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"content": "\u003cp>Thousands of people joined rallies and protests across California on Wednesday to mark \u003ca href=\"https://www.internationalwomensday.com/\">International Women’s Day\u003c/a> and a \u003ca href=\"https://ww2.kqed.org/news/2017/03/08/women-asked-to-join-in-a-day-without-a-woman-protests/\">general strike\u003c/a>, “\u003ca href=\"https://www.womensmarch.com/womensday/\">A Day Without A Woman\u003c/a>.”\u003c/p>\n\u003cp>Here are some photos of the events statewide:\u003c/p>\n\u003cfigure id=\"attachment_11350289\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350289\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-800x600.jpg\" alt=\"A Day Without a Woman rally in San Francisco at City Hall on March 8, 2017.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A Day Without a Woman rally in San Francisco at City Hall on March 8, 2017. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350290\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350290\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-800x450.jpg\" alt=\"California lawmakers hold International Women's Day rally in Sacramento on March 8, 2017.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California lawmakers hold International Women’s Day rally in Sacramento on March 8, 2017. \u003ccite>(Katie Orr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350358\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350358\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg\" alt=\"Supporters join A Day Without A Woman rally at San Francisco's City Hall on March 8, 2017. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Supporters join 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\u003cfigure id=\"attachment_11350291\" class=\"wp-caption alignnone\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11350291\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut.jpg\" alt=\"A supporter joins A Day Without A Woman rally in San Francisco on March 8, 2017 at City Hall\" width=\"768\" height=\"1024\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-375x500.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-520x693.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">A supporter joins A Day Without a Woman rally in San Francisco on March 8, 2017 at City Hall. \u003ccite>(Tara Siler/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350292\" class=\"wp-caption alignnone\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11350292\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut.jpg\" alt=\"Dr. Nayana Anne took the day off to support women and immigrants' rights. She joined A Day Without A Woman rally at San Francisco's City Hall on March 8, 2017.\" width=\"768\" height=\"1024\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-375x500.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-520x693.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Nayana Anne took the day off to support women and immigrants’ rights. She joined 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>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Thousands of people joined events across California to mark International Women’s Day and the general strike.",
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"title": "PHOTOS: International Women's Day, A Day Without a Woman in California | KQED",
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"headline": "PHOTOS: International Women's Day, A Day Without a Woman in California",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of people joined rallies and protests across California on Wednesday to mark \u003ca href=\"https://www.internationalwomensday.com/\">International Women’s Day\u003c/a> and a \u003ca href=\"https://ww2.kqed.org/news/2017/03/08/women-asked-to-join-in-a-day-without-a-woman-protests/\">general strike\u003c/a>, “\u003ca href=\"https://www.womensmarch.com/womensday/\">A Day Without A Woman\u003c/a>.”\u003c/p>\n\u003cp>Here are some photos of the events statewide:\u003c/p>\n\u003cfigure id=\"attachment_11350289\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350289\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-800x600.jpg\" alt=\"A Day Without a Woman rally in San Francisco at City Hall on March 8, 2017.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24517_DayWithout_Erasmo-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A Day Without a Woman rally in San Francisco at City Hall on March 8, 2017. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350290\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350290\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-800x450.jpg\" alt=\"California lawmakers hold International Women's Day rally in Sacramento on March 8, 2017.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24519_DayWithout_Katie2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">California lawmakers hold International Women’s Day rally in Sacramento on March 8, 2017. \u003ccite>(Katie Orr/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350358\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11350358\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg\" alt=\"Supporters join A Day Without A Woman rally at San Francisco's City Hall on March 8, 2017. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24524_DayWithout_Tara4-qut.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Supporters join 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\u003cfigure id=\"attachment_11350291\" class=\"wp-caption alignnone\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11350291\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut.jpg\" alt=\"A supporter joins A Day Without A Woman rally in San Francisco on March 8, 2017 at City Hall\" width=\"768\" height=\"1024\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-375x500.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24520_DayWithout_Tara-qut-520x693.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">A supporter joins A Day Without a Woman rally in San Francisco on March 8, 2017 at City Hall. \u003ccite>(Tara Siler/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_11350292\" class=\"wp-caption alignnone\" style=\"max-width: 768px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11350292\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut.jpg\" alt=\"Dr. Nayana Anne took the day off to support women and immigrants' rights. She joined A Day Without A Woman rally at San Francisco's City Hall on March 8, 2017.\" width=\"768\" height=\"1024\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-240x320.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-375x500.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/03/RS24523_DayWithout_Tara3-qut-520x693.jpg 520w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Nayana Anne took the day off to support women and immigrants’ rights. She joined 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>\u003c/p>\u003c/div>",
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"disqusTitle": "GOP Health Proposal Would Upend Consumers’ Cost Calculations In California",
"title": "GOP Health Proposal Would Upend Consumers’ Cost Calculations In California",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>For better or worse, Californians who aren’t insured through their employers could see major changes in their health insurance costs under a Republican replacement for the Affordable Care Act.\u003c/p>\n\u003cp>A \u003ca href=\"https://housegop.leadpages.co/healthcare/\" target=\"_blank\">House GOP proposal\u003c/a> introduced Monday would provide substantially less financial help to many consumers in higher-cost areas of California, from San Francisco to Monterey. But people in lower-cost markets like Los Angeles could fare better.\u003c/p>\n\u003cp>That’s because the Republican proposal takes a simpler, across-the-board approach to tax credits than the current law. The ACA offers a wide range of subsidies that take into account household income and the local cost of coverage. The nationwide Republican tax credits are tied just to age, starting at $2,000 per year for people under 30 and increasing to $4,000 for those over 60.\u003c/p>\n\u003cp>That doesn’t bode well for a 60-year-old in Santa Cruz. If he makes $40,000 a year, he would receive $12,836 in ACA premium subsidies to buy insurance on the state exchange for 2017, \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=R-U2DS6x8EeQhAPCLWbcVuq82ZoP3htjXhB8MWddPCaR3P3bEmXUCA..&URL=http%3a%2f%2fkff.org%2finteractive%2ftax-credits-under-the-affordable-care-act-vs-replacement-proposal-interactive-map%2f\" target=\"_blank\">according to an analysis\u003c/a> by the Kaiser Family Foundation. The subsidy takes into account the person’s income and the cost of insurance in the coastal town. (California Healthline is an editorially independent service of the foundation.)\u003c/p>\n\u003cp>The House’s American Health Care Act would cut that person’s assistance to $4,000, based purely on his age. A 60-year-old making $20,000 a year in the same town would be even worse off, because his low income wouldn’t be part of the calculation. He would get nearly $12,000 less under the House plan than under the current law.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the GOP’s plan could benefit younger consumers in general and particularly those in lower-priced markets of Southern California. Under current law, a 27-year-old in Los Angeles making $40,000 doesn’t get any ACA subsidy because the cost of coverage is low for someone of her income. She has to pay her entire premium.\u003c/p>\n\u003cp>But under the House plan, she would qualify for a flat $2,000 tax credit based entirely on her age.\u003c/p>\n\u003cp>The GOP plan would begin to phase out age-based tax credits when an individual’s annual income reached $75,000. The upper limit under the ACA is 400 percent of the federal poverty level or about $47,000 for an individual and more than $97,000 for a family of four.\u003c/p>\n\u003cp>Cynthia Cox, associate director of health reform and private insurance at the Kaiser Family Foundation, said any replacement plan for the ACA will create “winners and losers.”\u003c/p>\n\u003cp>She said “the people likely to gain under the ACA replacement are those who are younger, higher income and live in lower-cost areas. That might be millennials living in Los Angeles.”\u003c/p>\n\u003cp>But she said the added costs imposed on consumers in other markets could be enormous. “For a person living in Santa Cruz or another high-cost area, that is a big chunk of their income to come up with,” she said.\u003c/p>\n\u003cp>California has long had a north-south divide on medical costs. Health policy experts say the lack of competition in Northern California helps explain why health insurance premiums are, on average, about 25 percent higher compared to the southern part of the state.\u003c/p>\n\u003cp>For 2017, rates in the Covered California exchange rose by 13.2 percent, on average, statewide. But premiums in the Santa Cruz-Monterey area jumped by \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=8J6HRVhYXiQ8q6jd0etguGxJ5Cy0ftd1750eCWSgfyaR3P3bEmXUCA..&URL=http%3a%2f%2fcaliforniahealthline.org%2fnews%2fcovered-california-2017-rate-hikes-will-hit-states-central-coast-hardest%2f\" target=\"_blank\">nearly 29 percent\u003c/a>.\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, said ignoring income and location in issuing tax credits may force thousands of people to drop coverage.\u003c/p>\n\u003cp>“The wide variations in the health-care system across California could result in consumers in some areas being priced out of coverage,” Lee said. “The analysis of some early proposals also underscores the importance of providing financial help that is directly tied to a consumer’s income.”\u003c/p>\n\u003cp>Cox said some Republicans are purposely ignoring those geographic differences because they don’t want to reward higher-priced areas with more generous taxpayer subsidies. The hope is that lower tax credits could put pressure on insurers or medical providers to charge less.\u003c/p>\n\u003cp>Lanhee Chen, a \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=MuEfZ28KfW9Lu6GWvfsLP1pSb7IF3Zcgzj1EMKOPC-mR3P3bEmXUCA..&URL=http%3a%2f%2fkhn.org%2fnews%2ffor-conservatives-its-a-new-day-in-health-care%2f\" target=\"_blank\">conservative health-policy expert\u003c/a> and a fellow at Stanford University’s Hoover Institution, said the House Republicans’ tax-credit proposal would simplify the process and have a “positive impact on bringing down health costs over the long run.”\u003c/p>\n\u003cp>But even some critics of Obamacare think Republicans will have to alter their approach and account for differences in health costs within states and across the country.\u003c/p>\n\u003cp>“The impact will not be uniform and many parts of the country will be big losers — and not just the high-cost big cities that are traditionally Democratic areas,” said Robert Laszewski, a Virginia-based health care consultant and frequent critic of the ACA. “Many of the highest cost places are Republican strongholds. Geographic rating is as basic to health insurance 101 as anything.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "Decently paid millennials in LA might be better off than under Obamacare — but older people in pricier areas much worse.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For better or worse, Californians who aren’t insured through their employers could see major changes in their health insurance costs under a Republican replacement for the Affordable Care Act.\u003c/p>\n\u003cp>A \u003ca href=\"https://housegop.leadpages.co/healthcare/\" target=\"_blank\">House GOP proposal\u003c/a> introduced Monday would provide substantially less financial help to many consumers in higher-cost areas of California, from San Francisco to Monterey. But people in lower-cost markets like Los Angeles could fare better.\u003c/p>\n\u003cp>That’s because the Republican proposal takes a simpler, across-the-board approach to tax credits than the current law. The ACA offers a wide range of subsidies that take into account household income and the local cost of coverage. The nationwide Republican tax credits are tied just to age, starting at $2,000 per year for people under 30 and increasing to $4,000 for those over 60.\u003c/p>\n\u003cp>That doesn’t bode well for a 60-year-old in Santa Cruz. If he makes $40,000 a year, he would receive $12,836 in ACA premium subsidies to buy insurance on the state exchange for 2017, \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=R-U2DS6x8EeQhAPCLWbcVuq82ZoP3htjXhB8MWddPCaR3P3bEmXUCA..&URL=http%3a%2f%2fkff.org%2finteractive%2ftax-credits-under-the-affordable-care-act-vs-replacement-proposal-interactive-map%2f\" target=\"_blank\">according to an analysis\u003c/a> by the Kaiser Family Foundation. The subsidy takes into account the person’s income and the cost of insurance in the coastal town. (California Healthline is an editorially independent service of the foundation.)\u003c/p>\n\u003cp>The House’s American Health Care Act would cut that person’s assistance to $4,000, based purely on his age. A 60-year-old making $20,000 a year in the same town would be even worse off, because his low income wouldn’t be part of the calculation. He would get nearly $12,000 less under the House plan than under the current law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the GOP’s plan could benefit younger consumers in general and particularly those in lower-priced markets of Southern California. Under current law, a 27-year-old in Los Angeles making $40,000 doesn’t get any ACA subsidy because the cost of coverage is low for someone of her income. She has to pay her entire premium.\u003c/p>\n\u003cp>But under the House plan, she would qualify for a flat $2,000 tax credit based entirely on her age.\u003c/p>\n\u003cp>The GOP plan would begin to phase out age-based tax credits when an individual’s annual income reached $75,000. The upper limit under the ACA is 400 percent of the federal poverty level or about $47,000 for an individual and more than $97,000 for a family of four.\u003c/p>\n\u003cp>Cynthia Cox, associate director of health reform and private insurance at the Kaiser Family Foundation, said any replacement plan for the ACA will create “winners and losers.”\u003c/p>\n\u003cp>She said “the people likely to gain under the ACA replacement are those who are younger, higher income and live in lower-cost areas. That might be millennials living in Los Angeles.”\u003c/p>\n\u003cp>But she said the added costs imposed on consumers in other markets could be enormous. “For a person living in Santa Cruz or another high-cost area, that is a big chunk of their income to come up with,” she said.\u003c/p>\n\u003cp>California has long had a north-south divide on medical costs. Health policy experts say the lack of competition in Northern California helps explain why health insurance premiums are, on average, about 25 percent higher compared to the southern part of the state.\u003c/p>\n\u003cp>For 2017, rates in the Covered California exchange rose by 13.2 percent, on average, statewide. But premiums in the Santa Cruz-Monterey area jumped by \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=8J6HRVhYXiQ8q6jd0etguGxJ5Cy0ftd1750eCWSgfyaR3P3bEmXUCA..&URL=http%3a%2f%2fcaliforniahealthline.org%2fnews%2fcovered-california-2017-rate-hikes-will-hit-states-central-coast-hardest%2f\" target=\"_blank\">nearly 29 percent\u003c/a>.\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, said ignoring income and location in issuing tax credits may force thousands of people to drop coverage.\u003c/p>\n\u003cp>“The wide variations in the health-care system across California could result in consumers in some areas being priced out of coverage,” Lee said. “The analysis of some early proposals also underscores the importance of providing financial help that is directly tied to a consumer’s income.”\u003c/p>\n\u003cp>Cox said some Republicans are purposely ignoring those geographic differences because they don’t want to reward higher-priced areas with more generous taxpayer subsidies. The hope is that lower tax credits could put pressure on insurers or medical providers to charge less.\u003c/p>\n\u003cp>Lanhee Chen, a \u003ca href=\"https://owa.mp.kff.org/owa/redir.aspx?C=MuEfZ28KfW9Lu6GWvfsLP1pSb7IF3Zcgzj1EMKOPC-mR3P3bEmXUCA..&URL=http%3a%2f%2fkhn.org%2fnews%2ffor-conservatives-its-a-new-day-in-health-care%2f\" target=\"_blank\">conservative health-policy expert\u003c/a> and a fellow at Stanford University’s Hoover Institution, said the House Republicans’ tax-credit proposal would simplify the process and have a “positive impact on bringing down health costs over the long run.”\u003c/p>\n\u003cp>But even some critics of Obamacare think Republicans will have to alter their approach and account for differences in health costs within states and across the country.\u003c/p>\n\u003cp>“The impact will not be uniform and many parts of the country will be big losers — and not just the high-cost big cities that are traditionally Democratic areas,” said Robert Laszewski, a Virginia-based health care consultant and frequent critic of the ACA. “Many of the highest cost places are Republican strongholds. Geographic rating is as basic to health insurance 101 as anything.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "women-asked-to-join-in-a-day-without-a-woman-protests",
"title": "Women Asked to Join in 'A Day Without a Woman' Protests",
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"content": "\u003cp>A broad coalition of groups across the nation is encouraging women to participate in Wednesday’s strike, called “\u003ca href=\"https://www.womensmarch.com/womensday/\">A Day Without a Woman\u003c/a>.”\u003c/p>\n\u003cp>The organized protest comes on \u003ca href=\"https://www.internationalwomensday.com/\">International Women’s Day\u003c/a> and follows the \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/21/510932265/demonstrators-gather-early-to-kick-off-womens-march-on-washington\">Women’s March\u003c/a> in January.\u003c/p>\n\u003cp>That mass protest on Jan. 21 — President Trump’s first full day in office — saw huge crowds of demonstrators converge on the nation’s capital, and other rallies in cities across the country and the world.\u003c/p>\n\u003cp>The protest aims to highlight the economic power of women as well as ongoing problems of discrimination and pay disparity.\u003c/p>\n\u003cp>To show their economic importance and impact on society, women are being encouraged to take the day off from paid and unpaid labor and not to shop — except at women- and minority-owned and small businesses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=”6ZP34KpudK4XQU1jl4biPBMj7ZJ58y0q”]\u003c/p>\n\u003cp>The \u003ca href=\"https://www.domesticworkers.org/\">National Domestic Workers Alliance\u003c/a> has endorsed the strike.\u003c/p>\n\u003cp>Ai Jen Poo, who directs the group, which advocates for housekeepers, elder care and child care workers, says it’s a vital labor pool that’s too often grossly underpaid and undervalued.\u003c/p>\n\u003cp>“This is an opportunity for women, like the low-wage workers that I work with, to join together with women everywhere to say ‘women power this economy,’ to have that be visible and recognized and to think together about how we might shape the future with that power.”\u003c/p>\n\u003cp>“A Day Without A Woman” gained momentum in reaction to Trump’s policies and comments on women, especially immigrants and Muslims. But planning for the strike predates the Trump administration. Inspiration came from International Women’s Day events outside the United States, where the day is more widely observed.\u003c/p>\n\u003cp>Last month, immigrants and supporters participated in a “\u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/02/16/515555428/a-day-without-immigrants-promises-a-national-strike-thursday\">Day Without Immigrants\u003c/a>.” Some schools and \u003ca href=\"http://www.npr.org/sections/thesalt/2017/02/15/515441650/chef-jos-andr-s-to-close-restaurants-for-day-without-immigrants\">businesses were forced to close \u003c/a>because of a lack of workers or to open with skeleton staffs.\u003c/p>\n\u003cp>Other such strikes have been carried out by \u003ca href=\"http://www.npr.org/sections/thesalt/2017/02/02/513118265/new-york-city-bodegas-strike-in-protest-of-trumps-travel-ban\">bodega workers \u003c/a>and taxi drivers in New York.\u003c/p>\n\u003cp>One unionized group of workers showing interest in the women’s protest are school teachers: 76 percent of public school teachers in the U.S. are women.\u003c/p>\n\u003cp>Faced with large numbers of staffers planning to take the day off for the strike, the school systems in \u003ca href=\"https://www.acps.k12.va.us/\">Alexandria, V\u003c/a>irginia, \u003ca href=\"http://www.pgcps.org/march82017/\">Prince George’s County\u003c/a>, Maryland, \u003ca href=\"http://chccs-news.blogspot.com/2017/03/march-8-is-now-teacher-workday-delayed.html\">Chapel Hill\u003c/a>, North Carolina, and others told students to stay home.\u003c/p>\n\u003cp>The decision for schools to close has put some parents in a bind when it comes to child care.\u003c/p>\n\u003cp>The Associated Press reports:\u003c/p>\n\u003cblockquote>\u003cp>“The role of women in American society is significant.\u003c/p>\n\u003cp>“According to the U.S. Census, women make up more than 47 percent of the workforce and are dominant in such professions as registered nurses, dental assistants, cashiers, accountants and pharmacists.\u003c/p>\n\u003cp>“They make up at least a third of physicians and surgeons, as well as lawyers and judges. Women also represent 55 percent of all college students.\u003c/p>\n\u003cp>“Still, American women continue to be paid less than men, earning 80 cents for every dollar a man makes. The median income for women was $40,742 in 2015, compared with $51,212 for men, according to census data.”\u003c/p>\u003c/blockquote>\n\u003cp>In Washington, D.C., on Wednesday, there will be a \u003ca href=\"http://www.womenworkersrising.org/\">“Women Workers Rising” \u003c/a>rally outside the Labor Department.\u003c/p>\n\u003cp>Organizers are calling on supporters to come and “be in solidarity with women workers — for an end to workplace violence and harassment and to promote pay equity, one fair living wage, paid leave and labor rights at work.”\u003c/p>\n\u003cp>Some conservatives on social media are calling the women’s strike vague and self-serving, and say it favors wealthy women.\u003c/p>\n\u003cp>Organizers are calling on all those who can’t take time off for the protest to wear red in solidarity.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>They say red signifies love and sacrifice.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A broad coalition of groups across the nation is encouraging women to participate in Wednesday’s strike, called “\u003ca href=\"https://www.womensmarch.com/womensday/\">A Day Without a Woman\u003c/a>.”\u003c/p>\n\u003cp>The organized protest comes on \u003ca href=\"https://www.internationalwomensday.com/\">International Women’s Day\u003c/a> and follows the \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/21/510932265/demonstrators-gather-early-to-kick-off-womens-march-on-washington\">Women’s March\u003c/a> in January.\u003c/p>\n\u003cp>That mass protest on Jan. 21 — President Trump’s first full day in office — saw huge crowds of demonstrators converge on the nation’s capital, and other rallies in cities across the country and the world.\u003c/p>\n\u003cp>The protest aims to highlight the economic power of women as well as ongoing problems of discrimination and pay disparity.\u003c/p>\n\u003cp>To show their economic importance and impact on society, women are being encouraged to take the day off from paid and unpaid labor and not to shop — except at women- and minority-owned and small businesses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.domesticworkers.org/\">National Domestic Workers Alliance\u003c/a> has endorsed the strike.\u003c/p>\n\u003cp>Ai Jen Poo, who directs the group, which advocates for housekeepers, elder care and child care workers, says it’s a vital labor pool that’s too often grossly underpaid and undervalued.\u003c/p>\n\u003cp>“This is an opportunity for women, like the low-wage workers that I work with, to join together with women everywhere to say ‘women power this economy,’ to have that be visible and recognized and to think together about how we might shape the future with that power.”\u003c/p>\n\u003cp>“A Day Without A Woman” gained momentum in reaction to Trump’s policies and comments on women, especially immigrants and Muslims. But planning for the strike predates the Trump administration. Inspiration came from International Women’s Day events outside the United States, where the day is more widely observed.\u003c/p>\n\u003cp>Last month, immigrants and supporters participated in a “\u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/02/16/515555428/a-day-without-immigrants-promises-a-national-strike-thursday\">Day Without Immigrants\u003c/a>.” Some schools and \u003ca href=\"http://www.npr.org/sections/thesalt/2017/02/15/515441650/chef-jos-andr-s-to-close-restaurants-for-day-without-immigrants\">businesses were forced to close \u003c/a>because of a lack of workers or to open with skeleton staffs.\u003c/p>\n\u003cp>Other such strikes have been carried out by \u003ca href=\"http://www.npr.org/sections/thesalt/2017/02/02/513118265/new-york-city-bodegas-strike-in-protest-of-trumps-travel-ban\">bodega workers \u003c/a>and taxi drivers in New York.\u003c/p>\n\u003cp>One unionized group of workers showing interest in the women’s protest are school teachers: 76 percent of public school teachers in the U.S. are women.\u003c/p>\n\u003cp>Faced with large numbers of staffers planning to take the day off for the strike, the school systems in \u003ca href=\"https://www.acps.k12.va.us/\">Alexandria, V\u003c/a>irginia, \u003ca href=\"http://www.pgcps.org/march82017/\">Prince George’s County\u003c/a>, Maryland, \u003ca href=\"http://chccs-news.blogspot.com/2017/03/march-8-is-now-teacher-workday-delayed.html\">Chapel Hill\u003c/a>, North Carolina, and others told students to stay home.\u003c/p>\n\u003cp>The decision for schools to close has put some parents in a bind when it comes to child care.\u003c/p>\n\u003cp>The Associated Press reports:\u003c/p>\n\u003cblockquote>\u003cp>“The role of women in American society is significant.\u003c/p>\n\u003cp>“According to the U.S. Census, women make up more than 47 percent of the workforce and are dominant in such professions as registered nurses, dental assistants, cashiers, accountants and pharmacists.\u003c/p>\n\u003cp>“They make up at least a third of physicians and surgeons, as well as lawyers and judges. Women also represent 55 percent of all college students.\u003c/p>\n\u003cp>“Still, American women continue to be paid less than men, earning 80 cents for every dollar a man makes. The median income for women was $40,742 in 2015, compared with $51,212 for men, according to census data.”\u003c/p>\u003c/blockquote>\n\u003cp>In Washington, D.C., on Wednesday, there will be a \u003ca href=\"http://www.womenworkersrising.org/\">“Women Workers Rising” \u003c/a>rally outside the Labor Department.\u003c/p>\n\u003cp>Organizers are calling on supporters to come and “be in solidarity with women workers — for an end to workplace violence and harassment and to promote pay equity, one fair living wage, paid leave and labor rights at work.”\u003c/p>\n\u003cp>Some conservatives on social media are calling the women’s strike vague and self-serving, and say it favors wealthy women.\u003c/p>\n\u003cp>Organizers are calling on all those who can’t take time off for the protest to wear red in solidarity.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>They say red signifies love and sacrifice.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Don't Get EKG-Happy, Say Docs, as Heart Screening For Teens Questioned",
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"content": "\u003cp>Dozens of not-for-profit organizations have formed in the past decade to promote free or low-cost heart screenings for teens. The groups often claim such tests save lives by finding abnormalities that might pose a risk of sudden cardiac death.\u003c/p>\n\u003cp>But the efforts are raising concerns. There's no evidence that screening adolescents with \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Electrocardiogram-ECG-or-EKG_UCM_309050_Article.jsp#.WKc4HTsrKUk\" target=\"_blank\">electrocardiograms\u003c/a> prevents deaths. Sudden cardiac death is rare in young people, and some physicians worry screening kids with no symptoms or family history of disease could do more harm than good. The tests can set off false alarms that can lead to follow-up tests and risky interventions or force some kids to quit sports unnecessarily.\u003c/p>\n\u003cp>\"There are harms that I don't think a lot of people realize,\" said Dr. Kristin Burns, who oversees a two-year-old \u003ca href=\"https://www.nhlbi.nih.gov/news/spotlight/fact-sheet/frequently-asked-questions-about-sudden-death-young-case-registry\">registry\u003c/a> at the National Institute of Health of sudden deaths in people under 20. It's one of several efforts aimed at gathering better data about cardiac abnormalities in kids.\u003c/p>\n\u003cp>Studies using limited data have found between \u003ca href=\"http://heartsmartekg.org/sites/ekgyourteen/files/SCD%20in%20the%20Young%20article.pdf\" target=\"_blank\">one and four sudden cardiac deaths\u003c/a> occur annually per 100,000 kids between ages 1 and 18. By comparison, 22 in 100,000 U.S. teens are killed each year in accidents, including those involving motor vehicles; 9 in 100,000 commit suicide, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Some screening advocates believe sudden cardiac deaths are underreported and that not enough is being done to spare families from the fate of losing a child. \"We have to acknowledge that every kid who drops dead, they've been failed by the current system,\" said Darren Sudman, who founded \u003ca href=\"http://www.simonsfund.org/\" target=\"_blank\">Simon's Fund\u003c/a>, a screening effort in greater Philadelphia in memory of his infant son, who died of an arrhythmia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Screening programs say they're educating parents about the risks. \"What we want to emphasize is, make sure your kid is heart-safe,\" said Dr. Jonathan Drezner, a sports and family medicine specialist at \u003ca href=\"http://www.uwmedicine.org/bios/jonathan-drezner\">UW Medicine\u003c/a> and medical director of the Seattle-area \u003ca href=\"http://nickoftimefoundation.org/\">Nick of Time Foundation\u003c/a>.\u003c/p>\n\u003cp>Enthusiasm for EKGs, which measure the electrical activity in the heart to detect abnormalities, grew after a 2006 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17018804\">study\u003c/a> showed they lowered death rates among athletes in Italy. But research in other countries hasn't yielded similar results, and the Italian researchers recently \u003ca href=\"http://www.bmj.com/content/353/bmj.i2208\" target=\"_blank\">were accused of\u003c/a> refusing to share their data so it could be evaluated independently.\u003c/p>\n\u003cp>Some 60,000 to 70,000 U.S. teens were screened with EKGs in 2016, most by foundations created by families who lost a child to sudden cardiac death, said Sudman, who runs the online directory \u003ca href=\"http://www.screenacrossamerica.org/\" target=\"_blank\">Screen Across America\u003c/a>. It's unclear whether high school athletes face higher risk than nonathletes, so screening programs usually invite everybody.\u003c/p>\n\u003cp>Screenings typically are held in high schools and overseen by volunteer cardiologists, with funding from individuals and businesses including hospitals. A handful of hospitals and for-profit companies also run screenings.\u003c/p>\n\u003cp>It may be presumptuous to claim EKGs save lives, but parents often believe they do, said Sudman. \"If I find a heart condition, I promise you there are parents who are thanking me for savings their kid's life,\" he said.\u003c/p>\n\u003cp>That perception is stoked by tragic stories in the media of children who died suddenly after never reporting a symptom.\u003c/p>\n\u003cp>Meanwhile, the drawbacks of EKGs are seldom depicted. As many as 1 in 10 EKGs detects a potential abnormality, and the emotional and financial toll of such a finding can be significant — especially when they turn out to be wrong.\u003c/p>\n\u003cp>Following a screening EKG and echocardiogram last fall, Daniel Garza, 16, a talented sophomore basketball player in San Antonio, was told he had \u003ca href=\"https://medlineplus.gov/ency/article/000192.htm\">hypertrophic cardiomyopathy\u003c/a>, a thickening of the heart muscle and the most common cause of sudden cardiac death in young people. He was advised to quit all exercise, at least temporarily.\u003c/p>\n\u003cp>\"We were shocked, just shocked,\" said his mother, Denise. She said her son became depressed when he couldn't play the sport he enjoyed and excelled at. \"He came home and cried himself to sleep. He said, 'Mom, why did God give me this gift to take it away?' \"\u003c/p>\n\u003cp>The Garzas traveled to the Mayo Clinic in Rochester, Minn., where further tests indicated his enlarged heart was a benign condition known as athletic heart, a result of intense training. His mother estimates that correcting the misdiagnosis cost more than $20,000, including medical costs, travel and lost work.\u003c/p>\n\u003cp>Daniel has returned to the basketball court. Still, Denise Garza said the emotional toll was rough: \"It was one of the hardest things my family has ever endured.\"\u003c/p>\n\u003cp>Several cardiologists said they often see cases like this — or worse. Even after follow-up testing, it can be unclear which cases are life-threatening, so kids with low risk could be restricted from exercise or given life-altering interventions such as implantable defibrillators, surgery or anti-arrhythmic medications.\u003c/p>\n\u003cp>Medical groups have wrestled with the issue. The American Heart Association and the American College of Cardiology \u003ca href=\"http://circ.ahajournals.org/content/130/15/1303\" target=\"_blank\">recommended\u003c/a> in 2014 against mass ECG screening, noting that sudden cardiac death is rare in teens and false positives generate \"excessive and costly second-tier testing.\" ECGs also miss at least 1 in 10 cases of hypertrophic cardiomyopathy and more than 9 in 10 cases of congenital anomalies, the second-most-common cause.\u003c/p>\n\u003cp>But the medical panel accepted voluntary screening \"in relatively small cohorts,\" if there's physician involvement, quality control and a recognition of unreliable results and ancillary costs.\u003c/p>\n\u003cp>Efforts are underway to improve the accuracy of the screening programs. Some are adding \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Echocardiogram%E2%80%94-Echo_UCM_451485_Article.jsp#.WKc5rjsrKUk\" target=\"_blank\">echocardiograms\u003c/a>, which use ultrasound to produce images of the heart, to assess potential abnormalities. Advocates say false positives have dropped as a result of better interpretation guidelines, known as the \u003ca href=\"https://www.amssm.org/BMJ_ECGModules.php\" target=\"_blank\">Seattle Criteria\u003c/a>, which are expected to soon be endorsed by cardiology societies in revised form.\u003c/p>\n\u003cp>But the criteria aren't perfect, and there's a \"giant gap\" in training cardiologists to use them, said Drezner, one of the developers. He's also a medical adviser for \u003ca href=\"https://parentheartwatch.org/\" target=\"_blank\">Parent Heart Watch\u003c/a>, a consortium of foundations. \"If I was a parent, I'd want to know about the experience of the (cardiologists) and what they're going to do to help my kid if they have a positive screen.\"\u003c/p>\n\u003cp>One problem with EKGs is a lack of good data.\u003c/p>\n\u003cp>\"There's no evidence we have that [EKG] screening saves lives,\" said Dr. Jonathan Kaltman of the National Heart, Lung, and Blood Institute. \"There's never been a controlled clinical trial, which is the only way to answer that question.\"\u003c/p>\n\u003cp>At the urging of screening advocates, the NIH partnered with the Centers for Disease Control and Prevention to rigorously track cardiac deaths as part of a Sudden Death in the Young Case Registry. So far a handful of states and counties have joined the effort, which helps local health departments collect better data. The goal is to standardize death investigations and get a firm handle on how often kids die from heart abnormalities as well as the role of factors such as genetics. Initial findings are expected to be available in about two years. The NIH is also funding three university-based research groups to answer key questions about sudden cardiac death in the young.\u003c/p>\n\u003cp>Some screening organizations are getting behind a nascent initiative with the \u003ca href=\"http://cardiac-safety.org/\" target=\"_blank\">Cardiac Safety Research Consortium\u003c/a> to harness their own screening data for research. It would require standardizing their practices and tracking outcomes, which organizations aren't now equipped to do.\u003c/p>\n\u003cp>\"Screening is happening. We can't avoid that,\" said Dr. Salim Idriss, director of pediatric electrophysiology at Duke University and co-chair of the initiative. \"We have a really good opportunity to get the data we need to make it better.\"\u003c/p>\n\u003cp>Separately, the UT Southwestern Medical Center in Dallas recently began a \u003ca href=\"http://www.utsouthwestern.edu/newsroom/news-releases/year-2016/september/ecg-athletes-levine.html\" target=\"_blank\">four-year pilot study \u003c/a>involving athletes and band members at eight high schools to determine the feasibility of a full-scale randomized controlled trial.\u003c/p>\n\u003cp>A valid finding on the overarching question of whether EKG screening saves lives could require at least 800,000 participants and a cost of $15 million, said Dr. Benjamin Levine, a cardiologist and the lead researcher.\u003c/p>\n\u003cp>The pilot is partly a response to legislation that would mandate EKGs for student athletes in Texas. A similar bill was also introduced in South Carolina. Both bills failed, but it's expected there will be more attempts to mandate EKGs, leaving state legislators looking for better guidance.\u003c/p>\n\u003cp>\"We're not going to solve this by having more debates, but by having more data,\" Levine said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.\u003c/em> \u003cem>Mary Chris Jaklevic is a freelance health and environment writer based in Chicago. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/mcjaklevic\">@mcjaklevic\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Screening+For+Teens+May+Cause+More+Problems+Than+It+Solves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dozens of not-for-profit organizations have formed in the past decade to promote free or low-cost heart screenings for teens. The groups often claim such tests save lives by finding abnormalities that might pose a risk of sudden cardiac death.\u003c/p>\n\u003cp>But the efforts are raising concerns. There's no evidence that screening adolescents with \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Electrocardiogram-ECG-or-EKG_UCM_309050_Article.jsp#.WKc4HTsrKUk\" target=\"_blank\">electrocardiograms\u003c/a> prevents deaths. Sudden cardiac death is rare in young people, and some physicians worry screening kids with no symptoms or family history of disease could do more harm than good. The tests can set off false alarms that can lead to follow-up tests and risky interventions or force some kids to quit sports unnecessarily.\u003c/p>\n\u003cp>\"There are harms that I don't think a lot of people realize,\" said Dr. Kristin Burns, who oversees a two-year-old \u003ca href=\"https://www.nhlbi.nih.gov/news/spotlight/fact-sheet/frequently-asked-questions-about-sudden-death-young-case-registry\">registry\u003c/a> at the National Institute of Health of sudden deaths in people under 20. It's one of several efforts aimed at gathering better data about cardiac abnormalities in kids.\u003c/p>\n\u003cp>Studies using limited data have found between \u003ca href=\"http://heartsmartekg.org/sites/ekgyourteen/files/SCD%20in%20the%20Young%20article.pdf\" target=\"_blank\">one and four sudden cardiac deaths\u003c/a> occur annually per 100,000 kids between ages 1 and 18. By comparison, 22 in 100,000 U.S. teens are killed each year in accidents, including those involving motor vehicles; 9 in 100,000 commit suicide, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Some screening advocates believe sudden cardiac deaths are underreported and that not enough is being done to spare families from the fate of losing a child. \"We have to acknowledge that every kid who drops dead, they've been failed by the current system,\" said Darren Sudman, who founded \u003ca href=\"http://www.simonsfund.org/\" target=\"_blank\">Simon's Fund\u003c/a>, a screening effort in greater Philadelphia in memory of his infant son, who died of an arrhythmia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Screening programs say they're educating parents about the risks. \"What we want to emphasize is, make sure your kid is heart-safe,\" said Dr. Jonathan Drezner, a sports and family medicine specialist at \u003ca href=\"http://www.uwmedicine.org/bios/jonathan-drezner\">UW Medicine\u003c/a> and medical director of the Seattle-area \u003ca href=\"http://nickoftimefoundation.org/\">Nick of Time Foundation\u003c/a>.\u003c/p>\n\u003cp>Enthusiasm for EKGs, which measure the electrical activity in the heart to detect abnormalities, grew after a 2006 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17018804\">study\u003c/a> showed they lowered death rates among athletes in Italy. But research in other countries hasn't yielded similar results, and the Italian researchers recently \u003ca href=\"http://www.bmj.com/content/353/bmj.i2208\" target=\"_blank\">were accused of\u003c/a> refusing to share their data so it could be evaluated independently.\u003c/p>\n\u003cp>Some 60,000 to 70,000 U.S. teens were screened with EKGs in 2016, most by foundations created by families who lost a child to sudden cardiac death, said Sudman, who runs the online directory \u003ca href=\"http://www.screenacrossamerica.org/\" target=\"_blank\">Screen Across America\u003c/a>. It's unclear whether high school athletes face higher risk than nonathletes, so screening programs usually invite everybody.\u003c/p>\n\u003cp>Screenings typically are held in high schools and overseen by volunteer cardiologists, with funding from individuals and businesses including hospitals. A handful of hospitals and for-profit companies also run screenings.\u003c/p>\n\u003cp>It may be presumptuous to claim EKGs save lives, but parents often believe they do, said Sudman. \"If I find a heart condition, I promise you there are parents who are thanking me for savings their kid's life,\" he said.\u003c/p>\n\u003cp>That perception is stoked by tragic stories in the media of children who died suddenly after never reporting a symptom.\u003c/p>\n\u003cp>Meanwhile, the drawbacks of EKGs are seldom depicted. As many as 1 in 10 EKGs detects a potential abnormality, and the emotional and financial toll of such a finding can be significant — especially when they turn out to be wrong.\u003c/p>\n\u003cp>Following a screening EKG and echocardiogram last fall, Daniel Garza, 16, a talented sophomore basketball player in San Antonio, was told he had \u003ca href=\"https://medlineplus.gov/ency/article/000192.htm\">hypertrophic cardiomyopathy\u003c/a>, a thickening of the heart muscle and the most common cause of sudden cardiac death in young people. He was advised to quit all exercise, at least temporarily.\u003c/p>\n\u003cp>\"We were shocked, just shocked,\" said his mother, Denise. She said her son became depressed when he couldn't play the sport he enjoyed and excelled at. \"He came home and cried himself to sleep. He said, 'Mom, why did God give me this gift to take it away?' \"\u003c/p>\n\u003cp>The Garzas traveled to the Mayo Clinic in Rochester, Minn., where further tests indicated his enlarged heart was a benign condition known as athletic heart, a result of intense training. His mother estimates that correcting the misdiagnosis cost more than $20,000, including medical costs, travel and lost work.\u003c/p>\n\u003cp>Daniel has returned to the basketball court. Still, Denise Garza said the emotional toll was rough: \"It was one of the hardest things my family has ever endured.\"\u003c/p>\n\u003cp>Several cardiologists said they often see cases like this — or worse. Even after follow-up testing, it can be unclear which cases are life-threatening, so kids with low risk could be restricted from exercise or given life-altering interventions such as implantable defibrillators, surgery or anti-arrhythmic medications.\u003c/p>\n\u003cp>Medical groups have wrestled with the issue. The American Heart Association and the American College of Cardiology \u003ca href=\"http://circ.ahajournals.org/content/130/15/1303\" target=\"_blank\">recommended\u003c/a> in 2014 against mass ECG screening, noting that sudden cardiac death is rare in teens and false positives generate \"excessive and costly second-tier testing.\" ECGs also miss at least 1 in 10 cases of hypertrophic cardiomyopathy and more than 9 in 10 cases of congenital anomalies, the second-most-common cause.\u003c/p>\n\u003cp>But the medical panel accepted voluntary screening \"in relatively small cohorts,\" if there's physician involvement, quality control and a recognition of unreliable results and ancillary costs.\u003c/p>\n\u003cp>Efforts are underway to improve the accuracy of the screening programs. Some are adding \u003ca href=\"http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Echocardiogram%E2%80%94-Echo_UCM_451485_Article.jsp#.WKc5rjsrKUk\" target=\"_blank\">echocardiograms\u003c/a>, which use ultrasound to produce images of the heart, to assess potential abnormalities. Advocates say false positives have dropped as a result of better interpretation guidelines, known as the \u003ca href=\"https://www.amssm.org/BMJ_ECGModules.php\" target=\"_blank\">Seattle Criteria\u003c/a>, which are expected to soon be endorsed by cardiology societies in revised form.\u003c/p>\n\u003cp>But the criteria aren't perfect, and there's a \"giant gap\" in training cardiologists to use them, said Drezner, one of the developers. He's also a medical adviser for \u003ca href=\"https://parentheartwatch.org/\" target=\"_blank\">Parent Heart Watch\u003c/a>, a consortium of foundations. \"If I was a parent, I'd want to know about the experience of the (cardiologists) and what they're going to do to help my kid if they have a positive screen.\"\u003c/p>\n\u003cp>One problem with EKGs is a lack of good data.\u003c/p>\n\u003cp>\"There's no evidence we have that [EKG] screening saves lives,\" said Dr. Jonathan Kaltman of the National Heart, Lung, and Blood Institute. \"There's never been a controlled clinical trial, which is the only way to answer that question.\"\u003c/p>\n\u003cp>At the urging of screening advocates, the NIH partnered with the Centers for Disease Control and Prevention to rigorously track cardiac deaths as part of a Sudden Death in the Young Case Registry. So far a handful of states and counties have joined the effort, which helps local health departments collect better data. The goal is to standardize death investigations and get a firm handle on how often kids die from heart abnormalities as well as the role of factors such as genetics. Initial findings are expected to be available in about two years. The NIH is also funding three university-based research groups to answer key questions about sudden cardiac death in the young.\u003c/p>\n\u003cp>Some screening organizations are getting behind a nascent initiative with the \u003ca href=\"http://cardiac-safety.org/\" target=\"_blank\">Cardiac Safety Research Consortium\u003c/a> to harness their own screening data for research. It would require standardizing their practices and tracking outcomes, which organizations aren't now equipped to do.\u003c/p>\n\u003cp>\"Screening is happening. We can't avoid that,\" said Dr. Salim Idriss, director of pediatric electrophysiology at Duke University and co-chair of the initiative. \"We have a really good opportunity to get the data we need to make it better.\"\u003c/p>\n\u003cp>Separately, the UT Southwestern Medical Center in Dallas recently began a \u003ca href=\"http://www.utsouthwestern.edu/newsroom/news-releases/year-2016/september/ecg-athletes-levine.html\" target=\"_blank\">four-year pilot study \u003c/a>involving athletes and band members at eight high schools to determine the feasibility of a full-scale randomized controlled trial.\u003c/p>\n\u003cp>A valid finding on the overarching question of whether EKG screening saves lives could require at least 800,000 participants and a cost of $15 million, said Dr. Benjamin Levine, a cardiologist and the lead researcher.\u003c/p>\n\u003cp>The pilot is partly a response to legislation that would mandate EKGs for student athletes in Texas. A similar bill was also introduced in South Carolina. Both bills failed, but it's expected there will be more attempts to mandate EKGs, leaving state legislators looking for better guidance.\u003c/p>\n\u003cp>\"We're not going to solve this by having more debates, but by having more data,\" Levine said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.\u003c/em> \u003cem>Mary Chris Jaklevic is a freelance health and environment writer based in Chicago. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/mcjaklevic\">@mcjaklevic\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Heart+Screening+For+Teens+May+Cause+More+Problems+Than+It+Solves&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "how-trump-could-detain-more-immigrants-in-california",
"title": "Trump Wants to Detain More Immigrants. He Could -- With California's Help",
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"headTitle": "Trump Wants to Detain More Immigrants. He Could — With California’s Help | KQED",
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"content": "\u003cp>\u003cspan style=\"font-size: 4.6875em;float: left;line-height: 0.733em;padding: 0.05em 0.1em 0 0;font-family: times, serif, georgia\">W\u003c/span>hen his three young children woke up in their small house in Oakland one morning a few weeks ago, Maguiber wasn’t home. That wasn’t so unusual. The 27-year-old dad worked long hours, juggling three different jobs cleaning in two hotels and a restaurant.\u003c/p>\n\u003cp>But then the children’s mother told Kevin, 8, Gabriela, 4, and Christopher, 2, that their father had been taken away to jail. Before dawn that morning, two officers had knocked on the door. They said they were investigating a hit-and-run, and they asked to see Maguiber. (His attorney asked that we not use his last name until his immigration status is resolved.) He walked out to the driveway, while Yibi Heras, his wife, watched from the door.\u003c/p>\n\u003cp>It was only after Maguiber took out his car registration that he realized the officers were Immigration and Customs Enforcement agents, not local police, she said. There had been no hit-and-run. The agents handcuffed Maguiber and put him into their SUV. They told Heras that her husband could call her later, after he had been booked into immigration detention.\u003c/p>\n\u003cp>[contextly_sidebar id=”C4ITOQRcIe3FHuEqVzNlmBwj11UN7tic”]\u003c/p>\n\u003cp>In January, President Donald Trump signed an executive order greatly expanding the categories of undocumented people that law enforcement officials should prioritize for deportation. Since then, thousands of people have been detained around the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump has promised to deport 2 million to 3 million people this year alone. For comparison, President Barack Obama deported \u003ca href=\"https://www.ice.gov/removal-statistics/2016\" target=\"_blank\">2.75 million people\u003c/a> over the course of eight years.\u003c/p>\n\u003cp>In order to deport people, the government typically must detain them first. But if the system is already at capacity, where will all these new detainees go? A KQED investigation found the government can likely ramp up detention capacity quickly — and California’s jails could play a key part.\u003c/p>\n\u003cp>[audio src=\"http://www.kqed.org/.stream/anon/radio/tcr/2017/03/2017-03-09c-tcr.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS22944_GettyImages-450371255-qut-672x372.jpg\" Title=\"Trump Wants to Detain More Immigrants. He Could -- With California's Help\" program=\"The California Report\"]\u003c/p>\n\u003cp>The new president has inherited a deportation system already straining to remove historically high numbers of people — though illegal immigration is just a fraction of what it was 10 or 15 years ago. On one typical day in November, 40,875 people in the United States were being held in detention — though ICE is budgeted for just \u003ca href=\"https://www.dhs.gov/sites/default/files/publications/FY_2016_DHS_Budget_in_Brief.pdf\" target=\"_blank\">34,000 detention beds\u003c/a>, according to Immigration and Customs Enforcement data. ICE officials declined repeated requests to comment or answer questions for this story.\u003c/p>\n\u003cp>In a recent \u003ca href=\"https://www.documentcloud.org/documents/3480644-17-0220-S1-Enforcement-of-the-Immigration-Laws.html\" target=\"_blank\">memo\u003c/a> that fleshes out President Trump’s executive order, Homeland Security Secretary John Kelly specified that the default for the new administration will be detention, rather than allowing people to be released, for example, on bond or with an ankle-worn GPS monitor, while they await their day in immigration court.\u003c/p>\n\u003cp>That wait can take years, because immigration courts are so understaffed and there has been an increase in asylum cases. On average, all immigrants, detained and not, \u003ca href=\"http://trac.syr.edu/immigration/reports/438/\" target=\"_blank\">were waiting\u003c/a> for 677 days as of January 2017 for their case to be resolved in immigration court. In California, the average was 718 days.\u003c/p>\n\u003cfigure id=\"attachment_11342699\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11342699\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-800x533.jpg\" alt=\" Immigrants prepare to be unshackled and set free from the Adelanto Detention Facility. The facility is managed by the private GEO Group.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Immigrants prepare to be unshackled and set free from the Adelanto Detention Facility. The California facility is managed by the private prison company GEO Group. \u003ccite>(John Moore/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Detention of Maguiber\u003c/strong>\u003c/p>\n\u003cp>Maguiber was born in Guatemala and has been living in the United States illegally for about a decade. His one offense (and the thing that may have put him on ICE’s radar) is a recent misdemeanor conviction for reckless driving. His lawyer believes that he may have come to ICE agents’ attention after he was booked or appeared in court.\u003c/p>\n\u003cp>That morning, Feb. 8, ICE agents took Maguiber to the West County Detention Facility, a county jail in Richmond, California. Like any other jail, its primary purpose is to hold people awaiting trial and inmates serving short sentences for low-level crimes. But Contra Costa County also rents 318 jail beds here to ICE. That makes the West County facility a small part of a vast and growing immigration detention system.\u003c/p>\n\u003cp>ICE operates the largest federal detention system in the country. In 2015, it held almost twice as many people as the federal Bureau of Prisons, according to the Departments of Justice and Homeland Security. ICE runs its own detention centers in some parts of the country, but mostly it contracts out to private prison companies and local jails.\u003c/p>\n\u003cp>In California, 16 different jails and private prisons had contracts with ICE, and held 5,269 ICE detainees on a day in late 2016. Nationally, California holds the second-highest number of detainees, after Texas.\u003c/p>\n\u003cp>Trump’s executive orders are meant to deter people from coming into the country illegally and discourage people like Maguiber, who was previously deported as a teenager, from returning again. Jessica Vaughan, director of \u003ca href=\"http://cis.org/\" target=\"_blank\">policy studies at the Center for Immigration Studies\u003c/a>, a think tank that favors restricting immigration, believes that Trump’s plan for stronger immigration enforcement will prevent people from returning to the United States illegally.\u003c/p>\n\u003cp>“It was necessary to do these executive orders to let these government agencies do their job and do the job that Americans expect them to do, which is to enforce the immigration laws we have,” she said.\u003c/p>\n\u003cp>But many attorneys say it makes little sense to hold immigrants in prolonged detention. The vast majority, especially when they have an immigration lawyer, do appear for their day in immigration court as required, according to data from \u003ca href=\"http://trac.syr.edu/immigration/reports/438/\" target=\"_blank\">Syracuse University’s Transactional Records Access Clearinghouse\u003c/a> (known as TRAC) and a\u003ca href=\"http://scholarship.law.upenn.edu/cgi/viewcontent.cgi?article=9502&context=penn_law_review\" target=\"_blank\"> study by the University of Pennsylvania Law Review\u003c/a>. And attorneys emphasize that immigration detention is not supposed to be punitive.\u003c/p>\n\u003cp>“It’s important to remember that these individuals are not serving time pursuant to a criminal conviction. Most of them have absolutely no criminal history at all,” said Denise L. Gilman, who directs the \u003ca href=\"https://law.utexas.edu/clinics/immigration/\" target=\"_blank\">Immigration Clinic\u003c/a> at the \u003ca href=\"https://law.ucdavis.edu/\" target=\"_blank\">University of Texas Law School\u003c/a>.\u003c/p>\n\u003cp>Yibi Heras says her husband is not a criminal. “Like all of us, he has made mistakes,” she said. “But he’s not dangerous.”\u003c/p>\n\u003cp>Heras is working hard to keep life as normal as possible for her children. Maguiber manages to call from jail almost every day, but the children are confused about why he can’t video chat with them as he used to do between his jobs.\u003c/p>\n\u003cp>Heras said her 4-year-old daughter, Gabriela, asked to move in with her father recently, saying she was ready to go as soon as she gathered up her toys.\u003c/p>\n\u003cfigure id=\"attachment_11342683\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11342683\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-800x450.jpg\" alt=\"Maguiber lived in the United States for more than 10 years. He was detained by ICE in February.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-520x293.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maguiber has lived in the United States for more than a decade. He was detained by ICE in February. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is poised to be a key part of ICE’s detention expansion.\u003c/p>\n\u003cp>“I think California’s going to be ground zero when it comes to immigration removals during the Trump administration,” said Kevin Johnson, dean of the UC Davis School of Law.\u003c/p>\n\u003cp>While ICE may have reached the limits of its budgeted detention space, the KQED investigation found that, if new funds are made available, the agency could quickly expand detention to take advantage of idle bed space in jails and private prisons.\u003c/p>\n\u003cp>\u003cstrong>Private Detention Companies See Profits in Trump Policies\u003cbr>\n\u003c/strong>\u003cbr>\nThe majority of immigrant detainees in California and nationwide wind up in facilities run by for-profit companies, according to data from ICE released in December 2016. And, with President Trump’s heightened focus on deportation, these companies are seeing opportunities for expansion and profit.\u003c/p>\n\u003cp>In fact, the expansion began last year, as the Obama administration sought to respond to a continuing flow of children and families fleeing to the U.S. from Central America. \u003ca href=\"http://www.corecivic.com/\" target=\"_blank\">CoreCivic\u003c/a>, the \u003ca href=\"https://www.geogroup.com/\" target=\"_blank\">GEO Group\u003c/a> and Emerald Correctional Management signed contracts in 2016 to open more facilities for immigrant detainees, which will supply an additional 3,087 beds.\u003cbr>\n[contextly_sidebar id=”GHhn8ekEkX5x6qPzPdgcPMzGQ1K8wnqK”]\u003cbr>\n“Our financial performance in the fourth quarter of 2016 was well above our initial forecast due, in large part, to heightened utilization by ICE across the portfolio,” CoreCivic CEO Damon Hininger told shareholders.\u003c/p>\n\u003cp>And in February, executives at the two largest companies, CoreCivic and GEO Group, told their shareholders that they had many empty beds nationally — totaling 13,700 — into which ICE could move detainees immediately. (Roughly 500 of those beds are in California.) A vacant 3,000-bed detention center in Texas, owned by Management and Training Corp., could also reopen for ICE.\u003c/p>\n\u003cp>One reason bed space is available is that the federal government last year determined that private prisons had inferior safety and security, and began phasing out their use. Three private prison companies currently hold contracts with the U.S. Bureau of Prisons for 27,000 beds — 2,200 of those are in California.\u003c/p>\n\u003cp>The Trump Justice Department \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/02/23/516916688/private-prisons-back-in-mix-for-federal-inmates-as-sessions-rescinds-order\" target=\"_blank\">has since rescinded\u003c/a> the Obama administration’s decision not to use private prisons for federal inmates. But the number of federal inmates held in private prisons has been declining in recent years, so some of those beds could still become available.\u003c/p>\n\u003cp>Some advocates question why prisons that were found to be substandard for federal prisoners can be considered safe for immigrant detainees.\u003c/p>\n\u003cp>“It is [for-profit companies’] desperate interest to keep costs as low as possible, and they do that by skimping on food, on health care, on mental health care and anything else so that they can maximize their profits for every individual detained,” said Gilman, of the University of Texas Law School.\u003c/p>\n\u003cp>Since 2012, three people have died while detained at the Adelanto Correctional Facility, run by GEO Group in San Bernardino, California. \u003ca href=\"https://www.documentcloud.org/documents/3480649-adelantoCorrectionalFac-Adelanto-CA-Sept-18-20.html\" target=\"_blank\">ICE investigators\u003c/a> found problems at the facility, including health care delays, poor record keeping, bad communication between staff and failures to properly report sexual assaults.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.documentcloud.org/documents/3480650-Ddr-Morales.html\" target=\"_blank\">federal investigation\u003c/a> into one of the California deaths, inspectors noted that the person who died had waited more than a year to see a specialist, that the high turnover of medical staff led to inadequate care and that a dearth of laboratory services led to delays in treatment.\u003c/p>\n\u003cp>Last fall, after the \u003ca href=\"http://www.npr.org/sections/thetwo-way/2016/08/18/490498158/justice-department-will-phase-out-its-use-of-private-prisons\" target=\"_blank\">Bureau of Prisons decided\u003c/a> to stop using private prisons, Homeland Security officials asked an advisory council composed of government officials, attorneys, advocates and private prison executives to examine ICE’s reliance on private prisons. The \u003ca href=\"https://www.documentcloud.org/documents/3480651-DHS-HSAC-PIDF-Final-Report.html\" target=\"_blank\">council’s report concluded\u003c/a> that despite problems with private, for-profit detention, DHS must continue to rely on it to control costs and “handle sudden increases in detention.”\u003c/p>\n\u003cp>But about three-quarters of the members who approved the report took issue with that central recommendation. In a dissenting opinion they said the review showed conditions in private prisons were inferior to ICE-run detention, and suggested shifting away from a private prison model. The dissenters also encouraged further investigation to find “the most effective and humane approach,” to detention, including looking at alternatives to physically jailing people.\u003c/p>\n\u003cdiv class=\"callout noborder\">\u003cspan style=\"font-family:Arial, sans-serif; font-size: 20px;\">Where Were People Detained in Fiscal Year 2016?\u003c/span>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"100%\" height=\"520\" frameborder=\"0\" src=\"https://kqednews.carto.com/builder/9cb4f780-827c-412a-96f1-d29ccf160b1b/embed\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan style=\"font-size:14px;\">Data from ICE. Fiscal year 2016 ran from Oct.1 2015 to Sept. 30, 2016. | Lisa Pickoff-White/KQED\u003c/span>\u003c/p>\u003c/div>\n\u003cp>\u003cstrong>Tens of Thousands of Immigrants Detained in Local Jails\u003cbr>\n\u003c/strong>\u003cbr>\nIn the same report, the council recommended that ICE reduce its reliance on another type of facility: local jails.\u003c/p>\n\u003cp>“County jails are, in general, the most problematic facilities for immigration detention,” the report said.\u003c/p>\n\u003cp>Local jails, like the one on Richmond, California, where Maguiber is in custody, held 25 percent of immigrant detainees last year, according to ICE. And, despite the council’s recommendation to avoid them, ICE is likely to rely more heavily on jails, as it seeks to lock up more people in the deportation process.\u003c/p>\n\u003cp>“I would expect them to also look at expanding capacity by using space that’s not currently used in local jails that are already inspected and certified by ICE to be appropriate for immigration detention,” said Vaughan.\u003c/p>\n\u003cp>A greater expansion into jails is likely to take place in many states, but California, in particular, has plenty of available jail beds.\u003c/p>\n\u003cp>California county jails with ICE contracts had, on average, nearly 2,500 open beds in 2015, but ICE had specifically contracted only for 530 of them, according to data from ICE and the state agency that regulates county jails. That doesn’t include open jail beds in local cities with ICE contracts, including Glendale, Pomona and Alhambra.\u003c/p>\n\u003cp>Also, California is likely to have more jail space sitting empty soon. That’s because a 2012 criminal justice reform known as “realignment” gave counties money to expand their jails so they could accept some inmates from state prisons. Then, just as that building boom got underway, voters passed a measure in 2014 that reduced penalties for some crimes and led to a decrease of 9,000 inmates. So California counties are in the process of adding an estimated 10,000 beds, just as their jail populations are declining.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" id=\"datawrapper-chart-agxRB\" src=\"//datawrapper.dwcdn.net/agxRB/8/\" frameborder=\"0\" allowtransparency=\"true\" allowfullscreen=\"allowfullscreen\" webkitallowfullscreen=\"webkitallowfullscreen\" mozallowfullscreen=\"mozallowfullscreen\" oallowfullscreen=\"oallowfullscreen\" msallowfullscreen=\"msallowfullscreen\" width=\"100%\" height=\"600\">\u003c/iframe>\u003cscript type=\"text/javascript\">if(\"undefined\"==typeof window.datawrapper)window.datawrapper={};window.datawrapper[\"agxRB\"]={},window.datawrapper[\"agxRB\"].embedDeltas={\"100\":1212,\"200\":829,\"300\":689,\"400\":675,\"500\":600,\"600\":600,\"700\":586,\"800\":586,\"900\":586,\"1000\":586},window.datawrapper[\"agxRB\"].iframe=document.getElementById(\"datawrapper-chart-agxRB\"),window.datawrapper[\"agxRB\"].iframe.style.height=window.datawrapper[\"agxRB\"].embedDeltas[Math.min(1e3,Math.max(100*Math.floor(window.datawrapper[\"agxRB\"].iframe.offsetWidth/100),100))]+\"px\",window.addEventListener(\"message\",function(a){if(\"undefined\"!=typeof a.data[\"datawrapper-height\"])for(var b in a.data[\"datawrapper-height\"])if(\"agxRB\"==b)window.datawrapper[\"agxRB\"].iframe.style.height=a.data[\"datawrapper-height\"][b]+\"px\"});\u003c/script>\u003cbr>\n\u003cspan style=\"font-size: 0.6255em;\">Lisa Pickoff-White/KQED\u003c/span>\u003c/p>\n\u003cp>Some local counties say they depend financially on their contracts with ICE. Contra Costa Sheriff David Livingston said that the county receives about $2 million a year.\u003c/p>\n\u003cp>“That money goes to defray the cost of running the jail and reduce the operating cost to the taxpayers of Contra Costa County,” he said.\u003c/p>\n\u003cp>It’s not always easy mixing immigrant detainees with jail inmates, however. ICE’s standards are higher for detainee health care and recreation time, for example. And the Homeland Security advisory council found that local officials are sometimes “resistant to changes” that require treating ICE detainees differently.\u003c/p>\n\u003cp>\u003cstrong>Immigration Court Slowdown Leaves Detainees in Detention for Longer\u003c/strong>\u003c/p>\n\u003cp>One of the main reasons so many immigrants are detained in California is that the state has the largest immigration court workload in the country, analysts say.\u003c/p>\n\u003cp>And part of the reason that ICE needs more bed space is because it’s taking longer for detainees to get a court date. Sending more people into deportation proceedings — and declining to release them on bond — will exacerbate the need.\u003c/p>\n\u003cp>There are currently just 301 immigration judges nationwide — and they’re handling more than 542,000 pending cases, according to the Department of Justice and data from Syracuse University’s \u003ca href=\"http://<a%20href=\" target=\"_blank\">TRAC\u003c/a> research center. Even if the immigration courts didn’t accept a single additional case, it would take 2½ years to go through the backlog, according to TRAC. (The Department of Justice, which oversees immigration courts, is trying to speed up the system. It is working to fill 61 open positions, and requesting that Congress fund an additional 25 immigration judges.)\u003c/p>\n\u003cp>Waiting months or years for a hearing in detention can be extremely hard for detainees — and also for their families.\u003c/p>\n\u003cfigure id=\"attachment_11345541\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11345541\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-800x450.jpg\" alt=\"Yibi and Maguiber’s 8-year-old son, Kevin, is disabled and Yibi is worried about the financial burden her partner’s detention is causing.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-520x293.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yibi Heras cares for her disabled 8-year-old son, Kevin, and her two preschoolers. With Maguiber in detention, Heras is worried about how she will support her family. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Right now Heras is trying to figure out how to support her family while her husband is detained. Her younger children, Gabriela and Christopher, are not yet in school, and her oldest, Kevin, has cerebral palsy and needs extra care. So Heras has her hands full as a stay-at-home mom.\u003c/p>\n\u003cp>“I stopped working because my oldest son had to have an operation,” she said. “But now I have to look for other resources to keep surviving.”\u003c/p>\n\u003cp>With the help of a \u003cem>pro bono\u003c/em> lawyer, Heras and her husband are trying to keep him from being deported. An asylum officer found that Maguiber has grounds to request protection from deportation. His attorney has asked ICE to release him while he awaits his first hearing, which is scheduled for March 29. Heras says the court should not worry that Maguiber will flee.\u003c/p>\n\u003cp>“My husband has three children,” she said. “He wasn’t going to run away from them.”\u003c/p>\n\u003cp>\u003cstrong>Another Deportation Method: Expedited Removal\u003cbr>\n\u003c/strong>\u003cbr>\nThe Trump administration has another tool to deport some undocumented immigrants, one that would put less strain on immigration courts and detention facilities, but that civil liberties advocates say will unfairly deprive people of their right to due process of law.\u003c/p>\n\u003cp>The policy, called expedited removal, is a fast-track deportation without a hearing before an immigration judge. It was formerly applied only to unauthorized immigrants encountered within 100 miles of the border who had been in the country less than two weeks. Recently, Kelly expanded expedited removal to include people caught by agents anywhere in the United States who cannot prove that they have been in the country at least two years.\u003c/p>\n\u003cp>Expedited removal would not apply to the majority of people living in the country illegally. The Pew Research Center estimates that two-thirds of the estimated 11.1 million undocumented people in the United States have been here for more than a decade. Maguiber is one of them.\u003c/p>\n\u003cp>Another reason that the Trump administration may be increasing expedited removals is to save money.\u003c/p>\n\u003cp>Homeland Security is already budgeted to spend $2.6 billion a year on ICE detention. Congress would have to appropriate more to expand.\u003c/p>\n\u003cp>Mary Small, the policy director for Detention Watch Network, says that Congress has a track record of paying for this type of enforcement.\u003c/p>\n\u003cp>“For the entirety of the Obama administration, Congress gave ICE more money than the president asked for in the president’s budget,” Small said. “There is a real willingness to throw large amounts of money at locking immigrants up.”\u003c/p>\n\u003cp>Vaughan believes that while the initial cost to carry out Trump’s policies may be high, over time it will deter illegal immigration.\u003c/p>\n\u003cp>“When people get the message that you’re not necessarily home free if you make it to the United States,” she said, “I think it’s pretty clear fewer people are going to come here illegally.”\u003c/p>\n\u003cp>And, she says, people who are already here illegally may think about going home — when faced with these tougher consequences.\u003c/p>\n\u003cp>But Maguiber is ready to fight to stay in the country. His father named him after the hero of the 1980s TV show, “MacGyver,” that was popular across Latin America. Angus MacGyver was famous for his knack at getting himself out of tricky situations. Maguiber’s family isn’t looking for him to bust out of jail like an action hero, but they are hoping he’ll find a way out of this bind.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was edited by Tyche Hendricks.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The president has promised to deport 2 to 3 million people this year alone. KQED investigates how an already straining immigration system could handle the surge.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-size: 4.6875em;float: left;line-height: 0.733em;padding: 0.05em 0.1em 0 0;font-family: times, serif, georgia\">W\u003c/span>hen his three young children woke up in their small house in Oakland one morning a few weeks ago, Maguiber wasn’t home. That wasn’t so unusual. The 27-year-old dad worked long hours, juggling three different jobs cleaning in two hotels and a restaurant.\u003c/p>\n\u003cp>But then the children’s mother told Kevin, 8, Gabriela, 4, and Christopher, 2, that their father had been taken away to jail. Before dawn that morning, two officers had knocked on the door. They said they were investigating a hit-and-run, and they asked to see Maguiber. (His attorney asked that we not use his last name until his immigration status is resolved.) He walked out to the driveway, while Yibi Heras, his wife, watched from the door.\u003c/p>\n\u003cp>It was only after Maguiber took out his car registration that he realized the officers were Immigration and Customs Enforcement agents, not local police, she said. There had been no hit-and-run. The agents handcuffed Maguiber and put him into their SUV. They told Heras that her husband could call her later, after he had been booked into immigration detention.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>In January, President Donald Trump signed an executive order greatly expanding the categories of undocumented people that law enforcement officials should prioritize for deportation. Since then, thousands of people have been detained around the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump has promised to deport 2 million to 3 million people this year alone. For comparison, President Barack Obama deported \u003ca href=\"https://www.ice.gov/removal-statistics/2016\" target=\"_blank\">2.75 million people\u003c/a> over the course of eight years.\u003c/p>\n\u003cp>In order to deport people, the government typically must detain them first. But if the system is already at capacity, where will all these new detainees go? A KQED investigation found the government can likely ramp up detention capacity quickly — and California’s jails could play a key part.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new president has inherited a deportation system already straining to remove historically high numbers of people — though illegal immigration is just a fraction of what it was 10 or 15 years ago. On one typical day in November, 40,875 people in the United States were being held in detention — though ICE is budgeted for just \u003ca href=\"https://www.dhs.gov/sites/default/files/publications/FY_2016_DHS_Budget_in_Brief.pdf\" target=\"_blank\">34,000 detention beds\u003c/a>, according to Immigration and Customs Enforcement data. ICE officials declined repeated requests to comment or answer questions for this story.\u003c/p>\n\u003cp>In a recent \u003ca href=\"https://www.documentcloud.org/documents/3480644-17-0220-S1-Enforcement-of-the-Immigration-Laws.html\" target=\"_blank\">memo\u003c/a> that fleshes out President Trump’s executive order, Homeland Security Secretary John Kelly specified that the default for the new administration will be detention, rather than allowing people to be released, for example, on bond or with an ankle-worn GPS monitor, while they await their day in immigration court.\u003c/p>\n\u003cp>That wait can take years, because immigration courts are so understaffed and there has been an increase in asylum cases. On average, all immigrants, detained and not, \u003ca href=\"http://trac.syr.edu/immigration/reports/438/\" target=\"_blank\">were waiting\u003c/a> for 677 days as of January 2017 for their case to be resolved in immigration court. In California, the average was 718 days.\u003c/p>\n\u003cfigure id=\"attachment_11342699\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11342699\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-800x533.jpg\" alt=\" Immigrants prepare to be unshackled and set free from the Adelanto Detention Facility. The facility is managed by the private GEO Group.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS17233_GettyImages-450371241-qut-520x347.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Immigrants prepare to be unshackled and set free from the Adelanto Detention Facility. The California facility is managed by the private prison company GEO Group. \u003ccite>(John Moore/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Detention of Maguiber\u003c/strong>\u003c/p>\n\u003cp>Maguiber was born in Guatemala and has been living in the United States illegally for about a decade. His one offense (and the thing that may have put him on ICE’s radar) is a recent misdemeanor conviction for reckless driving. His lawyer believes that he may have come to ICE agents’ attention after he was booked or appeared in court.\u003c/p>\n\u003cp>That morning, Feb. 8, ICE agents took Maguiber to the West County Detention Facility, a county jail in Richmond, California. Like any other jail, its primary purpose is to hold people awaiting trial and inmates serving short sentences for low-level crimes. But Contra Costa County also rents 318 jail beds here to ICE. That makes the West County facility a small part of a vast and growing immigration detention system.\u003c/p>\n\u003cp>ICE operates the largest federal detention system in the country. In 2015, it held almost twice as many people as the federal Bureau of Prisons, according to the Departments of Justice and Homeland Security. ICE runs its own detention centers in some parts of the country, but mostly it contracts out to private prison companies and local jails.\u003c/p>\n\u003cp>In California, 16 different jails and private prisons had contracts with ICE, and held 5,269 ICE detainees on a day in late 2016. Nationally, California holds the second-highest number of detainees, after Texas.\u003c/p>\n\u003cp>Trump’s executive orders are meant to deter people from coming into the country illegally and discourage people like Maguiber, who was previously deported as a teenager, from returning again. Jessica Vaughan, director of \u003ca href=\"http://cis.org/\" target=\"_blank\">policy studies at the Center for Immigration Studies\u003c/a>, a think tank that favors restricting immigration, believes that Trump’s plan for stronger immigration enforcement will prevent people from returning to the United States illegally.\u003c/p>\n\u003cp>“It was necessary to do these executive orders to let these government agencies do their job and do the job that Americans expect them to do, which is to enforce the immigration laws we have,” she said.\u003c/p>\n\u003cp>But many attorneys say it makes little sense to hold immigrants in prolonged detention. The vast majority, especially when they have an immigration lawyer, do appear for their day in immigration court as required, according to data from \u003ca href=\"http://trac.syr.edu/immigration/reports/438/\" target=\"_blank\">Syracuse University’s Transactional Records Access Clearinghouse\u003c/a> (known as TRAC) and a\u003ca href=\"http://scholarship.law.upenn.edu/cgi/viewcontent.cgi?article=9502&context=penn_law_review\" target=\"_blank\"> study by the University of Pennsylvania Law Review\u003c/a>. And attorneys emphasize that immigration detention is not supposed to be punitive.\u003c/p>\n\u003cp>“It’s important to remember that these individuals are not serving time pursuant to a criminal conviction. Most of them have absolutely no criminal history at all,” said Denise L. Gilman, who directs the \u003ca href=\"https://law.utexas.edu/clinics/immigration/\" target=\"_blank\">Immigration Clinic\u003c/a> at the \u003ca href=\"https://law.ucdavis.edu/\" target=\"_blank\">University of Texas Law School\u003c/a>.\u003c/p>\n\u003cp>Yibi Heras says her husband is not a criminal. “Like all of us, he has made mistakes,” she said. “But he’s not dangerous.”\u003c/p>\n\u003cp>Heras is working hard to keep life as normal as possible for her children. Maguiber manages to call from jail almost every day, but the children are confused about why he can’t video chat with them as he used to do between his jobs.\u003c/p>\n\u003cp>Heras said her 4-year-old daughter, Gabriela, asked to move in with her father recently, saying she was ready to go as soon as she gathered up her toys.\u003c/p>\n\u003cfigure id=\"attachment_11342683\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11342683\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-800x450.jpg\" alt=\"Maguiber lived in the United States for more than 10 years. He was detained by ICE in February.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24471_ICE_4-qut-520x293.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Maguiber has lived in the United States for more than a decade. He was detained by ICE in February. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California is poised to be a key part of ICE’s detention expansion.\u003c/p>\n\u003cp>“I think California’s going to be ground zero when it comes to immigration removals during the Trump administration,” said Kevin Johnson, dean of the UC Davis School of Law.\u003c/p>\n\u003cp>While ICE may have reached the limits of its budgeted detention space, the KQED investigation found that, if new funds are made available, the agency could quickly expand detention to take advantage of idle bed space in jails and private prisons.\u003c/p>\n\u003cp>\u003cstrong>Private Detention Companies See Profits in Trump Policies\u003cbr>\n\u003c/strong>\u003cbr>\nThe majority of immigrant detainees in California and nationwide wind up in facilities run by for-profit companies, according to data from ICE released in December 2016. And, with President Trump’s heightened focus on deportation, these companies are seeing opportunities for expansion and profit.\u003c/p>\n\u003cp>In fact, the expansion began last year, as the Obama administration sought to respond to a continuing flow of children and families fleeing to the U.S. from Central America. \u003ca href=\"http://www.corecivic.com/\" target=\"_blank\">CoreCivic\u003c/a>, the \u003ca href=\"https://www.geogroup.com/\" target=\"_blank\">GEO Group\u003c/a> and Emerald Correctional Management signed contracts in 2016 to open more facilities for immigrant detainees, which will supply an additional 3,087 beds.\u003cbr>\n\u003c/p>\u003cp>\u003c/p>\u003cp>\u003cbr>\n“Our financial performance in the fourth quarter of 2016 was well above our initial forecast due, in large part, to heightened utilization by ICE across the portfolio,” CoreCivic CEO Damon Hininger told shareholders.\u003c/p>\n\u003cp>And in February, executives at the two largest companies, CoreCivic and GEO Group, told their shareholders that they had many empty beds nationally — totaling 13,700 — into which ICE could move detainees immediately. (Roughly 500 of those beds are in California.) A vacant 3,000-bed detention center in Texas, owned by Management and Training Corp., could also reopen for ICE.\u003c/p>\n\u003cp>One reason bed space is available is that the federal government last year determined that private prisons had inferior safety and security, and began phasing out their use. Three private prison companies currently hold contracts with the U.S. Bureau of Prisons for 27,000 beds — 2,200 of those are in California.\u003c/p>\n\u003cp>The Trump Justice Department \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/02/23/516916688/private-prisons-back-in-mix-for-federal-inmates-as-sessions-rescinds-order\" target=\"_blank\">has since rescinded\u003c/a> the Obama administration’s decision not to use private prisons for federal inmates. But the number of federal inmates held in private prisons has been declining in recent years, so some of those beds could still become available.\u003c/p>\n\u003cp>Some advocates question why prisons that were found to be substandard for federal prisoners can be considered safe for immigrant detainees.\u003c/p>\n\u003cp>“It is [for-profit companies’] desperate interest to keep costs as low as possible, and they do that by skimping on food, on health care, on mental health care and anything else so that they can maximize their profits for every individual detained,” said Gilman, of the University of Texas Law School.\u003c/p>\n\u003cp>Since 2012, three people have died while detained at the Adelanto Correctional Facility, run by GEO Group in San Bernardino, California. \u003ca href=\"https://www.documentcloud.org/documents/3480649-adelantoCorrectionalFac-Adelanto-CA-Sept-18-20.html\" target=\"_blank\">ICE investigators\u003c/a> found problems at the facility, including health care delays, poor record keeping, bad communication between staff and failures to properly report sexual assaults.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.documentcloud.org/documents/3480650-Ddr-Morales.html\" target=\"_blank\">federal investigation\u003c/a> into one of the California deaths, inspectors noted that the person who died had waited more than a year to see a specialist, that the high turnover of medical staff led to inadequate care and that a dearth of laboratory services led to delays in treatment.\u003c/p>\n\u003cp>Last fall, after the \u003ca href=\"http://www.npr.org/sections/thetwo-way/2016/08/18/490498158/justice-department-will-phase-out-its-use-of-private-prisons\" target=\"_blank\">Bureau of Prisons decided\u003c/a> to stop using private prisons, Homeland Security officials asked an advisory council composed of government officials, attorneys, advocates and private prison executives to examine ICE’s reliance on private prisons. The \u003ca href=\"https://www.documentcloud.org/documents/3480651-DHS-HSAC-PIDF-Final-Report.html\" target=\"_blank\">council’s report concluded\u003c/a> that despite problems with private, for-profit detention, DHS must continue to rely on it to control costs and “handle sudden increases in detention.”\u003c/p>\n\u003cp>But about three-quarters of the members who approved the report took issue with that central recommendation. In a dissenting opinion they said the review showed conditions in private prisons were inferior to ICE-run detention, and suggested shifting away from a private prison model. The dissenters also encouraged further investigation to find “the most effective and humane approach,” to detention, including looking at alternatives to physically jailing people.\u003c/p>\n\u003cdiv class=\"callout noborder\">\u003cspan style=\"font-family:Arial, sans-serif; font-size: 20px;\">Where Were People Detained in Fiscal Year 2016?\u003c/span>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"100%\" height=\"520\" frameborder=\"0\" src=\"https://kqednews.carto.com/builder/9cb4f780-827c-412a-96f1-d29ccf160b1b/embed\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan style=\"font-size:14px;\">Data from ICE. Fiscal year 2016 ran from Oct.1 2015 to Sept. 30, 2016. | Lisa Pickoff-White/KQED\u003c/span>\u003c/p>\u003c/div>\n\u003cp>\u003cstrong>Tens of Thousands of Immigrants Detained in Local Jails\u003cbr>\n\u003c/strong>\u003cbr>\nIn the same report, the council recommended that ICE reduce its reliance on another type of facility: local jails.\u003c/p>\n\u003cp>“County jails are, in general, the most problematic facilities for immigration detention,” the report said.\u003c/p>\n\u003cp>Local jails, like the one on Richmond, California, where Maguiber is in custody, held 25 percent of immigrant detainees last year, according to ICE. And, despite the council’s recommendation to avoid them, ICE is likely to rely more heavily on jails, as it seeks to lock up more people in the deportation process.\u003c/p>\n\u003cp>“I would expect them to also look at expanding capacity by using space that’s not currently used in local jails that are already inspected and certified by ICE to be appropriate for immigration detention,” said Vaughan.\u003c/p>\n\u003cp>A greater expansion into jails is likely to take place in many states, but California, in particular, has plenty of available jail beds.\u003c/p>\n\u003cp>California county jails with ICE contracts had, on average, nearly 2,500 open beds in 2015, but ICE had specifically contracted only for 530 of them, according to data from ICE and the state agency that regulates county jails. That doesn’t include open jail beds in local cities with ICE contracts, including Glendale, Pomona and Alhambra.\u003c/p>\n\u003cp>Also, California is likely to have more jail space sitting empty soon. That’s because a 2012 criminal justice reform known as “realignment” gave counties money to expand their jails so they could accept some inmates from state prisons. Then, just as that building boom got underway, voters passed a measure in 2014 that reduced penalties for some crimes and led to a decrease of 9,000 inmates. So California counties are in the process of adding an estimated 10,000 beds, just as their jail populations are declining.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" id=\"datawrapper-chart-agxRB\" src=\"//datawrapper.dwcdn.net/agxRB/8/\" frameborder=\"0\" allowtransparency=\"true\" allowfullscreen=\"allowfullscreen\" webkitallowfullscreen=\"webkitallowfullscreen\" mozallowfullscreen=\"mozallowfullscreen\" oallowfullscreen=\"oallowfullscreen\" msallowfullscreen=\"msallowfullscreen\" width=\"100%\" height=\"600\">\u003c/iframe>\u003cscript type=\"text/javascript\">if(\"undefined\"==typeof window.datawrapper)window.datawrapper={};window.datawrapper[\"agxRB\"]={},window.datawrapper[\"agxRB\"].embedDeltas={\"100\":1212,\"200\":829,\"300\":689,\"400\":675,\"500\":600,\"600\":600,\"700\":586,\"800\":586,\"900\":586,\"1000\":586},window.datawrapper[\"agxRB\"].iframe=document.getElementById(\"datawrapper-chart-agxRB\"),window.datawrapper[\"agxRB\"].iframe.style.height=window.datawrapper[\"agxRB\"].embedDeltas[Math.min(1e3,Math.max(100*Math.floor(window.datawrapper[\"agxRB\"].iframe.offsetWidth/100),100))]+\"px\",window.addEventListener(\"message\",function(a){if(\"undefined\"!=typeof a.data[\"datawrapper-height\"])for(var b in a.data[\"datawrapper-height\"])if(\"agxRB\"==b)window.datawrapper[\"agxRB\"].iframe.style.height=a.data[\"datawrapper-height\"][b]+\"px\"});\u003c/script>\u003cbr>\n\u003cspan style=\"font-size: 0.6255em;\">Lisa Pickoff-White/KQED\u003c/span>\u003c/p>\n\u003cp>Some local counties say they depend financially on their contracts with ICE. Contra Costa Sheriff David Livingston said that the county receives about $2 million a year.\u003c/p>\n\u003cp>“That money goes to defray the cost of running the jail and reduce the operating cost to the taxpayers of Contra Costa County,” he said.\u003c/p>\n\u003cp>It’s not always easy mixing immigrant detainees with jail inmates, however. ICE’s standards are higher for detainee health care and recreation time, for example. And the Homeland Security advisory council found that local officials are sometimes “resistant to changes” that require treating ICE detainees differently.\u003c/p>\n\u003cp>\u003cstrong>Immigration Court Slowdown Leaves Detainees in Detention for Longer\u003c/strong>\u003c/p>\n\u003cp>One of the main reasons so many immigrants are detained in California is that the state has the largest immigration court workload in the country, analysts say.\u003c/p>\n\u003cp>And part of the reason that ICE needs more bed space is because it’s taking longer for detainees to get a court date. Sending more people into deportation proceedings — and declining to release them on bond — will exacerbate the need.\u003c/p>\n\u003cp>There are currently just 301 immigration judges nationwide — and they’re handling more than 542,000 pending cases, according to the Department of Justice and data from Syracuse University’s \u003ca href=\"http://<a%20href=\" target=\"_blank\">TRAC\u003c/a> research center. Even if the immigration courts didn’t accept a single additional case, it would take 2½ years to go through the backlog, according to TRAC. (The Department of Justice, which oversees immigration courts, is trying to speed up the system. It is working to fill 61 open positions, and requesting that Congress fund an additional 25 immigration judges.)\u003c/p>\n\u003cp>Waiting months or years for a hearing in detention can be extremely hard for detainees — and also for their families.\u003c/p>\n\u003cfigure id=\"attachment_11345541\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11345541\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-800x450.jpg\" alt=\"Yibi and Maguiber’s 8-year-old son, Kevin, is disabled and Yibi is worried about the financial burden her partner’s detention is causing.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/03/RS24469_ICE_2-qut-520x293.jpg 520w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yibi Heras cares for her disabled 8-year-old son, Kevin, and her two preschoolers. With Maguiber in detention, Heras is worried about how she will support her family. \u003ccite>(Erasmo Martinez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Right now Heras is trying to figure out how to support her family while her husband is detained. Her younger children, Gabriela and Christopher, are not yet in school, and her oldest, Kevin, has cerebral palsy and needs extra care. So Heras has her hands full as a stay-at-home mom.\u003c/p>\n\u003cp>“I stopped working because my oldest son had to have an operation,” she said. “But now I have to look for other resources to keep surviving.”\u003c/p>\n\u003cp>With the help of a \u003cem>pro bono\u003c/em> lawyer, Heras and her husband are trying to keep him from being deported. An asylum officer found that Maguiber has grounds to request protection from deportation. His attorney has asked ICE to release him while he awaits his first hearing, which is scheduled for March 29. Heras says the court should not worry that Maguiber will flee.\u003c/p>\n\u003cp>“My husband has three children,” she said. “He wasn’t going to run away from them.”\u003c/p>\n\u003cp>\u003cstrong>Another Deportation Method: Expedited Removal\u003cbr>\n\u003c/strong>\u003cbr>\nThe Trump administration has another tool to deport some undocumented immigrants, one that would put less strain on immigration courts and detention facilities, but that civil liberties advocates say will unfairly deprive people of their right to due process of law.\u003c/p>\n\u003cp>The policy, called expedited removal, is a fast-track deportation without a hearing before an immigration judge. It was formerly applied only to unauthorized immigrants encountered within 100 miles of the border who had been in the country less than two weeks. Recently, Kelly expanded expedited removal to include people caught by agents anywhere in the United States who cannot prove that they have been in the country at least two years.\u003c/p>\n\u003cp>Expedited removal would not apply to the majority of people living in the country illegally. The Pew Research Center estimates that two-thirds of the estimated 11.1 million undocumented people in the United States have been here for more than a decade. Maguiber is one of them.\u003c/p>\n\u003cp>Another reason that the Trump administration may be increasing expedited removals is to save money.\u003c/p>\n\u003cp>Homeland Security is already budgeted to spend $2.6 billion a year on ICE detention. Congress would have to appropriate more to expand.\u003c/p>\n\u003cp>Mary Small, the policy director for Detention Watch Network, says that Congress has a track record of paying for this type of enforcement.\u003c/p>\n\u003cp>“For the entirety of the Obama administration, Congress gave ICE more money than the president asked for in the president’s budget,” Small said. “There is a real willingness to throw large amounts of money at locking immigrants up.”\u003c/p>\n\u003cp>Vaughan believes that while the initial cost to carry out Trump’s policies may be high, over time it will deter illegal immigration.\u003c/p>\n\u003cp>“When people get the message that you’re not necessarily home free if you make it to the United States,” she said, “I think it’s pretty clear fewer people are going to come here illegally.”\u003c/p>\n\u003cp>And, she says, people who are already here illegally may think about going home — when faced with these tougher consequences.\u003c/p>\n\u003cp>But Maguiber is ready to fight to stay in the country. His father named him after the hero of the 1980s TV show, “MacGyver,” that was popular across Latin America. Angus MacGyver was famous for his knack at getting himself out of tricky situations. Maguiber’s family isn’t looking for him to bust out of jail like an action hero, but they are hoping he’ll find a way out of this bind.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was edited by Tyche Hendricks.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Telehealth Actually Makes Some Health Care More Expensive: Study",
"title": "Telehealth Actually Makes Some Health Care More Expensive: Study",
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"content": "\u003cp>Telehealth takes a lot of forms these days\u003cspan style=\"font-weight: 400\">—\u003c/span>consultations with a doctor by video, phone or text; an appointment through the web or a mobile app. The one commonality: You get to interact with a health care provider from anywhere\u003cspan style=\"font-weight: 400\">—\u003c/span>your home, the office, Starbucks. Virtual consultations can mean you don’t have to schlep across town, sit in the waiting room, and leaf through a year-old Time magazine article as prelude to a short visit with your doc.\u003c/p>\n\u003caside class=\"pullquote alignright\">'When you make services that are convenient, it’s an ‘If you build it, they will come' kind of thing.'\u003ccite> Lori Uscher-Pines,\u003cbr>\nRAND Corporation\u003c/cite>\u003c/aside>\n\u003cp>Telehealth appointments are less expensive because the companies offering these services contract with doctors who are paid by the visit, and the companies themselves have little of the overhead necessary in a typical medical office, says Lori Uscher-Pines, a health policy researcher with the RAND Corporation. That means telehealth should theoretically save money for patients, employers and insurance companies -- the entire health care ecosystem. At least this is what telehealth companies claim. But now a \u003ca href=\"http://content.healthaffairs.org/content/36/3/485.abstract\" target=\"_blank\">study\u003c/a> from RAND, published Monday in \u003cem>Health Affairs\u003c/em>, says this isn't the case.\u003c/p>\n\u003cp>The study found that using telehealth for treatment of acute respiratory illnesses increased total annual spending, which the researchers defined as costs to insurers and out-of-pocket payments by patients, by $45 per telehealth user.\u003c/p>\n\u003cp>That's because 88 percent of the telehealth visits represented people who would not have gone to a doctor otherwise -- what the industry calls new utilization. Just 12 percent of the telehealth sessions, the researchers concluded, amounted to a \u003cem>substitute\u003c/em> for going to see the doc.\u003c/p>\n\u003cp>Uscher-Pines, a co-author of the study, says she's not surprised.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“When you make services that are convenient, it’s an ‘If you build it, they will come' kind of thing.”\u003c/p>\n\u003cp>Uscher-Pines says patients using telehealth for respiratory infections would likely not have gone to a doctor if the service had not been available. Rather, they would self-treat.\u003c/p>\n\u003cp>\"You sit at home, you watch Netflix, you take Tylenol,\" Pines says. \"But now because of these kind of services that are so easy to access, you have a visit that would not have otherwise occurred.”\u003c/p>\n\u003cp>The study is the fourth on telehealth funded by the California Health Care Foundation. Researchers examined claims data from more than 300,000 enrollees in the Blue Shield of California HMO offered by CalPERS, the California Public Employees' Retirement System. In 2012, CalPERS began offering the telehealth appointments to selected members through Teladoc, a Texas-based public company that provides virtual appointments with licensed physicians 24 hours a day, 365 days a year.\u003c/p>\n\u003caside class=\"pullquote alignright\">'You have to use [telehealth] as a more precise tool with particular populations in order to serve their needs. Don’t just go into it blindly.'\u003ccite>Melissa Buckley,\u003cbr>\nCalifornia Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>The current study looked at 981 people who used the Teladoc service over 18 months in 2012-13, seeking help for acute respiratory infections like bronchitis, pneumonia or sinusitis. The researchers compared these users with patients who had their acute respiratory infections treated by a doctor in-person. The focus was on this type of illness because it is the most commonly treated by direct-to-consumer telehealth providers, the researchers said.\u003c/p>\n\u003cp>Teladoc, which \u003ca href=\"https://www.teladoc.com/businesses/save-money/\" target=\"_blank\">markets\u003c/a> its service as a cost reduction, says patient information it gathered at the time of care contradicts the findings. Courtney McLeod, the company’s director of public relations, said in an email that just 13 percent of appointments for more than 400,000 acute respiratory infection patients represented new health care utilization.\u003c/p>\n\u003cp>That is pretty much the reverse of the 88 percent new utilization that the RAND researchers found. The RAND study asserts that the discrepancies between its numbers and those of the telehealth companies on new-versus-replacement health care could be due to the companies' use of surveys, as opposed to actual utilization data. The surveyed telehealth patients, the researchers wrote, may have overestimated the likelihood of going to see a doctor as opposed to not acting at all.\u003c/p>\n\u003cp>The researchers did acknowledge that use of telehealth for different conditions might produce better results. One of the study’s limitations was that respiratory infections often resolve on their own. “In contrast, an increase in utilization for patients with diabetes or mental illness might be perceived as a net positive,\" the study reads. \"These are conditions that are often undertreated and for which there is clearer evidence that receiving treatment improves health.\"\u003c/p>\n\u003cp>Uscher-Pines also said there could be economic benefits from telehealth that the study didn’t capture. \"These services can be offering patients reassurance,” she said, which can positively impact employee productivity. Telehealth visits initiated from a patient's work site might also reduce absenteeism,\u003c/p>\n\u003cp>But, she said, “You have to take this with a grain of salt when a company says we’re going to prevent emergency department visits. It’s unclear whether that’s likely to happen given the fact that the literature on innovations in health care delivery frequently tells us that when you increase convenience you increase utilization.\"\u003c/p>\n\u003cp>David Cowling, a co-author of the paper and a research scientist at CalPERS, said the study revealed the tradeoff that telehealth presents.\u003c/p>\n\u003cp>\"We have increased access to our members, which is a good thing. Eighty-eight percent were new utilization, so they wouldn’t have gotten care previously. Our members were seeking care and I’m sure their satisfaction with their health plan was higher.\"\u003c/p>\n\u003cp>But Cowling said the issue could prompt a change in the benefit when CalPERS re-examines its benefit package. He said the organization could potentially limit telehealth access to rural areas, one of the original aims of introducing the service, or tailor it to specific conditions.\u003c/p>\n\u003cp>Melissa Buckley, the director of the California Health Care Foundation’s Innovation Fund, said that sort of strategic thinking may be the best bet when it comes to telehealth.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“If you use it naively you can drive up utilization,\" she said. \"You have to use it as a more precise tool with particular populations in order to serve their needs. Don’t just go into it blindly.”\u003c/p>\n\n",
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"headline": "Telehealth Actually Makes Some Health Care More Expensive: Study",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Telehealth takes a lot of forms these days\u003cspan style=\"font-weight: 400\">—\u003c/span>consultations with a doctor by video, phone or text; an appointment through the web or a mobile app. The one commonality: You get to interact with a health care provider from anywhere\u003cspan style=\"font-weight: 400\">—\u003c/span>your home, the office, Starbucks. Virtual consultations can mean you don’t have to schlep across town, sit in the waiting room, and leaf through a year-old Time magazine article as prelude to a short visit with your doc.\u003c/p>\n\u003caside class=\"pullquote alignright\">'When you make services that are convenient, it’s an ‘If you build it, they will come' kind of thing.'\u003ccite> Lori Uscher-Pines,\u003cbr>\nRAND Corporation\u003c/cite>\u003c/aside>\n\u003cp>Telehealth appointments are less expensive because the companies offering these services contract with doctors who are paid by the visit, and the companies themselves have little of the overhead necessary in a typical medical office, says Lori Uscher-Pines, a health policy researcher with the RAND Corporation. That means telehealth should theoretically save money for patients, employers and insurance companies -- the entire health care ecosystem. At least this is what telehealth companies claim. But now a \u003ca href=\"http://content.healthaffairs.org/content/36/3/485.abstract\" target=\"_blank\">study\u003c/a> from RAND, published Monday in \u003cem>Health Affairs\u003c/em>, says this isn't the case.\u003c/p>\n\u003cp>The study found that using telehealth for treatment of acute respiratory illnesses increased total annual spending, which the researchers defined as costs to insurers and out-of-pocket payments by patients, by $45 per telehealth user.\u003c/p>\n\u003cp>That's because 88 percent of the telehealth visits represented people who would not have gone to a doctor otherwise -- what the industry calls new utilization. Just 12 percent of the telehealth sessions, the researchers concluded, amounted to a \u003cem>substitute\u003c/em> for going to see the doc.\u003c/p>\n\u003cp>Uscher-Pines, a co-author of the study, says she's not surprised.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“When you make services that are convenient, it’s an ‘If you build it, they will come' kind of thing.”\u003c/p>\n\u003cp>Uscher-Pines says patients using telehealth for respiratory infections would likely not have gone to a doctor if the service had not been available. Rather, they would self-treat.\u003c/p>\n\u003cp>\"You sit at home, you watch Netflix, you take Tylenol,\" Pines says. \"But now because of these kind of services that are so easy to access, you have a visit that would not have otherwise occurred.”\u003c/p>\n\u003cp>The study is the fourth on telehealth funded by the California Health Care Foundation. Researchers examined claims data from more than 300,000 enrollees in the Blue Shield of California HMO offered by CalPERS, the California Public Employees' Retirement System. In 2012, CalPERS began offering the telehealth appointments to selected members through Teladoc, a Texas-based public company that provides virtual appointments with licensed physicians 24 hours a day, 365 days a year.\u003c/p>\n\u003caside class=\"pullquote alignright\">'You have to use [telehealth] as a more precise tool with particular populations in order to serve their needs. Don’t just go into it blindly.'\u003ccite>Melissa Buckley,\u003cbr>\nCalifornia Health Care Foundation\u003c/cite>\u003c/aside>\n\u003cp>The current study looked at 981 people who used the Teladoc service over 18 months in 2012-13, seeking help for acute respiratory infections like bronchitis, pneumonia or sinusitis. The researchers compared these users with patients who had their acute respiratory infections treated by a doctor in-person. The focus was on this type of illness because it is the most commonly treated by direct-to-consumer telehealth providers, the researchers said.\u003c/p>\n\u003cp>Teladoc, which \u003ca href=\"https://www.teladoc.com/businesses/save-money/\" target=\"_blank\">markets\u003c/a> its service as a cost reduction, says patient information it gathered at the time of care contradicts the findings. Courtney McLeod, the company’s director of public relations, said in an email that just 13 percent of appointments for more than 400,000 acute respiratory infection patients represented new health care utilization.\u003c/p>\n\u003cp>That is pretty much the reverse of the 88 percent new utilization that the RAND researchers found. The RAND study asserts that the discrepancies between its numbers and those of the telehealth companies on new-versus-replacement health care could be due to the companies' use of surveys, as opposed to actual utilization data. The surveyed telehealth patients, the researchers wrote, may have overestimated the likelihood of going to see a doctor as opposed to not acting at all.\u003c/p>\n\u003cp>The researchers did acknowledge that use of telehealth for different conditions might produce better results. One of the study’s limitations was that respiratory infections often resolve on their own. “In contrast, an increase in utilization for patients with diabetes or mental illness might be perceived as a net positive,\" the study reads. \"These are conditions that are often undertreated and for which there is clearer evidence that receiving treatment improves health.\"\u003c/p>\n\u003cp>Uscher-Pines also said there could be economic benefits from telehealth that the study didn’t capture. \"These services can be offering patients reassurance,” she said, which can positively impact employee productivity. Telehealth visits initiated from a patient's work site might also reduce absenteeism,\u003c/p>\n\u003cp>But, she said, “You have to take this with a grain of salt when a company says we’re going to prevent emergency department visits. It’s unclear whether that’s likely to happen given the fact that the literature on innovations in health care delivery frequently tells us that when you increase convenience you increase utilization.\"\u003c/p>\n\u003cp>David Cowling, a co-author of the paper and a research scientist at CalPERS, said the study revealed the tradeoff that telehealth presents.\u003c/p>\n\u003cp>\"We have increased access to our members, which is a good thing. Eighty-eight percent were new utilization, so they wouldn’t have gotten care previously. Our members were seeking care and I’m sure their satisfaction with their health plan was higher.\"\u003c/p>\n\u003cp>But Cowling said the issue could prompt a change in the benefit when CalPERS re-examines its benefit package. He said the organization could potentially limit telehealth access to rural areas, one of the original aims of introducing the service, or tailor it to specific conditions.\u003c/p>\n\u003cp>Melissa Buckley, the director of the California Health Care Foundation’s Innovation Fund, said that sort of strategic thinking may be the best bet when it comes to telehealth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If you use it naively you can drive up utilization,\" she said. \"You have to use it as a more precise tool with particular populations in order to serve their needs. Don’t just go into it blindly.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>WikiLeaks has released thousands of files that it identifies as CIA documents related to the agency's cyberespionage tools and programs.\u003c/p>\n\u003cp>The documents published on Tuesday include instruction manuals, support documents, notes and conversations about, among other things, efforts to exploit vulnerabilities in smartphones and turn smart TVs into listening devices. The tools appear to be designed for use against individual targets, as part of the CIA's mandate to gather foreign intelligence.\u003c/p>\n\u003cp>A CIA spokesperson would not confirm whether the documents were genuine, telling NPR, \"We do not comment on the authenticity or content of purported intelligence documents.\"\u003c/p>\n\u003cp>Former CIA Director Michael Hayden told MSNBC that if Wikileaks' account was true, the document dump would be \"very, very damaging.\"\u003c/p>\n\u003cp>And the anti-secrecy site says there's more to come: WikiLeaks has dubbed Tuesday's release \"Year Zero,\" saying it is the first of a series of CIA-related leaks that the site is collectively calling \"Vault 7.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nicholas Weaver, a computer scientist at the University of California at Berkeley, says the documents don't seem to reveal significant news about the CIA's capabilities — \"it's describing a hacking organization that's doing a reasonably good job,\" he says.\u003c/p>\n\u003cp>What \u003cem>is \u003c/em>surprising is that the documents are being published.\u003c/p>\n\u003cp>In a statement accompanying the document release, WikiLeaks alleges that the CIA has recently \"lost control of the majority of its hacking arsenal,\" and that an archive with \"several hundred million lines of code\" has been circulating among former government hackers. One former government hacker or contractor gave a portion of that code to WikiLeaks, according to the organization.\u003c/p>\n\u003cp>Weaver calls that story \"implausible,\" and raises the possibility that someone from outside the U.S. government compromised the CIA's systems to acquire the documents. And that, he says, would be a big deal: \"Spies gonna spy, that's dog bites man. Spy dumps data on Wikileaks, proving that they exfiltrated it from a top-secret system? That's man bites dog.\"\u003c/p>\n\u003cp>Regardless of how they were acquired, the documents in the \"Year Zero\" release do not include the code for any cyberespionage programs. In its press release, Wikileaks says it is \"avoiding the distribution of \"armed' cyberweapons until a consensus emerges\" on how to analyze and disarm such weapons.\u003c/p>\n\u003cp>Instead, the purported CIA documents reference and describe agency tools designed to extract information from computers, monitor communications and control electronic devices.\u003c/p>\n\u003cp>WikiLeaks says the files came from the CIA's internal Confluence system — a platform for team collaboration. They include instructions on how to use programs, and guides describing how to reduce the risk of CIA involvement being detected in a program. Some pages have comments from users whose names have been redacted, but appear to be software developers.\u003c/p>\n\u003cp>The alleged CIA documents show techniques developed specifically for \"embedded systems\" — which the files describe, in nontechnical terms, as \"the Things in the Internet of Things.\" Think devices that don't look like computers, but use the Internet to work. For instance, one program uses a Samsung TV as a listening device, turning the microphone on while the TV appears to be off.\u003c/p>\n\u003cp>The documents also appear to show techniques the CIA has used to compromise and control individual smartphones. Wikipedia notes that such tactics would allow the agency to read even encrypted communications — but Weaver says that's misleading.\u003c/p>\n\u003cp>\"The real story on encryption is not, 'Oh my God, the CIA breaks encryption,' but that encryption is so good that the CIA has to risk $1.5 million assets to compromise a target's iPhone if they want to read his messages,\" he says, noting the high price of developing smartphone-infiltrating techniques.\u003c/p>\n\u003cp>There's another concern about the methods that the CIA used to compromise phones. Ben Wizner, director of the ACLU Speech, Privacy and Technology Project, says the documents suggest the CIA \"deliberately maintained vulnerabilities\" in widely used devices.\u003c/p>\n\u003cp>\"Those vulnerabilities will be exploited not just by our security agencies, but by hackers and governments around the world,\" he said in a statement. (Security consultant Tom Ritter tells NPR that according to the documents, the CIA does seem to have been aware of security vulnerabilities and not informed companies that could have fixed them.)\u003c/p>\n\u003cp>The CIA has traditionally been responsible for human espionage — \u003ca href=\"https://www.cia.gov/news-information/featured-story-archive/2010-featured-story-archive/intelligence-signals-intelligence-1.html\">officially\u003c/a>, the NSA gathers \"signals intelligence\" and the CIA analyzes it. But the CIA also carries out its own cyber operations.\u003c/p>\n\u003cp>In February 2016, then-CIA Director John Brennan \u003ca href=\"http://www.npr.org/2016/02/24/467711098/transcript-nprs-interview-with-cia-director-john-brennan\">spoke with NPR's Mary Louise Kelly\u003c/a> about, in part, the agency's desire to expand its cybercapabilities.\u003c/p>\n\u003cp>\"The technological changes are taking place at a warped speed,\" he said:\u003c/p>\n\u003cblockquote>\u003cp>\"So we here at CIA, we recently set up a fifth directorate for the first time in 50 years, a new directorate ... the directorate of digital innovation, so that we can understand all of the opportunities and challenges associated with that digital environment.\u003c/p>\n\u003cp>\"I'm not a technological expert by any means, but I recognize that more and more human transactions and interactions take place in that cyber environment. And it profoundly affects all of our ways of life, and it affects the intelligence mission. So I want to make sure that for CIA to be able to fulfill its responsibilities in the years ahead, we understand what the pitfalls are, what the opportunities are, so that we are able to master that environment consistent with our authorities, so we can carry out our respective missions.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Mike Pompeo, the new head of the CIA under President Trump, said in a \u003ca href=\"https://www.intelligence.senate.gov/sites/default/files/documents/pre-hearing-011217.pdf\">written questionnaire\u003c/a> accompanying his confirmation hearing that he understood that the agency, \"upon direction from the President and working in cooperation with other agencies when appropriate, has capabilities to perform a wide [array of] actions related to all forms of cybersecurity policies.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=WikiLeaks+Releases+What+It+Calls+CIA+Trove+Of+Cyber-Espionage+Documents&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>WikiLeaks has released thousands of files that it identifies as CIA documents related to the agency's cyberespionage tools and programs.\u003c/p>\n\u003cp>The documents published on Tuesday include instruction manuals, support documents, notes and conversations about, among other things, efforts to exploit vulnerabilities in smartphones and turn smart TVs into listening devices. The tools appear to be designed for use against individual targets, as part of the CIA's mandate to gather foreign intelligence.\u003c/p>\n\u003cp>A CIA spokesperson would not confirm whether the documents were genuine, telling NPR, \"We do not comment on the authenticity or content of purported intelligence documents.\"\u003c/p>\n\u003cp>Former CIA Director Michael Hayden told MSNBC that if Wikileaks' account was true, the document dump would be \"very, very damaging.\"\u003c/p>\n\u003cp>And the anti-secrecy site says there's more to come: WikiLeaks has dubbed Tuesday's release \"Year Zero,\" saying it is the first of a series of CIA-related leaks that the site is collectively calling \"Vault 7.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nicholas Weaver, a computer scientist at the University of California at Berkeley, says the documents don't seem to reveal significant news about the CIA's capabilities — \"it's describing a hacking organization that's doing a reasonably good job,\" he says.\u003c/p>\n\u003cp>What \u003cem>is \u003c/em>surprising is that the documents are being published.\u003c/p>\n\u003cp>In a statement accompanying the document release, WikiLeaks alleges that the CIA has recently \"lost control of the majority of its hacking arsenal,\" and that an archive with \"several hundred million lines of code\" has been circulating among former government hackers. One former government hacker or contractor gave a portion of that code to WikiLeaks, according to the organization.\u003c/p>\n\u003cp>Weaver calls that story \"implausible,\" and raises the possibility that someone from outside the U.S. government compromised the CIA's systems to acquire the documents. And that, he says, would be a big deal: \"Spies gonna spy, that's dog bites man. Spy dumps data on Wikileaks, proving that they exfiltrated it from a top-secret system? That's man bites dog.\"\u003c/p>\n\u003cp>Regardless of how they were acquired, the documents in the \"Year Zero\" release do not include the code for any cyberespionage programs. In its press release, Wikileaks says it is \"avoiding the distribution of \"armed' cyberweapons until a consensus emerges\" on how to analyze and disarm such weapons.\u003c/p>\n\u003cp>Instead, the purported CIA documents reference and describe agency tools designed to extract information from computers, monitor communications and control electronic devices.\u003c/p>\n\u003cp>WikiLeaks says the files came from the CIA's internal Confluence system — a platform for team collaboration. They include instructions on how to use programs, and guides describing how to reduce the risk of CIA involvement being detected in a program. Some pages have comments from users whose names have been redacted, but appear to be software developers.\u003c/p>\n\u003cp>The alleged CIA documents show techniques developed specifically for \"embedded systems\" — which the files describe, in nontechnical terms, as \"the Things in the Internet of Things.\" Think devices that don't look like computers, but use the Internet to work. For instance, one program uses a Samsung TV as a listening device, turning the microphone on while the TV appears to be off.\u003c/p>\n\u003cp>The documents also appear to show techniques the CIA has used to compromise and control individual smartphones. Wikipedia notes that such tactics would allow the agency to read even encrypted communications — but Weaver says that's misleading.\u003c/p>\n\u003cp>\"The real story on encryption is not, 'Oh my God, the CIA breaks encryption,' but that encryption is so good that the CIA has to risk $1.5 million assets to compromise a target's iPhone if they want to read his messages,\" he says, noting the high price of developing smartphone-infiltrating techniques.\u003c/p>\n\u003cp>There's another concern about the methods that the CIA used to compromise phones. Ben Wizner, director of the ACLU Speech, Privacy and Technology Project, says the documents suggest the CIA \"deliberately maintained vulnerabilities\" in widely used devices.\u003c/p>\n\u003cp>\"Those vulnerabilities will be exploited not just by our security agencies, but by hackers and governments around the world,\" he said in a statement. (Security consultant Tom Ritter tells NPR that according to the documents, the CIA does seem to have been aware of security vulnerabilities and not informed companies that could have fixed them.)\u003c/p>\n\u003cp>The CIA has traditionally been responsible for human espionage — \u003ca href=\"https://www.cia.gov/news-information/featured-story-archive/2010-featured-story-archive/intelligence-signals-intelligence-1.html\">officially\u003c/a>, the NSA gathers \"signals intelligence\" and the CIA analyzes it. But the CIA also carries out its own cyber operations.\u003c/p>\n\u003cp>In February 2016, then-CIA Director John Brennan \u003ca href=\"http://www.npr.org/2016/02/24/467711098/transcript-nprs-interview-with-cia-director-john-brennan\">spoke with NPR's Mary Louise Kelly\u003c/a> about, in part, the agency's desire to expand its cybercapabilities.\u003c/p>\n\u003cp>\"The technological changes are taking place at a warped speed,\" he said:\u003c/p>\n\u003cblockquote>\u003cp>\"So we here at CIA, we recently set up a fifth directorate for the first time in 50 years, a new directorate ... the directorate of digital innovation, so that we can understand all of the opportunities and challenges associated with that digital environment.\u003c/p>\n\u003cp>\"I'm not a technological expert by any means, but I recognize that more and more human transactions and interactions take place in that cyber environment. And it profoundly affects all of our ways of life, and it affects the intelligence mission. So I want to make sure that for CIA to be able to fulfill its responsibilities in the years ahead, we understand what the pitfalls are, what the opportunities are, so that we are able to master that environment consistent with our authorities, so we can carry out our respective missions.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Mike Pompeo, the new head of the CIA under President Trump, said in a \u003ca href=\"https://www.intelligence.senate.gov/sites/default/files/documents/pre-hearing-011217.pdf\">written questionnaire\u003c/a> accompanying his confirmation hearing that he understood that the agency, \"upon direction from the President and working in cooperation with other agencies when appropriate, has capabilities to perform a wide [array of] actions related to all forms of cybersecurity policies.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. 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"content": "\u003cp>Elon Musk, founder of SpaceX, surprised pretty much everyone recently when he \u003ca href=\"http://www.spacex.com/news/2017/02/27/spacex-send-privately-crewed-dragon-spacecraft-beyond-moon-next-year\">revealed \u003c/a>that sometime late next year, the company will use one of its unmanned spacecraft to fly two lucky, unnamed wealthy space tourists all the way around the moon, into deep space and back again.\u003c/p>\n\u003cp>It’s historic in many ways — not least because it would be the first time in more than 40 years that any human has gone that far into space. And the logo on the rocket will be SpaceX, not NASA — a fact that is \u003ca href=\"http://www.space.com/35861-spacex-could-beat-nasa-to-the-moon.html?utm_source=sp-newsletter&utm_medium=email&utm_campaign=20170301-sdc\">lost on no one\u003c/a>.\u003c/p>\n\u003cp>The announcement raises interesting questions about the state of space tourism and private space exploration. For answers, we turned to \u003ca href=\"http://www.seti.org/users/sshostak\">Seth Shostak\u003c/a>, Senior Astronomer with the SETI Institute in Mountain View. He sat down with KQED Morning News anchor Brian Watt.\u003c/p>\n\u003cp>\u003cem>This conversation has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Watt\u003c/strong>: \u003cstrong>So if this mission goes as planned, it would be the first time in 45 years any human has gone this far into space. This would be a remotely piloted spacecraft. When was the last time we went to the moon, and why haven’t we been back?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Shostak: That was\u003ca href=\"https://www.nasa.gov/multimedia/imagegallery/image_feature_598.html\"> the Apollo mission in 1972\u003c/a>, and it was the last time anyone went any distance farther than the distance between San Francisco and Los Angeles, into space. So this is a big thing. It’s 1,000 times farther.\u003c/p>\n\u003cp>When the Apollo program ended, the assumption was, we’d done what we wanted to do, which was largely geopolitical — we wanted to beat the Russians to the moon, and we did that. And after that, the financial incentive to do more than that kind of faded away. There was a plan to send at least three more manned missions to the moon — they didn’t happen.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It seems easy to build rockets in the movies, it always works. But in real life, it’s not what you would call a mature technology.’\u003ccite>Seth Shostak, SETI Institute\u003c/cite>\u003c/aside>\n\u003cp>Everyone assumed what was coming down the pike was to send people to our little ruddy buddy, Mars. And so there were plans drawn up, and the president said to NASA, “Okay, figure out how much that’s going to cost.” And they came up with a price tag of something like $500 billion, and he said, “Think again.”\u003c/p>\n\u003cp>So that hasn’t happened. We haven’t sent people any farther into orbit. And I think that on some level, the public is aware that we haven’t done anything spectacular in space for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Watt: Has Mars essentially usurped the moon as our destination of choice? \u003c/strong>\u003c/p>\n\u003cp>Shostak: I think so. The moon is only 240,000 miles away, which is more or less what I have on my Honda. Mars, on the other hand, is like 30 million miles away. That’s a much bigger trip. You can get to the moon in a couple of days. To get to Mars would take you half a year. And Mars has attractions that the moon doesn’t have. Mars was once a kinder, gentler world with waters on the surface — rivers, lakes, maybe even oceans. It may even still have life under the surface. None of that can be said for the moon. Mars is a more interesting, if a more difficult, target.\u003c/p>\n\u003cp>\u003cstrong>Watt: So what does it say about the state of space exploration that a private company is getting astronauts back to the moon before NASA can? Are we going to see more of this kind of private space travel, do you think?\u003c/strong>\u003c/p>\n\u003cp>Shostak: I kind of hope that we will, actually. The idea that NASA may over-engineer some things or that they’re too conservative – these may be legitimate complaints.\u003c/p>\n\u003cp>[contextly_sidebar id=”MFGF5Gx16tH0wKns0uccb6HcGZXniikX”]NASA is sensitive to the fact that when it kills a couple of people, there’s a big reaction. And private industry doesn’t have that problem yet, because it hasn’t killed anybody. But space is dangerous. I think you liken it to aviation – after the Wright brothers, for many years it was basically a U.S. Army project to develop aircraft. But if the government had stayed the sole developer of airplanes, it would cost you a lot of money to go anywhere in an aircraft today. The private sector got involved, they were able to drive down costs and commercialize it. Today, you can buy an airline ticket for what some people would consider a reasonable price.\u003c/p>\n\u003cp>I think the same thing may happen in space. If you’re really going to open up space to more people than just a few astronauts every year, then privatization’s a good thing.\u003c/p>\n\u003cp>\u003cstrong>Watt: You touched on something very important. SpaceX has never flown people before, and it actually has had \u003ca href=\"http://money.cnn.com/2015/06/28/technology/spacex-rocket/\">two rockets\u003c/a> \u003ca href=\"https://www.wired.com/2016/10/cause-spacexs-explosion-gets-little-clearer/\">blow up\u003c/a> in the last two years. Are there some unique risks to a mission like this because it involves a private company? \u003c/strong>\u003c/p>\n\u003cp>Shostak: Well, there is the question of, do you trust their engineering, have they done enough testing? That sort of thing. It seems easy to build rockets in the movies, it always works. But in real life, it’s\u003ca href=\"http://www.popularmechanics.com/space/rockets/a25065/spacex-uphill-battle-crew-approval/\"> not what you would call a mature technology\u003c/a>. So there is that danger. And there’s also the case that if you’re going to send somebody up a couple of hundred thousand miles into space – if they get into trouble up there, it’s very, very hard to get them back. It’s really tricky, because they’re so far away. If you send them up into orbit — and there’s been plenty of talk about sending tourists into orbit around the Earth — they’re only a couple of hundred miles away. So if they get into trouble, you might be able to bring them back right away.\u003c/p>\n\u003cp>If you’re on the back side of the moon, sailing through space out there, it’s hard to do anything.\u003c/p>\n\u003cp>\u003cstrong>Watt: We still don’t know who’s going to be on this flight. The Falcon Heavy rocket system that would launch these tourists into space costs\u003ca href=\"http://www.spacex.com/about/capabilities\"> $90 million dollars\u003c/a> by itself, without factoring in the riders. How much could we expect something like this to cost? And what kind of space tourist can afford something like this?\u003c/strong>\u003c/p>\n\u003cp>Shostak: The estimates I’ve seen are in the millions of dollars. That’s a lot of money to spend on an interesting weekend. If you’re a billionaire — and there are plenty of billionaires these days — then you’re talking about one-thousandth of your annual income to make this ride. If it cost $3 million to go and see the moon, I think you’d have people every weekend who’d want to go.\u003c/p>\n\u003cp>\u003cstrong>Watt: So, drawing on your expertise here: How long would a trip around the moon and back take, and is there a trajectory through space you need to take to get there?\u003c/strong>\u003c/p>\n\u003cp>Shostak: Generally you choose the trajectory that involves the least amount of energy, meaning fuel. Keep in mind that the moon is moving around in space, so whatever way you’re going to go to the moon, you have to loop around a moving target. But we have plenty of experience doing that. The moon is, as I mentioned, 240,000 miles away. This rocket will sail past the moon, and eventually the gravity of the Earth will bring it around, and bring it back to Earth, where it will land. It may go 300,000 or 400,000 miles from Earth.\u003c/p>\n\u003cp>\u003cstrong>Watt: So if I’m a space tourist and my check doesn’t bounce, I can tell my family, “I’ll see you in a few days”?\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Shostak: Well, there’s no guarantee you’ll see them in a few days, but probably you will. I have to point out that the Russians, have been taking people to the International Space Station for years, and the tab for that is $20 million. So this is a lot farther. It sounds like a deal to me.\u003c/p>\n\n",
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"excerpt": "SETI Astronomer Seth Shostak says privatized space tourism, like SpaceX's moonshot for millionaires, will bring the price of space travel down for everyone. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Elon Musk, founder of SpaceX, surprised pretty much everyone recently when he \u003ca href=\"http://www.spacex.com/news/2017/02/27/spacex-send-privately-crewed-dragon-spacecraft-beyond-moon-next-year\">revealed \u003c/a>that sometime late next year, the company will use one of its unmanned spacecraft to fly two lucky, unnamed wealthy space tourists all the way around the moon, into deep space and back again.\u003c/p>\n\u003cp>It’s historic in many ways — not least because it would be the first time in more than 40 years that any human has gone that far into space. And the logo on the rocket will be SpaceX, not NASA — a fact that is \u003ca href=\"http://www.space.com/35861-spacex-could-beat-nasa-to-the-moon.html?utm_source=sp-newsletter&utm_medium=email&utm_campaign=20170301-sdc\">lost on no one\u003c/a>.\u003c/p>\n\u003cp>The announcement raises interesting questions about the state of space tourism and private space exploration. For answers, we turned to \u003ca href=\"http://www.seti.org/users/sshostak\">Seth Shostak\u003c/a>, Senior Astronomer with the SETI Institute in Mountain View. He sat down with KQED Morning News anchor Brian Watt.\u003c/p>\n\u003cp>\u003cem>This conversation has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Watt\u003c/strong>: \u003cstrong>So if this mission goes as planned, it would be the first time in 45 years any human has gone this far into space. This would be a remotely piloted spacecraft. When was the last time we went to the moon, and why haven’t we been back?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shostak: That was\u003ca href=\"https://www.nasa.gov/multimedia/imagegallery/image_feature_598.html\"> the Apollo mission in 1972\u003c/a>, and it was the last time anyone went any distance farther than the distance between San Francisco and Los Angeles, into space. So this is a big thing. It’s 1,000 times farther.\u003c/p>\n\u003cp>When the Apollo program ended, the assumption was, we’d done what we wanted to do, which was largely geopolitical — we wanted to beat the Russians to the moon, and we did that. And after that, the financial incentive to do more than that kind of faded away. There was a plan to send at least three more manned missions to the moon — they didn’t happen.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It seems easy to build rockets in the movies, it always works. But in real life, it’s not what you would call a mature technology.’\u003ccite>Seth Shostak, SETI Institute\u003c/cite>\u003c/aside>\n\u003cp>Everyone assumed what was coming down the pike was to send people to our little ruddy buddy, Mars. And so there were plans drawn up, and the president said to NASA, “Okay, figure out how much that’s going to cost.” And they came up with a price tag of something like $500 billion, and he said, “Think again.”\u003c/p>\n\u003cp>So that hasn’t happened. We haven’t sent people any farther into orbit. And I think that on some level, the public is aware that we haven’t done anything spectacular in space for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Watt: Has Mars essentially usurped the moon as our destination of choice? \u003c/strong>\u003c/p>\n\u003cp>Shostak: I think so. The moon is only 240,000 miles away, which is more or less what I have on my Honda. Mars, on the other hand, is like 30 million miles away. That’s a much bigger trip. You can get to the moon in a couple of days. To get to Mars would take you half a year. And Mars has attractions that the moon doesn’t have. Mars was once a kinder, gentler world with waters on the surface — rivers, lakes, maybe even oceans. It may even still have life under the surface. None of that can be said for the moon. Mars is a more interesting, if a more difficult, target.\u003c/p>\n\u003cp>\u003cstrong>Watt: So what does it say about the state of space exploration that a private company is getting astronauts back to the moon before NASA can? Are we going to see more of this kind of private space travel, do you think?\u003c/strong>\u003c/p>\n\u003cp>Shostak: I kind of hope that we will, actually. The idea that NASA may over-engineer some things or that they’re too conservative – these may be legitimate complaints.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>NASA is sensitive to the fact that when it kills a couple of people, there’s a big reaction. And private industry doesn’t have that problem yet, because it hasn’t killed anybody. But space is dangerous. I think you liken it to aviation – after the Wright brothers, for many years it was basically a U.S. Army project to develop aircraft. But if the government had stayed the sole developer of airplanes, it would cost you a lot of money to go anywhere in an aircraft today. The private sector got involved, they were able to drive down costs and commercialize it. Today, you can buy an airline ticket for what some people would consider a reasonable price.\u003c/p>\n\u003cp>I think the same thing may happen in space. If you’re really going to open up space to more people than just a few astronauts every year, then privatization’s a good thing.\u003c/p>\n\u003cp>\u003cstrong>Watt: You touched on something very important. SpaceX has never flown people before, and it actually has had \u003ca href=\"http://money.cnn.com/2015/06/28/technology/spacex-rocket/\">two rockets\u003c/a> \u003ca href=\"https://www.wired.com/2016/10/cause-spacexs-explosion-gets-little-clearer/\">blow up\u003c/a> in the last two years. Are there some unique risks to a mission like this because it involves a private company? \u003c/strong>\u003c/p>\n\u003cp>Shostak: Well, there is the question of, do you trust their engineering, have they done enough testing? That sort of thing. It seems easy to build rockets in the movies, it always works. But in real life, it’s\u003ca href=\"http://www.popularmechanics.com/space/rockets/a25065/spacex-uphill-battle-crew-approval/\"> not what you would call a mature technology\u003c/a>. So there is that danger. And there’s also the case that if you’re going to send somebody up a couple of hundred thousand miles into space – if they get into trouble up there, it’s very, very hard to get them back. It’s really tricky, because they’re so far away. If you send them up into orbit — and there’s been plenty of talk about sending tourists into orbit around the Earth — they’re only a couple of hundred miles away. So if they get into trouble, you might be able to bring them back right away.\u003c/p>\n\u003cp>If you’re on the back side of the moon, sailing through space out there, it’s hard to do anything.\u003c/p>\n\u003cp>\u003cstrong>Watt: We still don’t know who’s going to be on this flight. The Falcon Heavy rocket system that would launch these tourists into space costs\u003ca href=\"http://www.spacex.com/about/capabilities\"> $90 million dollars\u003c/a> by itself, without factoring in the riders. How much could we expect something like this to cost? And what kind of space tourist can afford something like this?\u003c/strong>\u003c/p>\n\u003cp>Shostak: The estimates I’ve seen are in the millions of dollars. That’s a lot of money to spend on an interesting weekend. If you’re a billionaire — and there are plenty of billionaires these days — then you’re talking about one-thousandth of your annual income to make this ride. If it cost $3 million to go and see the moon, I think you’d have people every weekend who’d want to go.\u003c/p>\n\u003cp>\u003cstrong>Watt: So, drawing on your expertise here: How long would a trip around the moon and back take, and is there a trajectory through space you need to take to get there?\u003c/strong>\u003c/p>\n\u003cp>Shostak: Generally you choose the trajectory that involves the least amount of energy, meaning fuel. Keep in mind that the moon is moving around in space, so whatever way you’re going to go to the moon, you have to loop around a moving target. But we have plenty of experience doing that. The moon is, as I mentioned, 240,000 miles away. This rocket will sail past the moon, and eventually the gravity of the Earth will bring it around, and bring it back to Earth, where it will land. It may go 300,000 or 400,000 miles from Earth.\u003c/p>\n\u003cp>\u003cstrong>Watt: So if I’m a space tourist and my check doesn’t bounce, I can tell my family, “I’ll see you in a few days”?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shostak: Well, there’s no guarantee you’ll see them in a few days, but probably you will. I have to point out that the Russians, have been taking people to the International Space Station for years, and the tab for that is $20 million. So this is a lot farther. It sounds like a deal to me.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "UC Proposes First Enrollment Cap on Out-of-State Students",
"title": "UC Proposes First Enrollment Cap on Out-of-State Students",
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"content": "\u003cp>LOS ANGELES — University of California officials have proposed limiting nonresident enrollment to 20 percent of all undergraduate students in an effort to prioritize in-state applicants.\u003c/p>\n\u003cp>The proposal introduced Monday would be the first cap of its kind for the 10-campus public university system and will be considered by the UC Board of Regents starting next week.\u003c/p>\n\u003cp>Last year, lawmakers threatened to hold back $18.5 million if the UC system did not limit students from outside California. UC officials hope the restriction would be enough to get state officials to release the funds.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Given the economic climate and competition, California parents have to start being selfish.'\u003ccite>Shelly Tan, parent\u003c/cite>\u003c/aside>\n\u003cp>A state audit found that UC was hurting California students by admitting too many out-of-state applicants. Nonresident students numbered 34,673 in fall 2016 -- 16.5 percent of the system's 210,170 undergraduates.\u003c/p>\n\u003cp>UC spokeswoman Dianne Klein said the proposed policy balanced the needs of California residents with the benefits those outside students bring -- diverse perspectives as well as millions in additional tuition revenue, which added up to nearly $550 million in 2016-17.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The policy is very clear: Nonresident students will be in addition to and not in place of California residents,\" Klein told the Los Angeles Times.\u003c/p>\n\u003cp>Shelly Tan, a Los Angeles-area parent, said qualified California students should have the advantage. Her own daughter was turned down by her top three UC choices two years ago -- despite SAT scores and a grade-point average above the 90th percentile -- and ended up at a fourth UC campus.\u003c/p>\n\u003cp>\"Given the economic climate and competition, California parents have to start being selfish,\" Tan told the newspaper.\u003c/p>\n\u003cfigure id=\"attachment_11348738\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11348738\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/CalCampus-800x563.jpg\" alt=\"Under the proposal, UC's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates. For UC Berkeley, that's 24.4 percent.\" width=\"800\" height=\"563\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-800x563.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-160x113.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-1020x717.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-1180x830.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-960x675.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-240x169.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-375x264.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-520x366.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Under the proposal, UC's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates. For UC Berkeley, that's 24.4 percent. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Academic Senate Chairman James Chalfant said faculty members oppose an \"arbitrary quota\" that could force UC to turn away the best and the brightest and forgo additional needed dollars.\u003c/p>\n\u003cp>The group has presented an alternative that would impose enrollment limits only on campuses at which the expansion of nonresident students hurts Californians and only after UC is given enough funding to maintain its quality.\u003c/p>\n\u003cp>Under the proposal, the system's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates -- 24.4 percent at UC Berkeley, 22.9 percent at UC San Diego and 22.8 percent at UCLA, Klein said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The proportion of nonresident students at the other campuses ranges from 18.9 percent at UC Irvine to less than 1 percent at UC Merced.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES — University of California officials have proposed limiting nonresident enrollment to 20 percent of all undergraduate students in an effort to prioritize in-state applicants.\u003c/p>\n\u003cp>The proposal introduced Monday would be the first cap of its kind for the 10-campus public university system and will be considered by the UC Board of Regents starting next week.\u003c/p>\n\u003cp>Last year, lawmakers threatened to hold back $18.5 million if the UC system did not limit students from outside California. UC officials hope the restriction would be enough to get state officials to release the funds.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Given the economic climate and competition, California parents have to start being selfish.'\u003ccite>Shelly Tan, parent\u003c/cite>\u003c/aside>\n\u003cp>A state audit found that UC was hurting California students by admitting too many out-of-state applicants. Nonresident students numbered 34,673 in fall 2016 -- 16.5 percent of the system's 210,170 undergraduates.\u003c/p>\n\u003cp>UC spokeswoman Dianne Klein said the proposed policy balanced the needs of California residents with the benefits those outside students bring -- diverse perspectives as well as millions in additional tuition revenue, which added up to nearly $550 million in 2016-17.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The policy is very clear: Nonresident students will be in addition to and not in place of California residents,\" Klein told the Los Angeles Times.\u003c/p>\n\u003cp>Shelly Tan, a Los Angeles-area parent, said qualified California students should have the advantage. Her own daughter was turned down by her top three UC choices two years ago -- despite SAT scores and a grade-point average above the 90th percentile -- and ended up at a fourth UC campus.\u003c/p>\n\u003cp>\"Given the economic climate and competition, California parents have to start being selfish,\" Tan told the newspaper.\u003c/p>\n\u003cfigure id=\"attachment_11348738\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11348738\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/03/CalCampus-800x563.jpg\" alt=\"Under the proposal, UC's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates. For UC Berkeley, that's 24.4 percent.\" width=\"800\" height=\"563\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-800x563.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-160x113.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-1020x717.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-1180x830.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-960x675.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-240x169.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-375x264.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2017/03/CalCampus-520x366.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Under the proposal, UC's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates. For UC Berkeley, that's 24.4 percent. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Academic Senate Chairman James Chalfant said faculty members oppose an \"arbitrary quota\" that could force UC to turn away the best and the brightest and forgo additional needed dollars.\u003c/p>\n\u003cp>The group has presented an alternative that would impose enrollment limits only on campuses at which the expansion of nonresident students hurts Californians and only after UC is given enough funding to maintain its quality.\u003c/p>\n\u003cp>Under the proposal, the system's three most popular campuses would be allowed to keep but not increase their proportions of nonresident undergraduates -- 24.4 percent at UC Berkeley, 22.9 percent at UC San Diego and 22.8 percent at UCLA, Klein said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The proportion of nonresident students at the other campuses ranges from 18.9 percent at UC Irvine to less than 1 percent at UC Merced.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A pair of driverless shuttles are humming around a business complex in San Ramon, and they could become the first fully autonomous vehicles on public roads in California.\u003c/p>\n\u003cp>Testing began Monday at Bishop Ranch, a sprawling 585-acre office park. In a few months, employees will be able to ride the shuttles from parking lots and transit stops to their offices.\u003c/p>\n\u003cp>The shuttles are small, boxy and red, with rounded edges. They’re cute — like something out of the Teletubbies universe.\u003c/p>\n\u003cp>The electric vehicles will travel at modest speeds of up to 12 mph. And while the golf-cart pace is less than thrilling, it succeeds at making the whole experience feel very safe and normal.\u003c/p>\n\u003cp>https://youtu.be/iPi3-F6yzAE\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The project is spearheaded by the Contra Costa Transportation Authority (CCTA), though most of the funding comes from the owners of the Bishop Ranch property.\u003c/p>\n\u003cp>Randy Iwasaki, the executive director of the CCTA, suggests that, if anything, these vehicles are \u003cem>too\u003c/em> cautious. He remembers the shuttle coming to an abrupt stop during a trial run.\u003c/p>\n\u003cp>“It was a windy day, and a plastic bag flew in front of the vehicle,” Iwasaki said.\u003c/p>\n\u003cp>To drive on a public road in California, an autonomous vehicle must have a steering wheel, a brake and a driver who can take over. These shuttles have none of those.\u003c/p>\n\u003cp>At first, the shuttles will operate only inside the Bishop Ranch property. But public roads cut through the complex. Eventually, pending DMV approval, the shuttles will use those roads.\u003c/p>\n\u003cp>“Really it’s just crossing from one parking lot to another,” Iwasaki said.\u003c/p>\n\u003cp>For now, a “safety attendant” will ride with the passengers. The attendant can make emergency stops or answer questions about the shuttle. Project managers are hoping that in the long run riders will feel comfortable enough to use the buses without an attendant.\u003c/p>\n\u003cp>Darryl Taylor, who drives a public bus from the Walnut Creek BART station to the Bishop Ranch complex, says he’s not too worried about a future where robots take over the driving jobs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I know it’s coming,” Taylor said. “Hopefully by the time it comes, I’ll be retired.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The project is spearheaded by the Contra Costa Transportation Authority (CCTA), though most of the funding comes from the owners of the Bishop Ranch property.\u003c/p>\n\u003cp>Randy Iwasaki, the executive director of the CCTA, suggests that, if anything, these vehicles are \u003cem>too\u003c/em> cautious. He remembers the shuttle coming to an abrupt stop during a trial run.\u003c/p>\n\u003cp>“It was a windy day, and a plastic bag flew in front of the vehicle,” Iwasaki said.\u003c/p>\n\u003cp>To drive on a public road in California, an autonomous vehicle must have a steering wheel, a brake and a driver who can take over. These shuttles have none of those.\u003c/p>\n\u003cp>At first, the shuttles will operate only inside the Bishop Ranch property. But public roads cut through the complex. Eventually, pending DMV approval, the shuttles will use those roads.\u003c/p>\n\u003cp>“Really it’s just crossing from one parking lot to another,” Iwasaki said.\u003c/p>\n\u003cp>For now, a “safety attendant” will ride with the passengers. The attendant can make emergency stops or answer questions about the shuttle. Project managers are hoping that in the long run riders will feel comfortable enough to use the buses without an attendant.\u003c/p>\n\u003cp>Darryl Taylor, who drives a public bus from the Walnut Creek BART station to the Bishop Ranch complex, says he’s not too worried about a future where robots take over the driving jobs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I know it’s coming,” Taylor said. “Hopefully by the time it comes, I’ll be retired.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>[dropcap]T[/dropcap]he full story of what happened at Oroville Dam this February has hardly begun to be told. How and why the dam’s main spillway failed, whether state and federal officials and independent consultants were complacent about the potential dangers of an emergency spillway system that proved to be vulnerable to erosion, whether the episode reveals wider inspection and oversight problems at dams throughout the state — the digging into all those questions and many more will be going on for a while.\u003c/p>\n\u003cp>What we know now, a month after workers discovered a huge hole had opened up in the main spillway just as managers needed to ramp up releases to accommodate a torrent of storm-fed runoff, is that we’ve witnessed an epic spectacle of destruction.\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/flowinguphill\" target=\"_blank\" rel=\"noopener\">Someone\u003c/a> out in the Twitterverse quoted a poem to me after looking at some images of the spillway, the obliteration of which was only fully visible Monday after the Department of Water Resources halted flows down the broken structure.\u003c/p>\n\u003cp>The poem is “\u003ca href=\"https://www.poetryfoundation.org/resources/learning/core-poems/detail/46565\" target=\"_blank\" rel=\"noopener\">Ozymandias\u003c/a>,” by Percy Bysshe Shelley, a brief reflection on the human delusion of omnipotence and immortality. Here’s the text:\u003c/p>\n\u003cblockquote>\u003cp>I met a traveller from an antique land\u003cbr>\nWho said: ‘Two vast and trunkless legs of stone\u003cbr>\nStand in the desert . . . Near them, on the sand,\u003cbr>\nHalf sunk, a shattered visage lies, whose frown,\u003cbr>\nAnd wrinkled lip, and sneer of cold command,\u003cbr>\nTell that its sculptor well those passions read\u003cbr>\nWhich yet survive, stamped on these lifeless things,\u003cbr>\nThe hand that mocked them, and the heart that fed:\u003cbr>\nAnd on the pedestal these words appear:\u003cbr>\n‘My name is Ozymandias, king of kings:\u003cbr>\nLook on my works, ye Mighty, and despair!’\u003cbr>\nNothing beside remains. Round the decay\u003cbr>\nOf that colossal wreck, boundless and bare\u003cbr>\nThe lone and level sands stretch far away.\u003c/p>\u003c/blockquote>\n\u003cp>No, I wouldn’t call Oroville Dam “a colossal wreck.” But I can’t help but be impressed by how quickly an unexpected event featuring nature and a key piece of infrastructure can puncture our illusion of control.\u003cbr>\n\u003cstrong>\u003cbr>\nBelow:\u003c/strong> \u003cem>A Department of Water Resources gallery of photographs taken between Feb. 27 and March 6, 2017, showing Oroville Dam’s main spillway before and after flows were halted, the work to assess the structure and crews clearing debris from the river channel Click on an image to open the collection as a slideshow.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[gallery type=\"square\" columns=\"1\" size=\"large\" ids=\"11338065,11338063,11338054,11338060,11338055,11338487,11338489,11338488,11338064,11338482,11338484,11338485,11338483,11338058,11338490,11339745,11339743,11339740,11339744,11339741,11343046,11343050,11343042,11343048,11343044,11343045,11343043,1347669,11347670,11347671,11347672,11347674,11347675,11347676,11347677,11347678,11347669\"]\u003c/p>\n\n",
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"content": "\u003cp>After years of waiting, it's finally here.\u003c/p>\n\u003cp>The \u003ca href=\"https://waysandmeans.house.gov/event/markup-budget-reconciliation-recommendations-repeal-replace-obamacare/\">Republican plan\u003c/a> to \u003ca href=\"https://energycommerce.house.gov/news-center/press-releases/energy-and-commerce-republicans-release-legislation-repeal-and-replace\">reshape \u003c/a>the Affordable Care Act — what they call \"repeal and replace\" — kills the requirement that everyone buy health insurance by eliminating the tax penalty for those who don't have coverage. It also makes significant changes in the financial assistance people can receive to buy a health plan.\u003c/p>\n\u003cp>\"Our legislation transfers power from Washington back to the states,\" said House Ways and Means Committee Chairman Kevin Brady in a statement. \"We dismantle Obamacare's damaging taxes and mandates so states can deliver quality affordable options.\"\u003c/p>\n\u003cp>The bill would offer tax credits, refundable in advance, to people with incomes below $75,000. But those credits will be lower in many cases than the subsidies now offered in the ACA.\u003c/p>\n\u003cp>The bill, which will go through many revisions and challenges, was released late Monday by two House committees, Ways and Means and Energy and Commerce. Members are expected to start voting on parts of the bill Wednesday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rep. Frank Pallone, D-N.J., and Richard Neal, D-Mass., the ranking Democrats on the Energy and Commerce and Ways and Means committees, issued a joint statement saying the bill would \"rip healthcare away from millions of Americans, ration care for working families and put insurance companies back in charge.\"\u003c/p>\n\u003cp>The legislation will need approval by the full House and the Senate before it goes to President Trump for his signature. Until then, most of what is known as Obamacare will stay in place.\u003c/p>\n\u003cp>But it's far from clear that Republicans in the House are unified in their support of the bill. Members of the far-right Freedom Caucus have said they oppose giving tax credits to people who don't pay any federal income tax.\u003c/p>\n\u003cp>And with only a slim majority in the Senate, only a few Republican defections could defeat the bill there.\u003c/p>\n\u003cp>Four Republican senators wrote a letter to Majority Leader Mitch McConnell saying they were concerned an early draft of the House plan would not adequately protect people who have insurance through Obamacare's Medicaid expansion. And Sen. Rand Paul was among three conservative Republicans who criticized an earlier version of the bill as \"Obamacare lite.\"\u003c/p>\n\u003cp>Under the proposed bill, tax credits would start at $2,000 a year for individuals under age 30, rising to $4,000 for those of 60. The proposal, first seen in a Feb. 10 draft of the bill, has been \u003ca href=\"http://www.npr.org/sections/health-shots/2017/02/24/517074764/gop-health-bill-draft-would-cut-medicaid-emphasize-tax-credits\">criticized \u003c/a>as too meager to cover the full cost of a health insurance plan that provides full benefits.\u003c/p>\n\u003cp>But the proposed tax credit could potentially pay for insurance that protects only against a catastrophic health event.\u003c/p>\n\u003cp>They would begin to be phased out at incomes of $75,000 for individuals and $150,000 for families.\u003c/p>\n\u003cp>To encourage people to buy coverage, the plan allows insurers to charge a 30 percent penalty to people who let their insurance lapse, and then try to buy a new policy.\u003c/p>\n\u003cp>In states that expanded Medicaid, people who are eligible can continue to enroll until January 1, 2020, and those states would continue to benefit from the federal government paying a greater share of the health costs of those beneficiaries.\u003c/p>\n\u003cp>Several taxes contained in the ACA would be repealed at the end of this year. These include taxes on health insurers, pharmaceutical and medical device manufacturers, and a tax on high-cost employer-sponsored group health plans (aka Cadillac plans).\u003c/p>\n\u003cp>An analysis by \u003ca href=\"http://avalere.com/expertise/managed-care/insights/capped-funding-in-medicaid-could-significantly-reduce-federal-spending\">Avalere Health\u003c/a> and \u003ca href=\"https://cdn2.vox-cdn.com/uploads/chorus_asset/file/8045899/Scanned_from_a_Xerox_Multifunction_Printer.0.pdf\">McKinsey\u003c/a> of an earlier draft of the bill, which contained many of the same provisions, concluded that it would lead to millions of people losing coverage.\u003c/p>\n\u003cp>The plan offered by the House Republicans falls short of the outright repeal that has been demanded by more conservative members, including those in the House Freedom Caucus.\u003c/p>\n\u003cp>That could be due to the shift in public attitudes toward the ACA in recent weeks.\u003c/p>\n\u003cp>Public opinion has grown more favorable as major changes appeared imminent. A Kaiser Family Foundation \u003ca href=\"http://kff.org/health-reform/poll-finding/kaiser-health-tracking-poll-future-directions-for-the-aca-and-medicaid/\">tracking poll\u003c/a> in late February found 48 percent having a favorable opinion versus 42 percent viewing the law unfavorably. Kaiser says the shift is due largely to a change in the view of political independents, among which 50 percent now view the law favorably.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We will have more on this story as it develops.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=GOP+Bill+Would+Repeal+Obamacare+Taxes+And+Penalties%2C+Keep+Some+Subsidies&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"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>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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