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"content": "\u003cp>The Golden Gate Restaurant Association (GGRA) is vowing to protect undocumented immigrant restaurant workers and their customers in San Francisco.\u003c/p>\n\u003cp>Joined by immigration lawyers and Assemblyman David Chiu on Friday, the GGRA announced the Sanctuary Restaurant Program, \u003ca href=\"http://sanctuaryrestaurants.org/\" target=\"_blank\">their addition to a movement of the same name\u003c/a>.\u003c/p>\n\u003cp>Teaming up with the civil rights legal community, GGRA will provide training for business owners and their employees on how to interact with Immigration and Customs Enforcement officers and law enforcement at home and in the workplace.\u003c/p>\n\u003cp>GGRA Executive Director Gwyneth Borden said the restaurant industry contributes greatly to San Francisco’s economy, representing over 60,000 workers and 50 percent of the retail sales tax. She said the immigrant community is the backbone of the industry.\u003c/p>\n\u003cp>“The reason our city is so vibrant is because we have such diverse cultures and people that are part of our restaurants,” Bowden said. “We want our restaurants to be able to stand up for their workers, know how to protect their workers and articulate to the world why all this matters.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A series of workshops offered for free to restaurant owners and workers will start on March 20 at \u003ca href=\"http://www.donramonsrestaurante.com/\" target=\"_blank\">Don Ramon’s\u003c/a> restaurant. Immigration attorneys and staff from the Lawyers’ Committee for Civil Rights of the San Francisco Bay Area are expected to help facilitate the training.\u003c/p>\n\u003cp>San Francisco Assemblyman David Chiu expressed his support at the announcement, and said San Francisco is proud to be a sanctuary city that stands up for its immigrant communities.\u003c/p>\n\u003cp>“In Sacramento, in the coming months, we are having a conversation about whether we ought to be a sanctuary state,” Chiu said.\u003c/p>\n\u003cp>Bowden hopes the sanctuary restaurant movement sends a message to the Trump administration that immigration reform that carves a path to citizenship for immigrant workers is necessary.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We hope to move away from penalizing and vilifying people and move towards really solving the problem,” Bowden said. “The truth is, our economies can’t exist if we deport everybody who’s not documented.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Golden Gate Restaurant Association (GGRA) is vowing to protect undocumented immigrant restaurant workers and their customers in San Francisco.\u003c/p>\n\u003cp>Joined by immigration lawyers and Assemblyman David Chiu on Friday, the GGRA announced the Sanctuary Restaurant Program, \u003ca href=\"http://sanctuaryrestaurants.org/\" target=\"_blank\">their addition to a movement of the same name\u003c/a>.\u003c/p>\n\u003cp>Teaming up with the civil rights legal community, GGRA will provide training for business owners and their employees on how to interact with Immigration and Customs Enforcement officers and law enforcement at home and in the workplace.\u003c/p>\n\u003cp>GGRA Executive Director Gwyneth Borden said the restaurant industry contributes greatly to San Francisco’s economy, representing over 60,000 workers and 50 percent of the retail sales tax. She said the immigrant community is the backbone of the industry.\u003c/p>\n\u003cp>“The reason our city is so vibrant is because we have such diverse cultures and people that are part of our restaurants,” Bowden said. “We want our restaurants to be able to stand up for their workers, know how to protect their workers and articulate to the world why all this matters.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A series of workshops offered for free to restaurant owners and workers will start on March 20 at \u003ca href=\"http://www.donramonsrestaurante.com/\" target=\"_blank\">Don Ramon’s\u003c/a> restaurant. Immigration attorneys and staff from the Lawyers’ Committee for Civil Rights of the San Francisco Bay Area are expected to help facilitate the training.\u003c/p>\n\u003cp>San Francisco Assemblyman David Chiu expressed his support at the announcement, and said San Francisco is proud to be a sanctuary city that stands up for its immigrant communities.\u003c/p>\n\u003cp>“In Sacramento, in the coming months, we are having a conversation about whether we ought to be a sanctuary state,” Chiu said.\u003c/p>\n\u003cp>Bowden hopes the sanctuary restaurant movement sends a message to the Trump administration that immigration reform that carves a path to citizenship for immigrant workers is necessary.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We hope to move away from penalizing and vilifying people and move towards really solving the problem,” Bowden said. “The truth is, our economies can’t exist if we deport everybody who’s not documented.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Afghan Rockers Start New Musical Life in Oakland",
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"content": "\u003cp>I first met Sulyman Qardash and his band \u003ca href=\"https://www.kabuldreams.com/\">Kabul Dreams\u003c/a> in 2014, when they came to the U.S. to play at \u003ca href=\"https://www.sxsw.com/\">South by Southwest\u003c/a>, a music festival in Austin. The band decided to call Oakland their home soon after, because they'd received death threats back in Afghanistan for being in a Western rock band.\u003c/p>\n\u003cp>Three years later, in February 2017, they released their first U.S.-produced album, called \u003ca href=\"https://itunes.apple.com/us/album/megalomaniacs/id1198462437\">Megalomaniacs\u003c/a>. Sulyman says that in the wake of President Trump’s second travel ban, and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West.\u003c/p>\n\u003cp>“If a kid in California finds out about Kabul Dreams being from Afghanistan and being an Oakland-based band,\" Qardash says when we met up at a rehearsal studio in Oakland, \"if they listen to our music and they say, ‘Oh, wow, I like their music,' I'm pretty sure they would change their perspective about immigrants and people from different backgrounds.\"\u003c/p>\n\u003cp>Qardash has dark eyes, black hair and a thin frame. He’s dressed in a black leather jacket and Converse shoes. He picks up a guitar and plays a song for me off their new album, called \"\u003ca href=\"https://www.youtube.com/watch?v=y_-wEm07oyE\">Saturated Hope\u003c/a>,\" about the feeling of never being able to live in the place you call home.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=y_-wEm07oyE\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The song is about waking up every day, and some days waking up in different places and starting all over again,\" Qardash explains. \"And coming here and not having anything you have back home. And then you have to start all over again.”\u003c/p>\n\u003cp>Qardash was born in Kabul, but grew up as a refugee in nearby Uzbekistan during Taliban rule. In Uzbekistan, he enrolled in high school and his new punk friends introduced him to bands like Nirvana and the Sex Pistols. He was hooked. He picked up his first guitar at 14 and never put it down. As a refugee, music gave Qardash a sense of home. After the fall of the Taliban, Qardash returned to Afghanistan in 2007 and started Kabul Dreams. Bassist Siddique Ahmed had just returned from being a refugee in Pakistan, and former drummer Mujtaba Habibi had just returned from Iran (he was replaced by Raby Adib in 2014).\u003c/p>\n\u003cp>Qardash wrote the song, \"Sadae Man,\" or \"My Voice,\" a couple of years later as an anthem to his country’s hopes for democracy.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=i4kAvjgqh-U\u003c/p>\n\u003cp>“I think we needed a song to really encourage youth to be united, and that is what we felt, and that is really the entire idea behind having a band,\" Qardash says.\u003c/p>\n\u003cp>Kabul Dreams never planned to leave Kabul. But Qardash’s dreams of the U.S. invasion bringing democracy to his home were shattered. He saw people killed on the streets of Kabul. Bombings were frequent. The band received countless death threats. The U.N. reports more than \u003ca href=\"https://unama.unmissions.org/sites/default/files/protection_of_civilians_in_armed_conflict_midyear_report_2016_final.pdf\"> \u003c/a>\u003ca href=\"https://unama.unmissions.org/sites/default/files/protection_of_civilians_in_armed_conflict_midyear_report_2016_final.pdf\">63,000 civilians were killed in Afghanistan\u003c/a> between 2009 and 2016. Sulyman didn’t see an end. So Kabul Dreams decided to leave Afghanistan for good.\u003c/p>\n\u003cp>“We tried to copy the democracy that the U.S. or the Western world provides,\" Qardash says. \"Especially in Afghanistan, we preach about that. But if you look at it for me, outside of Bay Area, when I travel to different states, I'm experiencing the things and thoughts that I had were slightly wrong. Because we are living in 2017, and we are in America, and people are still fighting against racism or fighting against gender equality.\"\u003c/p>\n\u003cfigure id=\"attachment_11353369\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11353369\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/Sulyman-800x1200.jpg\" alt=\"Kabul Dreams lead singer Sulyman Qardash says in the wake of President Trump's second travel ban and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West.\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kabul Dreams lead singer Sulyman Qardash says in the wake of President Trump's second travel ban and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West. \u003ccite>(Photo courtesy of Kabul Dreams)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Qardash says he’s grateful for the freedom he feels here in the U.S., and opportunities. In 2017, Qardash got to meet one of his childhood heroes -- Metallica -- when Kabul Dreams starred in an award-winning indie movie with Metallica drummer Lars Ulrich\u003cu>,\u003c/u> called \u003ca href=\"http://butimarproductions.org/films/radiodreams/\">Radio Dreams\u003c/a>.\u003c/p>\n\u003cp>Qardash says that blew his mind. He says he is grateful, but now he confronts a new challenge: Islamophobia.\u003c/p>\n\u003cp>“I can be a Muslim, but I can play rock 'n' roll and I can be a doctor or an engineer,\" Qardash says. \"That’s something very spiritual between me and what I believe in. You don't really get to choose what I believe in.”\u003c/p>\n\u003cp>Qardash calls the new travel ban aimed at Muslim-majority countries \"ridiculous.\" Even though Afghanistan is not on that list, he says his religion and ethnicity are being targeted. Qardash hopes his music will get people to reassess their own stereotypes.\u003c/p>\n\u003cp>Sulyman Qardash says the title of their newest album, \u003ca href=\"https://itunes.apple.com/us/album/megalomaniacs/id1198462437\">Megalomaniacs\u003c/a>, is a nod to those who rule the world today -- in Afghanistan, in the U.S., in so many places -- turning citizens into immigrants and refugees. Qardash says that is Kabul Dreams’ story -- a story they will share one song at a time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of \u003ca href=\"http://nnf.foundation/west-of-middle-east/\">West of Middle East,\u003c/a> a podcast by Neda Nobari Foundation about changemakers from the Middle East Diaspora in the West. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>I first met Sulyman Qardash and his band \u003ca href=\"https://www.kabuldreams.com/\">Kabul Dreams\u003c/a> in 2014, when they came to the U.S. to play at \u003ca href=\"https://www.sxsw.com/\">South by Southwest\u003c/a>, a music festival in Austin. The band decided to call Oakland their home soon after, because they'd received death threats back in Afghanistan for being in a Western rock band.\u003c/p>\n\u003cp>Three years later, in February 2017, they released their first U.S.-produced album, called \u003ca href=\"https://itunes.apple.com/us/album/megalomaniacs/id1198462437\">Megalomaniacs\u003c/a>. Sulyman says that in the wake of President Trump’s second travel ban, and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West.\u003c/p>\n\u003cp>“If a kid in California finds out about Kabul Dreams being from Afghanistan and being an Oakland-based band,\" Qardash says when we met up at a rehearsal studio in Oakland, \"if they listen to our music and they say, ‘Oh, wow, I like their music,' I'm pretty sure they would change their perspective about immigrants and people from different backgrounds.\"\u003c/p>\n\u003cp>Qardash has dark eyes, black hair and a thin frame. He’s dressed in a black leather jacket and Converse shoes. He picks up a guitar and plays a song for me off their new album, called \"\u003ca href=\"https://www.youtube.com/watch?v=y_-wEm07oyE\">Saturated Hope\u003c/a>,\" about the feeling of never being able to live in the place you call home.\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/y_-wEm07oyE'\n title='//www.youtube.com/embed/y_-wEm07oyE'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The song is about waking up every day, and some days waking up in different places and starting all over again,\" Qardash explains. \"And coming here and not having anything you have back home. And then you have to start all over again.”\u003c/p>\n\u003cp>Qardash was born in Kabul, but grew up as a refugee in nearby Uzbekistan during Taliban rule. In Uzbekistan, he enrolled in high school and his new punk friends introduced him to bands like Nirvana and the Sex Pistols. He was hooked. He picked up his first guitar at 14 and never put it down. As a refugee, music gave Qardash a sense of home. After the fall of the Taliban, Qardash returned to Afghanistan in 2007 and started Kabul Dreams. Bassist Siddique Ahmed had just returned from being a refugee in Pakistan, and former drummer Mujtaba Habibi had just returned from Iran (he was replaced by Raby Adib in 2014).\u003c/p>\n\u003cp>Qardash wrote the song, \"Sadae Man,\" or \"My Voice,\" a couple of years later as an anthem to his country’s hopes for democracy.\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/i4kAvjgqh-U'\n title='//www.youtube.com/embed/i4kAvjgqh-U'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>“I think we needed a song to really encourage youth to be united, and that is what we felt, and that is really the entire idea behind having a band,\" Qardash says.\u003c/p>\n\u003cp>Kabul Dreams never planned to leave Kabul. But Qardash’s dreams of the U.S. invasion bringing democracy to his home were shattered. He saw people killed on the streets of Kabul. Bombings were frequent. The band received countless death threats. The U.N. reports more than \u003ca href=\"https://unama.unmissions.org/sites/default/files/protection_of_civilians_in_armed_conflict_midyear_report_2016_final.pdf\"> \u003c/a>\u003ca href=\"https://unama.unmissions.org/sites/default/files/protection_of_civilians_in_armed_conflict_midyear_report_2016_final.pdf\">63,000 civilians were killed in Afghanistan\u003c/a> between 2009 and 2016. Sulyman didn’t see an end. So Kabul Dreams decided to leave Afghanistan for good.\u003c/p>\n\u003cp>“We tried to copy the democracy that the U.S. or the Western world provides,\" Qardash says. \"Especially in Afghanistan, we preach about that. But if you look at it for me, outside of Bay Area, when I travel to different states, I'm experiencing the things and thoughts that I had were slightly wrong. Because we are living in 2017, and we are in America, and people are still fighting against racism or fighting against gender equality.\"\u003c/p>\n\u003cfigure id=\"attachment_11353369\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11353369\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/Sulyman-800x1200.jpg\" alt=\"Kabul Dreams lead singer Sulyman Qardash says in the wake of President Trump's second travel ban and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West.\" width=\"800\" height=\"1200\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-800x1200.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-1020x1530.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-1180x1770.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-960x1440.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-375x563.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/Sulyman-520x780.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kabul Dreams lead singer Sulyman Qardash says in the wake of President Trump's second travel ban and the rise in hate crimes, he hopes to build a cultural bridge by bringing Afghan rock to the West. \u003ccite>(Photo courtesy of Kabul Dreams)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Qardash says he’s grateful for the freedom he feels here in the U.S., and opportunities. In 2017, Qardash got to meet one of his childhood heroes -- Metallica -- when Kabul Dreams starred in an award-winning indie movie with Metallica drummer Lars Ulrich\u003cu>,\u003c/u> called \u003ca href=\"http://butimarproductions.org/films/radiodreams/\">Radio Dreams\u003c/a>.\u003c/p>\n\u003cp>Qardash says that blew his mind. He says he is grateful, but now he confronts a new challenge: Islamophobia.\u003c/p>\n\u003cp>“I can be a Muslim, but I can play rock 'n' roll and I can be a doctor or an engineer,\" Qardash says. \"That’s something very spiritual between me and what I believe in. You don't really get to choose what I believe in.”\u003c/p>\n\u003cp>Qardash calls the new travel ban aimed at Muslim-majority countries \"ridiculous.\" Even though Afghanistan is not on that list, he says his religion and ethnicity are being targeted. Qardash hopes his music will get people to reassess their own stereotypes.\u003c/p>\n\u003cp>Sulyman Qardash says the title of their newest album, \u003ca href=\"https://itunes.apple.com/us/album/megalomaniacs/id1198462437\">Megalomaniacs\u003c/a>, is a nod to those who rule the world today -- in Afghanistan, in the U.S., in so many places -- turning citizens into immigrants and refugees. Qardash says that is Kabul Dreams’ story -- a story they will share one song at a time.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of \u003ca href=\"http://nnf.foundation/west-of-middle-east/\">West of Middle East,\u003c/a> a podcast by Neda Nobari Foundation about changemakers from the Middle East Diaspora in the West. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>If tracking California’s epic drought has become an obsession for you, as it has around here, you’ve no doubt spent some time poring over the multi-colored maps known as the \u003ca href=\"http://droughtmonitor.unl.edu/Home.aspx\">U.S. Drought Monitor\u003c/a>.\u003c/p>\n\u003cp>The maps \u003ca href=\"https://ww2.kqed.org/science/2017/02/24/watch-how-fast-a-five-year-drought-can-disappear/\">have vividly portrayed\u003c/a> the dry times according to how parts of the state were classified; blood-red for “exceptional drought,” bright crimson for “extreme drought.” Recently and rapidly, the weekly maps have retreated to less alarming tones of beige and yellow, for “moderate drought,” or just “abnormally dry.” But who are the artists behind this parched palette — and what are they basing it on?\u003c/p>\n\u003cp>“It’s a judgment call based on a lot of data,” says David Simeral, an associate research scientist at the \u003ca href=\"http://www.wrcc.dri.edu/\">Western Regional Climate Center\u003c/a> in Reno. He’s one of \u003ca href=\"http://droughtmonitor.unl.edu/AboutUSDM/ContactUs.aspx\">about a dozen “national authors”\u003c/a> who take turns doing the maps on a rotating schedule.\u003c/p>\n\u003cp>\u003cstrong>100+ Indicators\u003c/strong>\u003c/p>\n\u003cp>Simeral says authors look at more than 100 indicators, ranging from precipitation data and snowpack levels, to soil moisture, stream flows and “vegetative health” (including satellite data that looks at “greenness”). They then plot out conditions on the map along contour lines, using GIS software (for Geographical Information System).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Drought Monitor’s home, if it can be said to have one, is the \u003ca href=\"http://drought.unl.edu/\">National Drought Mitigation Center\u003c/a> at the University of Nebraska-Lincoln, though there appears to be a battalion of cooks in this kitchen. Apart from the rotating authors, there are about 450 contributors from various government agencies, who collaborate on the weekly maps.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=DYql9U8R6sg&w=640&h=360]\u003cbr>\nTo help come up with \u003ca href=\"http://droughtmonitor.unl.edu/Home/StateDroughtMonitor.aspx?CA\">the California map\u003c/a>, the National Weather Service leads a bi-weekly conference call with regional experts who can weigh in on factors that might change the status of different parts of the state. That group makes recommendations to the weekly author for potential changes.\u003c/p>\n\u003cp>“In the end it’s my judgment call as an author whether to make the changes or not, on the map.” The next week, it’ll be up to the next author in the rotation.\u003c/p>\n\u003cp>\u003cstrong>Critics Abound\u003c/strong>\u003c/p>\n\u003cp>The Drought Monitor has its critics, including Jay Lund, co-founder of the Center for Watershed Sciences at UC Davis, who has called it “misleading.” In his \u003ca href=\"https://californiawaterblog.com/2017/02/05/californias-wettest-drought-2017/\">California Water Blog\u003c/a>, he writes:\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The \u003ca href=\"http://droughtmonitor.unl.edu/AboutUs/ClassificationScheme.aspx\">US Drought Monitor\u003c/a> is a common drought indicator, based mostly on soil moisture – designed mostly to indicate drought for rain-fed agriculture. This index is most useful for stress to forests and un-irrigated pasture and crops, which are not California’s biggest drought issues. California relies much more on large reservoirs and aquifers, which allow crops and cities to survive California’s otherwise beautiful and devastatingly dry summers. The US Drought Monitor, while a convenient general public service, is misleading for California’s most common drought issues. National statistics often have such regional problems.\u003c/p>\u003c/blockquote>\n\u003cp>Asked about these critiques, Simeral is unruffled.\u003c/p>\n\u003cp>“We hear them all the time,” he says, and counters that Lund’s assertion that the Monitor is “based mostly on soil moisture,” is simply incorrect. Simeral adds that drought can often be in the eye of the beholder, as there are several types of drought:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Meteorological:\u003c/strong> based primarily on recent shortfalls in precipitation\u003c/li>\n\u003cli>\u003cstrong>Hydrologic:\u003c/strong> considering storage modes such as snowpack, groundwater, and reservoirs\u003c/li>\n\u003cli>\u003cstrong>Agricultural:\u003c/strong> when water is scarce enough to stress crops\u003c/li>\n\u003cli>\u003cstrong>Ecological:\u003c/strong> when lack of water begins to have adverse impacts on natural ecosystems, such as the mass die-off of trees during California’s 5-year drought.\u003c/li>\n\u003c/ul>\n\u003cp>Simeral says the authors take all types of drought into account.\u003c/p>\n\u003cp>“I think we use a real comprehensive approach,” he says.\u003c/p>\n\u003cfigure id=\"attachment_1465670\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1465670\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut.jpg\" alt=\"Lake Oroville, reduced to a relative puddle in 2015. This year it overflowed. Reservoir levels are one of more than 100 indicators considered by the U.S. Drought Monitor.\" width=\"1920\" height=\"1325\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-800x552.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-768x530.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-1020x704.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-1180x814.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-960x663.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-240x166.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-375x259.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-520x359.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Lake Oroville, reduced to a relative puddle in 2015. This year it overflowed. Reservoir levels are one of more than 100 indicators considered by the U.S. Drought Monitor. \u003ccite>(MarkRalston/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The California Challenge\u003c/strong>\u003c/p>\n\u003cp>“California poses a challenge for a single map such as the drought monitor,” admits state climatologist Micheal Anderson, who is part of the regional focus group that advises the national authors.\u003c/p>\n\u003cp>“We have more natural variability than anywhere else in the continental U.S.” That, he says, combined with an elaborate system of storage and distribution that acts as a buffer against wild swings in precipitation, “make it very hard to get all the nuance of that into a single map that has to accommodate the whole country.” (Some of that nuance is contained in a \u003ca href=\"http://droughtmonitor.unl.edu/Home/Narrative.aspx\">written summary\u003c/a> that accompanies each weekly map, and that Simeral says he wishes more people would read.)\u003c/p>\n\u003caside class=\"pullquote alignright\">‘We stay out of the political end of things, period.’\u003ccite>David Simeral, Drought Monitor author\u003c/cite>\u003c/aside>\n\u003cp>Consequently, Anderson says the California map could lag behind conditions going into a drought. On the flip side, others have criticized the Monitor for backing out of the drought too quickly, not taking adequate account of long-term groundwater depletion. \u003ca href=\"http://droughtmonitor.unl.edu/Home/StateDroughtMonitor.aspx?CA\">This week’s map\u003c/a> shows little more than one percent of California still in severe drought (vs. more than 60 percent just three months ago), though many of the state’s aquifers will take years to refill.\u003c/p>\n\u003cp>Simeral says the authors and consultants absolutely put groundwater levels into the mix.\u003c/p>\n\u003cp>“We’re able to verify the data with individuals on the ground who are seeing impacts, whether it be to agriculture or wells running dry — things like that.”\u003c/p>\n\u003cp>Those observed impacts matter, as officials use the Drought Monitor to guide them in meting out billions of dollars in federal drought relief to farmers and ranchers around the country.\u003c/p>\n\u003cp>The maps can be politically charged. Simeral says the authors hear from many with perceived stakes in the map, such as local water agencies that don’t want to alarm customers. On the other hand, the State Water Resources Control Board has fretted that too much easing of conditions on the map could undermine its pleas for continued water conservation. Simeral says that none of these political concerns influence the authors.\u003c/p>\n\u003cp>“We stay out of the political end of things, period,” he says.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>While experts can debate its technical merits, in this age of “data visualization” (which often means compulsively mapping everything), the Drought Monitor — while it may not tell the whole story — has caught on, as people search for simple tools to keep up with the roller coaster ride that climate is fast becoming.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If tracking California’s epic drought has become an obsession for you, as it has around here, you’ve no doubt spent some time poring over the multi-colored maps known as the \u003ca href=\"http://droughtmonitor.unl.edu/Home.aspx\">U.S. Drought Monitor\u003c/a>.\u003c/p>\n\u003cp>The maps \u003ca href=\"https://ww2.kqed.org/science/2017/02/24/watch-how-fast-a-five-year-drought-can-disappear/\">have vividly portrayed\u003c/a> the dry times according to how parts of the state were classified; blood-red for “exceptional drought,” bright crimson for “extreme drought.” Recently and rapidly, the weekly maps have retreated to less alarming tones of beige and yellow, for “moderate drought,” or just “abnormally dry.” But who are the artists behind this parched palette — and what are they basing it on?\u003c/p>\n\u003cp>“It’s a judgment call based on a lot of data,” says David Simeral, an associate research scientist at the \u003ca href=\"http://www.wrcc.dri.edu/\">Western Regional Climate Center\u003c/a> in Reno. He’s one of \u003ca href=\"http://droughtmonitor.unl.edu/AboutUSDM/ContactUs.aspx\">about a dozen “national authors”\u003c/a> who take turns doing the maps on a rotating schedule.\u003c/p>\n\u003cp>\u003cstrong>100+ Indicators\u003c/strong>\u003c/p>\n\u003cp>Simeral says authors look at more than 100 indicators, ranging from precipitation data and snowpack levels, to soil moisture, stream flows and “vegetative health” (including satellite data that looks at “greenness”). They then plot out conditions on the map along contour lines, using GIS software (for Geographical Information System).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Drought Monitor’s home, if it can be said to have one, is the \u003ca href=\"http://drought.unl.edu/\">National Drought Mitigation Center\u003c/a> at the University of Nebraska-Lincoln, though there appears to be a battalion of cooks in this kitchen. Apart from the rotating authors, there are about 450 contributors from various government agencies, who collaborate on the weekly maps.\u003c/p>\n\u003cp>\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/DYql9U8R6sg'\n title='//www.youtube.com/embed/DYql9U8R6sg'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cbr>\nTo help come up with \u003ca href=\"http://droughtmonitor.unl.edu/Home/StateDroughtMonitor.aspx?CA\">the California map\u003c/a>, the National Weather Service leads a bi-weekly conference call with regional experts who can weigh in on factors that might change the status of different parts of the state. That group makes recommendations to the weekly author for potential changes.\u003c/p>\n\u003cp>“In the end it’s my judgment call as an author whether to make the changes or not, on the map.” The next week, it’ll be up to the next author in the rotation.\u003c/p>\n\u003cp>\u003cstrong>Critics Abound\u003c/strong>\u003c/p>\n\u003cp>The Drought Monitor has its critics, including Jay Lund, co-founder of the Center for Watershed Sciences at UC Davis, who has called it “misleading.” In his \u003ca href=\"https://californiawaterblog.com/2017/02/05/californias-wettest-drought-2017/\">California Water Blog\u003c/a>, he writes:\u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The \u003ca href=\"http://droughtmonitor.unl.edu/AboutUs/ClassificationScheme.aspx\">US Drought Monitor\u003c/a> is a common drought indicator, based mostly on soil moisture – designed mostly to indicate drought for rain-fed agriculture. This index is most useful for stress to forests and un-irrigated pasture and crops, which are not California’s biggest drought issues. California relies much more on large reservoirs and aquifers, which allow crops and cities to survive California’s otherwise beautiful and devastatingly dry summers. The US Drought Monitor, while a convenient general public service, is misleading for California’s most common drought issues. National statistics often have such regional problems.\u003c/p>\u003c/blockquote>\n\u003cp>Asked about these critiques, Simeral is unruffled.\u003c/p>\n\u003cp>“We hear them all the time,” he says, and counters that Lund’s assertion that the Monitor is “based mostly on soil moisture,” is simply incorrect. Simeral adds that drought can often be in the eye of the beholder, as there are several types of drought:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Meteorological:\u003c/strong> based primarily on recent shortfalls in precipitation\u003c/li>\n\u003cli>\u003cstrong>Hydrologic:\u003c/strong> considering storage modes such as snowpack, groundwater, and reservoirs\u003c/li>\n\u003cli>\u003cstrong>Agricultural:\u003c/strong> when water is scarce enough to stress crops\u003c/li>\n\u003cli>\u003cstrong>Ecological:\u003c/strong> when lack of water begins to have adverse impacts on natural ecosystems, such as the mass die-off of trees during California’s 5-year drought.\u003c/li>\n\u003c/ul>\n\u003cp>Simeral says the authors take all types of drought into account.\u003c/p>\n\u003cp>“I think we use a real comprehensive approach,” he says.\u003c/p>\n\u003cfigure id=\"attachment_1465670\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1465670\" src=\"https://ww2.kqed.org/science/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut.jpg\" alt=\"Lake Oroville, reduced to a relative puddle in 2015. This year it overflowed. Reservoir levels are one of more than 100 indicators considered by the U.S. Drought Monitor.\" width=\"1920\" height=\"1325\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-800x552.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-768x530.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-1020x704.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-1180x814.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-960x663.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-240x166.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-375x259.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/35/2017/03/RS15374_GettyImages-475039512-qut-520x359.jpg 520w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Lake Oroville, reduced to a relative puddle in 2015. This year it overflowed. Reservoir levels are one of more than 100 indicators considered by the U.S. Drought Monitor. \u003ccite>(MarkRalston/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The California Challenge\u003c/strong>\u003c/p>\n\u003cp>“California poses a challenge for a single map such as the drought monitor,” admits state climatologist Micheal Anderson, who is part of the regional focus group that advises the national authors.\u003c/p>\n\u003cp>“We have more natural variability than anywhere else in the continental U.S.” That, he says, combined with an elaborate system of storage and distribution that acts as a buffer against wild swings in precipitation, “make it very hard to get all the nuance of that into a single map that has to accommodate the whole country.” (Some of that nuance is contained in a \u003ca href=\"http://droughtmonitor.unl.edu/Home/Narrative.aspx\">written summary\u003c/a> that accompanies each weekly map, and that Simeral says he wishes more people would read.)\u003c/p>\n\u003caside class=\"pullquote alignright\">‘We stay out of the political end of things, period.’\u003ccite>David Simeral, Drought Monitor author\u003c/cite>\u003c/aside>\n\u003cp>Consequently, Anderson says the California map could lag behind conditions going into a drought. On the flip side, others have criticized the Monitor for backing out of the drought too quickly, not taking adequate account of long-term groundwater depletion. \u003ca href=\"http://droughtmonitor.unl.edu/Home/StateDroughtMonitor.aspx?CA\">This week’s map\u003c/a> shows little more than one percent of California still in severe drought (vs. more than 60 percent just three months ago), though many of the state’s aquifers will take years to refill.\u003c/p>\n\u003cp>Simeral says the authors and consultants absolutely put groundwater levels into the mix.\u003c/p>\n\u003cp>“We’re able to verify the data with individuals on the ground who are seeing impacts, whether it be to agriculture or wells running dry — things like that.”\u003c/p>\n\u003cp>Those observed impacts matter, as officials use the Drought Monitor to guide them in meting out billions of dollars in federal drought relief to farmers and ranchers around the country.\u003c/p>\n\u003cp>The maps can be politically charged. Simeral says the authors hear from many with perceived stakes in the map, such as local water agencies that don’t want to alarm customers. On the other hand, the State Water Resources Control Board has fretted that too much easing of conditions on the map could undermine its pleas for continued water conservation. Simeral says that none of these political concerns influence the authors.\u003c/p>\n\u003cp>“We stay out of the political end of things, period,” he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While experts can debate its technical merits, in this age of “data visualization” (which often means compulsively mapping everything), the Drought Monitor — while it may not tell the whole story — has caught on, as people search for simple tools to keep up with the roller coaster ride that climate is fast becoming.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>We predicted \u003ca href=\"https://ww2.kqed.org/news/2016/09/12/you-can-count-on-it-at-some-point-new-bart-station-will-open/\" target=\"_blank\" rel=\"noopener\">with utter confidence\u003c/a> six months ago that BART would open its long-awaited new extension and station in Fremont’s Warm Springs district. Eventually.\u003c/p>\n\u003cp>What we didn’t know then: when “eventually” would be.\u003c/p>\n\u003cp>Now we do: March 25, two weeks from tomorrow Pacific Daylight Time.\u003c/p>\n\u003cp>The Warm Springs extension, which runs 5.4 miles south from BART’s current East/South Bay terminus in Fremont, broke ground in 2009 with a planned opening date of 2014. A variety of construction, electrical and technology problems led to the date being moved back into 2015, then early 2016, then late 2016, to now.\u003c/p>\n\u003cp>Some of the issues involved the system’s widely acknowledged problem with aging infrastructure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“One of the most serious stumbling blocks we had was a problem with the cables that provide power — not only to Warm Springs but also to the existing line from Hayward to Fremont,” BART spokesman Jim Allison said Friday. “One of those cables failed, and while we were able to continue to run train service from Fremont, we weren’t able to do our testing on the Warm Springs extension.”\u003c/p>\n\u003cp>That resulted in an emergency cable replacement project last year that Allison said set back the Warm Springs timetable six months. After that, BART had to deal with a problem involving the inability of the agency’s ancient train-control computer system to communicate with modern gear installed on the new extension.\u003c/p>\n\u003cp>“Most recently we’ve had some problems with the software for the train control, and we’ve been working through those methodically,” Allison said. “That took us longer than we had hoped. But the good news is that we do have the finish line in sight now, in just two weeks.”\u003c/p>\n\u003cp>BART has said that it expects the station to offer an alternative to the traffic-choked Nimitz Freeway, with daily ridership of 6,000 to 7,000 when it opens. The facility will have a 2,000-car parking lot, and 40 of those parking spaces will include solar-powered charging stations for electric cars.\u003c/p>\n\u003cp>Allison noted that the entire facility, not just the car-charging stations, will run on solar power. But he said his favorite feature is the art-glass installation in the station’s entrance rotunda.\u003c/p>\n\u003cp>“It’s designed to make it a really show-stopping sight, especially with the sun you get in South Fremont in the summertime and spring,” Allison said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Warm Springs extension is a key link in BART’s expansion to Silicon Valley. A 10-mile extension from Warm Springs through Milpitas and on to San Jose’s Berryessa district is schedule to open late this year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We predicted \u003ca href=\"https://ww2.kqed.org/news/2016/09/12/you-can-count-on-it-at-some-point-new-bart-station-will-open/\" target=\"_blank\" rel=\"noopener\">with utter confidence\u003c/a> six months ago that BART would open its long-awaited new extension and station in Fremont’s Warm Springs district. Eventually.\u003c/p>\n\u003cp>What we didn’t know then: when “eventually” would be.\u003c/p>\n\u003cp>Now we do: March 25, two weeks from tomorrow Pacific Daylight Time.\u003c/p>\n\u003cp>The Warm Springs extension, which runs 5.4 miles south from BART’s current East/South Bay terminus in Fremont, broke ground in 2009 with a planned opening date of 2014. A variety of construction, electrical and technology problems led to the date being moved back into 2015, then early 2016, then late 2016, to now.\u003c/p>\n\u003cp>Some of the issues involved the system’s widely acknowledged problem with aging infrastructure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“One of the most serious stumbling blocks we had was a problem with the cables that provide power — not only to Warm Springs but also to the existing line from Hayward to Fremont,” BART spokesman Jim Allison said Friday. “One of those cables failed, and while we were able to continue to run train service from Fremont, we weren’t able to do our testing on the Warm Springs extension.”\u003c/p>\n\u003cp>That resulted in an emergency cable replacement project last year that Allison said set back the Warm Springs timetable six months. After that, BART had to deal with a problem involving the inability of the agency’s ancient train-control computer system to communicate with modern gear installed on the new extension.\u003c/p>\n\u003cp>“Most recently we’ve had some problems with the software for the train control, and we’ve been working through those methodically,” Allison said. “That took us longer than we had hoped. But the good news is that we do have the finish line in sight now, in just two weeks.”\u003c/p>\n\u003cp>BART has said that it expects the station to offer an alternative to the traffic-choked Nimitz Freeway, with daily ridership of 6,000 to 7,000 when it opens. The facility will have a 2,000-car parking lot, and 40 of those parking spaces will include solar-powered charging stations for electric cars.\u003c/p>\n\u003cp>Allison noted that the entire facility, not just the car-charging stations, will run on solar power. But he said his favorite feature is the art-glass installation in the station’s entrance rotunda.\u003c/p>\n\u003cp>“It’s designed to make it a really show-stopping sight, especially with the sun you get in South Fremont in the summertime and spring,” Allison said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Warm Springs extension is a key link in BART’s expansion to Silicon Valley. A 10-mile extension from Warm Springs through Milpitas and on to San Jose’s Berryessa district is schedule to open late this year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>ORLANDO, Fla. — A federal judge in Orlando on Friday revoked bond for the wife of the gunman responsible for the Pulse nightclub massacre, the worst mass shooting in modern U.S. history.\u003c/p>\n\u003cp>U.S. District Judge Paul Byron reversed the decision of a magistrate judge in Oakland last week to release Noor Salman on $500,000 bond and ordered her jailed pending trial on charges of aiding and abetting, and obstruction of justice. Acting upon a request from prosecutors, Byron said Salman hadn’t overcome a legal presumption that she was a flight risk or a danger to the community.\u003c/p>\n\u003cp>“Upon consideration, this court finds that no condition or combination of conditions of pretrial release will reasonably assure the safety of the community or reasonably assure the defendant’s appearance during the required court proceedings,” the judge wrote.\u003c/p>\n\u003cp>Salman was never let go from jail while Byron considered the prosecutors’ request.\u003c/p>\n\u003cp>Her attorney, Charles Swift in Texas, said in a statement that she maintains her innocence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We are currently exploring all available legal remedies on her behalf,” Swift said. “Until all the facts come out in trial, we urge the community to withhold judgment.”\u003c/p>\n\u003cp>Salman moved to California to be with her family after last June’s massacre at the gay Orlando nightclub, and she had her first court appearance there even though charges were filed in Orlando.\u003c/p>\n\u003cp>At the last of several Oakland hearings, U.S. Magistrate Judge Donna Ryu said it was “debatable” whether the government has enough evidence to convict Salman and ordered her released from jail until trial.\u003c/p>\n\u003cp>Salman has pleaded not guilty to charges of aiding and abetting, and obstruction of justice.\u003c/p>\n\u003cp>Prosecutors have said Salman accompanied her husband when he cased locations for potential terrorist attacks, knew ahead of time that he was planning the attack and misled FBI agents about what she knew about her husband’s plans.\u003c/p>\n\u003cp>Salman’s husband, Omar Mateen, pledged allegiance to the Islamic State during the attack at the Pulse nightclub last June 12. The deadliest mass shooting in recent U.S. history left 49 people dead and dozens more wounded.\u003c/p>\n\u003cp>Mateen was killed by police during a shootout at the end of a three-hour standoff.\u003c/p>\n\u003cp>The judge’s order offered new details about psychiatric tests given to Salman by a doctor that were ordered by the federal magistrate.\u003c/p>\n\u003cp>The doctor concluded that Salman had post-traumatic stress disorder and also had a high probability of intellectual impairment, although the results weren’t definitive, according to the order.\u003c/p>\n\u003cp>The judge’s order also said that Salman wasn’t given her Miranda warnings, which tell suspects they have a right to remain silent and have an attorney, when she was interviewed for 16 hours by FBI agents after the massacre.\u003c/p>\n\u003cp>A spokesman for the U.S. Attorney’s Office late Friday didn’t respond to an email asking how that would affect the case.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Follow Mike Schneider on Twitter: http://twitter.com/mikeschneiderap. His work can be found at http://bigstory.ap.org/content/Mike-Schneider.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>ORLANDO, Fla. — A federal judge in Orlando on Friday revoked bond for the wife of the gunman responsible for the Pulse nightclub massacre, the worst mass shooting in modern U.S. history.\u003c/p>\n\u003cp>U.S. District Judge Paul Byron reversed the decision of a magistrate judge in Oakland last week to release Noor Salman on $500,000 bond and ordered her jailed pending trial on charges of aiding and abetting, and obstruction of justice. Acting upon a request from prosecutors, Byron said Salman hadn’t overcome a legal presumption that she was a flight risk or a danger to the community.\u003c/p>\n\u003cp>“Upon consideration, this court finds that no condition or combination of conditions of pretrial release will reasonably assure the safety of the community or reasonably assure the defendant’s appearance during the required court proceedings,” the judge wrote.\u003c/p>\n\u003cp>Salman was never let go from jail while Byron considered the prosecutors’ request.\u003c/p>\n\u003cp>Her attorney, Charles Swift in Texas, said in a statement that she maintains her innocence.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are currently exploring all available legal remedies on her behalf,” Swift said. “Until all the facts come out in trial, we urge the community to withhold judgment.”\u003c/p>\n\u003cp>Salman moved to California to be with her family after last June’s massacre at the gay Orlando nightclub, and she had her first court appearance there even though charges were filed in Orlando.\u003c/p>\n\u003cp>At the last of several Oakland hearings, U.S. Magistrate Judge Donna Ryu said it was “debatable” whether the government has enough evidence to convict Salman and ordered her released from jail until trial.\u003c/p>\n\u003cp>Salman has pleaded not guilty to charges of aiding and abetting, and obstruction of justice.\u003c/p>\n\u003cp>Prosecutors have said Salman accompanied her husband when he cased locations for potential terrorist attacks, knew ahead of time that he was planning the attack and misled FBI agents about what she knew about her husband’s plans.\u003c/p>\n\u003cp>Salman’s husband, Omar Mateen, pledged allegiance to the Islamic State during the attack at the Pulse nightclub last June 12. The deadliest mass shooting in recent U.S. history left 49 people dead and dozens more wounded.\u003c/p>\n\u003cp>Mateen was killed by police during a shootout at the end of a three-hour standoff.\u003c/p>\n\u003cp>The judge’s order offered new details about psychiatric tests given to Salman by a doctor that were ordered by the federal magistrate.\u003c/p>\n\u003cp>The doctor concluded that Salman had post-traumatic stress disorder and also had a high probability of intellectual impairment, although the results weren’t definitive, according to the order.\u003c/p>\n\u003cp>The judge’s order also said that Salman wasn’t given her Miranda warnings, which tell suspects they have a right to remain silent and have an attorney, when she was interviewed for 16 hours by FBI agents after the massacre.\u003c/p>\n\u003cp>A spokesman for the U.S. Attorney’s Office late Friday didn’t respond to an email asking how that would affect the case.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Follow Mike Schneider on Twitter: http://twitter.com/mikeschneiderap. His work can be found at http://bigstory.ap.org/content/Mike-Schneider.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California Insurance Commissioner Dave Jones has now remembered how he voted on the state’s Proposition 64 to legalize pot, and he says he voted “no.”\u003c/p>\n\u003cp>In an interview this week with the \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article137318608.html\" target=\"_blank\" rel=\"noopener\">Sacramento Bee\u003c/a>, Jones said that he didn’t remember how he voted on the state proposition to legalize recreational marijuana on the November 2016 ballot. But pressed by KQED today, in light of Jones’ bid for state attorney general in 2018, his memory returned.\u003c/p>\n\u003cp>“I voted to oppose the proposition,” Jones said. “But ultimately the proposition passed, and so my job is to make it work.”\u003c/p>\n\u003cp>Jones said he considered arguments that the proposition would decriminalize pot, but also questioned whether the state was ready.\u003c/p>\n\u003cp>“I had a lot of ambivalence about it, frankly, and the reason I couldn’t recall my vote at the time of the interview is because of that ambivalence,” he added.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Jones added that he is committed to the successful implementation of the law both as commissioner now and, he says, hopefully as attorney general in the future.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Insurance Commissioner Dave Jones has now remembered how he voted on the state’s Proposition 64 to legalize pot, and he says he voted “no.”\u003c/p>\n\u003cp>In an interview this week with the \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article137318608.html\" target=\"_blank\" rel=\"noopener\">Sacramento Bee\u003c/a>, Jones said that he didn’t remember how he voted on the state proposition to legalize recreational marijuana on the November 2016 ballot. But pressed by KQED today, in light of Jones’ bid for state attorney general in 2018, his memory returned.\u003c/p>\n\u003cp>“I voted to oppose the proposition,” Jones said. “But ultimately the proposition passed, and so my job is to make it work.”\u003c/p>\n\u003cp>Jones said he considered arguments that the proposition would decriminalize pot, but also questioned whether the state was ready.\u003c/p>\n\u003cp>“I had a lot of ambivalence about it, frankly, and the reason I couldn’t recall my vote at the time of the interview is because of that ambivalence,” he added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President Donald Trump has promised to deport 2 million to 3 million people this year alone. To do so, the government typically must detain them first. But with the system already at capacity, where will all these new detainees go? 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"excerpt": "President Trump has promised to deport up to 3 million people this year. To do so, ICE typically must detain them first. But with the system already at capacity, where will all these new detainees go?",
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A \u003ca href=\"https://ww2.kqed.org/news/2017/03/08/how-trump-could-detain-more-immigrants-in-california/\" target=\"_blank\">KQED investigation found\u003c/a> the government can likely ramp up detention capacity quickly — and California’s jails could play a key part.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11353298\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/DetentionFiorePage1-800x1459.jpg\" alt=\"DetentionFiorePage1\" width=\"800\" height=\"1459\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/DetentionFiorePage1-800x1459.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/DetentionFiorePage1-160x292.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/DetentionFiorePage1-1020x1860.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/DetentionFiorePage1.jpg 1920w, 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"content": "\u003cp>LOS ANGELES — Cars with no steering wheel, no pedals and nobody at all inside could be driving themselves on California roads by the end of the year, under proposed new rules that would give a powerful boost to the technology from the nation’s most populous state.\u003c/p>\n\u003cp>For the past several years, tech companies and automakers have been testing self-driving cars on California’s roads. But regulators insisted that those vehicles have steering wheels, foot controls and human backup drivers who could take over in an emergency.\u003c/p>\n\u003cp>On Friday, the state Department of Motor Vehicles proposed rules that would open the way for truly driverless cars.\u003c/p>\n\u003cp>Under the rules, testing of such cars could begin by the end of 2017, and a limited number could become available to customers as early as 2018 — provided the federal government gives the necessary permission. Currently, federal automobile standards require steering wheels, though Washington has shown a desire to encourage the technology.\u003c/p>\n\u003cp>The proposed rules amount to the most detailed regulatory framework of any state and represent a major advance for the industry, given California’s size, its clout as the nation’s biggest car market and its longtime role as a cultural trendsetter.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The rules are subject to a public hearing and a comment period, and could change. Regulators hope to put them in effect by December.\u003c/p>\n\u003cp>The proposal released Friday is more than two years overdue.\u003c/p>\n\u003cp>In one important change from prior drafts, once a manufacturer declares its technology is road-ready, it can put the cars on the market. That self-certification approach mirrors how federal officials regulate standard cars, and it represents a big victory for such major players as Waymo, as Google has rebranded its self-driving car project.\u003c/p>\n\u003cp>Under the proposed California regulations, any driverless car still must be remotely monitored and able to pull itself over safely in an emergency.\u003c/p>\n\u003cp>The technology for truly driverless cars of the future already is here — more than a year ago, a Waymo prototype with no steering wheel or pedals drove a blind man on city streets in Texas. Supporters say the cars may one day be far safer than those with humans at the wheel, since they won’t drive distracted, drunk or drowsy.\u003c/p>\n\u003cp>During the more than two years of road testing in California, self-driving cars with human backup drivers are believed to have caused just a few collisions.\u003c/p>\n\u003cp>A year ago, Waymo reported that during the 424,331 miles its cars had driven themselves, a driver intervened 11 times to avoid a collision. In an update earlier this year, Waymo said its fleet had driven 636,868 miles in autonomous mode; it did not say how many crashes were avoided.\u003c/p>\n\u003cp>In all, 27 companies have Department of Motor Vehicles permits to test on California roads.\u003c/p>\n\u003cp>As for other states, Waymo was able to legally put its prototype on the road in Texas because state law there does not prohibit a fully driverless car. Other states have explicitly invited the technology onto its roads, including Michigan, whose governor signed a bill in December that allows the public testing of cars with no driver.\u003c/p>\n\u003cp>In the meantime, the industry has been lobbying the U.S. Transportation Department and Congress for rule changes that could speed the introduction of truly driverless cars.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Contact Justin Pritchard at https://twitter.com/lalanewsman.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES — Cars with no steering wheel, no pedals and nobody at all inside could be driving themselves on California roads by the end of the year, under proposed new rules that would give a powerful boost to the technology from the nation’s most populous state.\u003c/p>\n\u003cp>For the past several years, tech companies and automakers have been testing self-driving cars on California’s roads. But regulators insisted that those vehicles have steering wheels, foot controls and human backup drivers who could take over in an emergency.\u003c/p>\n\u003cp>On Friday, the state Department of Motor Vehicles proposed rules that would open the way for truly driverless cars.\u003c/p>\n\u003cp>Under the rules, testing of such cars could begin by the end of 2017, and a limited number could become available to customers as early as 2018 — provided the federal government gives the necessary permission. Currently, federal automobile standards require steering wheels, though Washington has shown a desire to encourage the technology.\u003c/p>\n\u003cp>The proposed rules amount to the most detailed regulatory framework of any state and represent a major advance for the industry, given California’s size, its clout as the nation’s biggest car market and its longtime role as a cultural trendsetter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The rules are subject to a public hearing and a comment period, and could change. Regulators hope to put them in effect by December.\u003c/p>\n\u003cp>The proposal released Friday is more than two years overdue.\u003c/p>\n\u003cp>In one important change from prior drafts, once a manufacturer declares its technology is road-ready, it can put the cars on the market. That self-certification approach mirrors how federal officials regulate standard cars, and it represents a big victory for such major players as Waymo, as Google has rebranded its self-driving car project.\u003c/p>\n\u003cp>Under the proposed California regulations, any driverless car still must be remotely monitored and able to pull itself over safely in an emergency.\u003c/p>\n\u003cp>The technology for truly driverless cars of the future already is here — more than a year ago, a Waymo prototype with no steering wheel or pedals drove a blind man on city streets in Texas. Supporters say the cars may one day be far safer than those with humans at the wheel, since they won’t drive distracted, drunk or drowsy.\u003c/p>\n\u003cp>During the more than two years of road testing in California, self-driving cars with human backup drivers are believed to have caused just a few collisions.\u003c/p>\n\u003cp>A year ago, Waymo reported that during the 424,331 miles its cars had driven themselves, a driver intervened 11 times to avoid a collision. In an update earlier this year, Waymo said its fleet had driven 636,868 miles in autonomous mode; it did not say how many crashes were avoided.\u003c/p>\n\u003cp>In all, 27 companies have Department of Motor Vehicles permits to test on California roads.\u003c/p>\n\u003cp>As for other states, Waymo was able to legally put its prototype on the road in Texas because state law there does not prohibit a fully driverless car. Other states have explicitly invited the technology onto its roads, including Michigan, whose governor signed a bill in December that allows the public testing of cars with no driver.\u003c/p>\n\u003cp>In the meantime, the industry has been lobbying the U.S. Transportation Department and Congress for rule changes that could speed the introduction of truly driverless cars.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Contact Justin Pritchard at https://twitter.com/lalanewsman.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Blue Shield Moving Headquarters From San Francisco to Oakland",
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"content": "\u003cp>Blue Shield of California says it will save tens of millions of dollars by moving its headquarters and its 1,200 workers from San Francisco to Oakland.\u003c/p>\n\u003cp>The nonprofit health insurer, founded in San Francisco 78 years ago, announced Wednesday it plans to leave the city for the East Bay in 2019.\u003c/p>\n\u003cp>Blue Shield’s lease of its current Beale Street property in San Francisco is up in two years, and the company had to make a decision, said spokesman Steve Shivinsky.\u003c/p>\n\u003cp>“This was a move to find a location that would allow us to save us some money,” he said.\u003c/p>\n\u003cp>Some companies are finding it increasingly difficult to pay San Francisco’s skyrocketing rental rates, pushed up by the tech boom. The company estimates the move will save $150 million over the 13-year lease in Oakland.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Blue Shield will occupy part of a new 24-story office tower to be developed at 601 City Center. The building is being developed by Shorenstein Realty Services and MetLife.\u003c/p>\n\u003cp>Oakland Mayor Libby Schaaf said Blue Shield was a “strong corporate citizen” that would give a boost to the city's revitalization and add to its growing hub of health and tech companies, which include Kaiser Permanente and Pandora Media.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Blue Shield’s independent philanthropic organization, Blue Shield Foundation, will remain in San Francisco.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Blue Shield of California says it will save tens of millions of dollars by moving its headquarters and its 1,200 workers from San Francisco to Oakland.\u003c/p>\n\u003cp>The nonprofit health insurer, founded in San Francisco 78 years ago, announced Wednesday it plans to leave the city for the East Bay in 2019.\u003c/p>\n\u003cp>Blue Shield’s lease of its current Beale Street property in San Francisco is up in two years, and the company had to make a decision, said spokesman Steve Shivinsky.\u003c/p>\n\u003cp>“This was a move to find a location that would allow us to save us some money,” he said.\u003c/p>\n\u003cp>Some companies are finding it increasingly difficult to pay San Francisco’s skyrocketing rental rates, pushed up by the tech boom. The company estimates the move will save $150 million over the 13-year lease in Oakland.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Blue Shield will occupy part of a new 24-story office tower to be developed at 601 City Center. The building is being developed by Shorenstein Realty Services and MetLife.\u003c/p>\n\u003cp>Oakland Mayor Libby Schaaf said Blue Shield was a “strong corporate citizen” that would give a boost to the city's revitalization and add to its growing hub of health and tech companies, which include Kaiser Permanente and Pandora Media.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Blue Shield’s independent philanthropic organization, Blue Shield Foundation, will remain in San Francisco.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Premier U.S. Hospitals Are Selling Unproven Alternative Therapies",
"title": "Premier U.S. Hospitals Are Selling Unproven Alternative Therapies",
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"content": "\u003cp>They’re among the nation’s premier medical centers, at the leading edge of scientific research.\u003c/p>\n\u003cp>Yet hospitals affiliated with Yale, Duke, Johns Hopkins, and other top medical research centers also aggressively promote alternative therapies with little or no scientific backing. They offer “energy healing” to help treat multiple sclerosis, acupuncture for infertility, and homeopathic bee venom for fibromyalgia. A public forum hosted by the University of Florida’s hospital even promises to explain how herbal therapy can reverse Alzheimer’s. (It can’t.)\u003c/p>\n\u003cp>This embrace of alternative medicine has been building for years. But a STAT examination of 15 academic research centers across the U.S. underscores just how deeply these therapies have become embedded in prestigious hospitals and medical schools.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We've become witch doctors ... [forfeiting] any claim that we had to be a science-based profession.'\u003ccite>Dr. Steven Novella, Yale School of Medicine \u003c/cite>\u003c/aside>\n\u003cp>Some hospitals have built luxurious, spa-like wellness centers to draw patients for spiritual healing, homeopathy and more. And they’re promoting such treatments for a wide array of conditions, including depression, heart disease, cancer, and chronic pain. Duke even markets a pediatric program that suggests on its website that alternative medicine, including “detoxification programs” and “botanical medicines,” can help children with conditions ranging from autism to asthma to ADHD.\u003c/p>\n\u003cp>“We’ve become witch doctors,” said Dr. Steven Novella, a professor of neurology at the Yale School of Medicine and a longtime critic of alternative medicine.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>STAT’s examination found a booming market for such therapies: The clinic at the University of California, San Francisco, is growing so fast, it’s bursting out of its space.\u003c/p>\n\u003cp>Just in the past year, the teaching hospital connected to the University of Florida began offering cancer patients consultations in homeopathy and traditional Chinese herbal medicine. Thomas Jefferson University in Philadelphia launched an institute whose offerings include \u003ca href=\"https://www.statnews.com/2017/02/23/vitamin-iv-infusion/\" target=\"_blank\">intravenous vitamin and mineral therapies\u003c/a>. And the University of Arizona, a pioneer in the field, received a $1 million gift to boost practitioner training in natural and spiritual healing techniques.\u003c/p>\n\u003cp>Even as they count on these programs to bring in patients and revenue, several hospitals were reluctant to talk to STAT about why they’re lending their distinguished names to unproven therapies.\u003c/p>\n\u003cp>Duke Health declined repeated requests for interviews about its rapidly growing integrative medicine center, which \u003ca href=\"https://www.dukeintegrativemedicine.org/wp-content/uploads/2016/02/primarycare-brochure-web.pdf\" target=\"_blank\">charges patients $1,800 a year\u003c/a> just for a basic membership, with acupuncture and other treatments billed separately.\u003c/p>\n\u003cp>MedStar Georgetown quietly edited its website, citing changes to its clinical offerings, after a reporter asked why it listed the energy healing practice of reiki as a therapy for blood cancer. Cleveland Clinic struggled to find anyone on its staff to defend the hospital’s energy medicine program, ultimately issuing a statement that it’s “responding to the needs of our patients and patient demand.”\u003c/p>\n\u003cp>And the director of an alternative medicine program at another prestigious hospital declined to speak on the record — out of fear, he said, that his remarks would be construed as “fake news” and stir a backlash.\u003c/p>\n\u003cp>The rise of alternative therapies has sparked tension in some hospitals, with doctors openly accusing their peers of peddling snake oil and undermining the credibility of their institutions.\u003c/p>\n\u003cp>By promoting such therapies, Novella said, physicians are forfeiting “any claim that we had to being a science-based profession.”\u003c/p>\n\u003cp>As for patients? They’re “being snookered,” he said.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Yes, as scientists, we want to be rigid. But me, as a physician, I want to find what's best for a patient. Who am I to say that's hogwash?' \u003ccite>Dr. Linda Lee, Johns Hopkins gastroenterologist\u003c/cite>\u003c/aside>\n\u003cp>The counterargument: Modern medicine clearly can’t cure everyone. It fails a great many patients. So why not encourage them to try an ancient Indian remedy or a spiritual healing technique that’s unlikely to cause harm — and may provide some relief, if only from the placebo effect?\u003c/p>\n\u003cp>“Yes, as scientists, we want to be rigid. But me, as a physician, I want to find what’s best for a patient. Who am I to say that’s hogwash?” said Dr. Linda Lee.\u003c/p>\n\u003cp>A gastroenterologist, Lee runs the Johns Hopkins Integrative Medicine and Digestive Center, which offers acupuncture, massage therapy, and reiki — a therapy that the center’s website describes as laying on hands \u003ca href=\"http://www.hopkinsmedicine.org/integrative_medicine_digestive_center/services/reiki.html\" target=\"_blank\">“to transmit Universal Life Energy”\u003c/a> to the patient.\u003c/p>\n\u003cp>Lee and others who promote alternative therapies are careful to say that they can supplement — but can’t replace — conventional treatments. And they make a point of coordinating care with other doctors so that, for instance, patients don’t get prescribed herbal supplements that might interact badly with their chemotherapy.\u003c/p>\n\u003cp>“Here at UF, we do not have alternative medicine. We do not have complementary medicine. We have integrative medicine,” said Dr. Irene Estores, medical director of the integrative medicine program at the University of Florida Shands Hospital in Gainesville, Fla.\u003c/p>\n\u003cp>\u003cstrong>Online Promotions Offer Scant Evidence\u003c/strong>\u003c/p>\n\u003cp>But while those cautions may come through in the clinic, the hospitals also promote alternative medicine online — often, without any nuance.\u003c/p>\n\u003cp>Duke’s Integrative Medicine store, for instance, sells \u003ca href=\"https://shopprovisions.dukestores.duke.edu/index.php?main_page=product_info&cPath=37_1&products_id=196\" target=\"_blank\">“Po Chai Pills”\u003c/a> that are touted on the hospital’s website as a cure for everything from belching to hangovers to headaches. The site explains that taking a pill “harmonizes the stomach, stems counterflow ascent of stomach qi, dispels damp, dispels pathogenic factors, subdues yang, relieves pain.” None of that makes sense in modern biomedical terms.\u003c/p>\n\u003cp>Thomas Jefferson University Hospital’s website touts \u003ca href=\"http://hospitals.jefferson.edu/tests-and-treatments/homeopathic-medicine.html\" target=\"_blank\">homeopathic bee venom\u003c/a> as useful to relieve symptoms for arthritis, nerve pain, and other conditions. The site does tell patients that the biological mechanism for the treatment is “unexplained” but asserts that studies “have been published in medical journals showing homeopathic medicines may provide clinical benefit.”\u003c/p>\n\u003cp>Asked about the therapy, Dr. Daniel Monti, who directs the integrative health center, acknowledged that the data is “largely anecdotal,” and said the hospital offers the treatment only rarely, “when there are few other options.” But those caveats don’t come through on the website.\u003c/p>\n\u003cp>Novella gets alarmed when he sees top-tier hospitals backing therapies with scant evidence behind them. “Patients only want [alternative medicine] because they’re being told they should want it. They see a prestigious hospital is offering it, so they think it’s legitimate,” said Novella.\u003c/p>\n\u003cp>“The perpetuation of these practices is a victory of marketing over truth,” said Steven Salzberg, a biomedical engineer at Johns Hopkins who lectures in the medical school. If a hospital is “offering treatment that’s based on fantasy, it undermines the credibility of the institution.”\u003c/p>\n\u003cp>The debate burst into the public view earlier this year when the medical director of the Cleveland Clinic’s Wellness Institute — which markets a variety of alternative therapies — \u003ca href=\"https://www.statnews.com/2017/01/07/anti-vaccine-claims-cleveland-clinic/\" target=\"_blank\">published an article\u003c/a> raising discredited theories linking vaccines to autism.\u003c/p>\n\u003cp>Cleveland Clinic’s chief executive, Dr. Toby Cosgrove, disavowed the article. And the clinic told STAT last week that it will take down its online wellness store and stop selling homeopathy kits.\u003c/p>\n\u003cp>But Cosgrove has stood up for the general principle of offering alternative treatments.\u003c/p>\n\u003cp>“The old way of combating chronic disease hasn’t worked,” Cosgrove wrote in a column posted on the hospital’s website. “… We have heard from our patients that they want more than conventional medicine can offer.”\u003c/p>\n\u003cfigure id=\"attachment_351821\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/03/bee-venom-800x530.jpg\">\u003cfigcaption class=\"wp-caption-text\">Thomas Jefferson University Hospital’s website touts homeopathic bee venom as useful to relieve symptoms for arthritis, nerve pain, and other conditions. The site tells patients that the biological mechanism for the treatment is “unexplained.” \u003ccite>(erierika/iStock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Booming Market for ‘Natural’ Therapies\u003c/strong>\u003c/p>\n\u003cp>There’s no question that patients want alternative medicine. It’s a $37 billion-a-year business.\u003c/p>\n\u003cp>The typical American adult spent about $800 out of pocket in 2012 on dietary supplements and visits to alternative providers, such as naturopaths and acupuncturists, according to the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Hospitals have taken note. A national consortium to promote integrative health now counts more than 70 academic centers and health systems as members, up from eight in 1999. Each year, four or five new programs join, said Dr. Leslie Mendoza Temple, the chair of the consortium’s policy working group.\u003c/p>\n\u003cp>In most cases, insurers won’t cover alternative therapies — there’s simply not enough evidence that they actually work — so patients pay out of pocket: $85 for acupuncture, $100 for reiki, $38 for pills made from thyme and oregano oils that promise to “harmonize digestive and respiratory function.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'The people running the hospitals are doctors, but they also have MBAs. They talk of patients as customers. ... Your job is to sell them what they want.' \u003ccite>Arthur Caplan, New York University bioethicist\u003c/cite>\u003c/aside>\n\u003cp>To be sure, not all such integrative medicine clinics are big profit centers. Many are funded by philanthropists, and some hospitals say their programs operate at a loss — but are nonetheless essential to woo patients in a highly competitive marketplace. If they failed to offer “natural” therapies, some hospital executives fear they would lose a chance to attract patients who need more lucrative care, such as orthopedic surgeries or cancer treatments.\u003c/p>\n\u003cp>The integrative medicine center at Thomas Jefferson, for instance, is part of an “enterprise strategy for growth and development,” Monti said.\u003c/p>\n\u003cp>“The people running the hospitals are doctors, but they also have MBAs. They talk of patients as customers. Customers have demands. Your job is to sell them what they want,” said Arthur Caplan, a bioethicist at New York University’s medical school. Too often, he said, the attitude is, “We’re damn well going to do it if the guys down the street are doing it.”\u003c/p>\n\u003cp>While most hospitals declined to give specific revenue figures, STAT found indications of rapid growth.\u003c/p>\n\u003cp>“We’re literally bursting. We have to convert office space to clinic exam rooms,” said Shelley Adler, who runs the Osher Center for Integrative Medicine at the University of California, San Francisco. It offers a wide range of services, including Chinese herbal medicine, massage therapy, and Ayurveda, an ancient healing system from India based on the belief that health results from a balance between the mind, body, and spirit.\u003c/p>\n\u003cp>The center is on pace to get more than 10,300 patient visits this fiscal year, up 37 percent from 2012. It’s expanding its clinical staff by a third.\u003c/p>\n\u003cp>Duke University’s integrative medicine clinic, a stunning space with arching wood ceilings and an indoor garden, has seen strong growth: Total visits jumped 50 percent in 2015, to more than 14,000, Dr. Adam Perlman, the executive director, told IntegrativePractitioner.com. (He declined to talk to STAT.)\u003c/p>\n\u003cp>The center’s membership count also jumped, up 25 percent to 885, Perlman said. If all members paid the list price, that would bring in more than $1 million a year just for primary care.\u003c/p>\n\u003cp>At the University of Pittsburgh’s Center for Integrative Medicine, meanwhile, “our volume pretty much has increased steadily, even when we’ve had recessions and financial downturns,” said Dr. Ronald Glick, the medical director. The center now treats about 8,000 patients a year.\u003c/p>\n\u003cp>Many hospitals have also expanded into more general “wellness” offerings, with classes in healthy cooking, tai chi, meditation, and art therapy. UCSF offers a $375 class on “cultivating emotional balance” (and a free class on “laughter yoga”). Mayo Clinic sells a $2,900 “signature experience,” which includes consultations with a wellness coach.\u003c/p>\n\u003cp>And the Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital offers specialized stress management services to help patients deal with conditions including cancer, infertility, and menopause. John Henry, the owner of STAT, has contributed funding to the Benson-Henry Institute.\u003c/p>\n\u003cp>Wellness programs — which are designed to ease stress and encourage healthy behaviors — are seen by many clinicians and hospitals as key to slowing America’s epidemic of chronic disease. They don’t tend to draw sharp criticism, except for their cost.\u003c/p>\n\u003cp>It’s the alternative therapies promoted as a way to treat disease that raise eyebrows.\u003c/p>\n\u003cp>\u003cstrong>‘Energy Healing’ Takes Root\u003c/strong>\u003c/p>\n\u003cp>Despite their deep wells of medical expertise, many top hospitals are offering to help treat serious medical problems with reiki — a practice based on the belief that lightly touching patients can unleash a cosmic energy flow that will heal them naturally.\u003c/p>\n\u003cp>STAT found that it is widely used by academic medical centers, including Johns Hopkins, Yale, the University of Pennsylvania, and Spaulding Rehabilitation Hospital, part of Partners HealthCare in Boston.\u003c/p>\n\u003cp>So, where’s the evidence supporting it?\u003c/p>\n\u003caside class=\"pullquote alignright\">'If it doesn't work, I don't know that you've lost anything. If it does, you do get to a better place.' \u003ccite>Dr. Richard Lang, Cleveland Clinic\u003c/cite>\u003c/aside>\n\u003cp>There is none, according to a division of the National Institutes of Health that funds research into alternative medicines. It says the practice has not been shown to be useful for “any health-related purpose” — and adds that there is no scientific evidence that the “natural healing energy” it’s based on even exists.\u003c/p>\n\u003cp>Asked about the Cleveland Clinic’s promotion of reiki, Dr. Richard Lang, the recently named interim director of the clinic’s Wellness Institute, said he hadn’t had a chance to think about it. “I don’t know that I could give you a plus or minus on that,” he said. Lang served as a vice chair of the Wellness Institute for nearly a decade before taking the top post.\u003c/p>\n\u003cp>Pressed for a more substantive answer, the clinic sent a statement saying it offers energy medicine as a complementary therapy, not as a replacement solution. But its website only briefly alludes to a patient’s broader “care team” in describing a “full range of emotional and physical issues” that can be treated with energy therapies, including autoimmune diseases, migraines, hormonal imbalances, and “cancer treatment support and recovery.”\u003c/p>\n\u003cp>Academic medical centers often boast that they’re more rigorous in evaluating alternative therapies — and weeding out scams — than a for-profit wellness center might be.\u003c/p>\n\u003cp>“The important thing about practicing in an academic center is that we must hold ourselves to certain standards,” said Estores, the medical director at the University of Florida’s integrative medicine clinic.\u003c/p>\n\u003cp>At the University of Pittsburgh, Glick echoed that sentiment: “We’re an academic institution … [so] we’re offering services that have greater evidence basis [and] scientific explanation.”\u003c/p>\n\u003cp>But that evidence isn’t always rigorous.\u003c/p>\n\u003cp>The University of Florida, for instance, is using Facebook to advertise an herbal medicine workshop for providers and the public that promises to answer questions including, “How can we stabilize or reverse Alzheimer’s disease?”\u003c/p>\n\u003cp>Asked about the evidence for that statement, Susan Marynowski, the herbalist presenting the workshop, cited several papers and a book chapter that she said showed herbs, in conjunction with lifestyle adjustments, could reverse Alzheimer’s-associated memory loss. However, at least two of those papers were small collections of case studies published in a journal with a reputation for less-than-rigorous review. (Marynowski said she knew the studies’ size and design limited the strength of their conclusions, but that she was not aware of the journal’s reputation.)\u003c/p>\n\u003cp>At Pittsburgh, the integrative medical center does take care to note on its website that alternative therapies “generally have not been subjected to the same level of research as standard medical approaches.”\u003c/p>\n\u003cp>But the site then goes on to promote dozens of treatments for everything from ADHD to whiplash, saying they have “appeared to be beneficial in this and other complementary medicine clinics.” (Glick noted that the body of research had grown since he wrote the caveat on the website in 2003.)\u003c/p>\n\u003cp>\u003cstrong>‘It’s not Black and White’\u003c/strong>\u003c/p>\n\u003cp>Perhaps the most prevalent alternative treatment STAT found on offer is acupuncture. It’s promoted for more than a dozen conditions, including high blood pressure, sinus problems, infertility, migraines, and digestive irregularities.\u003c/p>\n\u003cp>A 3,000-year-old Chinese therapy, acupuncture is based on the belief that by stimulating certain points on the body, most often with needles, practitioners can unlock a natural healing energy that flows through the body’s “meridians.” Research suggests it helps with certain pain conditions and might help prevent migraine headaches — but it also suggests that the placebo effect may play an important role.\u003c/p>\n\u003cp>Its value in treating other conditions is uncertain, according to the NIH’s center on integrative medicine.\u003c/p>\n\u003cp>Several major insurers, including Aetna, Anthem, and regional Blue Cross Blue Shield affiliates, cover acupuncture as a treatment for chronic pain and nausea. But the Centers for Medicare and Medicaid Services won’t pay for acupuncture, dismissing the scientific evidence as insufficient.\u003c/p>\n\u003cp>Still, it’s important for physicians to keep an open mind, said Lang, the interim director of the Cleveland Clinic Wellness Institute.\u003c/p>\n\u003cp>He said, for example, that he used to avoid referring patients for acupuncture, until he saw the benefit it provided to some of them. “I have seen it work in some chronic pain situations,” said Lang. “It can be very helpful. If it doesn’t work, I don’t know that you’ve lost anything. If it does, you do get to a better place.”\u003c/p>\n\u003cp>And while the evidence of its efficacy is not ironclad, neither is the evidence for various pharmaceutical therapies that are routinely provided by hospitals and covered by insurance. Some of those solutions, such as opioids to treat pain, have resulted in addiction and harm to patients.\u003c/p>\n\u003cp>Advocates of alternative medicine say it’s difficult to test some alternative therapies through rigorous clinical trials, primarily because treatment techniques vary from patient to patient. (The federal government does, however, spend roughly $120 million a year to fund research through the NIH National Center for Complementary and Integrative Health.)\u003c/p>\n\u003cp>They note, too, that traditional doctors sometimes stray from proven treatments, for instance when they prescribe medicines off-label for conditions the drugs have not been approved to treat.\u003c/p>\n\u003cp>“We do use things that aren’t necessarily 100 percent evidence-based, but I would argue that’s also true within all of medicine,” said Dr. Jill Schneiderhan, co-director of the University of Michigan’s integrative family medicine program. “I feel like it’s not black and white.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003cspan style=\"font-weight: 400\">This \u003ca href=\"https://www.statnews.com/2017/03/07/alternative-medicine-hospitals-promote/\" target=\"_blank\">story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery. \u003c/span>\u003c/em>\u003c/p>\n\n",
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"headline": "Premier U.S. Hospitals Are Selling Unproven Alternative Therapies",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>They’re among the nation’s premier medical centers, at the leading edge of scientific research.\u003c/p>\n\u003cp>Yet hospitals affiliated with Yale, Duke, Johns Hopkins, and other top medical research centers also aggressively promote alternative therapies with little or no scientific backing. They offer “energy healing” to help treat multiple sclerosis, acupuncture for infertility, and homeopathic bee venom for fibromyalgia. A public forum hosted by the University of Florida’s hospital even promises to explain how herbal therapy can reverse Alzheimer’s. (It can’t.)\u003c/p>\n\u003cp>This embrace of alternative medicine has been building for years. But a STAT examination of 15 academic research centers across the U.S. underscores just how deeply these therapies have become embedded in prestigious hospitals and medical schools.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We've become witch doctors ... [forfeiting] any claim that we had to be a science-based profession.'\u003ccite>Dr. Steven Novella, Yale School of Medicine \u003c/cite>\u003c/aside>\n\u003cp>Some hospitals have built luxurious, spa-like wellness centers to draw patients for spiritual healing, homeopathy and more. And they’re promoting such treatments for a wide array of conditions, including depression, heart disease, cancer, and chronic pain. Duke even markets a pediatric program that suggests on its website that alternative medicine, including “detoxification programs” and “botanical medicines,” can help children with conditions ranging from autism to asthma to ADHD.\u003c/p>\n\u003cp>“We’ve become witch doctors,” said Dr. Steven Novella, a professor of neurology at the Yale School of Medicine and a longtime critic of alternative medicine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>STAT’s examination found a booming market for such therapies: The clinic at the University of California, San Francisco, is growing so fast, it’s bursting out of its space.\u003c/p>\n\u003cp>Just in the past year, the teaching hospital connected to the University of Florida began offering cancer patients consultations in homeopathy and traditional Chinese herbal medicine. Thomas Jefferson University in Philadelphia launched an institute whose offerings include \u003ca href=\"https://www.statnews.com/2017/02/23/vitamin-iv-infusion/\" target=\"_blank\">intravenous vitamin and mineral therapies\u003c/a>. And the University of Arizona, a pioneer in the field, received a $1 million gift to boost practitioner training in natural and spiritual healing techniques.\u003c/p>\n\u003cp>Even as they count on these programs to bring in patients and revenue, several hospitals were reluctant to talk to STAT about why they’re lending their distinguished names to unproven therapies.\u003c/p>\n\u003cp>Duke Health declined repeated requests for interviews about its rapidly growing integrative medicine center, which \u003ca href=\"https://www.dukeintegrativemedicine.org/wp-content/uploads/2016/02/primarycare-brochure-web.pdf\" target=\"_blank\">charges patients $1,800 a year\u003c/a> just for a basic membership, with acupuncture and other treatments billed separately.\u003c/p>\n\u003cp>MedStar Georgetown quietly edited its website, citing changes to its clinical offerings, after a reporter asked why it listed the energy healing practice of reiki as a therapy for blood cancer. Cleveland Clinic struggled to find anyone on its staff to defend the hospital’s energy medicine program, ultimately issuing a statement that it’s “responding to the needs of our patients and patient demand.”\u003c/p>\n\u003cp>And the director of an alternative medicine program at another prestigious hospital declined to speak on the record — out of fear, he said, that his remarks would be construed as “fake news” and stir a backlash.\u003c/p>\n\u003cp>The rise of alternative therapies has sparked tension in some hospitals, with doctors openly accusing their peers of peddling snake oil and undermining the credibility of their institutions.\u003c/p>\n\u003cp>By promoting such therapies, Novella said, physicians are forfeiting “any claim that we had to being a science-based profession.”\u003c/p>\n\u003cp>As for patients? They’re “being snookered,” he said.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Yes, as scientists, we want to be rigid. But me, as a physician, I want to find what's best for a patient. Who am I to say that's hogwash?' \u003ccite>Dr. Linda Lee, Johns Hopkins gastroenterologist\u003c/cite>\u003c/aside>\n\u003cp>The counterargument: Modern medicine clearly can’t cure everyone. It fails a great many patients. So why not encourage them to try an ancient Indian remedy or a spiritual healing technique that’s unlikely to cause harm — and may provide some relief, if only from the placebo effect?\u003c/p>\n\u003cp>“Yes, as scientists, we want to be rigid. But me, as a physician, I want to find what’s best for a patient. Who am I to say that’s hogwash?” said Dr. Linda Lee.\u003c/p>\n\u003cp>A gastroenterologist, Lee runs the Johns Hopkins Integrative Medicine and Digestive Center, which offers acupuncture, massage therapy, and reiki — a therapy that the center’s website describes as laying on hands \u003ca href=\"http://www.hopkinsmedicine.org/integrative_medicine_digestive_center/services/reiki.html\" target=\"_blank\">“to transmit Universal Life Energy”\u003c/a> to the patient.\u003c/p>\n\u003cp>Lee and others who promote alternative therapies are careful to say that they can supplement — but can’t replace — conventional treatments. And they make a point of coordinating care with other doctors so that, for instance, patients don’t get prescribed herbal supplements that might interact badly with their chemotherapy.\u003c/p>\n\u003cp>“Here at UF, we do not have alternative medicine. We do not have complementary medicine. We have integrative medicine,” said Dr. Irene Estores, medical director of the integrative medicine program at the University of Florida Shands Hospital in Gainesville, Fla.\u003c/p>\n\u003cp>\u003cstrong>Online Promotions Offer Scant Evidence\u003c/strong>\u003c/p>\n\u003cp>But while those cautions may come through in the clinic, the hospitals also promote alternative medicine online — often, without any nuance.\u003c/p>\n\u003cp>Duke’s Integrative Medicine store, for instance, sells \u003ca href=\"https://shopprovisions.dukestores.duke.edu/index.php?main_page=product_info&cPath=37_1&products_id=196\" target=\"_blank\">“Po Chai Pills”\u003c/a> that are touted on the hospital’s website as a cure for everything from belching to hangovers to headaches. The site explains that taking a pill “harmonizes the stomach, stems counterflow ascent of stomach qi, dispels damp, dispels pathogenic factors, subdues yang, relieves pain.” None of that makes sense in modern biomedical terms.\u003c/p>\n\u003cp>Thomas Jefferson University Hospital’s website touts \u003ca href=\"http://hospitals.jefferson.edu/tests-and-treatments/homeopathic-medicine.html\" target=\"_blank\">homeopathic bee venom\u003c/a> as useful to relieve symptoms for arthritis, nerve pain, and other conditions. The site does tell patients that the biological mechanism for the treatment is “unexplained” but asserts that studies “have been published in medical journals showing homeopathic medicines may provide clinical benefit.”\u003c/p>\n\u003cp>Asked about the therapy, Dr. Daniel Monti, who directs the integrative health center, acknowledged that the data is “largely anecdotal,” and said the hospital offers the treatment only rarely, “when there are few other options.” But those caveats don’t come through on the website.\u003c/p>\n\u003cp>Novella gets alarmed when he sees top-tier hospitals backing therapies with scant evidence behind them. “Patients only want [alternative medicine] because they’re being told they should want it. They see a prestigious hospital is offering it, so they think it’s legitimate,” said Novella.\u003c/p>\n\u003cp>“The perpetuation of these practices is a victory of marketing over truth,” said Steven Salzberg, a biomedical engineer at Johns Hopkins who lectures in the medical school. If a hospital is “offering treatment that’s based on fantasy, it undermines the credibility of the institution.”\u003c/p>\n\u003cp>The debate burst into the public view earlier this year when the medical director of the Cleveland Clinic’s Wellness Institute — which markets a variety of alternative therapies — \u003ca href=\"https://www.statnews.com/2017/01/07/anti-vaccine-claims-cleveland-clinic/\" target=\"_blank\">published an article\u003c/a> raising discredited theories linking vaccines to autism.\u003c/p>\n\u003cp>Cleveland Clinic’s chief executive, Dr. Toby Cosgrove, disavowed the article. And the clinic told STAT last week that it will take down its online wellness store and stop selling homeopathy kits.\u003c/p>\n\u003cp>But Cosgrove has stood up for the general principle of offering alternative treatments.\u003c/p>\n\u003cp>“The old way of combating chronic disease hasn’t worked,” Cosgrove wrote in a column posted on the hospital’s website. “… We have heard from our patients that they want more than conventional medicine can offer.”\u003c/p>\n\u003cfigure id=\"attachment_351821\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/03/bee-venom-800x530.jpg\">\u003cfigcaption class=\"wp-caption-text\">Thomas Jefferson University Hospital’s website touts homeopathic bee venom as useful to relieve symptoms for arthritis, nerve pain, and other conditions. The site tells patients that the biological mechanism for the treatment is “unexplained.” \u003ccite>(erierika/iStock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Booming Market for ‘Natural’ Therapies\u003c/strong>\u003c/p>\n\u003cp>There’s no question that patients want alternative medicine. It’s a $37 billion-a-year business.\u003c/p>\n\u003cp>The typical American adult spent about $800 out of pocket in 2012 on dietary supplements and visits to alternative providers, such as naturopaths and acupuncturists, according to the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Hospitals have taken note. A national consortium to promote integrative health now counts more than 70 academic centers and health systems as members, up from eight in 1999. Each year, four or five new programs join, said Dr. Leslie Mendoza Temple, the chair of the consortium’s policy working group.\u003c/p>\n\u003cp>In most cases, insurers won’t cover alternative therapies — there’s simply not enough evidence that they actually work — so patients pay out of pocket: $85 for acupuncture, $100 for reiki, $38 for pills made from thyme and oregano oils that promise to “harmonize digestive and respiratory function.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'The people running the hospitals are doctors, but they also have MBAs. They talk of patients as customers. ... Your job is to sell them what they want.' \u003ccite>Arthur Caplan, New York University bioethicist\u003c/cite>\u003c/aside>\n\u003cp>To be sure, not all such integrative medicine clinics are big profit centers. Many are funded by philanthropists, and some hospitals say their programs operate at a loss — but are nonetheless essential to woo patients in a highly competitive marketplace. If they failed to offer “natural” therapies, some hospital executives fear they would lose a chance to attract patients who need more lucrative care, such as orthopedic surgeries or cancer treatments.\u003c/p>\n\u003cp>The integrative medicine center at Thomas Jefferson, for instance, is part of an “enterprise strategy for growth and development,” Monti said.\u003c/p>\n\u003cp>“The people running the hospitals are doctors, but they also have MBAs. They talk of patients as customers. Customers have demands. Your job is to sell them what they want,” said Arthur Caplan, a bioethicist at New York University’s medical school. Too often, he said, the attitude is, “We’re damn well going to do it if the guys down the street are doing it.”\u003c/p>\n\u003cp>While most hospitals declined to give specific revenue figures, STAT found indications of rapid growth.\u003c/p>\n\u003cp>“We’re literally bursting. We have to convert office space to clinic exam rooms,” said Shelley Adler, who runs the Osher Center for Integrative Medicine at the University of California, San Francisco. It offers a wide range of services, including Chinese herbal medicine, massage therapy, and Ayurveda, an ancient healing system from India based on the belief that health results from a balance between the mind, body, and spirit.\u003c/p>\n\u003cp>The center is on pace to get more than 10,300 patient visits this fiscal year, up 37 percent from 2012. It’s expanding its clinical staff by a third.\u003c/p>\n\u003cp>Duke University’s integrative medicine clinic, a stunning space with arching wood ceilings and an indoor garden, has seen strong growth: Total visits jumped 50 percent in 2015, to more than 14,000, Dr. Adam Perlman, the executive director, told IntegrativePractitioner.com. (He declined to talk to STAT.)\u003c/p>\n\u003cp>The center’s membership count also jumped, up 25 percent to 885, Perlman said. If all members paid the list price, that would bring in more than $1 million a year just for primary care.\u003c/p>\n\u003cp>At the University of Pittsburgh’s Center for Integrative Medicine, meanwhile, “our volume pretty much has increased steadily, even when we’ve had recessions and financial downturns,” said Dr. Ronald Glick, the medical director. The center now treats about 8,000 patients a year.\u003c/p>\n\u003cp>Many hospitals have also expanded into more general “wellness” offerings, with classes in healthy cooking, tai chi, meditation, and art therapy. UCSF offers a $375 class on “cultivating emotional balance” (and a free class on “laughter yoga”). Mayo Clinic sells a $2,900 “signature experience,” which includes consultations with a wellness coach.\u003c/p>\n\u003cp>And the Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital offers specialized stress management services to help patients deal with conditions including cancer, infertility, and menopause. John Henry, the owner of STAT, has contributed funding to the Benson-Henry Institute.\u003c/p>\n\u003cp>Wellness programs — which are designed to ease stress and encourage healthy behaviors — are seen by many clinicians and hospitals as key to slowing America’s epidemic of chronic disease. They don’t tend to draw sharp criticism, except for their cost.\u003c/p>\n\u003cp>It’s the alternative therapies promoted as a way to treat disease that raise eyebrows.\u003c/p>\n\u003cp>\u003cstrong>‘Energy Healing’ Takes Root\u003c/strong>\u003c/p>\n\u003cp>Despite their deep wells of medical expertise, many top hospitals are offering to help treat serious medical problems with reiki — a practice based on the belief that lightly touching patients can unleash a cosmic energy flow that will heal them naturally.\u003c/p>\n\u003cp>STAT found that it is widely used by academic medical centers, including Johns Hopkins, Yale, the University of Pennsylvania, and Spaulding Rehabilitation Hospital, part of Partners HealthCare in Boston.\u003c/p>\n\u003cp>So, where’s the evidence supporting it?\u003c/p>\n\u003caside class=\"pullquote alignright\">'If it doesn't work, I don't know that you've lost anything. If it does, you do get to a better place.' \u003ccite>Dr. Richard Lang, Cleveland Clinic\u003c/cite>\u003c/aside>\n\u003cp>There is none, according to a division of the National Institutes of Health that funds research into alternative medicines. It says the practice has not been shown to be useful for “any health-related purpose” — and adds that there is no scientific evidence that the “natural healing energy” it’s based on even exists.\u003c/p>\n\u003cp>Asked about the Cleveland Clinic’s promotion of reiki, Dr. Richard Lang, the recently named interim director of the clinic’s Wellness Institute, said he hadn’t had a chance to think about it. “I don’t know that I could give you a plus or minus on that,” he said. Lang served as a vice chair of the Wellness Institute for nearly a decade before taking the top post.\u003c/p>\n\u003cp>Pressed for a more substantive answer, the clinic sent a statement saying it offers energy medicine as a complementary therapy, not as a replacement solution. But its website only briefly alludes to a patient’s broader “care team” in describing a “full range of emotional and physical issues” that can be treated with energy therapies, including autoimmune diseases, migraines, hormonal imbalances, and “cancer treatment support and recovery.”\u003c/p>\n\u003cp>Academic medical centers often boast that they’re more rigorous in evaluating alternative therapies — and weeding out scams — than a for-profit wellness center might be.\u003c/p>\n\u003cp>“The important thing about practicing in an academic center is that we must hold ourselves to certain standards,” said Estores, the medical director at the University of Florida’s integrative medicine clinic.\u003c/p>\n\u003cp>At the University of Pittsburgh, Glick echoed that sentiment: “We’re an academic institution … [so] we’re offering services that have greater evidence basis [and] scientific explanation.”\u003c/p>\n\u003cp>But that evidence isn’t always rigorous.\u003c/p>\n\u003cp>The University of Florida, for instance, is using Facebook to advertise an herbal medicine workshop for providers and the public that promises to answer questions including, “How can we stabilize or reverse Alzheimer’s disease?”\u003c/p>\n\u003cp>Asked about the evidence for that statement, Susan Marynowski, the herbalist presenting the workshop, cited several papers and a book chapter that she said showed herbs, in conjunction with lifestyle adjustments, could reverse Alzheimer’s-associated memory loss. However, at least two of those papers were small collections of case studies published in a journal with a reputation for less-than-rigorous review. (Marynowski said she knew the studies’ size and design limited the strength of their conclusions, but that she was not aware of the journal’s reputation.)\u003c/p>\n\u003cp>At Pittsburgh, the integrative medical center does take care to note on its website that alternative therapies “generally have not been subjected to the same level of research as standard medical approaches.”\u003c/p>\n\u003cp>But the site then goes on to promote dozens of treatments for everything from ADHD to whiplash, saying they have “appeared to be beneficial in this and other complementary medicine clinics.” (Glick noted that the body of research had grown since he wrote the caveat on the website in 2003.)\u003c/p>\n\u003cp>\u003cstrong>‘It’s not Black and White’\u003c/strong>\u003c/p>\n\u003cp>Perhaps the most prevalent alternative treatment STAT found on offer is acupuncture. It’s promoted for more than a dozen conditions, including high blood pressure, sinus problems, infertility, migraines, and digestive irregularities.\u003c/p>\n\u003cp>A 3,000-year-old Chinese therapy, acupuncture is based on the belief that by stimulating certain points on the body, most often with needles, practitioners can unlock a natural healing energy that flows through the body’s “meridians.” Research suggests it helps with certain pain conditions and might help prevent migraine headaches — but it also suggests that the placebo effect may play an important role.\u003c/p>\n\u003cp>Its value in treating other conditions is uncertain, according to the NIH’s center on integrative medicine.\u003c/p>\n\u003cp>Several major insurers, including Aetna, Anthem, and regional Blue Cross Blue Shield affiliates, cover acupuncture as a treatment for chronic pain and nausea. But the Centers for Medicare and Medicaid Services won’t pay for acupuncture, dismissing the scientific evidence as insufficient.\u003c/p>\n\u003cp>Still, it’s important for physicians to keep an open mind, said Lang, the interim director of the Cleveland Clinic Wellness Institute.\u003c/p>\n\u003cp>He said, for example, that he used to avoid referring patients for acupuncture, until he saw the benefit it provided to some of them. “I have seen it work in some chronic pain situations,” said Lang. “It can be very helpful. If it doesn’t work, I don’t know that you’ve lost anything. If it does, you do get to a better place.”\u003c/p>\n\u003cp>And while the evidence of its efficacy is not ironclad, neither is the evidence for various pharmaceutical therapies that are routinely provided by hospitals and covered by insurance. Some of those solutions, such as opioids to treat pain, have resulted in addiction and harm to patients.\u003c/p>\n\u003cp>Advocates of alternative medicine say it’s difficult to test some alternative therapies through rigorous clinical trials, primarily because treatment techniques vary from patient to patient. (The federal government does, however, spend roughly $120 million a year to fund research through the NIH National Center for Complementary and Integrative Health.)\u003c/p>\n\u003cp>They note, too, that traditional doctors sometimes stray from proven treatments, for instance when they prescribe medicines off-label for conditions the drugs have not been approved to treat.\u003c/p>\n\u003cp>“We do use things that aren’t necessarily 100 percent evidence-based, but I would argue that’s also true within all of medicine,” said Dr. Jill Schneiderhan, co-director of the University of Michigan’s integrative family medicine program. “I feel like it’s not black and white.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>There was a pediatrician, an office manager, a tech engineer and a handyman -- or should that be -- “handywoman.”\u003c/p>\n\u003cp>They were among more than a thousand who showed up outside San Francisco City Hall Wednesday in celebration of International Women’s Day. Many heeded the call for \"A Day Without a Woman,\" taking off from work to showcase the importance of women to the economy.\u003c/p>\n\u003cp>Some say their boss gave them the day off. Others say they didn’t really ask.\u003c/p>\n\u003cp>“Uhhh -- there wasn't a choice in the matter,” says Mary Coniglione, an office manager at a structural engineering firm in Pleasanton.\u003c/p>\n\u003cp>Coniglione sported a bright red shirt, answering the call of organizers to wear the bold color in solidarity. Others donned red scarves, capes, tiaras and pussyhats.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There were signs dotting the crowd highlighting the double standard women face in the workplace over sexual harassment, wages and hiring.\u003c/p>\n\u003cp>Tech workers seemed to be out in force, eager to talk about the gender disparity in their field.\u003c/p>\n\u003cp>“I see it every day,” says Yemi Aeoemayehu, a systems engineer for a biotech company. She says she’s the only woman on her team in what she describes as a “very male-dominated” field.\u003c/p>\n\u003cp>The aim of this rally and those around the globe was to celebrate women, but it’s clear the crowds were bigger and the energy heightened due to anger over President Trump and his policies.\u003c/p>\n\u003cfigure id=\"attachment_11350358\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11350358 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg\" alt=\"Julie Horton and Isabel Samaras take the day off work in support of a " A Day Without A Woman" rally at San Francisco's City Hall on March 8, 2017. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Julie Horton and Isabel Samaras take the day off work in support of 'A Day Without a Woman' rally at San Francisco's City Hall on March 8, 2017. \u003ccite>((Tara Siler/KQED))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This is a time when people have to take action and speak up,” says Coniglione, “And say this is not OK. This is not normal.”\u003c/p>\n\u003cp>Coniglione brought her 23-year-old daughter to the rally. The two also went to San Francisco International Airport after Trump issued his January travel ban that sparked nationwide protests.\u003c/p>\n\u003cp>Like many at this rally, Coniglione says she is not normally politically active. But she now finds herself sending cards to her representatives in Washington on a regular basis.\u003c/p>\n\u003cp>Rosalie Lack, a librarian, says she’s never been active either. But she says her rights are now under threat.\u003c/p>\n\u003cp>“There are battles ahead that we’ve already fought and won and that we’re refighting,” says Lack.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lack didn’t take the whole day off work, but said it was important to show up. Several said they know not all women have the luxury of taking a day off. But as one said that’s OK -- others were here to represent.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There were signs dotting the crowd highlighting the double standard women face in the workplace over sexual harassment, wages and hiring.\u003c/p>\n\u003cp>Tech workers seemed to be out in force, eager to talk about the gender disparity in their field.\u003c/p>\n\u003cp>“I see it every day,” says Yemi Aeoemayehu, a systems engineer for a biotech company. She says she’s the only woman on her team in what she describes as a “very male-dominated” field.\u003c/p>\n\u003cp>The aim of this rally and those around the globe was to celebrate women, but it’s clear the crowds were bigger and the energy heightened due to anger over President Trump and his policies.\u003c/p>\n\u003cfigure id=\"attachment_11350358\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-11350358 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg\" alt=\"Julie Horton and Isabel Samaras take the day off work in support of a " A Day Without A Woman" rally at San Francisco's City Hall on March 8, 2017. \" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-520x390.jpg 520w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Julie Horton and Isabel Samaras take the day off work in support of 'A Day Without a Woman' rally at San Francisco's City Hall on March 8, 2017. \u003ccite>((Tara Siler/KQED))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This is a time when people have to take action and speak up,” says Coniglione, “And say this is not OK. This is not normal.”\u003c/p>\n\u003cp>Coniglione brought her 23-year-old daughter to the rally. The two also went to San Francisco International Airport after Trump issued his January travel ban that sparked nationwide protests.\u003c/p>\n\u003cp>Like many at this rally, Coniglione says she is not normally politically active. But she now finds herself sending cards to her representatives in Washington on a regular basis.\u003c/p>\n\u003cp>Rosalie Lack, a librarian, says she’s never been active either. But she says her rights are now under threat.\u003c/p>\n\u003cp>“There are battles ahead that we’ve already fought and won and that we’re refighting,” says Lack.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lack didn’t take the whole day off work, but said it was important to show up. Several said they know not all women have the luxury of taking a day off. But as one said that’s OK -- others were here to represent.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Could Dianne Feinstein Face a Democratic Challenge in 2018?",
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"content": "\u003cp>By every indication, California Sen. Dianne Feinstein is running for re-election next year. In an \u003ca href=\"https://ww2.kqed.org/news/2017/01/18/will-she-or-wont-she-feinstein-hints-at-2018-run/\" target=\"_blank\" rel=\"noopener\">interview with KQED in January\u003c/a>, Feinstein indicated she would be a candidate and has since begun raising money. But some in the party wonder if it isn't time for the 83-year-old Feinstein to step aside and let a younger Democrat take the baton.\u003c/p>\n\u003cp>\"You kind of hear whispers by people behind the scenes,\" said San Jose State University political science professor emeritus Larry Gerston. \"They're worried about someone at that age taking on another term. That's the last thing Feinstein wants to hear, but it's out there.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's difficult to say she'll be challenged by another Democrat, but if there's any time that would be ripe for that, it's 2018.'\u003ccite>Political science professor Larry Gerston\u003c/cite>\u003c/aside>\n\u003cp>Since 1994, when she barely won re-election, Feinstein has been re-elected three times with increasingly large margins as the Republican Party's share of the electorate shrank. But other than the 2000 race against moderate Silicon Valley opponent Tom Campbell, Feinstein has faced relatively weak Republican challengers at the outer edges of the GOP's increasingly conservative spectrum.\u003c/p>\n\u003cp>In the past, Feinstein's relatively moderate positions won her support in places Democrats generally don't fare well, like the Central Valley. And she's done extremely well on the liberal coast. But there are indications that in 2018, with President Donald Trump stirring up the Democratic base, things could be different.\u003c/p>\n\u003cp>\"It's difficult to say she'll be challenged by another Democrat,\" Gerston said, \"but if there's any time that would be ripe for that, it's 2018.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One San Francisco pol told me he thinks that if Feinstein \u003cem>did\u003c/em> get a serious challenger, she would decide not to run rather than have to jump through all the hoops of a serious campaign.\u003c/p>\n\u003cp>[contextly_sidebar id=\"rWDENKey5uGfQzaegSubJogwJzSo4mcI\"]\u003c/p>\n\u003cp>As we saw in last year's race for Barbara Boxer's Senate seat, the top two finishers in the June primary election were both Democrats, leaving Kamala Harris and Loretta Sanchez to face off in November. The chance that two people from the same party could face off changes the calculation of whether or not to jump into the race.\u003c/p>\n\u003cp>And there's no shortage of Democrats itching to run for higher office.\u003c/p>\n\u003cp>Several -- including Lt. Gov. \u003ca href=\"http://www.gavinnewsom.com/\" target=\"_blank\" rel=\"noopener\">Gavin Newsom\u003c/a>, state Treasurer \u003ca href=\"http://www.treasurer.ca.gov/\" target=\"_blank\" rel=\"noopener\">John Chiang\u003c/a>, former Los Angeles Mayor \u003ca href=\"http://antonioforcalifornia.com/\" target=\"_blank\" rel=\"noopener\">Antonio Villaraigosa\u003c/a> and former state Schools Superintendent \u003ca href=\"http://www.delaineforgovernor.com/\" target=\"_blank\" rel=\"noopener\">Delaine Eastin\u003c/a> -- have already announced they're running to succeed termed-out Jerry Brown next year.\u003c/p>\n\u003cp>But they and others could switch from a crowded governor's race to the U.S. Senate instead if there's an opportunity.\u003c/p>\n\u003cp>\"Her job is to become so formidable that she discourages those folks from taking her on,\" Gerston said. \"But the older she gets, the more people resent incumbency, right or wrong.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'She can hold that seat by safe margins as long as she wants to.'\u003ccite>Political analyst Dan Schnur\u003c/cite>\u003c/aside>\n\u003cp>Feinstein's apparent reluctance to hold town hall-type meetings with constituents and her refusal to debate her last two Republican opponents have contributed to a sense that the San Francisco Democrat is a bit removed from voters.\u003c/p>\n\u003cp>Still, after 25 years in Washington, Feinstein has tremendous influence as a senior Democrat. She's the ranking member of the Senate Judiciary Committee and she's vice chair of the Intelligence Committee. She also has a deep well of support among party leaders, from Gov. Jerry Brown on down.\u003c/p>\n\u003cp>\"She can hold that seat by safe margins as long as she wants to,\" said political analyst Dan Schnur from USC. He said it would be a \"suicide mission\" for another Democrat to take her on.\u003c/p>\n\u003cp>\"Almost anyone willing to take a shot at her is by definition not viable,\" Schnur said, \"and anyone who's viable is going to want to preserve their viability.\"\u003c/p>\n\u003cp>In other words, someone who would be a strong candidate for an open Senate seat, like Southern California congressman Adam Schiff, environmental activist Tom Steyer or Los Angeles Mayor \u003ca href=\"https://www.lamayor.org/\" target=\"_blank\" rel=\"noopener\">Eric Garcetti\u003c/a>, wouldn't want to poison their relationship with the party by taking on Feinstein.\u003c/p>\n\u003cp>And someone willing to take her on, Schnur believes, would likely be someone from the extreme left of the Democratic Party who under California's \"top two\" primary system probably couldn't win a statewide election against Feinstein in November.\u003c/p>\n\u003cp>Garcetti, who just won re-election with more than 80 percent of the vote, would seem to have lots of options and potential.\u003c/p>\n\u003cfigure id=\"attachment_10747654\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-10747654\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/11/Garcetti-800x981.jpg\" alt=\"Los Angeles Mayor Eric Garcetti.\" width=\"800\" height=\"981\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-800x981.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-400x491.jpg 400w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-1440x1766.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-1180x1447.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-960x1178.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Los Angeles Mayor Eric Garcetti is one of many Democrats thinking about higher office. \u003ccite>(Kevork Djansezian/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"He has a lot of qualities that would do well in Washington,\" said Raphael Sonenshein, executive director of the Pat Brown Institute for Public Affairs at Cal State Los Angeles. \"He's extremely articulate, telegenic, quick on his feet and has a very good demeanor for television.\"\u003c/p>\n\u003cp>Garcetti's landslide re-election this week has surely earned him the right to think about running for governor or the U.S. Senate. But, said Schnur, at age 46 Garcetti can also just bide his time and focus on being a good chief executive of his city. \"Being mayor of Los Angeles is not a death sentence or a career capper,\" he said.\u003c/p>\n\u003cp>There's also evidence that Feinstein, known for her bipartisan approach in Washington, is getting the message that the activist base of the party is restless and wants more opposition than cooperation with Republicans in Washington. After showing more openness to Trump's Cabinet nominees, Feinstein has taken a harder line in questioning and confirmation votes.\u003c/p>\n\u003cp>\"It shows she doesn't have a tin ear,\" said Sonenshein.\u003c/p>\n\u003cp>Feinstein's longtime political consultant, Bill Carrick, believes she \"is in good shape\" and is \"extremely popular.\"\u003c/p>\n\u003cp>\"We shouldn’t misinterpret the people who are protesting,\" Carrick said, referring to recent demonstrations outside Feinstein's home in San Francisco. \"Nobody’s going to escape that. We're in a moment with a lot of anger. Everybody’s going to get a dose of that.\"\u003c/p>\n\u003cp>Still, Feinstein's age and a \u003ca href=\"https://ww2.kqed.org/news/2017/01/11/feinstein-resting-comfortably-after-pacemaker-procedure/\" target=\"_blank\" rel=\"noopener\">recent medical procedure\u003c/a> to install a pacemaker elevated Democrats' concerns about re-electing someone who will would be 92 at the end of another term.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But asked if it was time for Feinstein to retire and let another generation of Democrats run for the seat, former Democratic Party Chair John Burton, 85, offered up, \"Why the fuck should she? Either a person is doing a good job and has their faculties or they don't. That's kind of it.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By every indication, California Sen. Dianne Feinstein is running for re-election next year. In an \u003ca href=\"https://ww2.kqed.org/news/2017/01/18/will-she-or-wont-she-feinstein-hints-at-2018-run/\" target=\"_blank\" rel=\"noopener\">interview with KQED in January\u003c/a>, Feinstein indicated she would be a candidate and has since begun raising money. But some in the party wonder if it isn't time for the 83-year-old Feinstein to step aside and let a younger Democrat take the baton.\u003c/p>\n\u003cp>\"You kind of hear whispers by people behind the scenes,\" said San Jose State University political science professor emeritus Larry Gerston. \"They're worried about someone at that age taking on another term. That's the last thing Feinstein wants to hear, but it's out there.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'It's difficult to say she'll be challenged by another Democrat, but if there's any time that would be ripe for that, it's 2018.'\u003ccite>Political science professor Larry Gerston\u003c/cite>\u003c/aside>\n\u003cp>Since 1994, when she barely won re-election, Feinstein has been re-elected three times with increasingly large margins as the Republican Party's share of the electorate shrank. But other than the 2000 race against moderate Silicon Valley opponent Tom Campbell, Feinstein has faced relatively weak Republican challengers at the outer edges of the GOP's increasingly conservative spectrum.\u003c/p>\n\u003cp>In the past, Feinstein's relatively moderate positions won her support in places Democrats generally don't fare well, like the Central Valley. And she's done extremely well on the liberal coast. But there are indications that in 2018, with President Donald Trump stirring up the Democratic base, things could be different.\u003c/p>\n\u003cp>\"It's difficult to say she'll be challenged by another Democrat,\" Gerston said, \"but if there's any time that would be ripe for that, it's 2018.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One San Francisco pol told me he thinks that if Feinstein \u003cem>did\u003c/em> get a serious challenger, she would decide not to run rather than have to jump through all the hoops of a serious campaign.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>As we saw in last year's race for Barbara Boxer's Senate seat, the top two finishers in the June primary election were both Democrats, leaving Kamala Harris and Loretta Sanchez to face off in November. The chance that two people from the same party could face off changes the calculation of whether or not to jump into the race.\u003c/p>\n\u003cp>And there's no shortage of Democrats itching to run for higher office.\u003c/p>\n\u003cp>Several -- including Lt. Gov. \u003ca href=\"http://www.gavinnewsom.com/\" target=\"_blank\" rel=\"noopener\">Gavin Newsom\u003c/a>, state Treasurer \u003ca href=\"http://www.treasurer.ca.gov/\" target=\"_blank\" rel=\"noopener\">John Chiang\u003c/a>, former Los Angeles Mayor \u003ca href=\"http://antonioforcalifornia.com/\" target=\"_blank\" rel=\"noopener\">Antonio Villaraigosa\u003c/a> and former state Schools Superintendent \u003ca href=\"http://www.delaineforgovernor.com/\" target=\"_blank\" rel=\"noopener\">Delaine Eastin\u003c/a> -- have already announced they're running to succeed termed-out Jerry Brown next year.\u003c/p>\n\u003cp>But they and others could switch from a crowded governor's race to the U.S. Senate instead if there's an opportunity.\u003c/p>\n\u003cp>\"Her job is to become so formidable that she discourages those folks from taking her on,\" Gerston said. \"But the older she gets, the more people resent incumbency, right or wrong.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'She can hold that seat by safe margins as long as she wants to.'\u003ccite>Political analyst Dan Schnur\u003c/cite>\u003c/aside>\n\u003cp>Feinstein's apparent reluctance to hold town hall-type meetings with constituents and her refusal to debate her last two Republican opponents have contributed to a sense that the San Francisco Democrat is a bit removed from voters.\u003c/p>\n\u003cp>Still, after 25 years in Washington, Feinstein has tremendous influence as a senior Democrat. She's the ranking member of the Senate Judiciary Committee and she's vice chair of the Intelligence Committee. She also has a deep well of support among party leaders, from Gov. Jerry Brown on down.\u003c/p>\n\u003cp>\"She can hold that seat by safe margins as long as she wants to,\" said political analyst Dan Schnur from USC. He said it would be a \"suicide mission\" for another Democrat to take her on.\u003c/p>\n\u003cp>\"Almost anyone willing to take a shot at her is by definition not viable,\" Schnur said, \"and anyone who's viable is going to want to preserve their viability.\"\u003c/p>\n\u003cp>In other words, someone who would be a strong candidate for an open Senate seat, like Southern California congressman Adam Schiff, environmental activist Tom Steyer or Los Angeles Mayor \u003ca href=\"https://www.lamayor.org/\" target=\"_blank\" rel=\"noopener\">Eric Garcetti\u003c/a>, wouldn't want to poison their relationship with the party by taking on Feinstein.\u003c/p>\n\u003cp>And someone willing to take her on, Schnur believes, would likely be someone from the extreme left of the Democratic Party who under California's \"top two\" primary system probably couldn't win a statewide election against Feinstein in November.\u003c/p>\n\u003cp>Garcetti, who just won re-election with more than 80 percent of the vote, would seem to have lots of options and potential.\u003c/p>\n\u003cfigure id=\"attachment_10747654\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-10747654\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/11/Garcetti-800x981.jpg\" alt=\"Los Angeles Mayor Eric Garcetti.\" width=\"800\" height=\"981\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-800x981.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-400x491.jpg 400w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-1440x1766.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-1180x1447.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2015/11/Garcetti-960x1178.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Los Angeles Mayor Eric Garcetti is one of many Democrats thinking about higher office. \u003ccite>(Kevork Djansezian/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"He has a lot of qualities that would do well in Washington,\" said Raphael Sonenshein, executive director of the Pat Brown Institute for Public Affairs at Cal State Los Angeles. \"He's extremely articulate, telegenic, quick on his feet and has a very good demeanor for television.\"\u003c/p>\n\u003cp>Garcetti's landslide re-election this week has surely earned him the right to think about running for governor or the U.S. Senate. But, said Schnur, at age 46 Garcetti can also just bide his time and focus on being a good chief executive of his city. \"Being mayor of Los Angeles is not a death sentence or a career capper,\" he said.\u003c/p>\n\u003cp>There's also evidence that Feinstein, known for her bipartisan approach in Washington, is getting the message that the activist base of the party is restless and wants more opposition than cooperation with Republicans in Washington. After showing more openness to Trump's Cabinet nominees, Feinstein has taken a harder line in questioning and confirmation votes.\u003c/p>\n\u003cp>\"It shows she doesn't have a tin ear,\" said Sonenshein.\u003c/p>\n\u003cp>Feinstein's longtime political consultant, Bill Carrick, believes she \"is in good shape\" and is \"extremely popular.\"\u003c/p>\n\u003cp>\"We shouldn’t misinterpret the people who are protesting,\" Carrick said, referring to recent demonstrations outside Feinstein's home in San Francisco. \"Nobody’s going to escape that. We're in a moment with a lot of anger. Everybody’s going to get a dose of that.\"\u003c/p>\n\u003cp>Still, Feinstein's age and a \u003ca href=\"https://ww2.kqed.org/news/2017/01/11/feinstein-resting-comfortably-after-pacemaker-procedure/\" target=\"_blank\" rel=\"noopener\">recent medical procedure\u003c/a> to install a pacemaker elevated Democrats' concerns about re-electing someone who will would be 92 at the end of another term.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But asked if it was time for Feinstein to retire and let another generation of Democrats run for the seat, former Democratic Party Chair John Burton, 85, offered up, \"Why the fuck should she? Either a person is doing a good job and has their faculties or they don't. That's kind of it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
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