noopener\">governing board\u003c/a>, Jensen has been \u003ca href=\"http://capitolweekly.net/californias-stem-cell-agency-future-uncertain/\" target=\"_blank\" rel=\"noopener\">reporting\u003c/a>— and the public governance that she said has been lacking. (McCormack said the expansion of companies involved in stem cell research has resulted in broader distribution of funds. He also pointed to CIRM's adoption of more stringent\u003ca href=\"https://govt.westlaw.com/calregs/Document/ICD886A9181574C3BADD5946217E13F00?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)&bhcp=1\" target=\"_blank\" rel=\"noopener\"> conflict-of-interest policies \u003c/a>in 2013.)\u003c/p>\n\u003caside class=\"pullquote alignright\">'I didn’t like the over-hyping of the immediate idea that [in 2004] there were cures around the corner. I think we need to be honest about how we’re investing in research.'\u003ccite>Barbara Koenig, UCSF bioethics program\u003cbr>\n\u003c/cite>\u003c/aside>\n\u003cp>Koenig supports stem cell research, but voted against the measure in 2004. And she has serious concerns about its possible renewal.\u003c/p>\n\u003cp>“I didn’t like the overhyping of the immediate idea that there were cures around the corner,” Koenig said. “I think we need to be honest about how we’re investing in research.”\u003c/p>\n\u003cp>Ask Koenig how she might use that proposed $5 billion differently, and she responds with a moment of stunned silence.\u003c/p>\n\u003cp>“Oh my, so many things,” she said. “I would try to figure out how to make sure every child in California has access to basic health services, nutrition, clean water . . . not just make high-priced products, but to improve public health.”\u003c/p>\n\u003cp>She said stem cell research \"privileges these quick-fix biotech approaches, which may make a lot of money but may not benefit the general public.”\u003c/p>\n\u003cp>Another bioethicist, Jodi Halpern of UC Berkeley, said the ballot initiative process is no place for a basic state spending decision.\u003c/p>\n\u003cp>“Why isn’t this a legislative issue?” Halpern asked. “We elect the Legislature to decide where California is going to spend its money. Putting this on the ballot, making it an emotional issue rather than just a financial one, that doesn’t sit right with me.\"\u003c/p>\n\u003cp>https://www.youtube.com/watch?time_continue=59&v=FjXiRx7DvzQ\u003c/p>\n\u003cp>\u003cstrong>Concerns vs. Cures\u003c/strong>\u003c/p>\n\u003cp>CIRM’s McCormack said he understands the concerns about state funding, but he said he's seen too much good come from the agency to see it wither on the budget-bickering vine.\u003c/p>\n\u003cp>“We are helping change the face of medicine,” he said. “We have so many clinical trials in the pipeline . . . that will pay off with therapies to help people who right now don’t have much of a chance for help, people with unmet medical needs.”\u003c/p>\n\u003cp>At its current spending pace, CIRM will run out of money by the \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/agenda/171214_Agedna_Item_%234_FINAL%20Dec%202017%20President%20Report%5B7%5D.pdf\" target=\"_blank\" rel=\"noopener\">end of 2019\u003c/a> — roughly a year before the proposed ballot measure vote. At its December 2017 board meeting, one of the \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/agenda/171214_Agenda_Item_%236_Presentation_Draft_1%5B2%5D_0.pdf\" target=\"_blank\" rel=\"noopener\">topics\u003c/a> for discussion was how to slow that spending and extend the agency’s grant-making till the end of 2020.\u003c/p>\n\u003cp>Board members and staffers aren’t involved in the proposed ballot measure, but they’re obviously keen on it, McCormack said.\u003c/p>\n\u003cp>Klein said he commissioned a survey to gauge interest and attitudes toward re-funding the agency. He said the numbers are strongly positive, but he has not released those results. There have been no other California polls on the topic since 2004, according to Jensen.\u003c/p>\n\u003cp>Even if voter attitudes are overwhelmingly favorable toward stem cell research, proponents may find that goodwill might wilt when it comes to passing a ballot measure, UCLA’s Yaroslavsky said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“People do see stem cell research as something they have a stake in, but you’re going to have to explain what we got with the first $3 billion. I suspect their case with the voters will be that we need to keep momentum going. But the question is, 'Will they buy it?' ”\u003c/p>\n\n",
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"excerpt": "Fourteen years after Calif. voters approved $3 billion in funding to create a state stem cell agency, backers are planning to ask the public to pony up again. What achievements will they be able to point to?",
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"description": "Fourteen years after Calif. voters approved $3 billion in funding to create a state stem cell agency, backers are planning to ask the public to pony up again. What achievements will they be able to point to?",
"title": "Calif. Stem Cell Agency Has Yet to Fund an FDA-Approved Cure. Will Voters Give It $5 Billion More? | KQED",
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"headline": "Calif. Stem Cell Agency Has Yet to Fund an FDA-Approved Cure. Will Voters Give It $5 Billion More?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The year was 2004, and great medical breakthroughs were supposedly right around the corner.\u003c/p>\n\u003cp>In TV advertisements, celebrities\u003ca href=\"https://www.youtube.com/watch?v=fK9Eg0GVl7Q\" target=\"_blank\" rel=\"noopener\"> Michael J. Fox\u003c/a> and \u003ca href=\"https://preview-archives.nbclearn.com/portal/site/k-12/browse/?cuecard=4336\" target=\"_blank\" rel=\"noopener\">Christopher Reeve, \u003c/a>both suffering from incurable conditions, touted the promise of stem cell research, which could lead to a plethora of cures for life-threatening diseases.\u003c/p>\n\u003caside class=\"pullquote alignright\">Will California's appetite for funding stem cell research last?\u003c/aside>\n\u003cp>The ads ran in support of \u003ca href=\"https://ballotpedia.org/California_Proposition_71,_Stem_Cell_Research_(2004)\" target=\"_blank\" rel=\"noopener\">Proposition 71\u003c/a>, a $3 billion California bond measure that would create the first state-funded stem cell agency in the nation. Three years earlier, the George W. Bush administration had \u003ca href=\"http://www.presidency.ucsb.edu/ws/?pid=79025\" target=\"_blank\" rel=\"noopener\">issued\u003c/a> rules to limit use of stem cells obtained from human embryos. But California voters easily passed Proposition 71, 59-41 percent. The California Institute for Regenerative Medicine, or \u003ca href=\"https://www.cirm.ca.gov/\" target=\"_blank\" rel=\"noopener\">CIRM\u003c/a>, was born. Its mission: to fund and accelerate stem-cell-related treatments.\u003c/p>\n\u003cp>Fourteen years and billions of dollars later, the agency is running out of money, and backers of stem cell research \u003ca href=\"http://capitolweekly.net/stem-cell-agency-nears-5-billion-ballot-plan/\" target=\"_blank\" rel=\"noopener\">plan\u003c/a> on asking California voters to pony up for round two.\u003c/p>\n\u003cp>And those stem cell breakthroughs?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still right around the corner. Or, if you're an optimist, perhaps rounding it, now.\u003c/p>\n\u003caside class=\"alignright\">Promising but as yet unapproved therapies funded by CIRM\n\u003cul>\n\u003cli>Slowing or reversing \u003ca href=\"https://newswise.com/articles/jcyte-presents-results-of-clinical-testing-in-retinitis-pigmentosa2\" target=\"_blank\" rel=\"noopener\">retinitis pigmentosa\u003c/a>\u003c/li>\n\u003cli>New shunt for \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/12/new-stem-cell-technology-could-make-life-easier-for-kidney-disease-patients/\" target=\"_blank\" rel=\"noopener\">kidney dialysis patients\u003c/a>\u003c/li>\n\u003cli>Gene therapy for children with no \u003ca href=\"https://blog.cirm.ca.gov/tag/evangelina-padilla-vaccaro/\" target=\"_blank\" rel=\"noopener\">functioning immune system\u003c/a>\u003c/li>\n\u003cli>Help for \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/10/04/spinal-patients-continue-remarkable-recovery-after-stem-cell-injections-company-says/\" target=\"_blank\" rel=\"noopener\">spinal-injury victims\u003c/a>\u003c/li>\n\u003cli>Lab-modified cells to treat \u003ca href=\"https://blog.cirm.ca.gov/2017/07/20/stem-cell-agency-funds-phase-3-clinical-trial-for-lou-gehrigs-disease/\" target=\"_blank\" rel=\"noopener\">ALS patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>\u003cstrong>The Pitch\u003c/strong>\u003c/p>\n\u003cp>Stem cell research proponents — including the same advocacy group that backed Proposition 71 — want to ask voters in the November 2020 election for $5 billion in bond money to continue the work of CIRM.\u003c/p>\n\u003cp>For voters, there will be one major question, according to Zev Yaroslavsky, an expert on state politics and government at UCLA.\u003c/p>\n\u003cp>“The public will want to know what they’ve gotten for their money.”\u003c/p>\n\u003cfigure id=\"attachment_188656\" class=\"wp-caption alignleft\" style=\"max-width: 351px\">\u003cimg class=\" wp-image-188656\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/06/StemCells-800x534.jpg\" alt=\"Buttons with the slogan 'Save Lives With Stem Cells,' in support of Prop. 71 at the Stem Cell Research Proposition Party at the Biltmore Hotel Nov. 2, 2004 in Los Angeles, California.\" width=\"351\" height=\"234\">\u003cfigcaption class=\"wp-caption-text\">Buttons with the slogan 'Save Lives With Stem Cells,' in support of Prop. 71 in 2004. \u003ccite>(Frazer Harrison/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Yaroslavsky expects to see plenty of funding measures on the 2020 ballot, including a parks bond and money for open space and schools, not to mention repeal of the gas tax.\u003c/p>\n\u003cp>“At what point do people start to vote no on everything?\" Yaroslavsky said. \"Or prioritize which of those many good causes they want to spend their money on?”\u003c/p>\n\u003cfigure id=\"attachment_262540\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-262540\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/10/HumanEScellsintoneurons.jpg\" alt=\"\" width=\"640\" height=\"588\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/10/HumanEScellsintoneurons.jpg 640w, https://ww2.kqed.org/app/uploads/sites/13/2016/10/HumanEScellsintoneurons-400x368.jpg 400w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Human embryonic stem cells differentiating into neurons \u003ccite>(Guoping Fan/UCLA/CIRM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robert Klein, who spearheaded the original 2004 ballot measure and served as the CIRM board's first chairman, still heads the advocacy group, \u003ca href=\"https://americansforcures.org/\" target=\"_blank\" rel=\"noopener\">Americans for Cures\u003c/a>, that pushed Proposition 71. Medical science isn't exactly his field — he's president of a Palo Alto-based real estate development firm — but he got involved in stem cell funding because of his son's Type 1 diabetes, which is incurable.\u003c/p>\n\u003cp>Klein said re-funding the stem cell agency is not just a good cause, but good business.\u003c/p>\n\u003cp>“It has been a creator of jobs, and the state benefits from taxes by attracting research centers here,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>A 2012 \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/about_cirm/Econ_Impact_REPORT_updated_2012.pdf\" target=\"_blank\" rel=\"noopener\">independent review\u003c/a> commissioned by CIRM and looking forward through 2014 estimated that its grants plus matching funds would result in an average of over 4,000 jobs created per year, and $205 million in state tax revenue.\u003c/p>\n\u003cp>As for the proposed new funding, Klein said the $5 billion bond cost would be amortized over 40 years, so it’s not a huge cost compared to other government projects.\u003c/p>\n\u003cp>“Look, we paid \u003ca href=\"https://www.citylab.com/equity/2015/10/from-250-million-to-65-billion-the-bay-bridge-cost-overrun/410254/\">$6.5 billion\u003c/a> just to fix the eastern span of the Bay Bridge,” Klein said. “That’s road infrastructure — this is more like [funding] the intellectual infrastructure of California.”\u003c/p>\n\u003cp>\u003cstrong>Where Are the Cures?\u003c/strong>\u003c/p>\n\u003cp>Stem cells are undifferentiated cells that can be transformed into specific tissue and organ cells. The 2004 ballot initiative struck an emotional chord, in part because of the high-profile cases of actors Reeve and Fox, who personified the hope that the cells could play a role in new therapies for incurable medical conditions. Reeve, who died in 2004, became a quadriplegic after injuring his spine in a horse-riding accident; Fox has Parkinson’s, a neurodegenerative disease.\u003c/p>\n\u003cp>In Fox's \u003ca href=\"https://www.youtube.com/watch?v=fK9Eg0GVl7Q\" target=\"_blank\" rel=\"noopener\">30-second spot\u003c/a>, he used the word “cures” three times.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/fK9Eg0GVl7Q'\n title='//www.youtube.com/embed/fK9Eg0GVl7Q'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>So has CIRM produced any cures?\u003c/p>\n\u003cp>The family of 5-year-old \u003ca href=\"https://blog.cirm.ca.gov/tag/evangelina-padilla-vaccaro/\" target=\"_blank\" rel=\"noopener\">Evangelina Padilla-Vaccaro\u003c/a> would say yes.\u003c/p>\n\u003cp>Evangelina was born with a rare genetic condition called Severe Combined Immunodeficiency, or\u003ca href=\"https://www.genome.gov/13014325/learning-about-severe-combined-immunodeficiency-scid/\" target=\"_blank\" rel=\"noopener\"> SCID\u003c/a>, also known as “bubble baby” disease. The ailment renders a patient's immune system nonfunctioning. The National Institutes of Health \u003ca href=\"https://www.genome.gov/13014325/learning-about-severe-combined-immunodeficiency-scid/#al-3\" target=\"_blank\" rel=\"noopener\">estimates\u003c/a> approximately 40 to 100 children in the U.S. each year are diagnosed with the malady.\u003c/p>\n\u003cp>A team of UCLA clinical researchers, partially funded by CIRM, genetically modified Evangelina’s own blood stem cells to correct the SCID mutation.\u003c/p>\n\u003cp>She was cured.\u003c/p>\n\u003cp>Evangelina was the first to undergo the treatment, back when she was just a few months old. And now, CIRM says, at least 40 other children have been cured with the same procedure.\u003c/p>\n\u003cfigure id=\"attachment_438299\" class=\"wp-caption alignright\" style=\"max-width: 576px\">\u003cimg class=\"size-full wp-image-438299\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/evangelina_treatment.jpg\" alt=\"Baby in a hospital bed\" width=\"576\" height=\"768\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment.jpg 576w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/evangelina_treatment-520x693.jpg 520w\" sizes=\"(max-width: 576px) 100vw, 576px\">\u003cfigcaption class=\"wp-caption-text\">Evangelina being treated by Don Kohn and his team in 2012. \u003ccite>(UCLA)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite this success, the SCID trial is only in Phase 2. CIRM has only two trials in Phase 3, a necessary step before FDA approval: one testing a \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/12/new-stem-cell-technology-could-make-life-easier-for-kidney-disease-patients/\" target=\"_blank\" rel=\"noopener\">new port\u003c/a> for kidney dialysis patients that is made out of human tissue and would not have to be replaced; and one that aims to\u003ca href=\"http://www.cirm.ca.gov/about-cirm/newsroom/press-releases/07202017/phase-3-clinical-trial-targeting-lou-gehrigs-disease\" target=\"_blank\" rel=\"noopener\"> slow down\u003c/a> the progression of Lou Gehrig's disease.\u003c/p>\n\u003cp>Other promising CIRM-funded therapies include slowing or \u003ca href=\"https://newswise.com/articles/jcyte-presents-results-of-clinical-testing-in-retinitis-pigmentosa2\" target=\"_blank\" rel=\"noopener\">reversing\u003c/a> retinitis pigmentosa, a genetic abnormality that destroys a person’s sight; and \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/10/26/paralyzed-patients-regain-movement-in-stem-cell-trial-is-it-too-early-to-celebrate/\" target=\"_blank\" rel=\"noopener\">injecting stem cells\u003c/a> into patients with severe spinal injuries.\u003c/p>\n\u003cp>The FDA has made several of these therapies eligible for priority review by granting them Regenerative Medicine Advanced Therapy, or \u003ca href=\"https://www.fda.gov/BiologicsBloodVaccines/CellularGeneTherapyProducts/ucm537670.htm\" target=\"_blank\" rel=\"noopener\">RMAT\u003c/a>, status.\u003c/p>\n\u003cp>Clinical trials and research in less-advanced stages are ongoing for many other \u003ca href=\"https://www.cirm.ca.gov/grants\" target=\"_blank\" rel=\"noopener\">diseases and conditions\u003c/a>, including brain cancer, diabetes and HIV.\u003c/p>\n\u003cp>But the fact remains: Although this could change in the run-up to the election, no CIRM-funded stem cell treatment has yet to be approved by the FDA.\u003c/p>\n\u003cp>\u003cstrong>Miracles Capture the Imagination\u003c/strong>\u003c/p>\n\u003cp>Even outside of CIRM, only a handful of stem cell-related therapies have been approved for general use. Yet, stem cell research has captured the public's imagination with flashes of the miraculous.\u003c/p>\n\u003cfigure id=\"attachment_438300\" class=\"wp-caption alignright\" style=\"max-width: 594px\">\u003cimg class=\"size-full wp-image-438300\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/GettyImages-149183631.jpg\" alt=\"Middle aged man looks at camera.\" width=\"594\" height=\"396\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631.jpg 594w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/GettyImages-149183631-520x347.jpg 520w\" sizes=\"(max-width: 594px) 100vw, 594px\">\u003cfigcaption class=\"wp-caption-text\">Timothy Ray Brown, known as the 'Berlin patient' and the only person to have been cured of AIDS, at a press conference in 2012. \u003ccite>(T.J. Kirkpatrick/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timothy Ray Brown, the famous \"\u003ca href=\"http://defeathiv.org/berlin/\" target=\"_blank\" rel=\"noopener\">Berlin patient\u003c/a>,\" for example, is an HIV patient who received a bone marrow transplant from a donor with a genetic mutation that endowed resistance to HIV. The transplant effectively cured Brown of the disease. However, there are currently a dearth of potential donors with the correct mutation, so researchers hope to create them, for use in patients' blood systems.\u003c/p>\n\u003cp>The bubble baby breakthrough and positive initial results in other CIRM-funded trials are strong selling points, said David Jensen, a journalist who covers stem cell research and writes a blog called \u003ca href=\"http://californiastemcellreport.blogspot.com/\" target=\"_blank\" rel=\"noopener\">California Stem Cell Report.\u003c/a>\u003c/p>\n\u003cp>\"There are some things CIRM can point to that are really impressive,\" Jensen said. \"It’s a pretty big deal in the world of science. It's the largest single source of funding for embryonic stem cell research in the world, and that’s no small thing.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>That doesn't necessarily mean voters will agree to re-fund it, he said.\u003c/p>\n\u003cp>Kevin McCormack, CIRM’s director of public communications and patient advocate outreach, said there's still time for CIRM to make a bigger splash.\u003c/p>\n\u003cp>“We’ve still got two more years,” McCormack said. “By 2020 I think people will see that CIRM-funded therapies are not just changing lives but saving lives.”\u003c/p>\n\u003cp>\u003cstrong>Overpromising: Something CIRM Has 'Had to Live With'\u003c/strong>\u003c/p>\n\u003cp>Klein, the backer of Proposition 71, said the 2004 campaign never promised cures during the lifetime of the stem cell agency, only progress toward attaining them.\u003c/p>\n\u003cp>“What we put in the ballot arguments is that we had to make major progress in mitigating disease, and moving toward cures,” Klein said. He feels that certainly has been achieved— and more. “In terms of progress toward the ultimate goal of cures, it’s remarkable what progress has been made.\u003c/p>\n\u003cp>\"When I look back, I think we have out-achieved the representations we put on the ballot.”\u003c/p>\n\u003cp>But even CIRM's McCormack has said, in an \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/06/22/stem-cells-where-science-hope-and-hype-meet/\" target=\"_blank\" rel=\"noopener\">interview with KQED\u003c/a> in 2016, that overpromising by the Proposition 71 campaign is \"something [CIRM] has had to live with.\"\u003c/p>\n\u003cp>Opposition during the \u003ca href=\"https://ballotpedia.org/California_Proposition_71,_Stem_Cell_Research_(2004)\">first ballot measure\u003c/a> was based mostly on religious concerns about using embryonic stem cells, on the large amount of money (the $3 billion price tag actually costs taxpayers $6 billion when interest is included) and on the lack of any guarantees of specific achievements.\u003c/p>\n\u003cp>Jensen expects religious objections to resurface when the election campaigns ramp up — but that those might not gain traction, because the field has expanded into adult and \u003ca href=\"https://stemcell.ucla.edu/induced-pluripotent-stem-cells\" target=\"_blank\" rel=\"noopener\">induced pluripotent stem cells\u003c/a> in addition to embryonic cells.\u003c/p>\n\u003cfigure id=\"attachment_438301\" class=\"wp-caption alignleft\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-438301\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/01/cured_ar_2016_cover.png\" alt=\"\" width=\"570\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover.png 570w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-160x168.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-240x253.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-375x395.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/01/cured_ar_2016_cover-520x547.png 520w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">Evangelina Padilla-Vaccaro on the cover of CIRM's \u003ca href=\"https://www.cirm.ca.gov/about-cirm/cirm-annual-reports\">2016 Annual Report\u003c/a>. \u003ccite>(CIRM)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And since the poster child for stem cell success could very well be the pint-sized and happy-faced Evangelina Padilla-Vaccaro, it may be hard to argue that these concerns outweigh not having to live in a bubble.\u003c/p>\n\u003cp>\"I mean, how can you be against that?\" Jensen said.\u003c/p>\n\u003cp>But some opposition has sprung up even inside the medical community. Barbara Koenig, head of the bioethics program at UCSF, pointed to ongoing concerns about conflict of interest at the agency — 90 percent of all spending benefited organizations that have been represented on the \u003ca href=\"https://www.cirm.ca.gov/board-and-meetings/list-icoc-members\" target=\"_blank\" rel=\"noopener\">governing board\u003c/a>, Jensen has been \u003ca href=\"http://capitolweekly.net/californias-stem-cell-agency-future-uncertain/\" target=\"_blank\" rel=\"noopener\">reporting\u003c/a>— and the public governance that she said has been lacking. (McCormack said the expansion of companies involved in stem cell research has resulted in broader distribution of funds. He also pointed to CIRM's adoption of more stringent\u003ca href=\"https://govt.westlaw.com/calregs/Document/ICD886A9181574C3BADD5946217E13F00?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)&bhcp=1\" target=\"_blank\" rel=\"noopener\"> conflict-of-interest policies \u003c/a>in 2013.)\u003c/p>\n\u003caside class=\"pullquote alignright\">'I didn’t like the over-hyping of the immediate idea that [in 2004] there were cures around the corner. I think we need to be honest about how we’re investing in research.'\u003ccite>Barbara Koenig, UCSF bioethics program\u003cbr>\n\u003c/cite>\u003c/aside>\n\u003cp>Koenig supports stem cell research, but voted against the measure in 2004. And she has serious concerns about its possible renewal.\u003c/p>\n\u003cp>“I didn’t like the overhyping of the immediate idea that there were cures around the corner,” Koenig said. “I think we need to be honest about how we’re investing in research.”\u003c/p>\n\u003cp>Ask Koenig how she might use that proposed $5 billion differently, and she responds with a moment of stunned silence.\u003c/p>\n\u003cp>“Oh my, so many things,” she said. “I would try to figure out how to make sure every child in California has access to basic health services, nutrition, clean water . . . not just make high-priced products, but to improve public health.”\u003c/p>\n\u003cp>She said stem cell research \"privileges these quick-fix biotech approaches, which may make a lot of money but may not benefit the general public.”\u003c/p>\n\u003cp>Another bioethicist, Jodi Halpern of UC Berkeley, said the ballot initiative process is no place for a basic state spending decision.\u003c/p>\n\u003cp>“Why isn’t this a legislative issue?” Halpern asked. “We elect the Legislature to decide where California is going to spend its money. Putting this on the ballot, making it an emotional issue rather than just a financial one, that doesn’t sit right with me.\"\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/FjXiRx7DvzQ'\n title='//www.youtube.com/embed/FjXiRx7DvzQ'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Concerns vs. Cures\u003c/strong>\u003c/p>\n\u003cp>CIRM’s McCormack said he understands the concerns about state funding, but he said he's seen too much good come from the agency to see it wither on the budget-bickering vine.\u003c/p>\n\u003cp>“We are helping change the face of medicine,” he said. “We have so many clinical trials in the pipeline . . . that will pay off with therapies to help people who right now don’t have much of a chance for help, people with unmet medical needs.”\u003c/p>\n\u003cp>At its current spending pace, CIRM will run out of money by the \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/agenda/171214_Agedna_Item_%234_FINAL%20Dec%202017%20President%20Report%5B7%5D.pdf\" target=\"_blank\" rel=\"noopener\">end of 2019\u003c/a> — roughly a year before the proposed ballot measure vote. At its December 2017 board meeting, one of the \u003ca href=\"https://www.cirm.ca.gov/sites/default/files/files/agenda/171214_Agenda_Item_%236_Presentation_Draft_1%5B2%5D_0.pdf\" target=\"_blank\" rel=\"noopener\">topics\u003c/a> for discussion was how to slow that spending and extend the agency’s grant-making till the end of 2020.\u003c/p>\n\u003cp>Board members and staffers aren’t involved in the proposed ballot measure, but they’re obviously keen on it, McCormack said.\u003c/p>\n\u003cp>Klein said he commissioned a survey to gauge interest and attitudes toward re-funding the agency. He said the numbers are strongly positive, but he has not released those results. There have been no other California polls on the topic since 2004, according to Jensen.\u003c/p>\n\u003cp>Even if voter attitudes are overwhelmingly favorable toward stem cell research, proponents may find that goodwill might wilt when it comes to passing a ballot measure, UCLA’s Yaroslavsky said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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