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"content": "\u003cp>Standing in his new apartment, on the top of a two-level building in Oakland, Daniel Yapo admits his journey from homelessness to housing took a lot of help.\u003c/p>\n\u003cp>Yapo spent years bouncing between temporary homes and jail, even spending time living on a roof in nearby Hayward. Service providers helped him find a place of his own, navigate treatment for mental illness and handle the tasks that come with independent living.\u003c/p>\n\u003cp>“Whatever problem I had, whether it be courts, or my license, or anything that I had a problem with, they assigned somebody to help me with that,” Yapo said. “They just keep on helping me!”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘We really think that housing is health care.’\u003ccite>Maria X. Martinez, Whole Person Care\u003c/cite>\u003c/aside>\n\u003cp>A new program \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/12/23/california-hopes-3-billion-experiment-will-improve-health-of-neediest/\">launching\u003c/a> around the state this summer aims to help more Medi-Cal recipients like Yapo by using federal health dollars to pay for supportive housing services.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\">Whole Person Care\u003c/a> program represents a breakthrough in using health care money for housing services, which the federal government had long been wary of doing. The five-year pilot program allows local governments to pay for support services, but not actual rental costs, through a matching grant from Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State lawmakers are now hoping to take the program a step further, and fund rental assistance for vulnerable Medi-Cal recipients.\u003c/p>\n\u003cp>“We really think that housing is health care,” said Maria X. Martinez, who is running the Whole Person Care pilot in San Francisco. “There’s a small number of homeless folks who are not only very poor, they’re very sick, either from living on the streets for so long or maybe their illness precipitated their homelessness.”\u003cbr>\n[contextly_sidebar id=”OJIO66ohKoFH8HlklOnc7mRoHCaUe7dk”]\u003cbr>\nThe program could save taxpayers money by treating people early on, so they won’t end up requiring expensive emergency room care.\u003c/p>\n\u003cp>Counties and cities are planning to use the $1.5 billion of matching funds in a variety of ways — from creating a tool to evaluate the health of residents on the street and share that data among service providers, to boosting services to help the homeless find and stay in housing, In Alameda County, the grant will bring the total supportive housing slots in the county from 2,000 to 3,000.\u003c/p>\n\u003cp>It means that the newly housed homeless like Daniel Yapo can get help from local providers such as \u003ca href=\"http://www.abodeservices.org/\">Abode Services\u003c/a> that extend beyond traditional medical care.\u003c/p>\n\u003cp>“I feel like they enveloped me and took care of me,” Yapo says. “They took me to a lot of activities that I might of missed when I was a child. Simple things like movies, beach, plays, creative writing classes.”\u003c/p>\n\u003cp>The latter seems to have paid dividends for Yapo, who eagerly recited a poem he wrote entitled “Careful What You Wish For” about his journey out of homelessness.\u003c/p>\n\u003cp>[audio src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/Yapo-Poem.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/Daniel-Yapo-800x600.jpg\" Title=\"Daniel Yapo Reads ‘Careful What You Wish For’\" program=\"The California Report\"]\u003c/p>\n\u003cp>Services around supportive housing aren’t new, but the idea of paying for them with health care dollars had traditionally been rejected by the federal government. That changed when the federal Centers for Medicare & Medicaid Services approved California’s waiver to create the program in 2015. Other states, including New York and Washington, are taking a similar approach with federal waivers.\u003c/p>\n\u003cp>“Homelessness is considered a social determinant. It’s not really health related,” said Sharon Rapport, associate director for California policy with the Corporation for Supportive Housing. “But it is health related in that when somebody is homeless, they are going to experience health conditions, even if they were healthy before.”\u003c/p>\n\u003cp>Rapport said that state health officials were unable to convince the Obama administration to use Medicaid dollars to actually pay the rent of homeless Medi-Cal recipients.\u003c/p>\n\u003cp>“The federal government was really nervous about doing that,” she said.\u003c/p>\n\u003cp>As a result, participants in Whole Person Care will have to rely on a variety of categorical funding sources to pay rent, from the federal Department of Housing and Urban Development, to state sources like the Mental Health Services Act.\u003c/p>\n\u003cp>“It’s a doughnut,” said Dr. Kathleen Clanon, who is leading the Whole Person Care pilot in Alameda County, adding there’s a need to fill the “hole in the middle of our doughnut.”\u003c/p>\n\u003cfigure id=\"attachment_11540913\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11540913 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Asm. David Chiu (D-San Francisco) is hoping to fund rental assistance for homeless Californians on Medi-Cal. \u003ccite>(Guy Marzorati/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The effort to fill the funding doughnut has been adopted in the state Legislature by Assemblyman David Chiu (D-San Francisco). His \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB74\">Assembly Bill 74\u003c/a> would use general fund money to pay for rental assistance for Whole Person Care recipients.\u003c/p>\n\u003cp>An identical bill passed the Legislature last year, but was \u003ca href=\"https://www.gov.ca.gov/docs/AB_2821_Veto_Message.pdf\">vetoed\u003c/a> by Gov. Jerry Brown.\u003c/p>\n\u003cp>“While the goal of this bill is laudable and the policy could lead to savings in the health care system, codifying a program without an identified funding source raises false expectations,” the governor wrote in his veto message. “This grant program, like any new expenditure, is best left to budget discussions.”\u003c/p>\n\u003cp>The $90 million that Chiu and Assembly Democrats pushed for in this year’s budget was dropped in negotiations. Chiu is hopeful that the plan can be included in a larger legislative deal around housing that legislators are currently discussing with the governor’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If we make an investment in rental assistance and housing for these folks, in the long run that is far cheaper, more effective, and more humane for those individuals than what we are currently doing today,” Chiu said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Standing in his new apartment, on the top of a two-level building in Oakland, Daniel Yapo admits his journey from homelessness to housing took a lot of help.\u003c/p>\n\u003cp>Yapo spent years bouncing between temporary homes and jail, even spending time living on a roof in nearby Hayward. Service providers helped him find a place of his own, navigate treatment for mental illness and handle the tasks that come with independent living.\u003c/p>\n\u003cp>“Whatever problem I had, whether it be courts, or my license, or anything that I had a problem with, they assigned somebody to help me with that,” Yapo said. “They just keep on helping me!”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘We really think that housing is health care.’\u003ccite>Maria X. Martinez, Whole Person Care\u003c/cite>\u003c/aside>\n\u003cp>A new program \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/12/23/california-hopes-3-billion-experiment-will-improve-health-of-neediest/\">launching\u003c/a> around the state this summer aims to help more Medi-Cal recipients like Yapo by using federal health dollars to pay for supportive housing services.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.dhcs.ca.gov/services/Pages/WholePersonCarePilots.aspx\">Whole Person Care\u003c/a> program represents a breakthrough in using health care money for housing services, which the federal government had long been wary of doing. The five-year pilot program allows local governments to pay for support services, but not actual rental costs, through a matching grant from Medicaid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State lawmakers are now hoping to take the program a step further, and fund rental assistance for vulnerable Medi-Cal recipients.\u003c/p>\n\u003cp>“We really think that housing is health care,” said Maria X. Martinez, who is running the Whole Person Care pilot in San Francisco. “There’s a small number of homeless folks who are not only very poor, they’re very sick, either from living on the streets for so long or maybe their illness precipitated their homelessness.”\u003cbr>\n\u003c/p>\u003cp>\u003c/p>\u003cp>\u003cbr>\nThe program could save taxpayers money by treating people early on, so they won’t end up requiring expensive emergency room care.\u003c/p>\n\u003cp>Counties and cities are planning to use the $1.5 billion of matching funds in a variety of ways — from creating a tool to evaluate the health of residents on the street and share that data among service providers, to boosting services to help the homeless find and stay in housing, In Alameda County, the grant will bring the total supportive housing slots in the county from 2,000 to 3,000.\u003c/p>\n\u003cp>It means that the newly housed homeless like Daniel Yapo can get help from local providers such as \u003ca href=\"http://www.abodeservices.org/\">Abode Services\u003c/a> that extend beyond traditional medical care.\u003c/p>\n\u003cp>“I feel like they enveloped me and took care of me,” Yapo says. “They took me to a lot of activities that I might of missed when I was a child. Simple things like movies, beach, plays, creative writing classes.”\u003c/p>\n\u003cp>The latter seems to have paid dividends for Yapo, who eagerly recited a poem he wrote entitled “Careful What You Wish For” about his journey out of homelessness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Services around supportive housing aren’t new, but the idea of paying for them with health care dollars had traditionally been rejected by the federal government. That changed when the federal Centers for Medicare & Medicaid Services approved California’s waiver to create the program in 2015. Other states, including New York and Washington, are taking a similar approach with federal waivers.\u003c/p>\n\u003cp>“Homelessness is considered a social determinant. It’s not really health related,” said Sharon Rapport, associate director for California policy with the Corporation for Supportive Housing. “But it is health related in that when somebody is homeless, they are going to experience health conditions, even if they were healthy before.”\u003c/p>\n\u003cp>Rapport said that state health officials were unable to convince the Obama administration to use Medicaid dollars to actually pay the rent of homeless Medi-Cal recipients.\u003c/p>\n\u003cp>“The federal government was really nervous about doing that,” she said.\u003c/p>\n\u003cp>As a result, participants in Whole Person Care will have to rely on a variety of categorical funding sources to pay rent, from the federal Department of Housing and Urban Development, to state sources like the Mental Health Services Act.\u003c/p>\n\u003cp>“It’s a doughnut,” said Dr. Kathleen Clanon, who is leading the Whole Person Care pilot in Alameda County, adding there’s a need to fill the “hole in the middle of our doughnut.”\u003c/p>\n\u003cfigure id=\"attachment_11540913\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11540913 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS25439_20170515_StateCapitol_Assemblymember_DavidChiu_credit_BertJohnson-1-qut-1-1-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Asm. David Chiu (D-San Francisco) is hoping to fund rental assistance for homeless Californians on Medi-Cal. \u003ccite>(Guy Marzorati/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The effort to fill the funding doughnut has been adopted in the state Legislature by Assemblyman David Chiu (D-San Francisco). His \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB74\">Assembly Bill 74\u003c/a> would use general fund money to pay for rental assistance for Whole Person Care recipients.\u003c/p>\n\u003cp>An identical bill passed the Legislature last year, but was \u003ca href=\"https://www.gov.ca.gov/docs/AB_2821_Veto_Message.pdf\">vetoed\u003c/a> by Gov. Jerry Brown.\u003c/p>\n\u003cp>“While the goal of this bill is laudable and the policy could lead to savings in the health care system, codifying a program without an identified funding source raises false expectations,” the governor wrote in his veto message. “This grant program, like any new expenditure, is best left to budget discussions.”\u003c/p>\n\u003cp>The $90 million that Chiu and Assembly Democrats pushed for in this year’s budget was dropped in negotiations. Chiu is hopeful that the plan can be included in a larger legislative deal around housing that legislators are currently discussing with the governor’s office.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If we make an investment in rental assistance and housing for these folks, in the long run that is far cheaper, more effective, and more humane for those individuals than what we are currently doing today,” Chiu said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Senate vote on the health care bill has been pushed back, but it still has a lot of people in the nursing home industry worried. About two-thirds of nursing home residents are paid for by Medicaid. And the Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\">found\u003c/a> that the Senate health care bill would cut Medicaid by more than $770 billion over the next decade.\u003c/p>\n\u003cp>That could mean trouble for people like 88-year-old Betty Redlin. She's lived at the \u003ca href=\"http://victoriacarecenter.com/\">Victoria Care Center\u003c/a> in Ventura, Calif. for about 2 1/2 years.\u003c/p>\n\u003cp>She explains that she fell and broke her hip and never regained her ability to walk. \"I was living with my granddaughter,\" she says, \"and my doctor won't [allow] going back to her place.\"\u003c/p>\n\u003cp>Betty had a career as a bookkeeper. She also raised three children. Now she's spent everything she had. There's no way she could afford the roughly $80,000 a year this nursing home costs. (That fee is pretty standard for nursing homes.) So it's Medicaid that enables her to stay here.\u003c/p>\n\u003cp>\"There's nothing I can do about it,\" she says. \"It's gotta be [Medicaid] or [I'm] out on the street. One or the other.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/534764940/534764941\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>John Gardner, executive director of the Victoria Care Center, says that most of the long-term care residents like Redlin are on Medicaid or, as it's called in California, Medi-Cal.\u003c/p>\n\u003cp>\"If you look at what it costs to provide that service and what we get from Medi-Cal, we're actually losing a little bit of money every day on that.\" He says they make up the difference with short-term residents who have Medicare, which pays more than Medicaid does. Private pay patients also pay more than Medicaid.\u003c/p>\n\u003cp>Gardner says he's an optimist. Whatever Congress does, he doesn't think that Victoria Care Center would close down, though there might have to be cuts in staff and in the costs of food and supplies. Also, Gardner says that Victoria Care Center is part of a chain of 200 facilities, which could cushion the blow.\u003c/p>\n\u003cp>But not everyone is as optimistic as he is. According to the \u003ca href=\"https://www.ahcancal.org/Pages/Default.aspx\">American Health Care Association\u003c/a> (AHCA), a national trade group for nursing homes, the current Senate bill's cuts to Medicaid could mean that a typical nursing home would eventually run deficits of hundreds of thousands of dollars a year. James Gomez is the CEO of The \u003ca href=\"http://www.cahf.org/\">California Association of Health Facilities\u003c/a>, the AHCA's California chapter.\u003c/p>\n\u003cp>[contextly_sidebar id=\"mrVakER0R6f0AToNbkAK83dprja2VTaO\"]\u003c/p>\n\u003cp>\"If you can't break even or make a few dollars, you're not going to keep running your business,\" says Gomez. And that could lead to closures. \"So access [to nursing home beds] will become a huge issue.\"\u003c/p>\n\u003cp>The repercussions of cuts and closures would be felt across the nation's health care system, says Katie Smith Sloan, the president of \u003ca href=\"http://www.leadingage.org/\">Leading Age\u003c/a>, which represents non-profit nursing homes and other services for older adults.\u003c/p>\n\u003cp>\"People who are in nursing homes are there because they need the kind of services that a nursing home provides\" says Sloan. \"Without those services, they'll be forced to get that kind of care in a hospital, which will simply increase costs to Medicare.\"\u003c/p>\n\u003cp>Reining in Medicaid has been on conservatives' to-do list for a long time. House Speaker Paul Ryan has said he's \u003ca href=\"http://www.cnbc.com/2017/03/20/paul-ryan-has-wanted-to-reform-medicaid-since-his-frat-days.html\">dreamed of it\u003c/a> since his college days. Robert Moffit, a senior fellow in health policy studies at the conservative \u003ca href=\"http://www.heritage.org/\">Heritage Foundation\u003c/a>, argues that the program isn't being used as intended.\u003c/p>\n\u003cp>\"Do we want Medicaid, which was a program designed for the poor and the indigent, to become a kind of backdoor mechanism to establish a middle class entitlement for long-term care? Medicaid was never really intended to do that,\" says Moffit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Senate bill is likely to change. But leader Mitch McConnell has indicated that Medicaid cuts will still be part of it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nursing+Homes+Worry+Proposed+Medicaid+Cuts+Will+Force+Cuts%2C+Closures&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Senate vote on the health care bill has been pushed back, but it still has a lot of people in the nursing home industry worried. About two-thirds of nursing home residents are paid for by Medicaid. And the Congressional Budget Office \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\">found\u003c/a> that the Senate health care bill would cut Medicaid by more than $770 billion over the next decade.\u003c/p>\n\u003cp>That could mean trouble for people like 88-year-old Betty Redlin. She's lived at the \u003ca href=\"http://victoriacarecenter.com/\">Victoria Care Center\u003c/a> in Ventura, Calif. for about 2 1/2 years.\u003c/p>\n\u003cp>She explains that she fell and broke her hip and never regained her ability to walk. \"I was living with my granddaughter,\" she says, \"and my doctor won't [allow] going back to her place.\"\u003c/p>\n\u003cp>Betty had a career as a bookkeeper. She also raised three children. Now she's spent everything she had. There's no way she could afford the roughly $80,000 a year this nursing home costs. (That fee is pretty standard for nursing homes.) So it's Medicaid that enables her to stay here.\u003c/p>\n\u003cp>\"There's nothing I can do about it,\" she says. \"It's gotta be [Medicaid] or [I'm] out on the street. One or the other.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/534764940/534764941\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>John Gardner, executive director of the Victoria Care Center, says that most of the long-term care residents like Redlin are on Medicaid or, as it's called in California, Medi-Cal.\u003c/p>\n\u003cp>\"If you look at what it costs to provide that service and what we get from Medi-Cal, we're actually losing a little bit of money every day on that.\" He says they make up the difference with short-term residents who have Medicare, which pays more than Medicaid does. Private pay patients also pay more than Medicaid.\u003c/p>\n\u003cp>Gardner says he's an optimist. Whatever Congress does, he doesn't think that Victoria Care Center would close down, though there might have to be cuts in staff and in the costs of food and supplies. Also, Gardner says that Victoria Care Center is part of a chain of 200 facilities, which could cushion the blow.\u003c/p>\n\u003cp>But not everyone is as optimistic as he is. According to the \u003ca href=\"https://www.ahcancal.org/Pages/Default.aspx\">American Health Care Association\u003c/a> (AHCA), a national trade group for nursing homes, the current Senate bill's cuts to Medicaid could mean that a typical nursing home would eventually run deficits of hundreds of thousands of dollars a year. James Gomez is the CEO of The \u003ca href=\"http://www.cahf.org/\">California Association of Health Facilities\u003c/a>, the AHCA's California chapter.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"If you can't break even or make a few dollars, you're not going to keep running your business,\" says Gomez. And that could lead to closures. \"So access [to nursing home beds] will become a huge issue.\"\u003c/p>\n\u003cp>The repercussions of cuts and closures would be felt across the nation's health care system, says Katie Smith Sloan, the president of \u003ca href=\"http://www.leadingage.org/\">Leading Age\u003c/a>, which represents non-profit nursing homes and other services for older adults.\u003c/p>\n\u003cp>\"People who are in nursing homes are there because they need the kind of services that a nursing home provides\" says Sloan. \"Without those services, they'll be forced to get that kind of care in a hospital, which will simply increase costs to Medicare.\"\u003c/p>\n\u003cp>Reining in Medicaid has been on conservatives' to-do list for a long time. House Speaker Paul Ryan has said he's \u003ca href=\"http://www.cnbc.com/2017/03/20/paul-ryan-has-wanted-to-reform-medicaid-since-his-frat-days.html\">dreamed of it\u003c/a> since his college days. Robert Moffit, a senior fellow in health policy studies at the conservative \u003ca href=\"http://www.heritage.org/\">Heritage Foundation\u003c/a>, argues that the program isn't being used as intended.\u003c/p>\n\u003cp>\"Do we want Medicaid, which was a program designed for the poor and the indigent, to become a kind of backdoor mechanism to establish a middle class entitlement for long-term care? Medicaid was never really intended to do that,\" says Moffit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Senate bill is likely to change. But leader Mitch McConnell has indicated that Medicaid cuts will still be part of it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nursing+Homes+Worry+Proposed+Medicaid+Cuts+Will+Force+Cuts%2C+Closures&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Inspires Unlikely Political Action in Red California",
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"content": "\u003cp>Modoc County, in the northeast corner of California, is roughly the size of Connecticut. It's so sparsely populated, the entire county has just one stoplight. The nearest Wal-Mart is more than an hour's drive, across the Oregon border. Same with hospitals that deliver babies.\u003c/p>\n\u003cp>Greta Elliott runs a tiny health \u003ca href=\"http://canbyclinic.org/\" target=\"_blank\" rel=\"noopener noreferrer\">clinic\u003c/a> in Canby, on the edge of the national forest. \"Rural\" doesn’t begin to describe the area, she says. This is \"the frontier.\"\u003c/p>\n\u003cp>“There are more cows in Modoc than there are people,” Elliott says.\u003c/p>\n\u003cp>There's a frontier mentality, too. People take care of each other, and they take care of themselves. They don’t like being told what to do. Being forced to buy insurance made Obamacare a dirty word.\u003c/p>\n\u003cp>Even Elliott, the head of a health clinic, decided against buying coverage for herself.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It's too expensive,” she says. “I choose to put my money back into paying the bills of the whole family.”\u003c/p>\n\u003cp>[audio src=\"http://www.kqed.org/.stream/anon/radio/tcr/2017/06/2017-06-28a-tcr.mp3\" Image=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/03/BloodPressure-768x512.jpg\" Title=\"Obamacare Inspires Unlikely Political Action in Red California\" program=\"The California Report\"]\u003c/p>\n\u003cp>Overall, the Affordable Care Act helped 25,000 people in far Northern California buy plans through the state marketplace, \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>. But the law helped three times as many people, 75,000, enroll in Medi-Cal, the state’s Medicaid program that provides free health coverage for low-income residents.\u003c/p>\n\u003cp>“The data shows it's the rural communities that have greatly benefited from the Medicaid expansion. That’s the irony,” says Dean Germano, CEO of the \u003ca href=\"https://www.shastahealth.org\" target=\"_blank\" rel=\"noopener noreferrer\">Shasta Community Health Center\u003c/a>. “These are places that voted much more heavily for Donald Trump.”\u003c/p>\n\u003cp>In Modoc and Lassen counties, 70 percent of people voted for Trump in the November election. In neighboring Shasta County, Trump won 64 percent of the vote.\u003c/p>\n\u003cp>But now a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of clinics from across the Northeast corner of the state is lobbying local officials to take an unpopular position in this conservative land: defend Obamacare.\u003c/p>\n\u003cp>And the right-leaning Shasta County Board of Supervisors took them up on it.\u003c/p>\n\u003cp>[contextly_sidebar id=\"Nl4j8x6j7iRmpWflZsVooGaqsbbbOLuA\"]\u003c/p>\n\u003cp>“We thought ‘Whoa! That is really bold,’” Germano says. “I was surprised.”\u003c/p>\n\u003cp>The board sent a letter to the local Republican congressman, \u003ca href=\"https://lamalfa.house.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">Doug La Malfa\u003c/a>, asking him to vote against the initial GOP repeal and replace bill, because it would hurt local people.\u003c/p>\n\u003cp>“We have an obligation to say something,” says Supervisor David Kehoe. “And if it may be mildly offensive from a political standpoint for some, well, we’re not going to be intimidated by politics.”\u003c/p>\n\u003cp>But Congressman La Malfa still voted in favor of dismantling Obamacare.\u003c/p>\n\u003cp>La Malfa didn't return calls and emails for this story, but, in May, \u003ca href=\"https://ww2.kqed.org/news/2017/05/06/what-your-california-representative-says-about-the-gop-health-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">he told KQED\u003c/a> that skyrocketing premiums were the main driver behind his vote.\u003c/p>\n\u003cp>\"Unfortunately, the reality is that too many young and healthy individuals are deciding they’d rather pay the penalty than sign up for care, citing financial barriers and lack of choice,\" he said in a statement. \"A 28 year old making $45,000 a year with no major health concerns is not going to pay upwards of $400 a month for a plan that does not even work for them.\"\u003c/p>\n\u003cp>When clinic representatives met with La Malfa's staffers, they were told the Congressman's office was flooded with calls like this.\u003c/p>\n\u003cp>But poor folks on Medi-Cal didn’t call to say how much they appreciate that program. In fact, clinics struggled getting people to sign up for Medi-Cal, at first.\u003c/p>\n\u003cp>“They feel like it's a handout and they're too proud, they don’t want to,” says Carol Morris, an enrollment counselor for the \u003ca href=\"http://mtnvalleyhc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Mountain Valleys\u003c/a> health clinics in Shasta county.\u003c/p>\n\u003cp>One way clinic workers get around the stigma is to avoid calling it Medi-Cal. Instead, they promote the name of the insurer that manages the Medi-Cal contract in that region. People get a card for \u003ca href=\"http://www.partnershiphp.org/Pages/PHC.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">\"Partnership Health Plan\" \u003c/a>and may not realize they’re actually covered by a government program.\u003c/p>\n\u003cp>“It feels like it's more of an insurance,” Morris says. “It’s like a laminated, wallet-sized card that's got your numbers on it. It just looks exactly like an insurance card.”\u003c/p>\n\u003cp>One patient at the Mountain Valleys clinic in Beiber, Kay Roope, 64, knew she had Medi-Cal, and she liked it.\u003c/p>\n\u003cp>“It did me good,” she says.\u003c/p>\n\u003cp>[contextly_sidebar id=\"swxoiuaBwIFNHC8PbxRB3kfDYxOKFLOH\"]\u003c/p>\n\u003cp>Now she has a subsidized commercial plan through Covered California, with modest premiums and co-pays, and she likes that, too.\u003c/p>\n\u003cp>“It’s okay. 'Cause I’m at the doctor’s at least once a month,” she says.\u003c/p>\n\u003cp>But when asked what she thinks of Obamacare overall, she says she doesn’t like it.\u003c/p>\n\u003cp>“Because of Obama himself,” she says with a laugh. “I rest my case.”\u003c/p>\n\u003cp>The confusion and the contradictions are common among patients, explains Morris, the enrollment counselor.\u003c/p>\n\u003cp>“People just don't understand the different names,” she says. “But, of course, it's the same thing.”\u003c/p>\n\u003cp>Morris has seen the difference Obamacare has made for people in the region. She’s seen patients get treatment for diabetes and breast cancer, or get knee surgery that they otherwise wouldn’t have gotten.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Those patients won’t fight for Obamacare, Morris says, so that’s why the clinics have to.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Modoc County, in the northeast corner of California, is roughly the size of Connecticut. It's so sparsely populated, the entire county has just one stoplight. The nearest Wal-Mart is more than an hour's drive, across the Oregon border. Same with hospitals that deliver babies.\u003c/p>\n\u003cp>Greta Elliott runs a tiny health \u003ca href=\"http://canbyclinic.org/\" target=\"_blank\" rel=\"noopener noreferrer\">clinic\u003c/a> in Canby, on the edge of the national forest. \"Rural\" doesn’t begin to describe the area, she says. This is \"the frontier.\"\u003c/p>\n\u003cp>“There are more cows in Modoc than there are people,” Elliott says.\u003c/p>\n\u003cp>There's a frontier mentality, too. People take care of each other, and they take care of themselves. They don’t like being told what to do. Being forced to buy insurance made Obamacare a dirty word.\u003c/p>\n\u003cp>Even Elliott, the head of a health clinic, decided against buying coverage for herself.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It's too expensive,” she says. “I choose to put my money back into paying the bills of the whole family.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Overall, the Affordable Care Act helped 25,000 people in far Northern California buy plans through the state marketplace, \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>. But the law helped three times as many people, 75,000, enroll in Medi-Cal, the state’s Medicaid program that provides free health coverage for low-income residents.\u003c/p>\n\u003cp>“The data shows it's the rural communities that have greatly benefited from the Medicaid expansion. That’s the irony,” says Dean Germano, CEO of the \u003ca href=\"https://www.shastahealth.org\" target=\"_blank\" rel=\"noopener noreferrer\">Shasta Community Health Center\u003c/a>. “These are places that voted much more heavily for Donald Trump.”\u003c/p>\n\u003cp>In Modoc and Lassen counties, 70 percent of people voted for Trump in the November election. In neighboring Shasta County, Trump won 64 percent of the vote.\u003c/p>\n\u003cp>But now a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of clinics from across the Northeast corner of the state is lobbying local officials to take an unpopular position in this conservative land: defend Obamacare.\u003c/p>\n\u003cp>And the right-leaning Shasta County Board of Supervisors took them up on it.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“We thought ‘Whoa! That is really bold,’” Germano says. “I was surprised.”\u003c/p>\n\u003cp>The board sent a letter to the local Republican congressman, \u003ca href=\"https://lamalfa.house.gov/\" target=\"_blank\" rel=\"noopener noreferrer\">Doug La Malfa\u003c/a>, asking him to vote against the initial GOP repeal and replace bill, because it would hurt local people.\u003c/p>\n\u003cp>“We have an obligation to say something,” says Supervisor David Kehoe. “And if it may be mildly offensive from a political standpoint for some, well, we’re not going to be intimidated by politics.”\u003c/p>\n\u003cp>But Congressman La Malfa still voted in favor of dismantling Obamacare.\u003c/p>\n\u003cp>La Malfa didn't return calls and emails for this story, but, in May, \u003ca href=\"https://ww2.kqed.org/news/2017/05/06/what-your-california-representative-says-about-the-gop-health-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">he told KQED\u003c/a> that skyrocketing premiums were the main driver behind his vote.\u003c/p>\n\u003cp>\"Unfortunately, the reality is that too many young and healthy individuals are deciding they’d rather pay the penalty than sign up for care, citing financial barriers and lack of choice,\" he said in a statement. \"A 28 year old making $45,000 a year with no major health concerns is not going to pay upwards of $400 a month for a plan that does not even work for them.\"\u003c/p>\n\u003cp>When clinic representatives met with La Malfa's staffers, they were told the Congressman's office was flooded with calls like this.\u003c/p>\n\u003cp>But poor folks on Medi-Cal didn’t call to say how much they appreciate that program. In fact, clinics struggled getting people to sign up for Medi-Cal, at first.\u003c/p>\n\u003cp>“They feel like it's a handout and they're too proud, they don’t want to,” says Carol Morris, an enrollment counselor for the \u003ca href=\"http://mtnvalleyhc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Mountain Valleys\u003c/a> health clinics in Shasta county.\u003c/p>\n\u003cp>One way clinic workers get around the stigma is to avoid calling it Medi-Cal. Instead, they promote the name of the insurer that manages the Medi-Cal contract in that region. People get a card for \u003ca href=\"http://www.partnershiphp.org/Pages/PHC.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">\"Partnership Health Plan\" \u003c/a>and may not realize they’re actually covered by a government program.\u003c/p>\n\u003cp>“It feels like it's more of an insurance,” Morris says. “It’s like a laminated, wallet-sized card that's got your numbers on it. It just looks exactly like an insurance card.”\u003c/p>\n\u003cp>One patient at the Mountain Valleys clinic in Beiber, Kay Roope, 64, knew she had Medi-Cal, and she liked it.\u003c/p>\n\u003cp>“It did me good,” she says.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Now she has a subsidized commercial plan through Covered California, with modest premiums and co-pays, and she likes that, too.\u003c/p>\n\u003cp>“It’s okay. 'Cause I’m at the doctor’s at least once a month,” she says.\u003c/p>\n\u003cp>But when asked what she thinks of Obamacare overall, she says she doesn’t like it.\u003c/p>\n\u003cp>“Because of Obama himself,” she says with a laugh. “I rest my case.”\u003c/p>\n\u003cp>The confusion and the contradictions are common among patients, explains Morris, the enrollment counselor.\u003c/p>\n\u003cp>“People just don't understand the different names,” she says. “But, of course, it's the same thing.”\u003c/p>\n\u003cp>Morris has seen the difference Obamacare has made for people in the region. She’s seen patients get treatment for diabetes and breast cancer, or get knee surgery that they otherwise wouldn’t have gotten.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Those patients won’t fight for Obamacare, Morris says, so that’s why the clinics have to.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Feinstein: Health Care of 14 Million Californians At Risk Under GOP Plan",
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"content": "\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Though Senate Republicans decided Tuesday to delay a vote on their controversial health plan until after the July 4 recess, Democrats in California are calling on residents to keep up their resistance to the plan.\u003c/p>\n\u003cp>Gov. Jerry Brown joined Sens. Dianne Feinstein and Kamala Harris for a call with reporters early Tuesday. Brown said the GOP bill's proposed Medicaid cuts, and its rollback of Obamacare's insurance regulations, would be disastrous for millions of Californians.\u003c/p>\n\u003cp>Feinstein said one in three Californians are covered by Medi-Cal. The loss of funding could put up to 14 million Californians at risk of losing health coverage or critical medical services, she said.\u003c/p>\n\u003cp>\"One of the things we all try not to do is never turn the haves or the have-nots against each other ... and this bill does that,\" she said.\u003c/p>\n\u003cp>\"This is a bad plan through and through and through, she added. \"There aren’t one or two amendments that can fix it. So it’s got to be defeated.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Brown condemned the Senate bill, saying it \"will be the most divisive maneuver, cutting right into the heart of what is already a divided nation.\"\u003c/p>\n\u003cp>He noted it would cut billions of federal dollars from the Medi-Cal budget and that if California couldn't take care of low-income people, there would be ripple effects.\u003c/p>\n\u003cp>\"There's no doubt this bill will exacerbate homelessness, crime,\" Brown said. \"[The bill hurts] the kinds of people who really need help and are getting it under the Medi-Cal program.\"\u003c/p>\n\u003cp>The Senate is expected to reconvene on July 10, and the House or Representatives on July 11.\u003c/p>\n\u003cp>Congress needs to work on improving health care, not taking it away, said Feinstein, noting Democrats' strategy was \"to defeat this [GOP bill] solidly.\"\u003c/p>\n\u003cp>\"I've always believed there are a couple of things that maybe should be fixed in Obamacare, but the basic bill is a good bill. It has worked,\" she said.\u003c/p>\n\u003cp>In a statement late Tuesday, California Republican Rep. Ken Calvert said the Senate bill was like the House legislation that passed in May, aiming \"to refocus Medicaid on the most vulnerable Americans, while not pulling the rug out from anyone who has benefited from the Medicaid expansion.\"\u003c/p>\n\u003cp>That contradicts the \u003ca href=\"https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> released Monday by the nonpartisan Congressional Budget Office. That report said the number of people covered by Medicaid would decrease by 15 million over the next decade, and federal payments for Medicaid would be cut by $772 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"In the long run, massive expansions of expensive government programs like Medicaid are simply not fiscally sustainable,\" Calvert said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week’s July Fourth recess, GOP aides confirm to NPR’s Susan Davis.\u003c/p>\n\u003cp>“We’re still working toward getting at least 50 people in a comfortable place,” Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>[contextly_sidebar id=”ZRTrHV0lrDJshV1rQ5I96AmHTDlvmW9R”]\u003c/p>\n\u003cp>“Several of them want more time,” McConnell added. “We have a number of different discussions going on, that have been going on for six weeks. They continue.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He made the announcement during Senate Republicans’ weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It’s expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, “I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.”\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can’t pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote “no” on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\n\u003cp>https://twitter.com/SenatorCollins/status/879472221202391040\u003c/p>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA’s expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. “I need to understand really what we’re talking about, with some of the conclusions that we saw yesterday with the CBO score,” she told MSNBC. “Taking the time to get it right is where we should be.”\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, “We know the fight is not over. That is for sure. We’re not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.”\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week’s recess.\u003c/p>\n\u003cp>[contextly_sidebar id=”VhSZnQ7oBkrgFZuGgGq7e9zxZLKy1E33″]\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP’s most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>“I would not bet against Mitch McConnell,” House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill’s fate — but before news broke of McConnell’s announcement that he was pushing the vote back. “He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don’t know what day —but I have every expectation the Senate will move this bill.”\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. “Every Republican senator campaigned on repealing and replacing this law,” he said.\u003c/p>\n\u003cp>[contextly_sidebar id=”hapQ6Vi3wewi0oe57liVFWkEYjgs7zWs”]\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents’ plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>“I’m a ‘no’ on it unless the bill changes,” Paul said to reporters on Monday. He has called the bill “Obamacare Lite” and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, “If you’re counting on the president to have your back, you need to watch it.” The president confirmed reports last week that he had privately criticized the House version of the health care bill as “mean,” even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week’s recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. “It is important that we have a scorekeeper,” he said. “We can always complain about the nature of the score. I think their coverage numbers — there’s more to the story than the number implies. Having said that, it’s important that we have a referee.”\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>NPR’s Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Updated 3:30 p.m. ET\u003c/strong>\u003c/p>\n\u003cp>Facing a perilous path for their health care bill, Senate Republican leaders have decided to push off a vote until after Congress returns from next week’s July Fourth recess, GOP aides confirm to NPR’s Susan Davis.\u003c/p>\n\u003cp>“We’re still working toward getting at least 50 people in a comfortable place,” Senate Majority Leader Mitch McConnell said on Tuesday. Despite the delay, McConnell confirmed that Republican senators were heading to the White House to meet with President Trump later in the afternoon to continue work on the issue.\u003c/p>\n\u003cp>If three Republicans oppose the bill, it cannot pass. The GOP holds 52 seats, with Vice President Mike Pence as a potential tie-breaker. The delay was announced with at least five Republicans indicating they were against bringing the bill to the floor this week.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“Several of them want more time,” McConnell added. “We have a number of different discussions going on, that have been going on for six weeks. They continue.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He made the announcement during Senate Republicans’ weekly lunch, which was attended by Pence. White House Chief of Staff Reince Preibus and press secretary Sean Spicer were in the Capitol on Tuesday as well. It’s expected the bill will be altered and get a new score from the Congressional Budget Office before it comes back up.\u003c/p>\n\u003cp>Leaders had been pressing hard for a vote before the holiday. Majority Whip John Cornyn of Texas \u003ca href=\"https://twitter.com/JohnCornyn/status/879364669907099648\">tweeted Monday\u003c/a> morning, “I am closing the door. We need to do it this week before double-digit premium increases are announced for next year.”\u003c/p>\n\u003cp>There has been speculation that McConnell had been prepared to bring the bill to the floor, even if it can’t pass, so the Senate can move onto its next big priority: tax reform.\u003c/p>\n\u003cp>Sen. Susan Collins, R-Maine, said late Monday that \u003ca href=\"https://twitter.com/SenatorCollins/status/879471862694256641\">she would vote “no” on a motion to proceed\u003c/a>, a procedural step that needs to be taken before a floor debate can even begin on the bill. If two more Republicans were to have voted no on that motion, the bill would have died.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Collins cited \u003ca href=\"http://www.npr.org/2017/06/26/534432433/gop-senate-bill-would-cut-health-care-coverage-by-22-million\">a report from the Congressional Budget Office released Monday\u003c/a> that said the bill would result in 22 million fewer people with health care coverage over the next decade, compared with under the Affordable Care Act, also known as Obamacare. Much of that reduction would be because of the rollback of the ACA’s expansion of Medicaid, which Collins and other Republicans in states that took up the expansion funds have expressed serious reservations over.\u003c/p>\n\u003cp>Alaska Sen. Lisa Murkowski had similar concerns to Collins. “I need to understand really what we’re talking about, with some of the conclusions that we saw yesterday with the CBO score,” she told MSNBC. “Taking the time to get it right is where we should be.”\u003c/p>\n\u003cp>Democrats held a protest on Capitol Hill Tuesday. Senate Minority Leader Chuck Schumer told reporters, “We know the fight is not over. That is for sure. We’re not resting on any laurels, nor do we feel any sense yet of accomplishment, other than we are making progress because the American people are listening to our arguments.”\u003c/p>\n\u003cp>But the hurdle for McConnell remains divisions within his own party. Conservative Republicans, including Sens. Mike Lee of Utah, Ted Cruz of Texas and Rand Paul of Kentucky, had indicated they were very likely to vote no, as they push for greater spending cuts and reduction of regulations on health insurers.\u003c/p>\n\u003cp>Other GOP senators who appear strongly opposed include Dean Heller of Nevada, who excoriated the bill at a press conference on Friday mostly over its cuts, and Ron Johnson of Wisconsin, who had been urging leaders to wait on a vote until after next week’s recess.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The House failed to advance a bill to repeal and replace Obamacare in late March, and it was seen as a spectacular failure on the GOP’s most persistent pledge to voters for the past seven years. After rounds of negotiations and amendments, the House passed its bill in early May.\u003c/p>\n\u003cp>The outlook for delaying the bill is tricky. Leaders have been insistent that they need to move on to other issues. To take up tax reform or funding the government in 2018, Senate procedure would require them to scrap the health care effort altogether.\u003c/p>\n\u003cp>Republicans have expressed grave warnings about what that could mean politically. Polls have shown the Republican health care effort is very unpopular overall, with even GOP support for the House bill at just 34 percent in an NBC/Wall Street Journal poll released last week. But that same poll showed that 71 percent of Republicans support repealing the Affordable Care Act, and it would be risky for the GOP to head into the 2018 midterms having failed their base on that pledge.\u003c/p>\n\u003cp>“I would not bet against Mitch McConnell,” House Speaker Paul Ryan, R-Wis., told reporters Tuesday morning when asked about the bill’s fate — but before news broke of McConnell’s announcement that he was pushing the vote back. “He is very, very good at getting things done through the Senate, even with this razor-thin majority. I have every expectation that the Senate — I don’t know what day —but I have every expectation the Senate will move this bill.”\u003c/p>\n\u003cp>The speaker nodded to the political pressure the party is under to deliver on their signature campaign pledge. “Every Republican senator campaigned on repealing and replacing this law,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Senate bill repeals the individual mandate to carry health care coverage and the employer mandate for businesses with at least 50 employees to offer coverage. It also repeals most of the taxes enacted under the ACA, which mostly affect high-income earners and corporations, in addition to rolling back federal subsidies and the expansion of Medicaid.\u003c/p>\n\u003cp>It would allow people up to age 26 to remain on their parents’ plans, and it would bar insurance companies from denying coverage to those with pre-existing conditions. Republicans revised the bill on Monday to add a penalty aimed at preventing people from signing up for coverage only once they are sick, which most experts predict would sink the insurance market.\u003c/p>\n\u003cp>“I’m a ‘no’ on it unless the bill changes,” Paul said to reporters on Monday. He has called the bill “Obamacare Lite” and is seeking a fuller rollback of the ACA. But the changes he wants seem unlikely to be included or would risk losing too many moderates because they would further reduce benefits from the federal government. Paul had a noon meeting at the White House scheduled on Tuesday, at which Trump had been expected to appeal for his support.\u003c/p>\n\u003cp>One frequent critic of Trump, Sen. Lindsey Graham, R-S.C., was quoted by \u003cem>The Hill\u003c/em> as saying Monday, “If you’re counting on the president to have your back, you need to watch it.” The president confirmed reports last week that he had privately criticized the House version of the health care bill as “mean,” even though he invited Ryan and members of the House GOP leadership over to the White House Rose Garden for a celebration after it passed. Graham also has said that waiting until after next week’s recess is not likely to make it any easier to pass a bill.\u003c/p>\n\u003cp>The White House led criticism of the CBO report on Monday, assailing its ability to estimate effects on coverage. But Ryan defended the Congressional Budget Office, which has also come under fire by outside conservatives and some Republicans in Congress. “It is important that we have a scorekeeper,” he said. “We can always complain about the nature of the score. I think their coverage numbers — there’s more to the story than the number implies. Having said that, it’s important that we have a referee.”\u003c/p>\n\u003cp>Many Republicans have taken issue with the CBO forecast, arguing that they believe more Americans will be inclined to sign up if cheaper plans are available. Republicans often note that millions of Americans have opted to pay fines in lieu of signing up for coverage under the ACA.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Susan Davis contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Senate+GOP+Leaders+Push+Off+Health+Care+Vote+After+July+4th&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "Feinstein: Health Care Bill Would Cut Coverage for 4 Million Californians",
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"content": "\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It’s the most indefensible bill I’ve actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=”ZGTbysN9iZUQZxJxb4OV10sNRNfoCRGg”]\u003c/p>\n\u003cp>The GOP bill would roll back much of former President Barack Obama’s 2010 health care law, ending a tax penalty for people who don’t buy insurance and allowing states to opt out of requirements that insurers cover certain services.\u003c/p>\n\u003cp>It would phase out extra federal money that California and 30 other states get to expand Medicaid and put annual caps on federal funding for the program.\u003c/p>\n\u003cp>Taxes on the wealthy and medical companies, which funded Obama’s law, would be eliminated.\u003c/p>\n\u003cp>Brown said the bill would eliminate funding for drug treatment, exacerbating homelessness and crime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This thing is bad for people,” Brown said. “Millions and millions of people are going to suffer. That’s a crazy thing for elected representatives to inflict on people.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Up to 4 million people in California would lose health coverage over the next decade under the Republican health care bill being proposed in the Senate, Sen. Dianne Feinstein said Tuesday.\u003c/p>\n\u003cp>About 1.6 million people would lose coverage next year, and by 2026 the state would lose $24 billion in federal money for Medi-Cal, the state’s Medicaid health care plan for the poor, Feinstein told reporters in a conference call with fellow Democrats Gov. Jerry Brown and Sen. Kamala Harris.\u003c/p>\n\u003cp>“It’s the most indefensible bill I’ve actually seen in 24 years in the Senate,” Feinstein said.\u003c/p>\n\u003cp>The numbers came from the liberal think tank Center for American Progress, Congress’ Joint Economic Committee and the state of California, according to Feinstein’s office.\u003c/p>\n\u003cp>Republican leaders had hoped for a vote on this bill this week but \u003ca href=\"https://ww2.kqed.org/news/2017/06/27/senate-gop-leaders-push-off-health-care-vote-after-july-4th/\" target=\"_blank\" rel=\"noopener noreferrer\">said Tuesday they’ll delay it\u003c/a> until after the July 4 recess.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Dems Trade Barbs Over Stalled Single-Payer Bill",
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"content": "\u003cp>Democrats in California are trading fire over the end of an effort to pass single-payer health care in the Legislature this year.\u003c/p>\n\u003cp>The California Nurses Association lashed out at Assembly Speaker Anthony Rendon, who \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/\" target=\"_blank\" rel=\"noopener noreferrer\">announced on Friday\u003c/a> that the single-payer \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">legislation\u003c/a> would not advance in the Assembly in 2017. Rendon hit back on Monday, criticizing the legislation that passed the Senate earlier this month.\u003c/p>\n\u003cp>“Senate Bill 562 is not a serious discussion about single-payer,” Rendon said. “Senate Bill 562 is a statement of values.”\u003c/p>\n\u003cp>National Nurses United executive director RoseAnn DeMoro has unleashed a social media tirade against Rendon in the days since his decision to shelve the bill. DeMoro \u003ca href=\"https://twitter.com/RoseAnnDeMoro/status/878474634030571521\">called the speaker\u003c/a> “outrageous” and said Rendon would end up on the “wrong side of history.”\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses union\u003c/a> has planned a pair of rallies this week to push their effort forward, or at least to exact political punishment on the Assembly speaker.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/RoseAnnDeMoro/status/879468738000543744\u003c/p>\n\u003cp>Rendon maintained that he is in favor of single-payer health care, and that the effort can continue in the Legislature in the current session that runs through 2018. But he said that the process would have played out very differently if the bill had started in the Assembly.\u003c/p>\n\u003cp>“I’m sure that our committees would have asked the very basic questions that needed to be asked,” Rendon said. “Like how would this be paid for? How would this system operate?”\u003c/p>\n\u003cp>He also emphasized that Democratic energy should be focused squarely on defeating the Republican health plan in Congress.\u003c/p>\n\u003cp>[contextly_sidebar id=”sjyrNi6zBSKeXAy2qVVlGLiq0MiCq7Wt”]\u003c/p>\n\u003cp>The bill that \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">passed the Senate\u003c/a> came with an estimated price tag of $400 billion. Around $100 billion of that total would need to come from a new revenue source.\u003c/p>\n\u003cp>The debate over whether to pursue a government-run health care system in California through SB 562 has exposed divides among powerful factions of the Democratic Party.\u003c/p>\n\u003cp>Party chair Eric Bauman \u003ca href=\"https://www.cadem.org/news/press-releases/2017/statement-from-california-democratic-party-chair-eric-c-bauman-on-announcement-that-sb-562-will-be-held-in-rules-committee\">called\u003c/a> Rendon’s decision “an unambiguous disappointment.” That sentiment was echoed by progressives across the state and beyond.\u003c/p>\n\u003cp>https://twitter.com/BernieSanders/status/878659234916904960\u003c/p>\n\u003cp>But the powerful labor union SEIU California stood behind Rendon on Monday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is a lot of work to do on SB 562, and we remain eager to engage in that conversation,” said president Laphonza Butler in a \u003ca href=\"http://www.seiuca.org/2017/06/26/seiu-california-supports-decision-to-spend-more-time-developing-california-healthcare-reform/\">statement.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Democrats in California are trading fire over the end of an effort to pass single-payer health care in the Legislature this year.\u003c/p>\n\u003cp>The California Nurses Association lashed out at Assembly Speaker Anthony Rendon, who \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/23/blaming-threat-of-gop-health-bill-california-hits-pause-on-single-payer/\" target=\"_blank\" rel=\"noopener noreferrer\">announced on Friday\u003c/a> that the single-payer \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">legislation\u003c/a> would not advance in the Assembly in 2017. Rendon hit back on Monday, criticizing the legislation that passed the Senate earlier this month.\u003c/p>\n\u003cp>“Senate Bill 562 is not a serious discussion about single-payer,” Rendon said. “Senate Bill 562 is a statement of values.”\u003c/p>\n\u003cp>National Nurses United executive director RoseAnn DeMoro has unleashed a social media tirade against Rendon in the days since his decision to shelve the bill. DeMoro \u003ca href=\"https://twitter.com/RoseAnnDeMoro/status/878474634030571521\">called the speaker\u003c/a> “outrageous” and said Rendon would end up on the “wrong side of history.”\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses union\u003c/a> has planned a pair of rallies this week to push their effort forward, or at least to exact political punishment on the Assembly speaker.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Rendon maintained that he is in favor of single-payer health care, and that the effort can continue in the Legislature in the current session that runs through 2018. But he said that the process would have played out very differently if the bill had started in the Assembly.\u003c/p>\n\u003cp>“I’m sure that our committees would have asked the very basic questions that needed to be asked,” Rendon said. “Like how would this be paid for? How would this system operate?”\u003c/p>\n\u003cp>He also emphasized that Democratic energy should be focused squarely on defeating the Republican health plan in Congress.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The bill that \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">passed the Senate\u003c/a> came with an estimated price tag of $400 billion. Around $100 billion of that total would need to come from a new revenue source.\u003c/p>\n\u003cp>The debate over whether to pursue a government-run health care system in California through SB 562 has exposed divides among powerful factions of the Democratic Party.\u003c/p>\n\u003cp>Party chair Eric Bauman \u003ca href=\"https://www.cadem.org/news/press-releases/2017/statement-from-california-democratic-party-chair-eric-c-bauman-on-announcement-that-sb-562-will-be-held-in-rules-committee\">called\u003c/a> Rendon’s decision “an unambiguous disappointment.” That sentiment was echoed by progressives across the state and beyond.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>But the powerful labor union SEIU California stood behind Rendon on Monday.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is a lot of work to do on SB 562, and we remain eager to engage in that conversation,” said president Laphonza Butler in a \u003ca href=\"http://www.seiuca.org/2017/06/26/seiu-california-supports-decision-to-spend-more-time-developing-california-healthcare-reform/\">statement.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>William Ware sits in a large empty field along the Sacramento-San Joaquin Delta, shaving his face using a broken mirror. He found himself here after a waterskiing accident in 2009 led to painkiller addiction, and a downward spiral ensued.\u003c/p>\n\u003cp>Ware lost his five-bedroom house in Brentwood, the cars and the boat. Losing his family hurt the most, he said. The names of his two kids — Michael and Alyssa — are tattooed on his arms. They no longer talk to him. His wife left him. Ware has been homeless in Antioch for about two years.\u003c/p>\n\u003cp>“It’s my choice to be out here,” Ware said. “What do I do every day? I go fishing. I golf in this field.” He works odd jobs to get by and proudly notes that he doesn’t get any government assistance.\u003c/p>\n\u003cfigure id=\"attachment_11533887\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11533887 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/IMG_2687-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-520x390.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A field near downtown Antioch has a plaque with names of deceased homeless people — a remembrance. New people currently live along the borders of this empty lot. \u003ccite>(Devin Katayama/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Out here” is the Bay Area suburb of Antioch, in eastern Contra Costa County, where homelessness has spiked in recent years.\u003c/p>\n\u003cp>It tracks a national trend: In suburbs across the U.S., poverty has been \u003ca href=\"http://confrontingsuburbanpoverty.org/wp-content/uploads/2014/05/Chart-The-Rapid-Rise-of-Suburban-Poverty.png\" target=\"_blank\" rel=\"noopener noreferrer\">growing faster\u003c/a> than in cities, and communities like Antioch haven’t been prepared to handle what’s often referred to as a shift of “urban” issues into suburban spaces.\u003c/p>\n\u003ch3>Homelessness Increases in the Eastern Suburbs\u003c/h3>\n\u003cp>Some people living on the streets of Antioch migrated to the city for various reasons. Some were evicted from pricier parts of the Bay Area. Some came to avoid being targeted by police in other areas that don’t tolerate people living on the streets. Some just drifted here, haphazardly.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many of those living homeless in Antioch are from these same neighboring eastern suburbs. While the number of people sleeping outside across Contra Costa County saw a \u003ca href=\"http://cchealth.org/homeless/council/pdf/2016-PIT-report.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">26 percent decrease\u003c/a> from 2011 to 2016, there has been a 30 percent increase in the county’s eastern flank, which includes Antioch. Officials expect the trend to continue.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11533890\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/Capture.jpg\" alt=\"\" width=\"471\" height=\"187\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture.jpg 471w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-160x64.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-240x95.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-375x149.jpg 375w\" sizes=\"auto, (max-width: 471px) 100vw, 471px\">“Our topography looks very different than it does in more urban cities like San Francisco,” said Lavonna Martin, the county’s homeless services chief. That topography is sprawling cities, with a lack of public transportation and fast-growing populations.\u003c/span>\u003c/p>\n\u003cp>In a \u003ca href=\"http://ci.antioch.ca.us/CityGov/reports/Updates/092116.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">survey last year\u003c/a>, Antioch residents said homelessness was a top issue after crime and violence. Between 2000 and 2011, suburban poverty across the country grew at more than twice the rate than in cities, according to the \u003ca href=\"http://confrontingsuburbanpoverty.org/about/faqs/\" target=\"_blank\" rel=\"noopener noreferrer\">Brookings Institution\u003c/a>.\u003c/p>\n\u003cp>Rena Frantz, a friend of Ware’s who also lives in the field, said she migrated here — sharing a tent with her current boyfriend — after she had a falling out with her ex-boyfriend over drugs in Concord, a larger suburb closer to San Francisco.\u003c/p>\n\u003cp>“I was going to move to South Carolina and get clean and leave the state. I ended up not having a way to get out there and I got stuck in Antioch,” she said.\u003c/p>\n\u003cp>What are the reasons for the surge in homelessness? Antioch residents often talk about the lack of jobs and public transportation, but the absence of sufficient social services is a big problem, too. A \u003ca href=\"http://www.frbsf.org/community-development/files/wp2012-03.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">study from 2012\u003c/a> says that “for every $8 in social services that a poor person in [Contra Costa’s] West County has access to, there is $1 available for a poor person in East County.” This number does not include government services or outside agencies, but it offers a glimpse into the gap that exists.\u003c/p>\n\u003cp>For Frantz, it’s the day-to-day things that make it even harder for her to get back on her feet.\u003c/p>\n\u003cp>“You can’t apply for jobs when you haven’t showered in two weeks,” she said.\u003c/p>\n\u003cp>There was a homeless service center in Antioch that was open daily, which offered showers, laundry, counseling, mail service, phone calls and food. Frantz said most of the homeless people she knows were using these services.\u003c/p>\n\u003cp>But in 2016, the same year that Antioch released data showing a spike in homelessness, the center shut down.\u003c/p>\n\u003ch3>While Homelessness Increases, Services Center Closes\u003c/h3>\n\u003cp>The once-bustling multiservice center is quiet now. Before it closed in March 2016, the rooms were loud and crowded. During the last three years of operation, Anka Behavioral Health — the nonprofit that ran the day center — roughly tripled the number of people served there.\u003c/p>\n\u003cfigure id=\"attachment_11533893\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11533893\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/sanders.jpg\" alt=\"\" width=\"400\" height=\"267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-375x250.jpg 375w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Rebecca Sanders, program manager at Anka Behavioral Health’s Antioch shelter, said when the multiservice center closed in March 2016 it was an emotional day. Antioch has struggled to meet the needs of its growing homeless population. \u003ccite>(Devin Katayama/KQED News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“A lot of times, people would come in just to talk to staff and let them know what’s going on because they were treated like family here,” said Rebecca Sanders, program manager.\u003c/p>\n\u003cp>Anka still operates a small 20-bed shelter on-site, but the nonprofit had to shut down its day center because the staff couldn’t handle the large number of people needing help, Sanders said.\u003c/p>\n\u003cp>Businesses nearby were complaining, too, she said. Plus, the U.S. Department of Housing and Urban Development cut funding for multiservice centers a couple of years ago, which meant Anka was losing money. On the final day of the center’s operation, more than 100 people were served.\u003c/p>\n\u003cp>“It was really emotional,” Sanders said. “Everybody was really upset. The clients were really sad.”\u003c/p>\n\u003cp>There are churches in Antioch offering free meals and other help, but the city lacks comprehensive homeless services in these farthest eastern suburbs, said Sanders. Often homeless people go to Concord for help, she said.\u003c/p>\n\u003cp>The county recently upgraded its two homeless resource centers in Richmond (in the west) and Concord (in the center), adding staff who will help people find housing, but it wasn’t able to open a center in the eastern suburbs.\u003c/p>\n\u003cp>“We have some challenges. There aren’t many providers in east Contra Costa County, where the demand is really high,” said Martin.\u003c/p>\n\u003cp>Larger cities like Richmond, Oakland or San Francisco are historically where nonprofit providers and philanthropic dollars have created a safety net. But in Antioch, there is a lack of basic infrastructure to serve the poorest residents, said Martin.\u003c/p>\n\u003cp>Over the next year, county officials will try to create a homeless service center in Antioch, she said. Contra Costa receives federal grants to improve coordination between homeless services across the county. Some homelessness service providers say it’s helping, while others are coming up with their own solutions.\u003c/p>\n\u003cp>In Antioch, one group is getting city support to build a 50-bed shelter for women and children. Police have also started \u003ca href=\"http://eastcountytoday.net/antioch-police-launch-community-engagement-team/\" target=\"_blank\" rel=\"noopener noreferrer\">a new unit\u003c/a> that attempts to partner cops and homeless outreach. But almost everyone acknowledges that the suburbs weren’t prepared for the changes they’re seeing.\u003c/p>\n\u003cfigure id=\"attachment_11533898\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11533898\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rena Frantz lives along the shoreline in a field near downtown Antioch.\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, Frantz and the others continue to call the field home and make do.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Every night we’d go to bed going, ‘God, there are so many people who would love to be where we’re at right now.’ I mean it sucks because you stink and you’re hungry, but at least where we live, it could be worse,” she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>William Ware sits in a large empty field along the Sacramento-San Joaquin Delta, shaving his face using a broken mirror. He found himself here after a waterskiing accident in 2009 led to painkiller addiction, and a downward spiral ensued.\u003c/p>\n\u003cp>Ware lost his five-bedroom house in Brentwood, the cars and the boat. Losing his family hurt the most, he said. The names of his two kids — Michael and Alyssa — are tattooed on his arms. They no longer talk to him. His wife left him. Ware has been homeless in Antioch for about two years.\u003c/p>\n\u003cp>“It’s my choice to be out here,” Ware said. “What do I do every day? I go fishing. I golf in this field.” He works odd jobs to get by and proudly notes that he doesn’t get any government assistance.\u003c/p>\n\u003cfigure id=\"attachment_11533887\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11533887 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/IMG_2687-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/IMG_2687-520x390.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A field near downtown Antioch has a plaque with names of deceased homeless people — a remembrance. New people currently live along the borders of this empty lot. \u003ccite>(Devin Katayama/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Out here” is the Bay Area suburb of Antioch, in eastern Contra Costa County, where homelessness has spiked in recent years.\u003c/p>\n\u003cp>It tracks a national trend: In suburbs across the U.S., poverty has been \u003ca href=\"http://confrontingsuburbanpoverty.org/wp-content/uploads/2014/05/Chart-The-Rapid-Rise-of-Suburban-Poverty.png\" target=\"_blank\" rel=\"noopener noreferrer\">growing faster\u003c/a> than in cities, and communities like Antioch haven’t been prepared to handle what’s often referred to as a shift of “urban” issues into suburban spaces.\u003c/p>\n\u003ch3>Homelessness Increases in the Eastern Suburbs\u003c/h3>\n\u003cp>Some people living on the streets of Antioch migrated to the city for various reasons. Some were evicted from pricier parts of the Bay Area. Some came to avoid being targeted by police in other areas that don’t tolerate people living on the streets. Some just drifted here, haphazardly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many of those living homeless in Antioch are from these same neighboring eastern suburbs. While the number of people sleeping outside across Contra Costa County saw a \u003ca href=\"http://cchealth.org/homeless/council/pdf/2016-PIT-report.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">26 percent decrease\u003c/a> from 2011 to 2016, there has been a 30 percent increase in the county’s eastern flank, which includes Antioch. Officials expect the trend to continue.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11533890\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/Capture.jpg\" alt=\"\" width=\"471\" height=\"187\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture.jpg 471w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-160x64.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-240x95.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/Capture-375x149.jpg 375w\" sizes=\"auto, (max-width: 471px) 100vw, 471px\">“Our topography looks very different than it does in more urban cities like San Francisco,” said Lavonna Martin, the county’s homeless services chief. That topography is sprawling cities, with a lack of public transportation and fast-growing populations.\u003c/span>\u003c/p>\n\u003cp>In a \u003ca href=\"http://ci.antioch.ca.us/CityGov/reports/Updates/092116.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">survey last year\u003c/a>, Antioch residents said homelessness was a top issue after crime and violence. Between 2000 and 2011, suburban poverty across the country grew at more than twice the rate than in cities, according to the \u003ca href=\"http://confrontingsuburbanpoverty.org/about/faqs/\" target=\"_blank\" rel=\"noopener noreferrer\">Brookings Institution\u003c/a>.\u003c/p>\n\u003cp>Rena Frantz, a friend of Ware’s who also lives in the field, said she migrated here — sharing a tent with her current boyfriend — after she had a falling out with her ex-boyfriend over drugs in Concord, a larger suburb closer to San Francisco.\u003c/p>\n\u003cp>“I was going to move to South Carolina and get clean and leave the state. I ended up not having a way to get out there and I got stuck in Antioch,” she said.\u003c/p>\n\u003cp>What are the reasons for the surge in homelessness? Antioch residents often talk about the lack of jobs and public transportation, but the absence of sufficient social services is a big problem, too. A \u003ca href=\"http://www.frbsf.org/community-development/files/wp2012-03.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">study from 2012\u003c/a> says that “for every $8 in social services that a poor person in [Contra Costa’s] West County has access to, there is $1 available for a poor person in East County.” This number does not include government services or outside agencies, but it offers a glimpse into the gap that exists.\u003c/p>\n\u003cp>For Frantz, it’s the day-to-day things that make it even harder for her to get back on her feet.\u003c/p>\n\u003cp>“You can’t apply for jobs when you haven’t showered in two weeks,” she said.\u003c/p>\n\u003cp>There was a homeless service center in Antioch that was open daily, which offered showers, laundry, counseling, mail service, phone calls and food. Frantz said most of the homeless people she knows were using these services.\u003c/p>\n\u003cp>But in 2016, the same year that Antioch released data showing a spike in homelessness, the center shut down.\u003c/p>\n\u003ch3>While Homelessness Increases, Services Center Closes\u003c/h3>\n\u003cp>The once-bustling multiservice center is quiet now. Before it closed in March 2016, the rooms were loud and crowded. During the last three years of operation, Anka Behavioral Health — the nonprofit that ran the day center — roughly tripled the number of people served there.\u003c/p>\n\u003cfigure id=\"attachment_11533893\" class=\"wp-caption alignleft\" style=\"max-width: 400px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11533893\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/sanders.jpg\" alt=\"\" width=\"400\" height=\"267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/sanders-375x250.jpg 375w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Rebecca Sanders, program manager at Anka Behavioral Health’s Antioch shelter, said when the multiservice center closed in March 2016 it was an emotional day. Antioch has struggled to meet the needs of its growing homeless population. \u003ccite>(Devin Katayama/KQED News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“A lot of times, people would come in just to talk to staff and let them know what’s going on because they were treated like family here,” said Rebecca Sanders, program manager.\u003c/p>\n\u003cp>Anka still operates a small 20-bed shelter on-site, but the nonprofit had to shut down its day center because the staff couldn’t handle the large number of people needing help, Sanders said.\u003c/p>\n\u003cp>Businesses nearby were complaining, too, she said. Plus, the U.S. Department of Housing and Urban Development cut funding for multiservice centers a couple of years ago, which meant Anka was losing money. On the final day of the center’s operation, more than 100 people were served.\u003c/p>\n\u003cp>“It was really emotional,” Sanders said. “Everybody was really upset. The clients were really sad.”\u003c/p>\n\u003cp>There are churches in Antioch offering free meals and other help, but the city lacks comprehensive homeless services in these farthest eastern suburbs, said Sanders. Often homeless people go to Concord for help, she said.\u003c/p>\n\u003cp>The county recently upgraded its two homeless resource centers in Richmond (in the west) and Concord (in the center), adding staff who will help people find housing, but it wasn’t able to open a center in the eastern suburbs.\u003c/p>\n\u003cp>“We have some challenges. There aren’t many providers in east Contra Costa County, where the demand is really high,” said Martin.\u003c/p>\n\u003cp>Larger cities like Richmond, Oakland or San Francisco are historically where nonprofit providers and philanthropic dollars have created a safety net. But in Antioch, there is a lack of basic infrastructure to serve the poorest residents, said Martin.\u003c/p>\n\u003cp>Over the next year, county officials will try to create a homeless service center in Antioch, she said. Contra Costa receives federal grants to improve coordination between homeless services across the county. Some homelessness service providers say it’s helping, while others are coming up with their own solutions.\u003c/p>\n\u003cp>In Antioch, one group is getting city support to build a 50-bed shelter for women and children. Police have also started \u003ca href=\"http://eastcountytoday.net/antioch-police-launch-community-engagement-team/\" target=\"_blank\" rel=\"noopener noreferrer\">a new unit\u003c/a> that attempts to partner cops and homeless outreach. But almost everyone acknowledges that the suburbs weren’t prepared for the changes they’re seeing.\u003c/p>\n\u003cfigure id=\"attachment_11533898\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11533898\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/06/RS24053__MG_6798-1-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rena Frantz lives along the shoreline in a field near downtown Antioch.\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, Frantz and the others continue to call the field home and make do.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Every night we’d go to bed going, ‘God, there are so many people who would love to be where we’re at right now.’ I mean it sucks because you stink and you’re hungry, but at least where we live, it could be worse,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law",
"title": "Californians Contemplate 'Unthinkable Choices' if GOP Health Plan Becomes Law",
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"content": "\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n",
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"excerpt": "Congressional Budget Office report predicts 15 million more uninsured in U.S. next year, and 22 million in a decade. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>People in the state’s health industry, from advocates to clinic directors, were left reeling by the new CBO report, which estimated the Senate Republican health plan would create an additional 22 million uninsured Americans by 2026.\u003c/p>\n\u003cp>“Nowhere are the dangers greater than in California, where our Medicaid program (Medi-Cal) covers more than one in three state residents,” said Sandra R. Hernández, president and CEO of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noopener noreferrer\">California Health Care Foundation.\u003c/a>\u003c/p>\n\u003cp>The Republican bill would radically cut federal funding for Medicaid, even more deeply than what was proposed in the House bill. It would also decrease subsidies for Americans who buy their own insurance on \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Covered California\u003c/a>, but that’s a smaller group, about 1.7 million residents, compared to the 13.5 million residents covered by Medi-Cal.\u003c/p>\n\u003cp>“More Californians will likely delay or defer necessary care, and when they show up at clinics and emergency rooms, they will likely be sicker and costlier to treat,” Hernandez predicted.\u003c/p>\n\u003cp>“States, communities, and families will be forced to make unthinkable choices about providing necessary care for their loved ones,\" she added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the Senate plan, most consumers who shop for subsidized plans on Covered California would see their out-of-pocket costs rise, while also receiving less financial assistance to compensate. In San Francisco, a 60-year-old who earns $30,000 a year would be facing an out-of-pocket premium of $5,570 a year, more than double what she paid under the Affordable Care Act, according to an \u003ca href=\"http://www.kff.org/interactive/premiums-and-tax-credits-under-the-affordable-care-act-vs-the-senate-better-care-reconciliation-act-interactive-maps/\" target=\"_blank\" rel=\"noopener noreferrer\">analysis\u003c/a> by the Kaiser Family Foundation.\u003c/p>\n\u003cp>But a 27-year-old in San Francisco making $40,000 a year would see premiums decrease by 12 percent.\u003c/p>\n\u003cp>In general, older consumers would pay more under the Senate plan, because the bill allows insurers to charge them five times as much as younger people, but also because the subsidy they get decreases by almost $1,000 a year.\u003c/p>\n\u003cp>When it comes to the impacts on Medi-Cal, which covers the lower-income residents, people with disabilities, and many seniors, rural California would bear the brunt, said Doreen Bradshaw, executive director of a \u003ca href=\"http://thehanc.org/\" target=\"_blank\" rel=\"noopener noreferrer\">coalition\u003c/a> of health clinics in northern California.\u003c/p>\n\u003cp>“If you look at a map, 44 out of 58 counties in California are rural,” she said. “We need to maintain [Medicaid] for rural America. This has the potential to be very devastating.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The state’s rural counties provide food, timber, and water for the rest of California and the rest of the country. Bradshaw said cutting health care for rural California workers would have a negative ripple effect on the national economy.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer",
"title": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n",
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"excerpt": "Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.",
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"description": "Assembly leader says lawmakers must focus on stopping the 'real and immediate threat' posed by Republican health care legislation in Washington D.C.",
"title": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer | KQED",
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"headline": "Blaming 'Threat' of GOP Health Bill, California Hits Pause on Single Payer",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Single-payer health care, a longtime goal of progressive Democrats and the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\" rel=\"noopener noreferrer\">nurses' union\u003c/a>, is dead for now. No further legislative action will be taken in 2017.\u003c/p>\n\u003cp>A bill pushing a state-based single-payer system was brought to a halt late Friday when Assembly Speaker Anthony Rendon, D-Lakewood, declined to move it forward. The bill will not get a hearing by the Assembly Rules Committee before the July 14 deadline, though it could be taken up again in 2018. It passed the California Senate on June 1.\u003c/p>\n\u003cp>\"Single payer\" generally refers to health care systems in which the government pays doctors and other health providers using tax revenues, bypassing the use of private insurance companies as middlemen.\u003c/p>\n\u003cp>In some systems, the doctors work directly for the government, but the California bill proposes a variant in which doctors and hospitals remain private entities and establish contracts with the state to provide care.\u003c/p>\n\u003cp>Rendon described himself as a longtime supporter of a single-payer system, but said the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562\" target=\"_blank\" rel=\"noopener noreferrer\">current bill\u003c/a> was \"woefully incomplete\" and doesn't address the \"realities\" of both the Trump administration and voters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Yesterday, Republicans in the U.S. Senate released a cynical plan to repeal the Affordable Care Act, posing a real and immediate threat to millions of Californians who only have health coverage because of the ACA,\" Rendon said in a statement.\u003c/p>\n\u003cp>“Preparing California to meet this threat must be the top health care priority for the Legislature, Governor Brown, and organizations that advocate for increasing access to health care.\"\u003c/p>\n\u003cfigure id=\"attachment_347195\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-347195\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/Anthony-Rendon-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California Assembly Speaker Anthony Rendon (right) confers with Assemblymember Cristina Garcia (left) in Sacramento on May 15, 2017. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In legislative slang, the \"Healthy California Act\" (SB 562) was a \"shell bill.\" It described a long list of covered services and claimed residents would not have to pay any premiums or copays. Based on the raw outline, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/06/01/single-payer-economics-one-health-plan-two-new-taxes-three-ways-to-save/\" target=\"_blank\" rel=\"noopener noreferrer\">two studies\u003c/a> tried to estimate the total cost: One came up with $400 billion a year, another said $330 billion.\u003c/p>\n\u003cp>\"This action does not mean SB 562 is dead,\" Rendon said later in the statement. He encouraged single-payer supporters in the Senate to use the time to \"fill the holes\" in the bill, and provide more information about financing, delivery of care and cost controls.\u003c/p>\n\u003cp>The two authors of the bill were disappointed by the move, but vowed to keep fighting for universal coverage in California.\u003c/p>\n\u003cp>State senators Ricardo Lara, D-Bell Gardens, and Toni G. Atkins, D-San Diego, released a joint statement.\u003c/p>\n\u003cp>“Continuing the push for universal healthcare has never been more critical, with Congress possibly days from voting on one of the cruelest bills in our nation’s history, which will lead to millions of the poorest Americans losing insurance, soaring costs for older and sicker people, and terrible budget choices for our state.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California has the chance to lead our nation toward healthcare for all, and we will not turn our backs on this matter of life or death for families.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco Doctors and Nurses Rally Against Senate Health Care Bill",
"title": "San Francisco Doctors and Nurses Rally Against Senate Health Care Bill",
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"content": "\u003cp>Roughly 200 San Francisco doctors and nurses rallied Thursday outside San Francisco General Hospital to protest the \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">recently released Senate health care bill\u003c/a>.\u003c/p>\n\u003cp>Crafted in secret by Republican leadership, the bill repeals major parts of the sweeping healthcare law implemented by President Obama, known as the Affordable Care Act or Obamacare. The Republican replacement bill would phase out Medicaid expansion, cap spending on Medicaid and eliminate many taxes that fund Obamacare.\u003c/p>\n\u003cp>“This is about public health,” said Sasha Cuttler, a nurse at the hospital. “This isn’t a partisan issue. ... We have a duty to speak up against this.”\u003c/p>\n\u003cfigure id=\"attachment_346861\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346861\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">A health care professional holding up a sign at a protest at the San Francisco General Hospital against the newly proposed health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Matthew Hickey, resident physician and one of the organizers of the rally, said that it’s time for medical professionals to get more politically active.\u003c/p>\n\u003cp>“With the new health care bill being revealed, we felt it’s the right moment for us doctors to do more in the political sphere,” he said. Together with a group of resident doctors, Hickey created the group \"Keep America Covered\" that has organized other rallies since the elections.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>During the rally, doctors, nurses and patients spoke to the crowd and led them in chants like, “Healthcare yes, denials no, profiteers have got to go.\" Organizers encouraged attendees to tweet about their opposition of the bill, as well as to ask their friends and family in other states to call their senators.\u003c/p>\n\u003cfigure id=\"attachment_346862\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346862\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Health care professionals at the San Francisco General Hospital protested against the proposed new health care bill which is intended to replace the Affordable Care Act. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Congressional Budget Office has yet to release its report on the bill, but their report on the House’s version of the bill concluded it would leave 23 million Americans uninsured.\u003c/p>\n\u003cp>“This is not simply a despicable effort to deny essential healthcare services to 23 million Americans,” said UCSF professor Kevin Grumbach. “It is fundamentally an attack on the poor and the most vulnerable in our society and a massive transfer of wealth to the richest part of our society.”\u003c/p>\n\u003cp>One of the speakers at the rally was Troy Brunét, a patient living with HIV. He fears for fellow patients living with the decease.\u003c/p>\n\u003cp>“We are reverting back to the 1980s when the AIDS crisis hit us,\" he said. \"And to be honest, this freaks me out. From now on, things are going to change for the worse.”\u003c/p>\n\u003cfigure id=\"attachment_346860\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346860\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Troy Brunét, a patient living with HIV, addressing the crowd at the San Francisco General Hospital. Health care professionals and some patients protested against the new Senate health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brunét said he’ll continue to fight.\u003c/p>\n\u003cp>“I’m going call Scott Weiner and Senator Harris to tell them to continue the fight as well,\" he said. \"And I’m going to reach out to my family back in Louisiana to tell them to also call their representatives and voice their anger.”\u003c/p>\n\u003cp>Things changed pretty dramatically at San Francisco General with the passage of Obamacare in 2010. Before it passed, nearly 35 percent of the hospital’s patients were uninsured. After, that number dropped to 3 percent for inpatient care.\u003c/p>\n\u003cp>“It means that people are going to get sick and people are going to die,” Dr. Amy Whittle said. “As a pediatrician I’m worried about preventive care and not being able to provide all the care that we know saves us money down the line.”\u003c/p>\n\u003cp>Republican leaders hope to vote on the bill as soon as next week, despite some initial \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-health-care-bill-could-be-in-jeopardy-as-conservatives-announce-opposition/\" target=\"_blank\" rel=\"noopener noreferrer\">opposition from Conservative lawmakers\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_346863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-346863 size-large\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Matthew Hickey, resident physician at the San Francisco General Hospital poses for a photo with a sign in protest of the newly proposed senate health bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp>Earlier in the week, on Wednesday, the day before the Senate released their bill, another group of health care activists and senior citizens protested the proposed legislature, staging a \"die-in\" in front of the San Francisco Federal Building. The demonstration, organized by \u003ca href=\"https://t.co/Av5dcXIzXA\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Rising\u003c/a>, was briefly interrupted when a \u003ca href=\"http://hoodline.com/2017/06/motorcyclist-in-custody-after-allegedly-attempting-to-run-over-trumpcare-protestors\" target=\"_blank\" rel=\"noopener noreferrer\">motorcyclist rode during through the group\u003c/a>, narrowly missing some of the people lying in the middle of 7th Street. Police officers at the scene detained the man and he was taken into custody. No injuries were reported.\u003c/p>\n\u003cfigure id=\"attachment_346838\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-346838 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Healthcare activists hold signs as they stage a die-in while protesting the Trumpcare bill on June 21, 2017 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\n",
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"excerpt": "As details of the Senate bill came out, several demonstrations in the city showed that many in S.F. were not happy with the latest bill. ",
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"description": "As details of the Senate bill came out, several demonstrations in the city showed that many in S.F. were not happy with the latest bill. ",
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"nprByline": "\u003cstrong>\u003ca href=\"https://ww2.kqed.org/news/author/shutson/\" target=\"_blank\">Sonja Hutson\u003c/a>\u003c/strong> and \u003cstrong>\u003ca href=\"https://twitter.com/sroosblad\" target=\"_blank\">Serginho Roosblad\u003c/a>\u003c/strong>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Roughly 200 San Francisco doctors and nurses rallied Thursday outside San Francisco General Hospital to protest the \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-republicans-reveal-obamacare-repeal-bill/\" target=\"_blank\" rel=\"noopener noreferrer\">recently released Senate health care bill\u003c/a>.\u003c/p>\n\u003cp>Crafted in secret by Republican leadership, the bill repeals major parts of the sweeping healthcare law implemented by President Obama, known as the Affordable Care Act or Obamacare. The Republican replacement bill would phase out Medicaid expansion, cap spending on Medicaid and eliminate many taxes that fund Obamacare.\u003c/p>\n\u003cp>“This is about public health,” said Sasha Cuttler, a nurse at the hospital. “This isn’t a partisan issue. ... We have a duty to speak up against this.”\u003c/p>\n\u003cfigure id=\"attachment_346861\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346861\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25779_0M6A3091-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">A health care professional holding up a sign at a protest at the San Francisco General Hospital against the newly proposed health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Matthew Hickey, resident physician and one of the organizers of the rally, said that it’s time for medical professionals to get more politically active.\u003c/p>\n\u003cp>“With the new health care bill being revealed, we felt it’s the right moment for us doctors to do more in the political sphere,” he said. Together with a group of resident doctors, Hickey created the group \"Keep America Covered\" that has organized other rallies since the elections.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During the rally, doctors, nurses and patients spoke to the crowd and led them in chants like, “Healthcare yes, denials no, profiteers have got to go.\" Organizers encouraged attendees to tweet about their opposition of the bill, as well as to ask their friends and family in other states to call their senators.\u003c/p>\n\u003cfigure id=\"attachment_346862\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346862\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25780_0M6A3204-qut-1-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Health care professionals at the San Francisco General Hospital protested against the proposed new health care bill which is intended to replace the Affordable Care Act. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Congressional Budget Office has yet to release its report on the bill, but their report on the House’s version of the bill concluded it would leave 23 million Americans uninsured.\u003c/p>\n\u003cp>“This is not simply a despicable effort to deny essential healthcare services to 23 million Americans,” said UCSF professor Kevin Grumbach. “It is fundamentally an attack on the poor and the most vulnerable in our society and a massive transfer of wealth to the richest part of our society.”\u003c/p>\n\u003cp>One of the speakers at the rally was Troy Brunét, a patient living with HIV. He fears for fellow patients living with the decease.\u003c/p>\n\u003cp>“We are reverting back to the 1980s when the AIDS crisis hit us,\" he said. \"And to be honest, this freaks me out. From now on, things are going to change for the worse.”\u003c/p>\n\u003cfigure id=\"attachment_346860\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-346860\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25778_0M6A3283-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Troy Brunét, a patient living with HIV, addressing the crowd at the San Francisco General Hospital. Health care professionals and some patients protested against the new Senate health care bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Brunét said he’ll continue to fight.\u003c/p>\n\u003cp>“I’m going call Scott Weiner and Senator Harris to tell them to continue the fight as well,\" he said. \"And I’m going to reach out to my family back in Louisiana to tell them to also call their representatives and voice their anger.”\u003c/p>\n\u003cp>Things changed pretty dramatically at San Francisco General with the passage of Obamacare in 2010. Before it passed, nearly 35 percent of the hospital’s patients were uninsured. After, that number dropped to 3 percent for inpatient care.\u003c/p>\n\u003cp>“It means that people are going to get sick and people are going to die,” Dr. Amy Whittle said. “As a pediatrician I’m worried about preventive care and not being able to provide all the care that we know saves us money down the line.”\u003c/p>\n\u003cp>Republican leaders hope to vote on the bill as soon as next week, despite some initial \u003ca href=\"https://ww2.kqed.org/news/2017/06/22/senate-health-care-bill-could-be-in-jeopardy-as-conservatives-announce-opposition/\" target=\"_blank\" rel=\"noopener noreferrer\">opposition from Conservative lawmakers\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_346863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"wp-image-346863 size-large\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/RS25781_ACA-protest-1-qut-520x347.jpg 520w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Matthew Hickey, resident physician at the San Francisco General Hospital poses for a photo with a sign in protest of the newly proposed senate health bill. \u003ccite>(Serginho Roosblad/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\n\u003cp>Earlier in the week, on Wednesday, the day before the Senate released their bill, another group of health care activists and senior citizens protested the proposed legislature, staging a \"die-in\" in front of the San Francisco Federal Building. The demonstration, organized by \u003ca href=\"https://t.co/Av5dcXIzXA\" target=\"_blank\" rel=\"noopener noreferrer\">San Francisco Rising\u003c/a>, was briefly interrupted when a \u003ca href=\"http://hoodline.com/2017/06/motorcyclist-in-custody-after-allegedly-attempting-to-run-over-trumpcare-protestors\" target=\"_blank\" rel=\"noopener noreferrer\">motorcyclist rode during through the group\u003c/a>, narrowly missing some of the people lying in the middle of 7th Street. Police officers at the scene detained the man and he was taken into custody. No injuries were reported.\u003c/p>\n\u003cfigure id=\"attachment_346838\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-346838 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/06/GettyImages-699424552-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Healthcare activists hold signs as they stage a die-in while protesting the Trumpcare bill on June 21, 2017 in San Francisco. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\n\u003c/div>\u003c/p>",
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"id": "fresh-air",
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"airtime": "SUN 7:30pm-8pm",
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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": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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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.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"masters-of-scale": {
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"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
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},
"mindshift": {
"id": "mindshift",
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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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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
"id": "morning-edition",
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"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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"order": 11
},
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
},
"link": "/perspectives",
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"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.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"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.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
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