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"title": "Know How to Protect Yourself From Lyme Disease on Bay Area Hikes",
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"content": "\u003cp>Northern California has many attractions, but the fact that it’s prime tick habitat isn’t one of them.\u003c/p>\n\u003cp>Adding to the angst surrounding outdoor activities is that tick hotspots are unevenly distributed on a patchy landscape.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Medicine has the tendency to want a vaccine or a clear antibiotic silver bullet, and I don’t think the Lyme system gives us that luxury.’\u003ccite>Nate Nieto, University of Northern Arizona\u003c/cite>\u003c/aside>\n\u003cp>One moment you’re strolling through redwood forests, the next through oak forests, and a couple of hours later you may come across scenic chaparral. While on this iconic hike, you probably don’t realize that you’ve moved through both high- and low-risk Lyme disease areas. The question is, do you know where you are most at risk?\u003c/p>\n\u003cp>The answer is in the oak forest where layers of rich leaf litter are a kind of Club Med for ticks.\u003c/p>\n\u003cp>\u003cstrong>It’s Always Tick Season\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Tick season” exists year-round in northern California. The highest risk is in the spring and early summer due to an abundance of juvenile ticks, known as nymphs (the most virulent life-stage). However, peak diagnosis time extends into July, because it can take a few weeks to realize that you have the disease.\u003c/p>\n\u003cp>Summer is also particularly dangerous for Lyme disease because that’s when people spend the most time outside, and many of the most beautiful hiking areas tend to be tick-ridden.\u003c/p>\n\u003cfigure id=\"attachment_1870758\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1870758\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">It’s always tick season in Northern California. Peak season is spring and early summer. \u003ccite>(Bay Area Lyme Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Most people associate Lyme disease with the Northeastern U.S. and the upper Midwest, and for \u003ca href=\"https://www.cdc.gov/lyme/stats/maps.html\">good reason\u003c/a>; the vast majority of cases are reported there, due mostly to the fact that the landscape is blanketed with prime tick habitat. On the west coast, the risk is real, but it’s different.\u003c/p>\n\u003caside class=\"alignright\">\u003cstrong>How to prevent a tick bite in the first place.\u003c/strong>\n\u003cul>\n\u003cli>\u003cstrong>Dress the part\u003c/strong>: Ticks tend to like to climb upwards, so wear full-length pants, tucked into your socks, and a full length shirt, tucked into your pants\u003c/li>\n\u003cli>\u003cstrong>Pesticide options\u003c/strong>: Chemical tick-repellents or acaricides can be very effective at low dosages. Be sure to read manufacturer’s instructions carefully.\u003c/li>\n\u003cli>\u003cstrong>Clean your body and clothes\u003c/strong>: Take a shower once you get home from a hike and throw your clothes in a hot dryer for a 1-hour cycle.\u003c/li>\n\u003cli>\u003cstrong>Check your pets and yourself\u003c/strong>: Perform a thorough tick check when you get home. Ticks can travel into your house on dogs and cats.\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>“There are definitely patches in California where the risk is just as high as the East –it’s just not the same spatial extent,” says Dan Salkeld, research scientist at Colorado State University.\u003c/p>\n\u003cp>The overall abundance of Lyme ticks is relatively low on the West Coast; however, the risk is spread unevenly. Hikers can move from high-risk area to a low-risk area and never know it.\u003c/p>\n\u003cp>In California, “You can be in one valley and rates of Lyme can be as high as in upstate New York, Connecticut or Rhode Island,” says Nate Nieto, a microbiologist at Northern Arizona University in Flagstaff. “Then you go over one ridge, the habitat changes completely –and there’s nothing,”\u003c/p>\n\u003cp>Part of what puts Californians at risk is a lack of awareness — among the public and even among doctors. Much of the research and public health information is based on east coast ecology and may not apply to the West.\u003c/p>\n\u003cp>For many Californian physicians, Lyme disease is just not on the radar, even though according to the \u003ca href=\"http://www.bayarealyme.org/\">Bay Area Lyme Foundation\u003c/a>, Lyme-infected ticks have been located in 42 of California’s 58 counties (highest incidence were in Trinity, Humbolt and Mendocino as of 2014). About 100 cases of Lyme disease are reported in California each year, but according to Supervising Public Health Biologist Kerry Padgett of the state Department of Public Health, the disease is likely more widespread.\u003c/p>\n\u003cp>“There is an under-diagnosis and under-reporting of Lyme disease in California,” says Padgett.\u003c/p>\n\u003cp>\u003cstrong>How Ticks Make Us Sick\u003c/strong>\u003c/p>\n\u003cp>Lyme disease is caused by a microscopic spiral-shaped bacteria called \u003cem>borrelia burgdorferi\u003c/em>. On the west coast, these Lyme disease-causing bacteria live inside the guts of the western blacklegged tick and can travel into the blood streams of bitten animals.Ticks generally live for two or three years. They are born Lyme-free, and will contract or transmit Lyme during feeding, once during each of their three life stages.\u003c/p>\n\u003cfigure id=\"attachment_1870913\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1870913\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-800x572.jpg\" alt=\"\" width=\"800\" height=\"572\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-768x549.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-240x172.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-375x268.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-520x372.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up.jpg 898w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Blue-bellied lizards are our friends. Their blood actually cures infected ticks of Lyme disease. The “grapes” in this lizard’s ear are all feeding ticks. \u003ccite>(Ervic Aquino)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When a Lyme-infected tick bites, it typically takes 36-48 hours for the bacteria to make the journey from the tick’s gut to their mouth and into the blood of their host. The process can take as little as 24 hours.\u003c/p>\n\u003cp>Only 15-20 percent of backlegged ticks contain Lyme disease during their nymph stage, and that number is much lower, 1-2 percent, in adults.\u003c/p>\n\u003cp>\u003cstrong>A Forest Full of Frenemies\u003c/strong>\u003c/p>\n\u003cp>To determine disease risk of a particular place, researchers look to some of the tick’s favorite foods.\u003c/p>\n\u003cp>The most common reservoir of Lyme disease — the species that initially infects ticks — is the western gray squirrel.\u003c/p>\n\u003cp>So avoid gray squirrel habitat and you’re safe? Not so fast.\u003c/p>\n\u003cp>Enter the blue-bellied lizard (also known as the western fence lizard), which is naturally immune to Lyme disease, and has special proteins in its blood that will cleanse infected ticks of the pathogen.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>What to do if you find a tick on you:\u003c/h3>\n\u003cfigure>\n\u003cfigure id=\"attachment_1870759\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1870759 size-medium\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-800x515.jpg\" alt=\"\" width=\"800\" height=\"515\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-800x515.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-160x103.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-768x494.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-1020x656.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-1180x759.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-960x618.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-240x154.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-375x241.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-520x335.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adult (left) and nymph (right) western blacklegged ticks. \u003ccite>(Bay Area Lyme Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003c/figure>\n\u003cp>\u003cstrong>If you find a tick on your body, don’t panic! Remove the tick and keep track of what happens.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Is the tick feeding? That is, is the tick embedded in the skin?\u003c/li>\n\u003cli>If the tick is embedded, slowly and steadily, with even pressure, remove the entire tick by pulling it straight out with a pair of tweezers. Do not jerk or twist the tick. Remove any mouthparts that break off during removal. Then, if possible, save the tick in a jar or plastic bag. DO NOT try to kill the tick with oil or matches while it’s feeding. (If you do, it will release the contents of its gut into you.)\u003c/li>\n\u003cli>Clean the bite area with rubbing alcohol or soap and warm water.\u003c/li>\n\u003cli>How long did it feed? If it’s less than 36 hours, there’s a high probability that you are safe.\u003c/li>\n\u003cli>Pay attention to your symptoms. If in 6-to-12 days, you have any kind of fever, go and see a doctor.\u003c/li>\n\u003cli>A bulls-eye rash around the tick bite is a sure-fire way to know if you’ve contracted Lyme, but this symptom only shows up in 50-70 percent of cases. Other symptoms include headache, fatigue, and skin rash.\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>So, a tick could feed on a squirrel and contract Lyme, which could then be neutralized when it bites a lizard.\u003c/p>\n\u003cp>“If you go into dense black oak woodland, which is prime habitat for ticks and squirrels, we find a higher proportion of infected ticks,” explains Salkeld. “However, if you move into a broken clearing with more light, you’re going to find more lizards, and the prevalence of Lyme goes down.”\u003c/p>\n\u003cp>Lyme disease involves many different species and is ecologically complex, which makes it a notoriously difficult problem to solve for researchers and public health officials.\u003c/p>\n\u003cp>“Medicine has the tendency to want a vaccine or a clear antibiotic silver bullet, and I don’t think the Lyme system gives us that luxury,” says Nieto.\u003c/p>\n\u003cp>“Lyme disease is something that we call, in the science world, a complex system, meaning that there’s a bunch going on here,” he continues. “ there’s a bunch of hosts, there’s a bunch of vectors, and there’s a bunch of pathogens, and that makes things difficult.”\u003c/p>\n\u003cp>\u003cstrong>Mapping a Pathogen\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>California’s diverse landscape and the complex interplay among species makes predicting Lyme tricky. However, the greatest risk posed to Californians might be a lack of awareness. Doctors here are less likely to suspect Lyme when patients come in with characteristic symptoms.\u003c/p>\n\u003cp>“I have talked to physicians who say that they are not aware of Lyme disease in California,” says Salkeld.\u003c/p>\n\u003cp>Organizations, such as the Bay Area Lyme Foundation, along with researchers like Nieto and Salkeld, are working to change the narrative and build the necessary evidence to make doctors aware of the scale of the problem. The foundation has a \u003ca href=\"http://www.bayarealyme.org/blog/bay-area-lyme-foundation-offers-free-tick-testing-nationwide/\">program\u003c/a> offering free tick testing nationwide, which aims to map tick-borne diseases across the country by encouraging concerned citizens to send in samples.\u003c/p>\n\u003cp>“We’re working on gathering real empirical data to show that Lyme is in the ecosystems of the West Coast,” says Nieto, “We’re getting clinical samples, ecological [tick] samples, and wildlife host samples…so we can change the educational paradigm within the medical schools and say, ‘It’s not just the Northeast and upper Midwest’—it’s in California too.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I think Californians should be aware of ticks, and the risks of tick-borne diseases, but the fear of disease should not keep them from enjoying the great outdoors,” adds Padgett. “I really do feel it’s possible to stay tick-safe while recreating and spending time outside.”\u003c/p>\n\n",
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"excerpt": "Some people -- even some doctors -- seem to consider California a Lyme-free zone. It's not, but you can protect yourself.",
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"title": "Know How to Protect Yourself From Lyme Disease on Bay Area Hikes | KQED",
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"headline": "Know How to Protect Yourself From Lyme Disease on Bay Area Hikes",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Northern California has many attractions, but the fact that it’s prime tick habitat isn’t one of them.\u003c/p>\n\u003cp>Adding to the angst surrounding outdoor activities is that tick hotspots are unevenly distributed on a patchy landscape.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Medicine has the tendency to want a vaccine or a clear antibiotic silver bullet, and I don’t think the Lyme system gives us that luxury.’\u003ccite>Nate Nieto, University of Northern Arizona\u003c/cite>\u003c/aside>\n\u003cp>One moment you’re strolling through redwood forests, the next through oak forests, and a couple of hours later you may come across scenic chaparral. While on this iconic hike, you probably don’t realize that you’ve moved through both high- and low-risk Lyme disease areas. The question is, do you know where you are most at risk?\u003c/p>\n\u003cp>The answer is in the oak forest where layers of rich leaf litter are a kind of Club Med for ticks.\u003c/p>\n\u003cp>\u003cstrong>It’s Always Tick Season\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Tick season” exists year-round in northern California. The highest risk is in the spring and early summer due to an abundance of juvenile ticks, known as nymphs (the most virulent life-stage). However, peak diagnosis time extends into July, because it can take a few weeks to realize that you have the disease.\u003c/p>\n\u003cp>Summer is also particularly dangerous for Lyme disease because that’s when people spend the most time outside, and many of the most beautiful hiking areas tend to be tick-ridden.\u003c/p>\n\u003cfigure id=\"attachment_1870758\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1870758\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-on-Leaf_Shutterstock_99641744_-e1500680859219-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">It’s always tick season in Northern California. Peak season is spring and early summer. \u003ccite>(Bay Area Lyme Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Most people associate Lyme disease with the Northeastern U.S. and the upper Midwest, and for \u003ca href=\"https://www.cdc.gov/lyme/stats/maps.html\">good reason\u003c/a>; the vast majority of cases are reported there, due mostly to the fact that the landscape is blanketed with prime tick habitat. On the west coast, the risk is real, but it’s different.\u003c/p>\n\u003caside class=\"alignright\">\u003cstrong>How to prevent a tick bite in the first place.\u003c/strong>\n\u003cul>\n\u003cli>\u003cstrong>Dress the part\u003c/strong>: Ticks tend to like to climb upwards, so wear full-length pants, tucked into your socks, and a full length shirt, tucked into your pants\u003c/li>\n\u003cli>\u003cstrong>Pesticide options\u003c/strong>: Chemical tick-repellents or acaricides can be very effective at low dosages. Be sure to read manufacturer’s instructions carefully.\u003c/li>\n\u003cli>\u003cstrong>Clean your body and clothes\u003c/strong>: Take a shower once you get home from a hike and throw your clothes in a hot dryer for a 1-hour cycle.\u003c/li>\n\u003cli>\u003cstrong>Check your pets and yourself\u003c/strong>: Perform a thorough tick check when you get home. Ticks can travel into your house on dogs and cats.\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>“There are definitely patches in California where the risk is just as high as the East –it’s just not the same spatial extent,” says Dan Salkeld, research scientist at Colorado State University.\u003c/p>\n\u003cp>The overall abundance of Lyme ticks is relatively low on the West Coast; however, the risk is spread unevenly. Hikers can move from high-risk area to a low-risk area and never know it.\u003c/p>\n\u003cp>In California, “You can be in one valley and rates of Lyme can be as high as in upstate New York, Connecticut or Rhode Island,” says Nate Nieto, a microbiologist at Northern Arizona University in Flagstaff. “Then you go over one ridge, the habitat changes completely –and there’s nothing,”\u003c/p>\n\u003cp>Part of what puts Californians at risk is a lack of awareness — among the public and even among doctors. Much of the research and public health information is based on east coast ecology and may not apply to the West.\u003c/p>\n\u003cp>For many Californian physicians, Lyme disease is just not on the radar, even though according to the \u003ca href=\"http://www.bayarealyme.org/\">Bay Area Lyme Foundation\u003c/a>, Lyme-infected ticks have been located in 42 of California’s 58 counties (highest incidence were in Trinity, Humbolt and Mendocino as of 2014). About 100 cases of Lyme disease are reported in California each year, but according to Supervising Public Health Biologist Kerry Padgett of the state Department of Public Health, the disease is likely more widespread.\u003c/p>\n\u003cp>“There is an under-diagnosis and under-reporting of Lyme disease in California,” says Padgett.\u003c/p>\n\u003cp>\u003cstrong>How Ticks Make Us Sick\u003c/strong>\u003c/p>\n\u003cp>Lyme disease is caused by a microscopic spiral-shaped bacteria called \u003cem>borrelia burgdorferi\u003c/em>. On the west coast, these Lyme disease-causing bacteria live inside the guts of the western blacklegged tick and can travel into the blood streams of bitten animals.Ticks generally live for two or three years. They are born Lyme-free, and will contract or transmit Lyme during feeding, once during each of their three life stages.\u003c/p>\n\u003cfigure id=\"attachment_1870913\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-1870913\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-800x572.jpg\" alt=\"\" width=\"800\" height=\"572\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-800x572.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-160x114.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-768x549.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-240x172.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-375x268.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up-520x372.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/lizard-with-ticks-closer-up.jpg 898w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Blue-bellied lizards are our friends. Their blood actually cures infected ticks of Lyme disease. The “grapes” in this lizard’s ear are all feeding ticks. \u003ccite>(Ervic Aquino)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When a Lyme-infected tick bites, it typically takes 36-48 hours for the bacteria to make the journey from the tick’s gut to their mouth and into the blood of their host. The process can take as little as 24 hours.\u003c/p>\n\u003cp>Only 15-20 percent of backlegged ticks contain Lyme disease during their nymph stage, and that number is much lower, 1-2 percent, in adults.\u003c/p>\n\u003cp>\u003cstrong>A Forest Full of Frenemies\u003c/strong>\u003c/p>\n\u003cp>To determine disease risk of a particular place, researchers look to some of the tick’s favorite foods.\u003c/p>\n\u003cp>The most common reservoir of Lyme disease — the species that initially infects ticks — is the western gray squirrel.\u003c/p>\n\u003cp>So avoid gray squirrel habitat and you’re safe? Not so fast.\u003c/p>\n\u003cp>Enter the blue-bellied lizard (also known as the western fence lizard), which is naturally immune to Lyme disease, and has special proteins in its blood that will cleanse infected ticks of the pathogen.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>What to do if you find a tick on you:\u003c/h3>\n\u003cfigure>\n\u003cfigure id=\"attachment_1870759\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-1870759 size-medium\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-800x515.jpg\" alt=\"\" width=\"800\" height=\"515\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-800x515.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-160x103.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-768x494.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-1020x656.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-1180x759.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-960x618.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-240x154.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-375x241.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1-520x335.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/07/Tick-sizes_Nate_larger-1.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adult (left) and nymph (right) western blacklegged ticks. \u003ccite>(Bay Area Lyme Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003c/figure>\n\u003cp>\u003cstrong>If you find a tick on your body, don’t panic! Remove the tick and keep track of what happens.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Is the tick feeding? That is, is the tick embedded in the skin?\u003c/li>\n\u003cli>If the tick is embedded, slowly and steadily, with even pressure, remove the entire tick by pulling it straight out with a pair of tweezers. Do not jerk or twist the tick. Remove any mouthparts that break off during removal. Then, if possible, save the tick in a jar or plastic bag. DO NOT try to kill the tick with oil or matches while it’s feeding. (If you do, it will release the contents of its gut into you.)\u003c/li>\n\u003cli>Clean the bite area with rubbing alcohol or soap and warm water.\u003c/li>\n\u003cli>How long did it feed? If it’s less than 36 hours, there’s a high probability that you are safe.\u003c/li>\n\u003cli>Pay attention to your symptoms. If in 6-to-12 days, you have any kind of fever, go and see a doctor.\u003c/li>\n\u003cli>A bulls-eye rash around the tick bite is a sure-fire way to know if you’ve contracted Lyme, but this symptom only shows up in 50-70 percent of cases. Other symptoms include headache, fatigue, and skin rash.\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>So, a tick could feed on a squirrel and contract Lyme, which could then be neutralized when it bites a lizard.\u003c/p>\n\u003cp>“If you go into dense black oak woodland, which is prime habitat for ticks and squirrels, we find a higher proportion of infected ticks,” explains Salkeld. “However, if you move into a broken clearing with more light, you’re going to find more lizards, and the prevalence of Lyme goes down.”\u003c/p>\n\u003cp>Lyme disease involves many different species and is ecologically complex, which makes it a notoriously difficult problem to solve for researchers and public health officials.\u003c/p>\n\u003cp>“Medicine has the tendency to want a vaccine or a clear antibiotic silver bullet, and I don’t think the Lyme system gives us that luxury,” says Nieto.\u003c/p>\n\u003cp>“Lyme disease is something that we call, in the science world, a complex system, meaning that there’s a bunch going on here,” he continues. “ there’s a bunch of hosts, there’s a bunch of vectors, and there’s a bunch of pathogens, and that makes things difficult.”\u003c/p>\n\u003cp>\u003cstrong>Mapping a Pathogen\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>California’s diverse landscape and the complex interplay among species makes predicting Lyme tricky. However, the greatest risk posed to Californians might be a lack of awareness. Doctors here are less likely to suspect Lyme when patients come in with characteristic symptoms.\u003c/p>\n\u003cp>“I have talked to physicians who say that they are not aware of Lyme disease in California,” says Salkeld.\u003c/p>\n\u003cp>Organizations, such as the Bay Area Lyme Foundation, along with researchers like Nieto and Salkeld, are working to change the narrative and build the necessary evidence to make doctors aware of the scale of the problem. The foundation has a \u003ca href=\"http://www.bayarealyme.org/blog/bay-area-lyme-foundation-offers-free-tick-testing-nationwide/\">program\u003c/a> offering free tick testing nationwide, which aims to map tick-borne diseases across the country by encouraging concerned citizens to send in samples.\u003c/p>\n\u003cp>“We’re working on gathering real empirical data to show that Lyme is in the ecosystems of the West Coast,” says Nieto, “We’re getting clinical samples, ecological [tick] samples, and wildlife host samples…so we can change the educational paradigm within the medical schools and say, ‘It’s not just the Northeast and upper Midwest’—it’s in California too.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "McCain Votes No, Dealing Potential Death Blow to Republican Health Care Efforts",
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"content": "\u003cp>In a moment of unexpected high drama, Republicans were stymied once again in their effort to repeal the Affordable Care Act — and they have John McCain to thank for it.\u003c/p>\n\u003cp>In the early morning hours Friday, the senator showed why he earned the nickname \"Maverick\" over his long tenure.\u003c/p>\n\u003cp>McCain, who was diagnosed with brain cancer and returned to Washington to advance the health care bill, turned around and bucked his party's leadership — and President Trump — by joining two moderate Republicans, two independents and every Democrat in voting against the so-called skinny repeal of the Affordable Care Act, also known as Obamacare.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=DWeayFHsH90\u003c/p>\n\u003cp>McCain's office released a statement from the senator on his reasoning:\u003c/p>\n\u003cblockquote>\u003cp>\"From the beginning, I have believed that Obamacare should be repealed and replaced with a solution that increases competition, lowers costs, and improves care for the American people. The so-called 'skinny repeal' amendment the Senate voted on today would not accomplish those goals. While the amendment would have repealed some of Obamacare's most burdensome regulations, it offered no replacement to actually reform our health care system and deliver affordable, quality health care to our citizens. The Speaker's statement that the House would be 'willing' to go to conference does not ease my concern that this shell of a bill could be taken up and passed at any time.\"\u003c/p>\u003c/blockquote>\n\u003cp>McCain continued, calling on lawmakers to \"return to the correct way of legislating and send the bill back to committee, hold hearings, receive input from both sides of aisle, heed the recommendations of nation's governors, and produce a bill that finally delivers affordable health care for the American people.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Senate voted 51-49 against the legislation aimed at dismantling the Affordable Care Act.\u003c/p>\n\u003cp>\"This is clearly a disappointing moment,\" Republican Senate leader Mitch McConnell of Kentucky said immediately after the bill failed. He added, \"I regret that our efforts simply were not enough this time.\"\u003c/p>\n\u003cp>McConnell, who seemed to exhaust every trick in the procedural playbook to get to this point, seemed surprised and undercut by the result.\u003c/p>\n\u003cp>The defeat ends — for now — the health care debate in Congress. The chamber adjourned following the defeat, and there are no further Senate votes this week. In the short term, the Senate intends to move on to defense legislation and the nomination of Christopher Wray to be the next FBI director.\u003c/p>\n\u003cp>In a written statement from McConnell's office after the vote, he seemed to indicate a GOP-only effort on health care may be dead.\u003c/p>\n\u003cp>\"We look forward to our colleagues on the other side suggesting what they have in mind,\" McConnell said in the statement.\u003c/p>\n\u003cp>Republican senators said there was no consensus and no plan for what comes next on health care. Sen. Ted Cruz, R-Texas, warned of potentially severe political consequences for Republicans for failing to deliver on what has been the GOP's unifying campaign pledge for the previous three elections.\u003c/p>\n\u003cp>\"I sadly feel a great many Americans will feel betrayed,\" Cruz told reporters, \"that they were lied to, and that sentiment will not be unjustified.\"\u003c/p>\n\u003cp>The \"skinny repeal\" was a pared-down version of Republican proposals to undo Obamacare with no plan for what to replace it with. It would have eliminated the individual and employer mandate and key taxes, defunded Planned Parenthood for a year and eliminated key protections of health benefits that were required under Obamacare.\u003c/p>\n\u003cp>The bill was deeply unpopular, but GOP leaders worked to assure members it would never become law. Instead, they wanted the Senate to pass it in order to advance the legislation to a third round of negotiations with the House to try to craft a final bill both chambers could pass.\u003c/p>\n\u003cp>McCain was not moved by these assurances, including a private meeting with House Speaker Paul Ryan on Thursday prior to the Senate vote. After the vote, McCain quickly left the Capitol and declined to comment to reporters.\u003c/p>\n\u003cp>Something seemed afoot before the vote. It was delayed. McCain was seen huddling with Democrats. Vice President Mike Pence, who had come to the Capitol expecting to be the tie-breaking vote, personally — and unsuccessfully — lobbied McCain on the floor to try to win his vote.\u003c/p>\n\u003cp>With McCain's vote apparently gone, Republicans were seen trying to persuade Alaska's Lisa Murkowski to vote for the bill — to no avail. She eventually also voted no (as originally expected) along with Maine's Susan Collins.\u003c/p>\n\u003cp>Some GOP senators worried the measure would go back to the House, where leaders would put it on the floor, pass it and send it to Trump — who has said he would sign whatever lands on his desk when it comes to Republican-passed health care legislation.\u003c/p>\n\u003cp>Before the vote, at 10:43 p.m. ET, Trump was rooting them on in a tweet: \"Go Republican Senators. Go!\"\u003c/p>\n\u003cp>https://twitter.com/realDonaldTrump/status/890764622852173826\u003c/p>\n\u003cp>Afterward, it was a different story, with the president tweeting at 2:25 a.m. ET that those who voted no had \"let the American people down.\"\u003c/p>\n\u003cp>https://twitter.com/realDonaldTrump/status/890820505330212864\u003c/p>\n\u003cp>It's somewhat ironic that McCain was the one to derail what seemed like a sure Trump victory (even if only a short-term one). After all, Trump's comments about the former prisoner of war were among the earliest to land the then-candidate in controversy.\u003c/p>\n\u003cp>\"He's not a war hero,\" Trump said in 2015 of McCain. \"He was a war hero, because he was captured. I like people who weren't captured. He's been losing so long he doesn't know how to win anymore.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That was likely never lost on McCain.\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=McCain+Votes+No%2C+Dealing+Potential+Death+Blow+To+Republican+Health+Care+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "After a week of high drama, another played out in the early hours of Friday with Sen. John McCain joining two moderate Republicans, two independents and every Democrat in voting against the bill.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In a moment of unexpected high drama, Republicans were stymied once again in their effort to repeal the Affordable Care Act — and they have John McCain to thank for it.\u003c/p>\n\u003cp>In the early morning hours Friday, the senator showed why he earned the nickname \"Maverick\" over his long tenure.\u003c/p>\n\u003cp>McCain, who was diagnosed with brain cancer and returned to Washington to advance the health care bill, turned around and bucked his party's leadership — and President Trump — by joining two moderate Republicans, two independents and every Democrat in voting against the so-called skinny repeal of the Affordable Care Act, also known as Obamacare.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/DWeayFHsH90'\n title='//www.youtube.com/embed/DWeayFHsH90'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>McCain's office released a statement from the senator on his reasoning:\u003c/p>\n\u003cblockquote>\u003cp>\"From the beginning, I have believed that Obamacare should be repealed and replaced with a solution that increases competition, lowers costs, and improves care for the American people. The so-called 'skinny repeal' amendment the Senate voted on today would not accomplish those goals. While the amendment would have repealed some of Obamacare's most burdensome regulations, it offered no replacement to actually reform our health care system and deliver affordable, quality health care to our citizens. The Speaker's statement that the House would be 'willing' to go to conference does not ease my concern that this shell of a bill could be taken up and passed at any time.\"\u003c/p>\u003c/blockquote>\n\u003cp>McCain continued, calling on lawmakers to \"return to the correct way of legislating and send the bill back to committee, hold hearings, receive input from both sides of aisle, heed the recommendations of nation's governors, and produce a bill that finally delivers affordable health care for the American people.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Senate voted 51-49 against the legislation aimed at dismantling the Affordable Care Act.\u003c/p>\n\u003cp>\"This is clearly a disappointing moment,\" Republican Senate leader Mitch McConnell of Kentucky said immediately after the bill failed. He added, \"I regret that our efforts simply were not enough this time.\"\u003c/p>\n\u003cp>McConnell, who seemed to exhaust every trick in the procedural playbook to get to this point, seemed surprised and undercut by the result.\u003c/p>\n\u003cp>The defeat ends — for now — the health care debate in Congress. The chamber adjourned following the defeat, and there are no further Senate votes this week. In the short term, the Senate intends to move on to defense legislation and the nomination of Christopher Wray to be the next FBI director.\u003c/p>\n\u003cp>In a written statement from McConnell's office after the vote, he seemed to indicate a GOP-only effort on health care may be dead.\u003c/p>\n\u003cp>\"We look forward to our colleagues on the other side suggesting what they have in mind,\" McConnell said in the statement.\u003c/p>\n\u003cp>Republican senators said there was no consensus and no plan for what comes next on health care. Sen. Ted Cruz, R-Texas, warned of potentially severe political consequences for Republicans for failing to deliver on what has been the GOP's unifying campaign pledge for the previous three elections.\u003c/p>\n\u003cp>\"I sadly feel a great many Americans will feel betrayed,\" Cruz told reporters, \"that they were lied to, and that sentiment will not be unjustified.\"\u003c/p>\n\u003cp>The \"skinny repeal\" was a pared-down version of Republican proposals to undo Obamacare with no plan for what to replace it with. It would have eliminated the individual and employer mandate and key taxes, defunded Planned Parenthood for a year and eliminated key protections of health benefits that were required under Obamacare.\u003c/p>\n\u003cp>The bill was deeply unpopular, but GOP leaders worked to assure members it would never become law. Instead, they wanted the Senate to pass it in order to advance the legislation to a third round of negotiations with the House to try to craft a final bill both chambers could pass.\u003c/p>\n\u003cp>McCain was not moved by these assurances, including a private meeting with House Speaker Paul Ryan on Thursday prior to the Senate vote. After the vote, McCain quickly left the Capitol and declined to comment to reporters.\u003c/p>\n\u003cp>Something seemed afoot before the vote. It was delayed. McCain was seen huddling with Democrats. Vice President Mike Pence, who had come to the Capitol expecting to be the tie-breaking vote, personally — and unsuccessfully — lobbied McCain on the floor to try to win his vote.\u003c/p>\n\u003cp>With McCain's vote apparently gone, Republicans were seen trying to persuade Alaska's Lisa Murkowski to vote for the bill — to no avail. She eventually also voted no (as originally expected) along with Maine's Susan Collins.\u003c/p>\n\u003cp>Some GOP senators worried the measure would go back to the House, where leaders would put it on the floor, pass it and send it to Trump — who has said he would sign whatever lands on his desk when it comes to Republican-passed health care legislation.\u003c/p>\n\u003cp>Before the vote, at 10:43 p.m. ET, Trump was rooting them on in a tweet: \"Go Republican Senators. Go!\"\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Afterward, it was a different story, with the president tweeting at 2:25 a.m. ET that those who voted no had \"let the American people down.\"\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>It's somewhat ironic that McCain was the one to derail what seemed like a sure Trump victory (even if only a short-term one). After all, Trump's comments about the former prisoner of war were among the earliest to land the then-candidate in controversy.\u003c/p>\n\u003cp>\"He's not a war hero,\" Trump said in 2015 of McCain. \"He was a war hero, because he was captured. I like people who weren't captured. He's been losing so long he doesn't know how to win anymore.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That was likely never lost on McCain.\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=McCain+Votes+No%2C+Dealing+Potential+Death+Blow+To+Republican+Health+Care+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "what-skinny-repeal-means-for-california-one-million-fewer-people-covered",
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"content": "\u003cp>Senate Republicans have cast two separate votes this week trying to dismantle the Affordable Care Act. The first bill to be voted down was a “repeal-only” proposal and the second was a plan for replacement.\u003c/p>\n\u003cp>With their options narrowed, Senate Republicans are now trying to remove some key provisions of Obamacare in what’s being called the “skinny repeal.”\u003c/p>\n\u003cp>The language is not yet final, but one version of the repeal bill would remove the requirement for individuals and businesses to buy health insurance. This is a key feature that works to expand risk pools and lower costs. The GOP plan would also get rid of the medical device tax — a revenue source for the current health law.\u003c/p>\n\u003cp>But what does this all mean for California?\u003c/p>\n\u003cp>“The implications for 2018 are stark,” said Peter V. Lee in a statement Thursday. He’s the executive director of Covered California, the state’s health insurance marketplace. About 700,000 fewer Californians would have individual coverage, he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=”jK8MqzTl6jlFnyIrRhm5pDjP5YI9ZqOa”]\u003c/p>\n\u003cp>“Many of those people would drop coverage not because there is no penalty but because the increase in premiums could be as much as 20 percent more due to a less healthy risk mix,” Lee said in the statement.\u003c/p>\n\u003cp>Apart from those coverage losses in the individual market, 300,000 Californians would likely not enroll in Medicaid due to the elimination of the individual mandate, the group said, noting its analysis was consistent with prior \u003ca href=\"http://board.coveredca.com/meetings/2016/5-12/Covered%20CA%20and%20PwC%20Market%20Planning%20and%20Analysis_Board%20Draft.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">estimates\u003c/a> of the elimination of the mandate developed for it by PricewaterhouseCoopers.\u003c/p>\n\u003cp>In short, Covered California said the “skinny repeal” would lead to increases in uncompensated care that would have implications for the entire state.\u003c/p>\n\u003cp>Sen. Dianne Feinstein, citing the group’s findings, said Thursday she was concerned the Republican bill would “take California backward in terms of coverage gains achieved over the last four years.”\u003c/p>\n\u003cp>The Senate is expected to debate the bill through late Thursday, following fast-track budget rules that limit the negotiations to 20 hours. But amendments can still be added.\u003c/p>\n\u003cp>When debate time expires, those amendments are voted on in what Senators call a “vote-a-rama.” This could turn into an all-night session tonight, where the Senate Republican definition of skinny could keep evolving.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California’s 55-member congressional delegation has split along party lines on the health care votes, with all 14 House Republicans supporting GOP legislation to roll back Obamacare and their Democratic counterparts, including the state’s two senators, remaining opposed to such efforts.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Senate Republicans have cast two separate votes this week trying to dismantle the Affordable Care Act. The first bill to be voted down was a “repeal-only” proposal and the second was a plan for replacement.\u003c/p>\n\u003cp>With their options narrowed, Senate Republicans are now trying to remove some key provisions of Obamacare in what’s being called the “skinny repeal.”\u003c/p>\n\u003cp>The language is not yet final, but one version of the repeal bill would remove the requirement for individuals and businesses to buy health insurance. This is a key feature that works to expand risk pools and lower costs. The GOP plan would also get rid of the medical device tax — a revenue source for the current health law.\u003c/p>\n\u003cp>But what does this all mean for California?\u003c/p>\n\u003cp>“The implications for 2018 are stark,” said Peter V. Lee in a statement Thursday. He’s the executive director of Covered California, the state’s health insurance marketplace. About 700,000 fewer Californians would have individual coverage, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>An annual report on Lake Tahoe says the United States’ largest alpine lake is still warming at 14 times the historic average.\u003c/p>\n\u003cp>The finding is in Thursday’s \u003ca href=\"https://www.ucdavis.edu/news/tahoe-state-lake-report-2016-released\" target=\"_blank\" rel=\"noopener noreferrer\">yearly report\u003c/a> by \u003ca href=\"https://www.ucdavis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">UC Davis\u003c/a> on the condition of Lake Tahoe, which straddles the California and Nevada borders.\u003c/p>\n\u003cp>Researchers say the giant lake is still warming by half of a degree Fahrenheit each year, continuing a four-year trend driven by climate change.\u003c/p>\n\u003cp>The yearly report cites other signs of climate change at Lake Tahoe, including a first spring snow melt at the lake that started 19 days earlier in March than it did in 1961.\u003c/p>\n\u003cp>The university researchers say climate change is contributing to the growth of algae in the lake in summer, reducing the lake’s famous clarity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>The head of the Boy Scouts of America apologized Thursday to the organization's members, telling them that the group did not intend to showcase the \"political rhetoric\" in President Trump's speech to the National Jamboree earlier this week.\u003c/p>\n\u003cp>\"I want to extend my sincere apologies to those in our Scouting family who were offended by the political rhetoric that was inserted into the jamboree. That was never our intent,\" Michael Surbaugh, the chief Scout executive for the group, wrote in \u003ca href=\"http://scoutingwire.org/chief-perspective-presidential-visit/\">a statement posted Thursday\u003c/a>.\u003c/p>\n\u003cp>The speech, delivered Monday at a national gathering of Scouts, staff and volunteers in West Virginia, drew fire from critics who felt the president inappropriately brought partisan arguments to a typically nonpartisan setting — despite Trump's early promise to \"put aside all of the policy fights in Washington, D.C.\"\u003c/p>\n\u003cp>In the course of Trump's remarks, the president called on his secretary of health and human services to \"start our path toward killing this horrible thing known as Obamacare that's really hurting us.\"\u003c/p>\n\u003cp>Tom Price \"better get Sen. [Shelley Moore] Capito to vote for it,\" Trump said, referencing the Republican senator from West Virginia. \"He better get the other senators to vote for it. It's time. You know, after seven years of saying 'repeal and replace Obamacare,' we have a chance to now do it. They better do it. Hopefully, they'll do it.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Then he reminisced (in detail) about his Electoral College victory in November.\u003c/p>\n\u003cp>All told, \u003ca href=\"http://www.npr.org/2017/07/25/539241800/trump-s-boy-scouts-speech-and-the-thin-line-between-openness-and-recklessness\">NPR's Domenico Montanaro reports\u003c/a> Trump touched on the latest jobs report, the \"fake media\" and his promises of \"billions and billions and billions\" in increased military spending.\u003c/p>\n\u003cp>But many parents, former Scouts and onlookers \u003ca href=\"http://www.bbc.com/news/world-us-canada-40715185\">raised a chorus of criticism\u003c/a> about the contents of the speech — perhaps nowhere more loudly than in \u003ca href=\"https://www.facebook.com/theboyscoutsofamerica/\">comments on the organization's Facebook page\u003c/a>.\u003c/p>\n\u003cp>\"As a former Scout, as well as a former employee of Philmont Scout Ranch, I am beyond appalled that the Jamboree was turned into a political rally tonight,\" one parent \u003ca href=\"https://www.facebook.com/theboyscoutsofamerica/videos/10154492669421650/?comment_id=10154494241226650&comment_tracking=%7B%22tn%22%3A%22R%22%7D\">noted on Monday\u003c/a>. \"Unless the BSA condemns the President's conduct (which included bullying, name-calling, and swearing) in strong and clear terms, I will know that there is no place for my two sons in scouting.\"\u003c/p>\n\u003cp>On Thursday, Surbaugh said the invitation to Trump was not meant as an endorsement of his — or any politician's — policies.\u003c/p>\n\u003cp>\"The invitation for the sitting U.S. President to visit the National Jamboree is a long-standing tradition that has been extended to the leader of our nation that has had a Jamboree during his term since 1937. It is in no way an endorsement of any person, party or policies,\" he said.\u003c/p>\n\u003cp>\"For years, people have called upon us to take a position on political issues, and we have steadfastly remained non-partisan and refused to comment on political matters. We sincerely regret that politics were inserted into the Scouting program.\"\u003c/p>\n\u003cp>And he called for the Boy Scouts to play a role in political healing.\u003c/p>\n\u003cp>\"In a time when differences seem to separate our country, we hope the true spirit of Scouting will empower our next generation of leaders to bring people together to do good in the world.\"\u003c/p>\n\u003cp>Asked about Surbaugh's statement Thursday, White House press secretary Sarah Huckabee Sanders said she had not seen it — but did note that on Monday, she saw \"probably one of the most energetic crowds I've seen in front of the president.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I was at that event, and I saw nothing but roughly 40,000 to 45,000 Boy Scouts cheering the president on throughout his remarks,\" she said, \"and I think they were pretty excited that he was there and happy to hear him speak to them.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The head of the Boy Scouts of America apologized Thursday to the organization's members, telling them that the group did not intend to showcase the \"political rhetoric\" in President Trump's speech to the National Jamboree earlier this week.\u003c/p>\n\u003cp>\"I want to extend my sincere apologies to those in our Scouting family who were offended by the political rhetoric that was inserted into the jamboree. That was never our intent,\" Michael Surbaugh, the chief Scout executive for the group, wrote in \u003ca href=\"http://scoutingwire.org/chief-perspective-presidential-visit/\">a statement posted Thursday\u003c/a>.\u003c/p>\n\u003cp>The speech, delivered Monday at a national gathering of Scouts, staff and volunteers in West Virginia, drew fire from critics who felt the president inappropriately brought partisan arguments to a typically nonpartisan setting — despite Trump's early promise to \"put aside all of the policy fights in Washington, D.C.\"\u003c/p>\n\u003cp>In the course of Trump's remarks, the president called on his secretary of health and human services to \"start our path toward killing this horrible thing known as Obamacare that's really hurting us.\"\u003c/p>\n\u003cp>Tom Price \"better get Sen. [Shelley Moore] Capito to vote for it,\" Trump said, referencing the Republican senator from West Virginia. \"He better get the other senators to vote for it. It's time. You know, after seven years of saying 'repeal and replace Obamacare,' we have a chance to now do it. They better do it. Hopefully, they'll do it.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Then he reminisced (in detail) about his Electoral College victory in November.\u003c/p>\n\u003cp>All told, \u003ca href=\"http://www.npr.org/2017/07/25/539241800/trump-s-boy-scouts-speech-and-the-thin-line-between-openness-and-recklessness\">NPR's Domenico Montanaro reports\u003c/a> Trump touched on the latest jobs report, the \"fake media\" and his promises of \"billions and billions and billions\" in increased military spending.\u003c/p>\n\u003cp>But many parents, former Scouts and onlookers \u003ca href=\"http://www.bbc.com/news/world-us-canada-40715185\">raised a chorus of criticism\u003c/a> about the contents of the speech — perhaps nowhere more loudly than in \u003ca href=\"https://www.facebook.com/theboyscoutsofamerica/\">comments on the organization's Facebook page\u003c/a>.\u003c/p>\n\u003cp>\"As a former Scout, as well as a former employee of Philmont Scout Ranch, I am beyond appalled that the Jamboree was turned into a political rally tonight,\" one parent \u003ca href=\"https://www.facebook.com/theboyscoutsofamerica/videos/10154492669421650/?comment_id=10154494241226650&comment_tracking=%7B%22tn%22%3A%22R%22%7D\">noted on Monday\u003c/a>. \"Unless the BSA condemns the President's conduct (which included bullying, name-calling, and swearing) in strong and clear terms, I will know that there is no place for my two sons in scouting.\"\u003c/p>\n\u003cp>On Thursday, Surbaugh said the invitation to Trump was not meant as an endorsement of his — or any politician's — policies.\u003c/p>\n\u003cp>\"The invitation for the sitting U.S. President to visit the National Jamboree is a long-standing tradition that has been extended to the leader of our nation that has had a Jamboree during his term since 1937. It is in no way an endorsement of any person, party or policies,\" he said.\u003c/p>\n\u003cp>\"For years, people have called upon us to take a position on political issues, and we have steadfastly remained non-partisan and refused to comment on political matters. We sincerely regret that politics were inserted into the Scouting program.\"\u003c/p>\n\u003cp>And he called for the Boy Scouts to play a role in political healing.\u003c/p>\n\u003cp>\"In a time when differences seem to separate our country, we hope the true spirit of Scouting will empower our next generation of leaders to bring people together to do good in the world.\"\u003c/p>\n\u003cp>Asked about Surbaugh's statement Thursday, White House press secretary Sarah Huckabee Sanders said she had not seen it — but did note that on Monday, she saw \"probably one of the most energetic crowds I've seen in front of the president.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I was at that event, and I saw nothing but roughly 40,000 to 45,000 Boy Scouts cheering the president on throughout his remarks,\" she said, \"and I think they were pretty excited that he was there and happy to hear him speak to them.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "A Tahoe ‘Secret Garden’ Opens After a Century",
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"content": "\u003cp>TRUCKEE — Pink and yellow wildflowers burst from a lush bed of grass hidden from public view for more than a century. Towering trees and snow-capped mountains encircle the wild meadow, beckoning visitors to a largely untouched piece of California's Sierra Nevada.\u003c/p>\n\u003cp>Conservation groups bought the land in Lower Carpenter Valley north of Lake Tahoe and are opening it for tours. It contains rare carnivorous plants and threatened birds, and serves as a migration corridor for other species.\u003c/p>\n\u003cp>Bird songs and the gurgle of a serpentine creek provide the soundtrack in the meadow, less than 8 miles from noisy Interstate 80. The ground suddenly turns spongy underfoot as visitors step onto a deep bog that has formed along parts of the valley floor.\u003c/p>\n\u003cp>\"It literally is a secret garden,\" said Kathy Englar, the \u003ca href=\"http://tdlandtrust.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Truckee Donner Land Trust's\u003c/a> development director.\u003c/p>\n\u003cfigure id=\"attachment_11597127\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597127\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/LowerCarpenter-800x400.jpg\" alt=\"Wildflowers bloom in the Lower Carpenter Valley.\" width=\"800\" height=\"400\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-160x80.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-1020x510.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-960x480.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-240x120.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-375x188.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-520x260.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Wildflowers bloom in the Lower Carpenter Valley. \u003ccite>(Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Lake Tahoe region regularly draws tens of thousands of people to ski, hike and camp, but the piece of land along a creek near Truckee has been kept behind locked gates along a winding dirt road.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The trust and the \u003ca href=\"https://www.nature.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Nature Conservancy\u003c/a>, with other partners, bought more than 2 square miles (5 square kilometers) from the longtime owners for $10.3 million.\u003c/p>\n\u003cp>The partnership bought 600 acres in mid-July, but that area is so sensitive it will initially be open only for guided visits. It includes about two-thirds of the vast meadow. It acquired about half the property last year, 637 acres known as Crabtree Canyon, that is now open to hiking and mountain biking.\u003c/p>\n\u003cp>The partners have a contract to buy a final 80-acre parcel.\u003c/p>\n\u003cp>The sensitive 600-acre site includes \"these incredibly verdant habitat areas with fens, they call them, these seeps and springs,\" said Elliott Wright, senior associate director of philanthropy for the Nature Conservancy.\u003c/p>\n\u003cfigure id=\"attachment_11597143\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597143\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/SunsetLizCarmel-800x534.jpg\" alt=\"Sunset in Lower Carpenter Valley.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sunset in Lower Carpenter Valley. \u003ccite>(Elizabeth Carmel/Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The delicate wetlands are home to rare native sundew, small carnivorous plants that attract insects to sticky residue on their leaves.\u003c/p>\n\u003cp>The North Fork of Prosser Creek is fed by snow and lined by willows and once was home to native Lahontan cutthroat trout, a threatened species that could be reintroduced if no natural population has remains.\u003c/p>\n\u003cp>The willows provide habitat for 40 of the 270 known nesting pairs of willow flycatchers, a small insect-eating bird that was once common in the Sierra Nevada, Wright said.\u003c/p>\n\u003cp>Seasonal caretakers protect the valley's fragile environment and wildlife, while dogs, horses and motorized vehicles are banned.\u003c/p>\n\u003cfigure id=\"attachment_11597163\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597163\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/LowerCarpAerial-800x520.jpg\" alt=\"An aerial view of Lower Carpenter Valley (at right).\" width=\"800\" height=\"520\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-800x520.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-160x104.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-1020x664.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-1180x768.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-960x625.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-240x156.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-375x244.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-520x338.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An aerial view of Lower Carpenter Valley (at right). \u003ccite>(Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The partners expect to allow daily public access by foot or mountain bike in 2019 after building a parking area, restroom, trails and viewpoints \"that will allow visitors to experience the meadow without tromping through it,\" Englar said.\u003c/p>\n\u003cp>The valley was initially settled by dairyman William Carpenter and his wife, Julia. The 600-acre parcel was purchased in the mid-20th century by a group of fishermen, including newspaper publisher James McClatchy, who used it as a private retreat.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Until now, said Englar, \"this was just kind of an area that was undiscovered.\"\u003c/p>\n\n",
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"excerpt": "This wild Sierra Nevada valley with rare carnivorous plants and threatened birds is opening for tours after it was purchased by conservation groups.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>TRUCKEE — Pink and yellow wildflowers burst from a lush bed of grass hidden from public view for more than a century. Towering trees and snow-capped mountains encircle the wild meadow, beckoning visitors to a largely untouched piece of California's Sierra Nevada.\u003c/p>\n\u003cp>Conservation groups bought the land in Lower Carpenter Valley north of Lake Tahoe and are opening it for tours. It contains rare carnivorous plants and threatened birds, and serves as a migration corridor for other species.\u003c/p>\n\u003cp>Bird songs and the gurgle of a serpentine creek provide the soundtrack in the meadow, less than 8 miles from noisy Interstate 80. The ground suddenly turns spongy underfoot as visitors step onto a deep bog that has formed along parts of the valley floor.\u003c/p>\n\u003cp>\"It literally is a secret garden,\" said Kathy Englar, the \u003ca href=\"http://tdlandtrust.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Truckee Donner Land Trust's\u003c/a> development director.\u003c/p>\n\u003cfigure id=\"attachment_11597127\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597127\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/LowerCarpenter-800x400.jpg\" alt=\"Wildflowers bloom in the Lower Carpenter Valley.\" width=\"800\" height=\"400\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-800x400.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-160x80.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-1020x510.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-1180x590.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-960x480.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-240x120.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-375x188.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpenter-520x260.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Wildflowers bloom in the Lower Carpenter Valley. \u003ccite>(Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Lake Tahoe region regularly draws tens of thousands of people to ski, hike and camp, but the piece of land along a creek near Truckee has been kept behind locked gates along a winding dirt road.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The trust and the \u003ca href=\"https://www.nature.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Nature Conservancy\u003c/a>, with other partners, bought more than 2 square miles (5 square kilometers) from the longtime owners for $10.3 million.\u003c/p>\n\u003cp>The partnership bought 600 acres in mid-July, but that area is so sensitive it will initially be open only for guided visits. It includes about two-thirds of the vast meadow. It acquired about half the property last year, 637 acres known as Crabtree Canyon, that is now open to hiking and mountain biking.\u003c/p>\n\u003cp>The partners have a contract to buy a final 80-acre parcel.\u003c/p>\n\u003cp>The sensitive 600-acre site includes \"these incredibly verdant habitat areas with fens, they call them, these seeps and springs,\" said Elliott Wright, senior associate director of philanthropy for the Nature Conservancy.\u003c/p>\n\u003cfigure id=\"attachment_11597143\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597143\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/SunsetLizCarmel-800x534.jpg\" alt=\"Sunset in Lower Carpenter Valley.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SunsetLizCarmel-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sunset in Lower Carpenter Valley. \u003ccite>(Elizabeth Carmel/Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The delicate wetlands are home to rare native sundew, small carnivorous plants that attract insects to sticky residue on their leaves.\u003c/p>\n\u003cp>The North Fork of Prosser Creek is fed by snow and lined by willows and once was home to native Lahontan cutthroat trout, a threatened species that could be reintroduced if no natural population has remains.\u003c/p>\n\u003cp>The willows provide habitat for 40 of the 270 known nesting pairs of willow flycatchers, a small insect-eating bird that was once common in the Sierra Nevada, Wright said.\u003c/p>\n\u003cp>Seasonal caretakers protect the valley's fragile environment and wildlife, while dogs, horses and motorized vehicles are banned.\u003c/p>\n\u003cfigure id=\"attachment_11597163\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11597163\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/LowerCarpAerial-800x520.jpg\" alt=\"An aerial view of Lower Carpenter Valley (at right).\" width=\"800\" height=\"520\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-800x520.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-160x104.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-1020x664.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-1180x768.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-960x625.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-240x156.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-375x244.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/LowerCarpAerial-520x338.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An aerial view of Lower Carpenter Valley (at right). \u003ccite>(Truckee Donner Land Trust)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The partners expect to allow daily public access by foot or mountain bike in 2019 after building a parking area, restroom, trails and viewpoints \"that will allow visitors to experience the meadow without tromping through it,\" Englar said.\u003c/p>\n\u003cp>The valley was initially settled by dairyman William Carpenter and his wife, Julia. The 600-acre parcel was purchased in the mid-20th century by a group of fishermen, including newspaper publisher James McClatchy, who used it as a private retreat.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Until now, said Englar, \"this was just kind of an area that was undiscovered.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Court Could Speed Up Building of Bullet Train",
"title": "California Court Could Speed Up Building of Bullet Train",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>A California Supreme Court decision Thursday could help speed up construction of a $64 billion bullet train between Los Angeles and San Francisco by allowing the project to sidestep a strict environmental law.\u003c/p>\n\u003cp>The court will decide whether state-owned and state-funded rail lines are subject to the California Environmental Quality Act or whether federal law trumps it. The ruling will come in a lawsuit that challenged plans to introduce freight trains on a Northern California rail line.\u003c/p>\n\u003cp>Supporters and critics of the state's proposed high-speed rail system say the decision could apply to the bullet train.\u003c/p>\n\u003cp>The ambitious project has faced numerous lawsuits alleging violations of state environmental law. Those lawsuits could disappear if the California justices rule that federal law supersedes state law for rail projects.\u003c/p>\n\u003cp>The California High-Speed Rail Authority also could be freed from a host of regulatory and procedural requirements that might slow construction of the line. The project would still be subject to the National Environmental Policy Act, but critics say that's not a substitute for the state's stricter environmental protections.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The rail authority's push to avoid those rules may seem ironic for a signature project of Gov. Jerry Brown, who has positioned himself as a leader on environmental issues. But the agency said that, to be successful, it must be subject to the same regulations as other railroads to further its \"ability to achieve the transportation, environmental, and economic benefits the high-speed rail system has to offer.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"Z5foL8ipmu04qd7tnUVWdMRotlf3hlD2\"]\u003c/p>\n\u003cp>The rail authority urged the court to find that federal law trumps the state's environmental law, saying the case had \"potentially important ramifications for the high-speed rail project.\"\u003c/p>\n\u003cp>Central Valley farmers concerned about the bullet train's effect on agricultural land asked the court to reach the opposite conclusion or limit its decision to the lawsuit over the Northern California rail line.\u003c/p>\n\u003cp>\"If the court finds the federal pre-emption of CEQA applies broadly to railroads in California such that the authority will no longer be required to satisfy CEQA's requirements, the authority will be able to evade the environmental and political accountability that California's Legislature (and the voters) intended,\" the Madera and Merced county farm bureaus said in their legal filing, referring to the California Environmental Quality Act.\u003c/p>\n\u003cp>The state Supreme Court ruling could clear up uncertainty following a determination several years ago by a federal agency that it has authority to pre-empt state environmental law.\u003c/p>\n\u003cp>In a decision made public in 2014, the U.S. Surface Transportation Board said lawsuits challenging the high-speed rail line over environmental issues conflict with its authority over railroads.\u003c/p>\n\u003cp>A California appeals court earlier ruled in favor of several municipalities south of San Francisco that challenged the high-speed rail project using the state law.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The California Court of Appeal sided with Atherton, Menlo Park, Palo Alto and a collection of community groups in ruling that federal law does not trump the California environmental law.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California Supreme Court decision Thursday could help speed up construction of a $64 billion bullet train between Los Angeles and San Francisco by allowing the project to sidestep a strict environmental law.\u003c/p>\n\u003cp>The court will decide whether state-owned and state-funded rail lines are subject to the California Environmental Quality Act or whether federal law trumps it. The ruling will come in a lawsuit that challenged plans to introduce freight trains on a Northern California rail line.\u003c/p>\n\u003cp>Supporters and critics of the state's proposed high-speed rail system say the decision could apply to the bullet train.\u003c/p>\n\u003cp>The ambitious project has faced numerous lawsuits alleging violations of state environmental law. Those lawsuits could disappear if the California justices rule that federal law supersedes state law for rail projects.\u003c/p>\n\u003cp>The California High-Speed Rail Authority also could be freed from a host of regulatory and procedural requirements that might slow construction of the line. The project would still be subject to the National Environmental Policy Act, but critics say that's not a substitute for the state's stricter environmental protections.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The rail authority's push to avoid those rules may seem ironic for a signature project of Gov. Jerry Brown, who has positioned himself as a leader on environmental issues. But the agency said that, to be successful, it must be subject to the same regulations as other railroads to further its \"ability to achieve the transportation, environmental, and economic benefits the high-speed rail system has to offer.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The rail authority urged the court to find that federal law trumps the state's environmental law, saying the case had \"potentially important ramifications for the high-speed rail project.\"\u003c/p>\n\u003cp>Central Valley farmers concerned about the bullet train's effect on agricultural land asked the court to reach the opposite conclusion or limit its decision to the lawsuit over the Northern California rail line.\u003c/p>\n\u003cp>\"If the court finds the federal pre-emption of CEQA applies broadly to railroads in California such that the authority will no longer be required to satisfy CEQA's requirements, the authority will be able to evade the environmental and political accountability that California's Legislature (and the voters) intended,\" the Madera and Merced county farm bureaus said in their legal filing, referring to the California Environmental Quality Act.\u003c/p>\n\u003cp>The state Supreme Court ruling could clear up uncertainty following a determination several years ago by a federal agency that it has authority to pre-empt state environmental law.\u003c/p>\n\u003cp>In a decision made public in 2014, the U.S. Surface Transportation Board said lawsuits challenging the high-speed rail line over environmental issues conflict with its authority over railroads.\u003c/p>\n\u003cp>A California appeals court earlier ruled in favor of several municipalities south of San Francisco that challenged the high-speed rail project using the state law.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The California Court of Appeal sided with Atherton, Menlo Park, Palo Alto and a collection of community groups in ruling that federal law does not trump the California environmental law.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>You may check Yelp reviews before deciding where to go to dinner, or which plumber to hire. Now you can use Yelp to decide where to have a baby.\u003c/p>\n\u003cp>The San Francisco-based review site is now adding clinical data on C-sections, episiotomies, and breastfeeding rates to consumer reviews of California hospitals, so women can make more informed decisions about where they deliver.\u003c/p>\n\u003cp>“Just like they’re using that kind of information to buy a car, they should be using it to think about where they’re getting their health care,” says \u003ca href=\"http://www.chcf.org/about/staff/stephanie-teleki\" target=\"_blank\" rel=\"noopener noreferrer\">Stephanie Teleki\u003c/a>, director of evaluation and impact at the California Health Care Foundation.\u003c/p>\n\u003cp>A woman’s chance of having a C-section depends, in part, on where she delivers, Teleki explains. The more C-sections a hospital does, the more likely a woman delivering there will have one.\u003c/p>\n\u003cp>That’s why the Foundation is partnering with Yelp to publish C-section rates for every hospital in the state – nearly 250 total.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[audio src=\"http://www.kqed.org/.stream/anon/radio/tcr/2017/07/2017-07-27d-tcr.mp3\" Image=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/08/RS19268_IMG_6407-qut-768x576.jpg\" Title=\"Yelp Adds C-Section Rates and Childbirth Data to Reviews of California Hospitals\" program=\"The California Report\"]\u003c/p>\n\u003cp>Shannon Eis, vice president of communications at Yelp, says this would have been helpful information to have when she gave birth to her son in New York. It was her second baby, everything felt normal, when all of a sudden alarms started going off and she was rushed into an emergency C-section.\u003c/p>\n\u003cp>“I had never considered myself a C-section risk,” she says. “I later found out I gave birth at a hospital that has the highest emergency C-section rate in all of New York City.”\u003c/p>\n\u003cp>Eis says putting this data on Yelp will help women choose a hospital that is aligned with their birth plan, so they won’t have to negotiate with doctors and make tough choices while they’re in labor.\u003c/p>\n\u003cp>“All these decisions are washing over you so fast, and so if you haven’t done the research to put yourself in the right environment, where whatever your decisions are can be honored without the tremendous pressure and fear – women are trying to do more planning around that,” she says.\u003c/p>\n\u003cp>The reaction from the state’s hospital industry group was low-key.\u003c/p>\n\u003cp>“We have always supported transparency – this effort simply takes it more directly to consumers,” says Jan Emerson-Shea, from the California Hospital Association. “We’ll have to see how it works.”\u003c/p>\n\u003cp>When the data first went public on government and foundation websites a few years ago, hospitals generally responded by trying to improve care for women, Teleki says. But she’s curious to see how hospitals will respond when those statistics are put right in front of consumers, through the online megaphone of Yelp.\u003c/p>\n\u003cp>“For hospitals that are doing well, that’s a good thing,” she says. “For hospitals that need to improve, I’m sure they will feel some heat and perhaps be discouraged about the release.”\u003c/p>\n\u003cp>California is the first state where Yelp is rolling out this data. With one in eight babies born in the US born here, Eis says it’s the perfect place to test the product before rolling it out to other states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If the state of California can do this with the biggest data set in the country, the biggest birthrate in the country, any other state can do it,” she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>You may check Yelp reviews before deciding where to go to dinner, or which plumber to hire. Now you can use Yelp to decide where to have a baby.\u003c/p>\n\u003cp>The San Francisco-based review site is now adding clinical data on C-sections, episiotomies, and breastfeeding rates to consumer reviews of California hospitals, so women can make more informed decisions about where they deliver.\u003c/p>\n\u003cp>“Just like they’re using that kind of information to buy a car, they should be using it to think about where they’re getting their health care,” says \u003ca href=\"http://www.chcf.org/about/staff/stephanie-teleki\" target=\"_blank\" rel=\"noopener noreferrer\">Stephanie Teleki\u003c/a>, director of evaluation and impact at the California Health Care Foundation.\u003c/p>\n\u003cp>A woman’s chance of having a C-section depends, in part, on where she delivers, Teleki explains. The more C-sections a hospital does, the more likely a woman delivering there will have one.\u003c/p>\n\u003cp>That’s why the Foundation is partnering with Yelp to publish C-section rates for every hospital in the state – nearly 250 total.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shannon Eis, vice president of communications at Yelp, says this would have been helpful information to have when she gave birth to her son in New York. It was her second baby, everything felt normal, when all of a sudden alarms started going off and she was rushed into an emergency C-section.\u003c/p>\n\u003cp>“I had never considered myself a C-section risk,” she says. “I later found out I gave birth at a hospital that has the highest emergency C-section rate in all of New York City.”\u003c/p>\n\u003cp>Eis says putting this data on Yelp will help women choose a hospital that is aligned with their birth plan, so they won’t have to negotiate with doctors and make tough choices while they’re in labor.\u003c/p>\n\u003cp>“All these decisions are washing over you so fast, and so if you haven’t done the research to put yourself in the right environment, where whatever your decisions are can be honored without the tremendous pressure and fear – women are trying to do more planning around that,” she says.\u003c/p>\n\u003cp>The reaction from the state’s hospital industry group was low-key.\u003c/p>\n\u003cp>“We have always supported transparency – this effort simply takes it more directly to consumers,” says Jan Emerson-Shea, from the California Hospital Association. “We’ll have to see how it works.”\u003c/p>\n\u003cp>When the data first went public on government and foundation websites a few years ago, hospitals generally responded by trying to improve care for women, Teleki says. But she’s curious to see how hospitals will respond when those statistics are put right in front of consumers, through the online megaphone of Yelp.\u003c/p>\n\u003cp>“For hospitals that are doing well, that’s a good thing,” she says. “For hospitals that need to improve, I’m sure they will feel some heat and perhaps be discouraged about the release.”\u003c/p>\n\u003cp>California is the first state where Yelp is rolling out this data. With one in eight babies born in the US born here, Eis says it’s the perfect place to test the product before rolling it out to other states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If the state of California can do this with the biggest data set in the country, the biggest birthrate in the country, any other state can do it,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "States Have Already Tried Versions of 'Skinny Repeal.' It Didn't Go Well",
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"content": "\u003cp>Betting that thin is in — and might be the only way forward — Senate Republicans are eyeing a \"skinny repeal\" that would roll back an unpopular portion of the federal health law. But health policy analysts warn that the idea has been tried before, and with little success.\u003c/p>\n\u003cp>Senators are reportedly considering a narrow bill that would eliminate the Affordable Care Act's \"individual mandate,\" which assesses a tax on Americans who don't have insurance. The bill would also eliminate the ACA's penalties for some businesses -- those that have 50 or more workers and fail to offer their employees health coverage.\u003c/p>\n\u003cp>Details aren't clear, but it appears that — at least initially — much of the rest of the 2010 health law would remain, under this strategy, including the rule that says insurers must cover people who have pre-existing medical problems.\u003c/p>\n\u003cp>[contextly_sidebar id=\"3xCHRB83RCegO5eCE9I9b7XUGYrDBx2J\"]\u003c/p>\n\u003cp>In remarks on the Senate floor Wednesday, Sen. Minority Leader Charles Schumer, D-N.Y., said that \"we just heard from the nonpartisan Congressional Budget Office that under such a plan ... 16 million Americans would lose their health insurance, and millions more would pay a 20 percent increase in their premiums.\" The CBO \u003ca href=\"https://www.cbo.gov/publication/52977\" target=\"_blank\" rel=\"noopener noreferrer\">posted its evaluation\u003c/a> of the GOP's proposed plan Wednesday evening.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Earlier in the day, some Republicans seemed determined to find some way to keep the health care debate alive.\u003c/p>\n\u003cp>\"We need an outcome, and if a so-called skinny repeal is the first step, that's a good first step,\" said Sen. Thom Tillis, R-N.C.\u003c/p>\n\u003cp>Several Republican senators, including Dean Heller of Nevada and Jeff Flake of Arizona, appear to back this approach, according to \u003ca href=\"http://www.politico.com/story/2017/07/26/obamacare-repeal-republicans-minimum-240982\" target=\"_blank\" rel=\"noopener noreferrer\">published reports\u003c/a>. It is, at least for now, being viewed as a step along the way to Republican health reform.\u003c/p>\n\u003cp>\"I think that most people would understand that what you're really voting on is trying to keep the conversation alive,\" said Sen. Bob Corker, R-Tenn. \"It's not the policy itself ... it's about trying to create a bigger discussion about repeal between the House and Senate.\"\u003c/p>\n\u003cp>But what if, during these strange legislative times, the skinny repeal were to be passed by the Senate and then go on to become law? States' experiences with insurance market reforms and rollbacks highlight the possible trouble spots.\u003c/p>\n\u003ch3>Considering the Parallels\u003c/h3>\n\u003cp>By the late 1990s, states such as Washington, Kentucky and Massachusetts felt a backlash when some of the coverage requirement rules they'd previously put on the individual market were lifted. \"Things went badly,\" said \u003ca href=\"http://law.wfu.edu/faculty/profile/hallma/\" target=\"_blank\" rel=\"noopener noreferrer\">Mark Hall\u003c/a>, director of the health law and policy program at Wake Forest University.\u003c/p>\n\u003cp>Premiums rose and insurers fled these states, leaving consumers who buy their own coverage (usually because they don't get it through their jobs) with fewer choices and higher prices.\u003c/p>\n\u003cp>That's because — like the Senate plan — the states generally kept popular parts of their laws, including protections for people with pre-existing conditions. At the same time, they didn't include mandates that consumers carry coverage.\u003c/p>\n\u003cp>[contextly_sidebar id=\"uvPSgszQseNfQlpVIo48aD8k0r8xaCVy\"]\u003c/p>\n\u003cp>That goes to a basic concept about any kind of insurance: People who don't file claims in any given year subsidize those who do. Also, those healthy people are less likely to sign up, insurers said, and that leaves insurance companies with only the more costly policyholders.\u003c/p>\n\u003cp>Bottom line: Insurers end up \"less willing to participate in the market,\" said Hall.\u003c/p>\n\u003cp>It's not an exact comparison, though, he added, because the current federal health law offers something most states did not: significant subsidies to help some people buy coverage. Those subsidies could blunt the effect of not having a mandate.\u003c/p>\n\u003cp>During the debate that led to passage of the federal ACA, insurers flat-out said the plan would fail without an individual mandate. On Wednesday, the Blue Cross Blue Shield Association weighed in again, saying that if there is no longer a coverage requirement, there should be \"strong incentives for people to obtain health insurance and keep it year-round.\"\u003c/p>\n\u003ch3>Individual Mandate Is Still Unpopular in Voter Polls\u003c/h3>\n\u003cp>About 6.5 million Americans \u003ca href=\"http://www.cnbc.com/2017/01/11/fewer-people-paid-obamacare-tax-penalties-as-more-got-obamacare-aid.html\" target=\"_blank\" rel=\"noopener noreferrer\">reported\u003c/a> owing penalties for not having coverage in 2015.\u003c/p>\n\u003cp>Polls consistently show, though, that the individual mandate is unpopular with the public. Indeed, when asked about nine provisions in the ACA, registered voters in a recent Politico/Morning Consult \u003ca href=\"http://www.cnbc.com/2017/02/22/obamacare-getting-more-popular-with-voters-in-trumps-presidency-poll.html\">poll\u003c/a> said they want the Senate to keep eight, rejecting only the individual mandate.\u003c/p>\n\u003cp>Even though the mandate's penalty is often criticized as not strong enough, removing it would still affect the individual market.\u003c/p>\n\u003cp>\"Insurers would react conservatively and increase rates substantially to cover their risk,\" said insurance industry consultant \u003ca href=\"http://www.healthpol.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Robert Laszewski\u003c/a>.\u003c/p>\n\u003cp>That's what happened after Washington state lawmakers rolled back rules in 1995 legislation. Insurers requested significant rate increases, which were then rejected by the state's insurance commissioner. By 1998, the state's largest insurer — Premera Blue Cross — said it was losing so much money that it would stop selling new individual policies, \"precipitating a sense of crisis,\" according to a study \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/10804476\" target=\"_blank\" rel=\"noopener noreferrer\">published\u003c/a> in 2000 in the \u003cem>Journal of Health Politics, Policy and Law\u003c/em>.\u003c/p>\n\u003cp>\"When one pulled out, the others followed,\" said current Washington Insurance Commissioner \u003ca href=\"https://www.insurance.wa.gov/about-mike-kreidler\" target=\"_blank\" rel=\"noopener noreferrer\">Mike Kreidler\u003c/a>, who was then a regional director in the federal department of Health and Human Services.\u003c/p>\n\u003cp>The state's individual market was volatile and difficult for years after. Insurers did come back, but won a concession: For a time, the insurance commissioner lost the power to reject rate increases. Kreidler, first elected in 2000, reclaimed that authority.\u003c/p>\n\u003cp>Predicting the effect of removing the individual mandate is difficult, although Kreidler said he expects the impact would be modest, at least initially. Subsidies that help people purchase insurance coverage — if they remain as they are under current law — could help blunt the impact. But if those subsidies are reduced — or other changes are made that further drive healthy people out of the market — the impact could be greater.\u003c/p>\n\u003cp>\"Few markets can go bad on you as fast as a health insurance market,\" said Kreidler.\u003c/p>\n\u003cp>As for employers, dropping the requirement that those with 50 or more workers must offer health insurance or face a financial penalty could mean some workers would lose coverage. But their jobs might be more secure, said \u003ca href=\"http://www.aei.org/scholar/joseph-antos/\" target=\"_blank\" rel=\"noopener noreferrer\">Joseph Antos\u003c/a>, a health care economist and resident scholar at the American Enterprise Institute.\u003c/p>\n\u003cp>That's because the requirement under the ACA meant that some smaller firms didn't hire people or give workers more than 30 hours a week — the minimum needed under the ACA to be considered a full-time worker who qualified for health insurance.\u003c/p>\n\u003cp>The individual mandate, he added, may not be as much of a factor in getting people to enroll in coverage as some think, because the Trump administration has indicated it might not enforce it anyway — and the penalty amount is far less than most people would have to pay for health insurance.\u003c/p>\n\u003cp>However, the individual market could be roiled by other factors, Antos said.\u003c/p>\n\u003cp>\"The real impact would come if feds stopped promoting enrollment and did other things to make the exchanges the state and federal markets through which insurance is offered] work more poorly.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit health newsroom, an editorially independent part of the Kaiser Family Foundation. You can follow KHN senior correspondent Julie Appleby on Twitter \u003c/em>\u003ca href=\"http://twitter.com/Julie_Appleby\">\u003cem>\u003cstrong>@Julie_Appleby\u003c/strong>\u003c/em>\u003c/a>\u003cem> Congressional reporter \u003c/em>\u003ca href=\"https://twitter.com/RachelHBluth\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Rachel Bluth\u003c/em>\u003c/a>\u003cem> also contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kaiser Health News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=States+Have+Already+Tried+Versions+Of+%27Skinny+Repeal.%27+It+Didn%27t+Go+Well&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Betting that thin is in — and might be the only way forward — Senate Republicans are eyeing a \"skinny repeal\" that would roll back an unpopular portion of the federal health law. But health policy analysts warn that the idea has been tried before, and with little success.\u003c/p>\n\u003cp>Senators are reportedly considering a narrow bill that would eliminate the Affordable Care Act's \"individual mandate,\" which assesses a tax on Americans who don't have insurance. The bill would also eliminate the ACA's penalties for some businesses -- those that have 50 or more workers and fail to offer their employees health coverage.\u003c/p>\n\u003cp>Details aren't clear, but it appears that — at least initially — much of the rest of the 2010 health law would remain, under this strategy, including the rule that says insurers must cover people who have pre-existing medical problems.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In remarks on the Senate floor Wednesday, Sen. Minority Leader Charles Schumer, D-N.Y., said that \"we just heard from the nonpartisan Congressional Budget Office that under such a plan ... 16 million Americans would lose their health insurance, and millions more would pay a 20 percent increase in their premiums.\" The CBO \u003ca href=\"https://www.cbo.gov/publication/52977\" target=\"_blank\" rel=\"noopener noreferrer\">posted its evaluation\u003c/a> of the GOP's proposed plan Wednesday evening.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Earlier in the day, some Republicans seemed determined to find some way to keep the health care debate alive.\u003c/p>\n\u003cp>\"We need an outcome, and if a so-called skinny repeal is the first step, that's a good first step,\" said Sen. Thom Tillis, R-N.C.\u003c/p>\n\u003cp>Several Republican senators, including Dean Heller of Nevada and Jeff Flake of Arizona, appear to back this approach, according to \u003ca href=\"http://www.politico.com/story/2017/07/26/obamacare-repeal-republicans-minimum-240982\" target=\"_blank\" rel=\"noopener noreferrer\">published reports\u003c/a>. It is, at least for now, being viewed as a step along the way to Republican health reform.\u003c/p>\n\u003cp>\"I think that most people would understand that what you're really voting on is trying to keep the conversation alive,\" said Sen. Bob Corker, R-Tenn. \"It's not the policy itself ... it's about trying to create a bigger discussion about repeal between the House and Senate.\"\u003c/p>\n\u003cp>But what if, during these strange legislative times, the skinny repeal were to be passed by the Senate and then go on to become law? States' experiences with insurance market reforms and rollbacks highlight the possible trouble spots.\u003c/p>\n\u003ch3>Considering the Parallels\u003c/h3>\n\u003cp>By the late 1990s, states such as Washington, Kentucky and Massachusetts felt a backlash when some of the coverage requirement rules they'd previously put on the individual market were lifted. \"Things went badly,\" said \u003ca href=\"http://law.wfu.edu/faculty/profile/hallma/\" target=\"_blank\" rel=\"noopener noreferrer\">Mark Hall\u003c/a>, director of the health law and policy program at Wake Forest University.\u003c/p>\n\u003cp>Premiums rose and insurers fled these states, leaving consumers who buy their own coverage (usually because they don't get it through their jobs) with fewer choices and higher prices.\u003c/p>\n\u003cp>That's because — like the Senate plan — the states generally kept popular parts of their laws, including protections for people with pre-existing conditions. At the same time, they didn't include mandates that consumers carry coverage.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>That goes to a basic concept about any kind of insurance: People who don't file claims in any given year subsidize those who do. Also, those healthy people are less likely to sign up, insurers said, and that leaves insurance companies with only the more costly policyholders.\u003c/p>\n\u003cp>Bottom line: Insurers end up \"less willing to participate in the market,\" said Hall.\u003c/p>\n\u003cp>It's not an exact comparison, though, he added, because the current federal health law offers something most states did not: significant subsidies to help some people buy coverage. Those subsidies could blunt the effect of not having a mandate.\u003c/p>\n\u003cp>During the debate that led to passage of the federal ACA, insurers flat-out said the plan would fail without an individual mandate. On Wednesday, the Blue Cross Blue Shield Association weighed in again, saying that if there is no longer a coverage requirement, there should be \"strong incentives for people to obtain health insurance and keep it year-round.\"\u003c/p>\n\u003ch3>Individual Mandate Is Still Unpopular in Voter Polls\u003c/h3>\n\u003cp>About 6.5 million Americans \u003ca href=\"http://www.cnbc.com/2017/01/11/fewer-people-paid-obamacare-tax-penalties-as-more-got-obamacare-aid.html\" target=\"_blank\" rel=\"noopener noreferrer\">reported\u003c/a> owing penalties for not having coverage in 2015.\u003c/p>\n\u003cp>Polls consistently show, though, that the individual mandate is unpopular with the public. Indeed, when asked about nine provisions in the ACA, registered voters in a recent Politico/Morning Consult \u003ca href=\"http://www.cnbc.com/2017/02/22/obamacare-getting-more-popular-with-voters-in-trumps-presidency-poll.html\">poll\u003c/a> said they want the Senate to keep eight, rejecting only the individual mandate.\u003c/p>\n\u003cp>Even though the mandate's penalty is often criticized as not strong enough, removing it would still affect the individual market.\u003c/p>\n\u003cp>\"Insurers would react conservatively and increase rates substantially to cover their risk,\" said insurance industry consultant \u003ca href=\"http://www.healthpol.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Robert Laszewski\u003c/a>.\u003c/p>\n\u003cp>That's what happened after Washington state lawmakers rolled back rules in 1995 legislation. Insurers requested significant rate increases, which were then rejected by the state's insurance commissioner. By 1998, the state's largest insurer — Premera Blue Cross — said it was losing so much money that it would stop selling new individual policies, \"precipitating a sense of crisis,\" according to a study \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/10804476\" target=\"_blank\" rel=\"noopener noreferrer\">published\u003c/a> in 2000 in the \u003cem>Journal of Health Politics, Policy and Law\u003c/em>.\u003c/p>\n\u003cp>\"When one pulled out, the others followed,\" said current Washington Insurance Commissioner \u003ca href=\"https://www.insurance.wa.gov/about-mike-kreidler\" target=\"_blank\" rel=\"noopener noreferrer\">Mike Kreidler\u003c/a>, who was then a regional director in the federal department of Health and Human Services.\u003c/p>\n\u003cp>The state's individual market was volatile and difficult for years after. Insurers did come back, but won a concession: For a time, the insurance commissioner lost the power to reject rate increases. Kreidler, first elected in 2000, reclaimed that authority.\u003c/p>\n\u003cp>Predicting the effect of removing the individual mandate is difficult, although Kreidler said he expects the impact would be modest, at least initially. Subsidies that help people purchase insurance coverage — if they remain as they are under current law — could help blunt the impact. But if those subsidies are reduced — or other changes are made that further drive healthy people out of the market — the impact could be greater.\u003c/p>\n\u003cp>\"Few markets can go bad on you as fast as a health insurance market,\" said Kreidler.\u003c/p>\n\u003cp>As for employers, dropping the requirement that those with 50 or more workers must offer health insurance or face a financial penalty could mean some workers would lose coverage. But their jobs might be more secure, said \u003ca href=\"http://www.aei.org/scholar/joseph-antos/\" target=\"_blank\" rel=\"noopener noreferrer\">Joseph Antos\u003c/a>, a health care economist and resident scholar at the American Enterprise Institute.\u003c/p>\n\u003cp>That's because the requirement under the ACA meant that some smaller firms didn't hire people or give workers more than 30 hours a week — the minimum needed under the ACA to be considered a full-time worker who qualified for health insurance.\u003c/p>\n\u003cp>The individual mandate, he added, may not be as much of a factor in getting people to enroll in coverage as some think, because the Trump administration has indicated it might not enforce it anyway — and the penalty amount is far less than most people would have to pay for health insurance.\u003c/p>\n\u003cp>However, the individual market could be roiled by other factors, Antos said.\u003c/p>\n\u003cp>\"The real impact would come if feds stopped promoting enrollment and did other things to make the exchanges the state and federal markets through which insurance is offered] work more poorly.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit health newsroom, an editorially independent part of the Kaiser Family Foundation. You can follow KHN senior correspondent Julie Appleby on Twitter \u003c/em>\u003ca href=\"http://twitter.com/Julie_Appleby\">\u003cem>\u003cstrong>@Julie_Appleby\u003c/strong>\u003c/em>\u003c/a>\u003cem> Congressional reporter \u003c/em>\u003ca href=\"https://twitter.com/RachelHBluth\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Rachel Bluth\u003c/em>\u003c/a>\u003cem> also contributed to this report. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kaiser Health News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=States+Have+Already+Tried+Versions+Of+%27Skinny+Repeal.%27+It+Didn%27t+Go+Well&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>WASHINGTON — The U.S. military will continue to permit transgender individuals to serve openly until Defense Secretary Jim Mattis has received President Trump’s “direction” to change the policy and has figured out how to implement it, America’s top military officer said Thursday.\u003c/p>\n\u003cp>In a memo to all military service chiefs, commanders and enlisted military leaders, Gen. Joseph Dunford, chairman of the Joint Chiefs of Staff, said “there will be no modifications” to current policy for now, amid questions about Trump’s announcement on Twitter that the U.S. government will not “accept or allow” transgender people to serve in any capacity in the military.\u003c/p>\n\u003cp>“I know there are questions about yesterday’s announcement,” Dunford began, adding that nothing would change until the president’s direction has been received by Mattis and Mattis has issued “implementation guidance.”\u003c/p>\n\u003cp>“In the meantime, we will continue to treat all of our personnel with respect,” Dunford wrote. “As importantly, given the current fight and the challenges we face, we will all remain focused on accomplishing our assigned missions.”\u003c/p>\n\u003cp>The Dunford statement suggests that Mattis was given no presidential direction on changing the transgender policy. Mattis has been on vacation this week and has been publicly silent amid questions about Trump’s announced ban. His spokesmen declined to comment Thursday. On Wednesday they said the Pentagon would work with the White House and provide revised guidance to the military “in the near future.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dunford was not aware that Trump was going to announce the ban, a U.S. official said. The official was not authorized to discuss the matter and so spoke on condition of anonymity.\u003c/p>\n\u003cp>[contextly_sidebar id=”WxSIzZsaiom7er9ALGjsj4BuGPUUzLY6″]\u003c/p>\n\u003cp>Trump’s announcement caught the Pentagon flat-footed and unable to explain what it called Trump’s “guidance.”\u003c/p>\n\u003cp>“Please be advised that the United States Government will not accept or allow Transgender individuals to serve in any capacity in the U.S. Military,” the commander in chief tweeted.\u003c/p>\n\u003cp>Trump wrote that he had consulted with “my generals and military experts,” but he did not mention Mattis, the retired Marine general who recently told the service chiefs to spend another six months weighing the costs and benefits of allowing transgender individuals to enlist. At the time, Mattis said this “does not presuppose the outcome of the review,” but Trump’s tweets appeared to have done just that.\u003c/p>\n\u003cp>The Pentagon has not released data on the number of transgender people currently serving. A Rand Corp. study has estimated the number at between 1,320 and 6,630 out of 1.3 million active-duty troops.\u003c/p>\n\u003cp>Criticism for Trump’s action was immediate and strong from both political parties.\u003c/p>\n\u003cp>John McCain, the Arizona Republican and Vietnam War hero, said Trump was simply wrong.\u003c/p>\n\u003cp>“Any American who meets current medical and readiness standards should be allowed to continue serving,” he said. “There is no reason to force service members who are able to fight, train and deploy to leave the military — regardless of their gender identity.”\u003c/p>\n\u003cp>Not everyone at the Capitol agreed.\u003c/p>\n\u003cp>Rep. Duncan Hunter, a California member of the House Armed Services Committee, said: “It’s about time that a decision is made to restore the warrior culture and allow the U.S. military to get back to business.”\u003c/p>\n\u003cp>Transgender people already in uniform were concerned about what comes next.\u003c/p>\n\u003cp>“Everybody is hurt, everybody is scared,” said Rudy Akbarian, 26, who is in the military but did not want to identify his branch.\u003c/p>\n\u003cp>Trump’s sudden declaration appears to halt a decades-long trend toward more inclusive policies on military service, including the repeal in 2010 of a ban on gays serving openly. President Bill Clinton in 1993 began the push to allow gays to serve. In December 2015, President Barack Obama’s Pentagon chief, Ash Carter, announced that all military positions would be open to women. Liberalizing policy on transgender troops was the next step.\u003c/p>\n\u003cp>Just last week, when asked about the transgender issue at a Senate hearing, Gen. Paul Selva, vice chairman of the Joint Chiefs of Staff, said, “I am an advocate of every qualified person who can meet the physical standards to serve in our uniformed services to be able to do so.”\u003c/p>\n\u003cp>Transgender service members have been able to serve openly since 2016, when Carter ended the ban. Since Oct. 1, transgender troops could receive medical care and start changing their gender identifications in the Pentagon’s personnel system.\u003c/p>\n\u003cp>Carter also gave the services until July 1 to develop policies to allow people already identifying as transgender to join the military if they meet normal standards and have been stable in their identified genders for 18 months.\u003c/p>\n\u003cp>On June 30, Mattis extended the July 1 deadline to next Jan. 1, saying the services should study the impact on the “readiness and lethality of our forces.”\u003c/p>\n\u003cp>White House press secretary Sarah Huckabee Sanders said Trump had made “a military decision.” She said it was his judgment that allowing transgender service “erodes military readiness and unit cohesion.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sanders said the “president’s national security team was part of this consultation” and that Trump “informed” Mattis of his decision immediately after he made it on Tuesday.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>WASHINGTON — The U.S. military will continue to permit transgender individuals to serve openly until Defense Secretary Jim Mattis has received President Trump’s “direction” to change the policy and has figured out how to implement it, America’s top military officer said Thursday.\u003c/p>\n\u003cp>In a memo to all military service chiefs, commanders and enlisted military leaders, Gen. Joseph Dunford, chairman of the Joint Chiefs of Staff, said “there will be no modifications” to current policy for now, amid questions about Trump’s announcement on Twitter that the U.S. government will not “accept or allow” transgender people to serve in any capacity in the military.\u003c/p>\n\u003cp>“I know there are questions about yesterday’s announcement,” Dunford began, adding that nothing would change until the president’s direction has been received by Mattis and Mattis has issued “implementation guidance.”\u003c/p>\n\u003cp>“In the meantime, we will continue to treat all of our personnel with respect,” Dunford wrote. “As importantly, given the current fight and the challenges we face, we will all remain focused on accomplishing our assigned missions.”\u003c/p>\n\u003cp>The Dunford statement suggests that Mattis was given no presidential direction on changing the transgender policy. Mattis has been on vacation this week and has been publicly silent amid questions about Trump’s announced ban. His spokesmen declined to comment Thursday. On Wednesday they said the Pentagon would work with the White House and provide revised guidance to the military “in the near future.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dunford was not aware that Trump was going to announce the ban, a U.S. official said. The official was not authorized to discuss the matter and so spoke on condition of anonymity.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Trump’s announcement caught the Pentagon flat-footed and unable to explain what it called Trump’s “guidance.”\u003c/p>\n\u003cp>“Please be advised that the United States Government will not accept or allow Transgender individuals to serve in any capacity in the U.S. Military,” the commander in chief tweeted.\u003c/p>\n\u003cp>Trump wrote that he had consulted with “my generals and military experts,” but he did not mention Mattis, the retired Marine general who recently told the service chiefs to spend another six months weighing the costs and benefits of allowing transgender individuals to enlist. At the time, Mattis said this “does not presuppose the outcome of the review,” but Trump’s tweets appeared to have done just that.\u003c/p>\n\u003cp>The Pentagon has not released data on the number of transgender people currently serving. A Rand Corp. study has estimated the number at between 1,320 and 6,630 out of 1.3 million active-duty troops.\u003c/p>\n\u003cp>Criticism for Trump’s action was immediate and strong from both political parties.\u003c/p>\n\u003cp>John McCain, the Arizona Republican and Vietnam War hero, said Trump was simply wrong.\u003c/p>\n\u003cp>“Any American who meets current medical and readiness standards should be allowed to continue serving,” he said. “There is no reason to force service members who are able to fight, train and deploy to leave the military — regardless of their gender identity.”\u003c/p>\n\u003cp>Not everyone at the Capitol agreed.\u003c/p>\n\u003cp>Rep. Duncan Hunter, a California member of the House Armed Services Committee, said: “It’s about time that a decision is made to restore the warrior culture and allow the U.S. military to get back to business.”\u003c/p>\n\u003cp>Transgender people already in uniform were concerned about what comes next.\u003c/p>\n\u003cp>“Everybody is hurt, everybody is scared,” said Rudy Akbarian, 26, who is in the military but did not want to identify his branch.\u003c/p>\n\u003cp>Trump’s sudden declaration appears to halt a decades-long trend toward more inclusive policies on military service, including the repeal in 2010 of a ban on gays serving openly. President Bill Clinton in 1993 began the push to allow gays to serve. In December 2015, President Barack Obama’s Pentagon chief, Ash Carter, announced that all military positions would be open to women. Liberalizing policy on transgender troops was the next step.\u003c/p>\n\u003cp>Just last week, when asked about the transgender issue at a Senate hearing, Gen. Paul Selva, vice chairman of the Joint Chiefs of Staff, said, “I am an advocate of every qualified person who can meet the physical standards to serve in our uniformed services to be able to do so.”\u003c/p>\n\u003cp>Transgender service members have been able to serve openly since 2016, when Carter ended the ban. Since Oct. 1, transgender troops could receive medical care and start changing their gender identifications in the Pentagon’s personnel system.\u003c/p>\n\u003cp>Carter also gave the services until July 1 to develop policies to allow people already identifying as transgender to join the military if they meet normal standards and have been stable in their identified genders for 18 months.\u003c/p>\n\u003cp>On June 30, Mattis extended the July 1 deadline to next Jan. 1, saying the services should study the impact on the “readiness and lethality of our forces.”\u003c/p>\n\u003cp>White House press secretary Sarah Huckabee Sanders said Trump had made “a military decision.” She said it was his judgment that allowing transgender service “erodes military readiness and unit cohesion.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sanders said the “president’s national security team was part of this consultation” and that Trump “informed” Mattis of his decision immediately after he made it on Tuesday.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "The Mesmerizing Machine That Makes Your Golden Gate Bridge Drive Less Terrifying",
"headTitle": "The Mesmerizing Machine That Makes Your Golden Gate Bridge Drive Less Terrifying | KQED",
"content": "\u003cp>Stephanie Schmidt lives in San Francisco and works north of the city, in Marin County. For years, she’s had to drive across the Golden Gate Bridge twice a day, every day.\u003c/p>\n\u003cp>“I’ve been crossing that thing probably near on 10,000 times, easily,” she said.\u003c/p>\n\u003cp>Crossing the bridge used to be a semi-terrifying experience — not just for her, but for most drivers. The lanes on the historic Golden Gate Bridge are narrow, and for decades there was very little separating the traffic heading in opposite directions — just flimsy yellow plastic tubes placed every few feet. If you happened to be driving in the center lane, it could feel like you were going to collide head-on with oncoming traffic.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“There’s a reason why it was nicknamed a suicide lane, because you were very exposed,” said Schmidt.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It wasn’t just terrifying for drivers, but for bridge workers, too. Several times each day, to help with traffic flow, they would move the plastic tubes to change the number of lanes in each direction. It was a fairly low-tech process.\u003c/p>\n\u003cp>“They had a guy hanging out of the back of a pickup truck moving the pegs,” said Schmidt, “which just didn’t look safe.”\u003c/p>\n\u003cfigure id=\"attachment_11594994\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/4917406331_1257cbd44d_b.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-large wp-image-11594994\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b.jpg 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the old system: pegs separating traffic directions. \u003ccite>(dsleeter_2000/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>All that is why, just over two years ago, in January 2015, something on Schmidt’s drive changed.\u003c/p>\n\u003cp>Now, instead of flimsy tubes, there’s \u003ca href=\"http://goldengate.org/news/bridge/moveable-median-barrier-installed-on-the-golden-gate-bridge.php\" target=\"_blank\" rel=\"noopener noreferrer\">a big steel-and-concrete barrier\u003c/a>. But moving a big heavy barrier like that can’t be done by a few workers in a pickup truck anymore. Now they have a special, custom-made vehicle, dubbed “the zipper machine.” (It’s actually called a “barrier transfer machine,” but even the bridge officials refer to it as the zipper machine, so we’ll go with it.)\u003c/p>\n\u003cp>That zipper machine raised a number of questions for our commuter.\u003c/p>\n\u003ch4>Is it faster for the technicians now to move the lanes? What’s the etiquette of driving around those machines? Why do they have two machines? And why or what dictates when the barrier gets moved on the Golden Gate Bridge?\u003c/h4>\n\u003cp> \u003c/p>\n\u003cp>To answer all those questions, we went to the bridge to talk to Bill San Gregory, who supervises road services. He met us during a morning lane change, as the machine traveled across the bridge, changing the number of lanes back to the default set-up: three headed in each direction.\u003c/p>\n\u003cp>“Well, the machine drives along. It’s already on the wall, so it just picks the wall up about 4 inches and moves it over one lane exactly,” he said.\u003c/p>\n\u003cp>The machine isn’t automated. A worker has to drive it, following blue guidelines that have been painted on the road in order to stay in a straight line. (Bonus answer: That’s why there are blue lines painted on the road.)\u003c/p>\n\u003cp>At the front-left corner of the machine, the heavy barrier gets picked up, then it snakes through the machine, and comes out the back — moved to the right by one lane.\u003c/p>\n\u003cp>It can sound complicated, but it’s easier to understand if you see it.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=CeX1Fl_1cVE\u003c/p>\n\u003cp>And just like that, the number of lanes in each direction has changed — and no one had to hang out the back of a truck. Plus, it’s virtually impossible to have a head-on collision now; you’ll just hit the barrier instead.\u003c/p>\n\u003cp>“It was simply a safety factor. That’s why we have that barrier,” said Lisa Locati, the bridge patrol caption.\u003c/p>\n\u003cp>From 1971 to 2007, 16 people died from head-on collisions on the bridge. And how many have died since the new barrier went in? None, said Locati.\u003c/p>\n\u003cp>But it’s not like this was suddenly a new problem two years ago, when the barrier finally went in. Bridge officials have actually been trying to get a moveable barrier in place since 1982.\u003c/p>\n\u003cp>[baycuriousbug]\u003c/p>\n\u003cp>“There was nothing that would work for our roadway because the lanes are so narrow,” Locati said.\u003c/p>\n\u003cp>The center lanes on the Golden Gate Bridge are just 10 feet wide — whereas regular traffic lanes are usually 12 or 13 feet wide — and a regular moveable barrier is 2 feet across. That didn’t leave a lot of room for cars, so something special had to be constructed.\u003c/p>\n\u003cp>“They designed this wall specifically for our bridge,” said Locati. “It’s only one foot at its widest point.”\u003c/p>\n\u003cp>That’s how it works, but, per Schmidt’s first question: \u003cstrong>Is it faster than the old system?\u003c/strong>\u003c/p>\n\u003cp>[contextly_sidebar id=”Rgvl86qCkdW2sgMztuo092Ucdf1IsWJ6″]\u003c/p>\n\u003cp>“By the time the guys get on the machine and start it up and do all their system checks, to moving the barrier, to then powering down the machine, it takes about an hour,” said Locati. The zipper machine tops out at 7 to 8 mph.\u003c/p>\n\u003cp>The old system took about an hour, too, so it’s actually not any faster.\u003c/p>\n\u003cp>And \u003cstrong>what if you drive past it while the change is happening?\u003c/strong> San Gregory said: Don’t overthink it.\u003c/p>\n\u003cp>“Just act normal, drive right by the machine. You don’t have to move or adjust your speed or anything like that,” he said.\u003c/p>\n\u003cp>If you need to move over because the number of lanes in your direction is changing, then you’ll see a big flashing traffic arrow anyway. The machine can move the barrier only to the right, which means that when it travels south into the city it’s always decreasing the number of lanes traveling into San Francisco — but because it’s fewer lanes from the start of your drive across the bridge, you’ll always feel like you get an additional lane after you pass the zipper machine. So, you will never be driving in a lane and suddenly have it end — that would be unsafe.\u003c/p>\n\u003cp>You can watch this video from the company that designed the barrier:\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=iIiZTVORhtQ\u003c/p>\n\u003cp>That’s also \u003cstrong>why there are two machines\u003c/strong>. When it’s three lanes in each direction, there’s a machine at each end, so the traffic flow could be shifted either way. But once one of the machines travels one way, then there are two machines at that end and four lanes of traffic traveling toward the machines. It could then be easily switched back to three and three.\u003c/p>\n\u003cp>And that brings us to Schmidt’s final question: \u003cstrong>“What makes them change the lanes, because it seems really inconsistent?”\u003c/strong>\u003c/p>\n\u003cp>When the barrier first went in, they’d move it whenever the flow of traffic hit a trigger point — “3,500 vehicles per lane of traffic per hour,” said Locati. But drivers didn’t like the inconsistency of not knowing \u003cem>exactly\u003c/em> when the barrier would move.\u003c/p>\n\u003cp>“We realized the public wanted a more concrete schedule, so that it could be predictable,” she said. For about a year now, they’ve been pretty set in their schedule.\u003c/p>\n\u003cp>Basically, they move the barrier at commute time to accommodate traffic flow. To be more specific: Every weekday around 4:30 a.m., they change to four lanes traveling into the city until 9 a.m., when they move back to three in each direction. Then on Tuesdays through Fridays, they switch to four lanes traveling in the outbound direction from 3:30 to 5 p.m. (On Mondays, traffic is lighter, so the number of lanes stays equal in each direction.)\u003c/p>\n\u003cp>This also sounds more complicated than it is. But overall \u003ca href=\"https://www.nytimes.com/2015/01/12/us/new-golden-gate-bridge-barrier-draws-sighs-of-relief.html?mcubz=0&_r=0\" target=\"_blank\" rel=\"noopener noreferrer\">most drivers\u003c/a> think the zipper machine is much better than the old system — including Schmidt.\u003c/p>\n\u003cp>“I like the zipper machine, because those pegs, sometimes they would miss a hole and they would just throw it, and it would be laying in the lane. And I would be terrified of running over it and popping my tire,” she said.\u003c/p>\n\u003cp>Fear no more, Schmidt.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\n",
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"excerpt": "Two years ago, a big steel-and-concrete median barrier went in on the Golden Gate Bridge. Bay Curious answers all your questions about it.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Stephanie Schmidt lives in San Francisco and works north of the city, in Marin County. For years, she’s had to drive across the Golden Gate Bridge twice a day, every day.\u003c/p>\n\u003cp>“I’ve been crossing that thing probably near on 10,000 times, easily,” she said.\u003c/p>\n\u003cp>Crossing the bridge used to be a semi-terrifying experience — not just for her, but for most drivers. The lanes on the historic Golden Gate Bridge are narrow, and for decades there was very little separating the traffic heading in opposite directions — just flimsy yellow plastic tubes placed every few feet. If you happened to be driving in the center lane, it could feel like you were going to collide head-on with oncoming traffic.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“There’s a reason why it was nicknamed a suicide lane, because you were very exposed,” said Schmidt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It wasn’t just terrifying for drivers, but for bridge workers, too. Several times each day, to help with traffic flow, they would move the plastic tubes to change the number of lanes in each direction. It was a fairly low-tech process.\u003c/p>\n\u003cp>“They had a guy hanging out of the back of a pickup truck moving the pegs,” said Schmidt, “which just didn’t look safe.”\u003c/p>\n\u003cfigure id=\"attachment_11594994\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/4917406331_1257cbd44d_b.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-large wp-image-11594994\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-1020x765.jpg\" alt=\"\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/4917406331_1257cbd44d_b.jpg 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the old system: pegs separating traffic directions. \u003ccite>(dsleeter_2000/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>All that is why, just over two years ago, in January 2015, something on Schmidt’s drive changed.\u003c/p>\n\u003cp>Now, instead of flimsy tubes, there’s \u003ca href=\"http://goldengate.org/news/bridge/moveable-median-barrier-installed-on-the-golden-gate-bridge.php\" target=\"_blank\" rel=\"noopener noreferrer\">a big steel-and-concrete barrier\u003c/a>. But moving a big heavy barrier like that can’t be done by a few workers in a pickup truck anymore. Now they have a special, custom-made vehicle, dubbed “the zipper machine.” (It’s actually called a “barrier transfer machine,” but even the bridge officials refer to it as the zipper machine, so we’ll go with it.)\u003c/p>\n\u003cp>That zipper machine raised a number of questions for our commuter.\u003c/p>\n\u003ch4>Is it faster for the technicians now to move the lanes? What’s the etiquette of driving around those machines? Why do they have two machines? And why or what dictates when the barrier gets moved on the Golden Gate Bridge?\u003c/h4>\n\u003cp> \u003c/p>\n\u003cp>To answer all those questions, we went to the bridge to talk to Bill San Gregory, who supervises road services. He met us during a morning lane change, as the machine traveled across the bridge, changing the number of lanes back to the default set-up: three headed in each direction.\u003c/p>\n\u003cp>“Well, the machine drives along. It’s already on the wall, so it just picks the wall up about 4 inches and moves it over one lane exactly,” he said.\u003c/p>\n\u003cp>The machine isn’t automated. A worker has to drive it, following blue guidelines that have been painted on the road in order to stay in a straight line. (Bonus answer: That’s why there are blue lines painted on the road.)\u003c/p>\n\u003cp>At the front-left corner of the machine, the heavy barrier gets picked up, then it snakes through the machine, and comes out the back — moved to the right by one lane.\u003c/p>\n\u003cp>It can sound complicated, but it’s easier to understand if you see it.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/CeX1Fl_1cVE'\n title='//www.youtube.com/embed/CeX1Fl_1cVE'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>And just like that, the number of lanes in each direction has changed — and no one had to hang out the back of a truck. Plus, it’s virtually impossible to have a head-on collision now; you’ll just hit the barrier instead.\u003c/p>\n\u003cp>“It was simply a safety factor. That’s why we have that barrier,” said Lisa Locati, the bridge patrol caption.\u003c/p>\n\u003cp>From 1971 to 2007, 16 people died from head-on collisions on the bridge. And how many have died since the new barrier went in? None, said Locati.\u003c/p>\n\u003cp>But it’s not like this was suddenly a new problem two years ago, when the barrier finally went in. Bridge officials have actually been trying to get a moveable barrier in place since 1982.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n What do you wonder about the Bay Area, its culture or people that you want KQED to investigate?\n \u003ca href=\"/news/series/baycurious\">Ask Bay Curious.\u003c/a>\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“There was nothing that would work for our roadway because the lanes are so narrow,” Locati said.\u003c/p>\n\u003cp>The center lanes on the Golden Gate Bridge are just 10 feet wide — whereas regular traffic lanes are usually 12 or 13 feet wide — and a regular moveable barrier is 2 feet across. That didn’t leave a lot of room for cars, so something special had to be constructed.\u003c/p>\n\u003cp>“They designed this wall specifically for our bridge,” said Locati. “It’s only one foot at its widest point.”\u003c/p>\n\u003cp>That’s how it works, but, per Schmidt’s first question: \u003cstrong>Is it faster than the old system?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“By the time the guys get on the machine and start it up and do all their system checks, to moving the barrier, to then powering down the machine, it takes about an hour,” said Locati. The zipper machine tops out at 7 to 8 mph.\u003c/p>\n\u003cp>The old system took about an hour, too, so it’s actually not any faster.\u003c/p>\n\u003cp>And \u003cstrong>what if you drive past it while the change is happening?\u003c/strong> San Gregory said: Don’t overthink it.\u003c/p>\n\u003cp>“Just act normal, drive right by the machine. You don’t have to move or adjust your speed or anything like that,” he said.\u003c/p>\n\u003cp>If you need to move over because the number of lanes in your direction is changing, then you’ll see a big flashing traffic arrow anyway. The machine can move the barrier only to the right, which means that when it travels south into the city it’s always decreasing the number of lanes traveling into San Francisco — but because it’s fewer lanes from the start of your drive across the bridge, you’ll always feel like you get an additional lane after you pass the zipper machine. So, you will never be driving in a lane and suddenly have it end — that would be unsafe.\u003c/p>\n\u003cp>You can watch this video from the company that designed the barrier:\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/iIiZTVORhtQ'\n title='//www.youtube.com/embed/iIiZTVORhtQ'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>That’s also \u003cstrong>why there are two machines\u003c/strong>. When it’s three lanes in each direction, there’s a machine at each end, so the traffic flow could be shifted either way. But once one of the machines travels one way, then there are two machines at that end and four lanes of traffic traveling toward the machines. It could then be easily switched back to three and three.\u003c/p>\n\u003cp>And that brings us to Schmidt’s final question: \u003cstrong>“What makes them change the lanes, because it seems really inconsistent?”\u003c/strong>\u003c/p>\n\u003cp>When the barrier first went in, they’d move it whenever the flow of traffic hit a trigger point — “3,500 vehicles per lane of traffic per hour,” said Locati. But drivers didn’t like the inconsistency of not knowing \u003cem>exactly\u003c/em> when the barrier would move.\u003c/p>\n\u003cp>“We realized the public wanted a more concrete schedule, so that it could be predictable,” she said. For about a year now, they’ve been pretty set in their schedule.\u003c/p>\n\u003cp>Basically, they move the barrier at commute time to accommodate traffic flow. To be more specific: Every weekday around 4:30 a.m., they change to four lanes traveling into the city until 9 a.m., when they move back to three in each direction. Then on Tuesdays through Fridays, they switch to four lanes traveling in the outbound direction from 3:30 to 5 p.m. (On Mondays, traffic is lighter, so the number of lanes stays equal in each direction.)\u003c/p>\n\u003cp>This also sounds more complicated than it is. But overall \u003ca href=\"https://www.nytimes.com/2015/01/12/us/new-golden-gate-bridge-barrier-draws-sighs-of-relief.html?mcubz=0&_r=0\" target=\"_blank\" rel=\"noopener noreferrer\">most drivers\u003c/a> think the zipper machine is much better than the old system — including Schmidt.\u003c/p>\n\u003cp>“I like the zipper machine, because those pegs, sometimes they would miss a hole and they would just throw it, and it would be laying in the lane. And I would be terrified of running over it and popping my tire,” she said.\u003c/p>\n\u003cp>Fear no more, Schmidt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Spurred by Drug Deaths, Legislature Advances Idea of Supervised Injection Sites",
"title": "Spurred by Drug Deaths, Legislature Advances Idea of Supervised Injection Sites",
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"content": "\u003cp>Many California communities could open centers inviting addicts to shoot up hard drugs under a little-noticed bill that has cleared the state Assembly and now awaits a vote on the Senate floor. The goal is to reduce deaths.\u003c/p>\n\u003cp>Here’s how the concept—modeled after a supervised \u003ca href=\"http://www.communityinsite.ca/video.html\">drug injection facility\u003c/a> in Vancouver, Canada—works: A user walks into a government-run clinic with some heroin in his pocket. He’s greeted by a nurse who directs him to wash his hands before offering an array of clean needles. He sits down at a sterile booth, rolls up a sleeve and shoots up. As the high sinks in, he makes his way to a chill-out room for a cup of coffee or juice. There, staff watch for signs of overdose, prepared to administer life-saving medication if needed.\u003c/p>\n\u003cp>Nothing like this exists in the United States.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=201720180AB186\">Assembly Bill 186\u003c/a> would make California the first state in the nation to permit illegal drug use in designated places—and would set up a conflict with federal law, which not only forbids the use of illicit drugs but also prohibits owning or renting buildings for the purpose of consuming them.\u003c/p>\n\u003cp>It’s a radical response to the \u003ca href=\"https://www.nytimes.com/interactive/2017/06/05/upshot/opioid-epidemic-drug-overdose-deaths-are-rising-faster-than-ever.html\">growing scourge\u003c/a> of addiction and overdose that has swept the United States. Nationwide, overdoses kill more people than guns or car crashes. In \u003ca href=\"https://pdop.shinyapps.io/ODdash_v1/\">California\u003c/a>, 4,571 people died from drug overdoses in 2015, a 33 percent increase over the prior decade.\u003c/p>\n\u003cfigure id=\"attachment_11595597\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11595597 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/SusanEggman-800x694.jpg\" alt=\"Assemblywoman Susan Eggman\" width=\"800\" height=\"694\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-800x694.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-160x139.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-1020x885.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-1180x1023.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-960x833.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-240x208.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-375x325.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-520x451.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Assemblywoman Susan Eggman \u003ccite>(Steve Yeater/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We have an opioid epidemic. We have a public health crisis,” said Assemblywoman Susan Eggman, the Stockton Democrat who is carrying the bill and once worked as a drug treatment counselor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have traditionally treated addiction as a criminal issue and that has failed. We need to treat it as the public health issue that it is.”\u003c/p>\n\u003cp>Her bill would allow eight counties—Alameda, Fresno, Humboldt, Los Angeles, Mendocino, San Francisco, San Joaquin and Santa Cruz—and the cities within them, to approve supervised drug injection programs. The facilities would have to provide clean needles, and be staffed with health care workers offering first aid to prevent overdose and referrals to detox for addicts who want to quit. Visitors to the clinic would have to bring their own drugs, and they would be shielded from criminal charges for using at the site.\u003c/p>\n\u003cp>Though law enforcement widely opposes the approach, it has gained growing support in the medical field.\u003c/p>\n\u003cp>https://infogram.com/drug_overdose_deaths_in_california\u003c/p>\n\u003cp>Research published in \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/abstract\">the Lancet\u003c/a> medical journal shows that overdose deaths decreased by 35 percent in the neighborhood surrounding the Vancouver injection clinic, and by 9 percent in the city overall. The \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1613651\">New England Journal of Medicine\u003c/a> recently published an article by a substance abuse specialist who teaches at Harvard’s medical school, making the case that supervised injection saves lives and improves health. The \u003ca href=\"https://www.ama-assn.org/ama-wants-new-approaches-combat-synthetic-and-injectable-drugs\">American Medical Association\u003c/a>, the official voice of the nation’s doctors, voted in June to support the development of pilot projects where addicts can use their own intravenous drugs under medical supervision.\u003c/p>\n\u003cp>“Studies from other countries have shown that supervised injection facilities reduce the number of overdose deaths, reduce transmission rates of infectious disease, and increase the number of individuals initiating treatment for substance use disorders without increasing drug trafficking or crime in the areas where the facilities are located,” the American Medical Association said in announcing its support.\u003c/p>\n\u003cp>Law enforcement groups argue the centers would become crime magnets that would normalize hard drugs rather than helping addicts kick them.\u003c/p>\n\u003cp>The California bill “does not have any robust effort to get addicts into treatment,” said John Lovell, a lobbyist for the California Narcotic Officers’ Association and the Association for Los Angeles Deputy Sheriffs.\u003c/p>\n\u003cp>“Instead it simply accepts that they will come to the county-operated shooting gallery, shoot up and then leave with all of the other consequences.”\u003c/p>\n\u003cfigure id=\"attachment_11595605\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11595605\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/InjectSite-800x480.jpg\" alt=\"A scene from a video shared by Insite, a drug users’ injection facility in Vancouver, Canada, that is serving as a model for California’s proposal.\" width=\"800\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-800x480.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-160x96.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-1020x613.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-1180x709.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-960x577.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-240x144.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-375x225.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-520x312.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A scene from a video shared by Insite, a drug users’ injection facility in Vancouver, Canada, that is serving as a model for California’s proposal.\u003c/figcaption>\u003c/figure>\n\u003cp>Critics raise questions about liability if a drug user dies or hurts someone after leaving an injection clinic, and they say creating them would be unfair to neighborhoods already suffering from poverty and crime. A coalition of inner-city churches that works closely with law enforcement on anti-drug policies is also fighting the bill.\u003c/p>\n\u003cp>“The drug dealers will stand around understanding that … those that are coming out of these safe houses are not going to treatment, but they're going to be looking for more drugs,” said Ron Allen, a Sacramento bishop who heads the International Faith-Based Coalition and described himself in a hearing as a former crack addict.\u003c/p>\n\u003cp>Opposition from law enforcement is usually a potent force in the state Capitol, so it’s surprising that Eggman’s bill has advanced as far as it has. A similar bill last year failed in its first committee. But this year, the bill eked out of the Assembly with the bare number of votes needed and has already passed two committees in the Senate.\u003c/p>\n\u003cp>The bill is sponsored by the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and is funded largely by billionaire \u003ca href=\"https://www.forbes.com/sites/chloesorvino/2014/10/02/an-inside-look-at-the-biggest-drug-reformer-in-the-country-george-soros/#595c87651e29\">George Soros\u003c/a>. The group has pushed, thus far unsuccessfully, for \u003ca href=\"http://www.drugpolicy.org/news/issue/28\">similar legislation\u003c/a> in New York, Maryland, Massachusetts and Vermont. Officials \u003ca href=\"http://www.seattletimes.com/seattle-news/crime/seattle-king-county-move-to-create-2-injection-sites-for-drug-users/\">in Seattle\u003c/a> have announced that they want to open a supervised injection program, but they are up against \u003ca href=\"http://www.seattletimes.com/seattle-news/politics/initiative-proposed-to-ban-heroin-safe-injection-sites-in-king-county/\">local\u003c/a> and \u003ca href=\"http://www.seattletimes.com/seattle-news/politics/gop-state-lawmaker-wants-to-ban-safe-injection-sites-for-drug-users/\">state\u003c/a> efforts to ban them.\u003c/p>\n\u003cp>https://infogram.com/drug_overdose_death_rate_by_county\u003c/p>\n\u003cp>San Francisco is deep into discussions about opening an injection center. Its Board of Supervisors has put together a “Safe Injection Services” \u003ca href=\"https://www.sfdph.org/dph/comupg/knowlcol/SISTaskForce/default.asp\">task force\u003c/a> under its Department of Public Health that is holding public meetings and developing recommendations. The San Francisco Chronicle \u003ca href=\"http://www.sfchronicle.com/news/article/Safe-injection-sites-offer-hope-in-scourge-of-11087892.php\">reported\u003c/a> that city workers in March cleaned up an average of 430 syringes a day.\u003c/p>\n\u003cp>“People are shooting up on the street, in people’s doorsteps, in children’s playgrounds,” said Democratic Sen. Scott Wiener of San Francisco, a co-author of AB 186. “Anything we can do to reduce the open, public shooting up that we see, we should go in that direction.”\u003c/p>\n\u003cp>Republican Sen. Jeff Stone of Temecula, who voted against the bill in committee, warned that the idea would put local governments in stark conflict with the Trump administration. Attorney General Jeff Sessions has expressed zero tolerance for marijuana use—much less more potent illegal drugs—although he hasn’t yet directed a crackdown against states such as California that have legalized pot.\u003c/p>\n\u003cp>“Whether we like or don't like the present administration,” Stone said, “I think their reaction to recreational marijuana is going to be much different than recreational heroin, and having safe zones for that.”\u003c/p>\n\u003cp>After the Vancouver program opened in 2003, Canada’s national government sued to try to shut it down. Ultimately the Canadian Supreme Court in 2011 \u003ca href=\"https://www.theglobeandmail.com/news/british-columbia/supreme-court-ruling-opens-doors-to-drug-injection-clinics-across-canada/article4182250/\">ordered\u003c/a> the federal government to stop interfering with the clinic because it had proved beneficial to drug users and the broader community.\u003c/p>\n\u003cp>Gov. Jerry Brown rarely weighs in on bills before they hit his desk, and his office declined to comment on this one.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://calmatters.org/\">\u003cem>CALmatters.org\u003c/em>\u003c/a>\u003cem> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many California communities could open centers inviting addicts to shoot up hard drugs under a little-noticed bill that has cleared the state Assembly and now awaits a vote on the Senate floor. The goal is to reduce deaths.\u003c/p>\n\u003cp>Here’s how the concept—modeled after a supervised \u003ca href=\"http://www.communityinsite.ca/video.html\">drug injection facility\u003c/a> in Vancouver, Canada—works: A user walks into a government-run clinic with some heroin in his pocket. He’s greeted by a nurse who directs him to wash his hands before offering an array of clean needles. He sits down at a sterile booth, rolls up a sleeve and shoots up. As the high sinks in, he makes his way to a chill-out room for a cup of coffee or juice. There, staff watch for signs of overdose, prepared to administer life-saving medication if needed.\u003c/p>\n\u003cp>Nothing like this exists in the United States.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=201720180AB186\">Assembly Bill 186\u003c/a> would make California the first state in the nation to permit illegal drug use in designated places—and would set up a conflict with federal law, which not only forbids the use of illicit drugs but also prohibits owning or renting buildings for the purpose of consuming them.\u003c/p>\n\u003cp>It’s a radical response to the \u003ca href=\"https://www.nytimes.com/interactive/2017/06/05/upshot/opioid-epidemic-drug-overdose-deaths-are-rising-faster-than-ever.html\">growing scourge\u003c/a> of addiction and overdose that has swept the United States. Nationwide, overdoses kill more people than guns or car crashes. In \u003ca href=\"https://pdop.shinyapps.io/ODdash_v1/\">California\u003c/a>, 4,571 people died from drug overdoses in 2015, a 33 percent increase over the prior decade.\u003c/p>\n\u003cfigure id=\"attachment_11595597\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11595597 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/SusanEggman-800x694.jpg\" alt=\"Assemblywoman Susan Eggman\" width=\"800\" height=\"694\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-800x694.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-160x139.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-1020x885.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-1180x1023.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-960x833.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-240x208.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-375x325.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/SusanEggman-520x451.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Assemblywoman Susan Eggman \u003ccite>(Steve Yeater/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We have an opioid epidemic. We have a public health crisis,” said Assemblywoman Susan Eggman, the Stockton Democrat who is carrying the bill and once worked as a drug treatment counselor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have traditionally treated addiction as a criminal issue and that has failed. We need to treat it as the public health issue that it is.”\u003c/p>\n\u003cp>Her bill would allow eight counties—Alameda, Fresno, Humboldt, Los Angeles, Mendocino, San Francisco, San Joaquin and Santa Cruz—and the cities within them, to approve supervised drug injection programs. The facilities would have to provide clean needles, and be staffed with health care workers offering first aid to prevent overdose and referrals to detox for addicts who want to quit. Visitors to the clinic would have to bring their own drugs, and they would be shielded from criminal charges for using at the site.\u003c/p>\n\u003cp>Though law enforcement widely opposes the approach, it has gained growing support in the medical field.\u003c/p>\n\u003cp>https://infogram.com/drug_overdose_deaths_in_california\u003c/p>\n\u003cp>Research published in \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62353-7/abstract\">the Lancet\u003c/a> medical journal shows that overdose deaths decreased by 35 percent in the neighborhood surrounding the Vancouver injection clinic, and by 9 percent in the city overall. The \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1613651\">New England Journal of Medicine\u003c/a> recently published an article by a substance abuse specialist who teaches at Harvard’s medical school, making the case that supervised injection saves lives and improves health. The \u003ca href=\"https://www.ama-assn.org/ama-wants-new-approaches-combat-synthetic-and-injectable-drugs\">American Medical Association\u003c/a>, the official voice of the nation’s doctors, voted in June to support the development of pilot projects where addicts can use their own intravenous drugs under medical supervision.\u003c/p>\n\u003cp>“Studies from other countries have shown that supervised injection facilities reduce the number of overdose deaths, reduce transmission rates of infectious disease, and increase the number of individuals initiating treatment for substance use disorders without increasing drug trafficking or crime in the areas where the facilities are located,” the American Medical Association said in announcing its support.\u003c/p>\n\u003cp>Law enforcement groups argue the centers would become crime magnets that would normalize hard drugs rather than helping addicts kick them.\u003c/p>\n\u003cp>The California bill “does not have any robust effort to get addicts into treatment,” said John Lovell, a lobbyist for the California Narcotic Officers’ Association and the Association for Los Angeles Deputy Sheriffs.\u003c/p>\n\u003cp>“Instead it simply accepts that they will come to the county-operated shooting gallery, shoot up and then leave with all of the other consequences.”\u003c/p>\n\u003cfigure id=\"attachment_11595605\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11595605\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/07/InjectSite-800x480.jpg\" alt=\"A scene from a video shared by Insite, a drug users’ injection facility in Vancouver, Canada, that is serving as a model for California’s proposal.\" width=\"800\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-800x480.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-160x96.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-1020x613.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-1180x709.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-960x577.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-240x144.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-375x225.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/07/InjectSite-520x312.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A scene from a video shared by Insite, a drug users’ injection facility in Vancouver, Canada, that is serving as a model for California’s proposal.\u003c/figcaption>\u003c/figure>\n\u003cp>Critics raise questions about liability if a drug user dies or hurts someone after leaving an injection clinic, and they say creating them would be unfair to neighborhoods already suffering from poverty and crime. A coalition of inner-city churches that works closely with law enforcement on anti-drug policies is also fighting the bill.\u003c/p>\n\u003cp>“The drug dealers will stand around understanding that … those that are coming out of these safe houses are not going to treatment, but they're going to be looking for more drugs,” said Ron Allen, a Sacramento bishop who heads the International Faith-Based Coalition and described himself in a hearing as a former crack addict.\u003c/p>\n\u003cp>Opposition from law enforcement is usually a potent force in the state Capitol, so it’s surprising that Eggman’s bill has advanced as far as it has. A similar bill last year failed in its first committee. But this year, the bill eked out of the Assembly with the bare number of votes needed and has already passed two committees in the Senate.\u003c/p>\n\u003cp>The bill is sponsored by the Drug Policy Alliance, an advocacy group that works to decriminalize drugs and is funded largely by billionaire \u003ca href=\"https://www.forbes.com/sites/chloesorvino/2014/10/02/an-inside-look-at-the-biggest-drug-reformer-in-the-country-george-soros/#595c87651e29\">George Soros\u003c/a>. The group has pushed, thus far unsuccessfully, for \u003ca href=\"http://www.drugpolicy.org/news/issue/28\">similar legislation\u003c/a> in New York, Maryland, Massachusetts and Vermont. Officials \u003ca href=\"http://www.seattletimes.com/seattle-news/crime/seattle-king-county-move-to-create-2-injection-sites-for-drug-users/\">in Seattle\u003c/a> have announced that they want to open a supervised injection program, but they are up against \u003ca href=\"http://www.seattletimes.com/seattle-news/politics/initiative-proposed-to-ban-heroin-safe-injection-sites-in-king-county/\">local\u003c/a> and \u003ca href=\"http://www.seattletimes.com/seattle-news/politics/gop-state-lawmaker-wants-to-ban-safe-injection-sites-for-drug-users/\">state\u003c/a> efforts to ban them.\u003c/p>\n\u003cp>https://infogram.com/drug_overdose_death_rate_by_county\u003c/p>\n\u003cp>San Francisco is deep into discussions about opening an injection center. Its Board of Supervisors has put together a “Safe Injection Services” \u003ca href=\"https://www.sfdph.org/dph/comupg/knowlcol/SISTaskForce/default.asp\">task force\u003c/a> under its Department of Public Health that is holding public meetings and developing recommendations. The San Francisco Chronicle \u003ca href=\"http://www.sfchronicle.com/news/article/Safe-injection-sites-offer-hope-in-scourge-of-11087892.php\">reported\u003c/a> that city workers in March cleaned up an average of 430 syringes a day.\u003c/p>\n\u003cp>“People are shooting up on the street, in people’s doorsteps, in children’s playgrounds,” said Democratic Sen. Scott Wiener of San Francisco, a co-author of AB 186. “Anything we can do to reduce the open, public shooting up that we see, we should go in that direction.”\u003c/p>\n\u003cp>Republican Sen. Jeff Stone of Temecula, who voted against the bill in committee, warned that the idea would put local governments in stark conflict with the Trump administration. Attorney General Jeff Sessions has expressed zero tolerance for marijuana use—much less more potent illegal drugs—although he hasn’t yet directed a crackdown against states such as California that have legalized pot.\u003c/p>\n\u003cp>“Whether we like or don't like the present administration,” Stone said, “I think their reaction to recreational marijuana is going to be much different than recreational heroin, and having safe zones for that.”\u003c/p>\n\u003cp>After the Vancouver program opened in 2003, Canada’s national government sued to try to shut it down. Ultimately the Canadian Supreme Court in 2011 \u003ca href=\"https://www.theglobeandmail.com/news/british-columbia/supreme-court-ruling-opens-doors-to-drug-injection-clinics-across-canada/article4182250/\">ordered\u003c/a> the federal government to stop interfering with the clinic because it had proved beneficial to drug users and the broader community.\u003c/p>\n\u003cp>Gov. Jerry Brown rarely weighs in on bills before they hit his desk, and his office declined to comment on this one.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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