window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"news_11357538": {
"type": "attachments",
"id": "news_11357538",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11357538",
"found": true
},
"parent": 11357510,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-520x293.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 293
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-160x90.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 90
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-960x540.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 540
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-375x211.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 211
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200.jpg",
"width": 1200,
"height": 675
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-1020x574.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 574
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-1180x664.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 664
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-800x450.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 450
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-1180x664.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 664
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/congress_wide-9ab36a85f99af5c6ba124eed26b3951b79076c41-s1200-240x135.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 135
}
},
"publishDate": 1489428283,
"modified": 1489428298,
"caption": "Members of Congress",
"description": null,
"title": "congress",
"credit": "U.S. Congress",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"news_11353688": {
"type": "attachments",
"id": "news_11353688",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11353688",
"found": true
},
"parent": 11353686,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-520x293.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 293
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-160x90.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 90
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-960x540.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 540
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-375x211.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 211
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1.jpg",
"width": 1280,
"height": 720
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-1020x574.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 574
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-1180x664.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 664
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-800x450.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 450
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-1180x664.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 664
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/03/SHOW-MARQUEE-1-240x135.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 135
}
},
"publishDate": 1489195564,
"modified": 1489195564,
"caption": null,
"description": null,
"title": "SHOW MARQUEE",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_297751": {
"type": "attachments",
"id": "stateofhealth_297751",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "297751",
"found": true
},
"parent": 297748,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-520x346.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 346
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-160x106.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 106
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-375x249.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 249
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770.jpg",
"width": 770,
"height": 512
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-768x511.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 511
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/san-mateo-hospital-thermometer-770-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1487963838,
"modified": 1487963860,
"caption": "Marla Muniz, 46, came to a clinic at the San Mateo Medical Center for a physical and treatment for worsening pain in her shoulders and arm. She became eligible for Medi-Cal under the Affordable Care Act and said she couldn’t afford to go to the doctor if her coverage is taken away. ",
"description": null,
"title": "san-mateo-hospital-thermometer-770",
"credit": "Anna Gorman/Kaiser Health News",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_297074": {
"type": "attachments",
"id": "stateofhealth_297074",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "297074",
"found": true
},
"parent": 297072,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-520x390.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 390
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-160x120.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 120
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-960x720.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 720
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-375x281.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 281
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut.jpg",
"width": 1920,
"height": 1440
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1020x765.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 765
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1180x885.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 885
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-800x600.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 600
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1920x1440.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1440
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1180x885.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 885
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-1920x1440.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1440
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-768x576.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 576
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/02/RS24341_Crowd-Healthy-CA-qut-240x180.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 180
}
},
"publishDate": 1487825303,
"modified": 1487877830,
"caption": "Nurses and health care activists rally at the Capitol to push for universal health coverage in California.",
"description": "Nurses and health care activists rally at the Capitol to push for universal health coverage in California.",
"title": "RS24341_Crowd Healthy CA-qut",
"credit": "Laura Klivans/KQED",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"news_11320306": {
"type": "attachments",
"id": "news_11320306",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11320306",
"found": true
},
"parent": 11320305,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-520x346.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 346
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-160x107.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 107
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-960x639.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 639
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-375x250.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 250
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd.jpg",
"width": 2000,
"height": 1332
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1020x679.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 679
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1180x786.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 786
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1920x1279.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1279
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1180x786.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 786
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-1920x1279.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1279
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/02/huizenga_enl-738e9f07597160a882a600234b1ccccd224634bd-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1487298248,
"modified": 1487298607,
"caption": "Rep. William \"Bill\" Huizenga, R-Mich., says House Republicans \"know the direction we want to go and sort of the destination\" with replacing Obamacare.",
"description": "Rep. William \"Bill\" Huizenga, R-Mich., says House Republicans \"know the direction we want to go and sort of the destination\" with replacing Obamacare.",
"title": "Rep. William \"Bill\" Huizenga, R-Mich., says House Republicans \"know the direction we want to go and sort of the destination\" with replacing Obamacare.",
"credit": "Andrew Harrer/Bloomberg via Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"futureofyou_329825": {
"type": "attachments",
"id": "futureofyou_329825",
"meta": {
"index": "attachments_1716263798",
"site": "futureofyou",
"id": "329825",
"found": true
},
"parent": 329824,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-520x346.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 346
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-160x107.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 107
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-960x640.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 640
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-375x250.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 250
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d.jpg",
"width": 2981,
"height": 1986
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1020x680.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 680
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1180x786.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 786
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1920x1279.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1279
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1180x786.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 786
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-1920x1279.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1279
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ap_16137603423469_slide-edcab00bb6e56946944d99351f5f2ca053ffb79d-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1485979810,
"modified": 1486151062,
"caption": "With financial incentives from the ACA, the Massachusetts General Hospital in Boston signed agreements with physicians and insurers to create an accountable care organization, in hopes of reducing health care's cost in the long run. But achieving those savings takes time, say hospital officials.",
"description": "With financial incentives from the ACA, the Massachusetts General Hospital in Boston signed agreements with physicians and insurers to create an accountable care organization, in hopes of reducing health care's cost in the long run. But achieving those savings takes time, say hospital officials.",
"title": "With financial incentives from the ACA, the Massachusetts General Hospital in Boston signed agreements with physicians and insurers to create an accountable care organization, in hopes of reducing health care's cost in the long run. But achieving those savings takes time, say hospital officials.",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_287950": {
"type": "attachments",
"id": "stateofhealth_287950",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "287950",
"found": true
},
"parent": 287935,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-520x347.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 347
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-160x107.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 107
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-960x640.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 640
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-375x250.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 250
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-e1485475922531.jpg",
"width": 1920,
"height": 1280
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1020x680.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 680
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1920x1280.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1280
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-1920x1280.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1280
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-1-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1485458162,
"modified": 1485460464,
"caption": "Edwin Bernal, 9, finished homework, while his brother Angel Lozano, 5, watches videos before school at their home in Los Angeles, on Jan. 20. Last year Edwin was among a group of undocumented children who qualified for Medi-Cal coverage through a state-funded program. His brother is already covered because he was born in the U.S. ",
"description": null,
"title": "Medi-Cal Kids",
"credit": "Maria J. Avila/CalMatters",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"futureofyou_325331": {
"type": "attachments",
"id": "futureofyou_325331",
"meta": {
"index": "attachments_1716263798",
"site": "futureofyou",
"id": "325331",
"found": true
},
"parent": 322609,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-520x345.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 345
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-160x106.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 106
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-375x249.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 249
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel.jpg",
"width": 800,
"height": 531
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-800x531.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 531
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-768x510.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 510
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/13/2017/01/ezekielemanuel-240x159.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 159
}
},
"publishDate": 1485290320,
"modified": 1485290451,
"caption": "Ezekiel Emanuel, in 2010. Emanuel is one of the main policy experts to help shape the Affordable Care Act.",
"description": null,
"title": "ezekielemanuel",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"news_11286470": {
"type": "attachments",
"id": "news_11286470",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11286470",
"found": true
},
"parent": 11286464,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-520x341.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 341
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-160x105.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 105
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-960x629.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 629
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-375x246.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 246
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran.jpg",
"width": 1920,
"height": 1258
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1020x668.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 668
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1180x773.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 773
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-800x524.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 524
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1920x1258.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1258
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1180x773.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 773
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-1920x1258.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1258
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/NavyVeteran-240x157.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 157
}
},
"publishDate": 1485385555,
"modified": 1485385634,
"caption": "A U.S. Navy veteran attends a campaign event for then-presidential nominee Donald Trump on Sept. 6, 2016.",
"description": "A U.S. Navy veteran attends a campaign event for then-presidential nominee Donald Trump on Sept. 6, 2016.",
"title": "NavyVeteran",
"credit": "Alex Wong/Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_285467": {
"type": "attachments",
"id": "stateofhealth_285467",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "285467",
"found": true
},
"parent": 285454,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-520x346.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 346
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-160x107.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 107
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-375x250.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 250
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare.jpg",
"width": 770,
"height": 513
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2017/01/Valley-Community-Healthcare-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1484851106,
"modified": 1484851134,
"caption": "Pamela Richardson, 60, waits to see her doctor at Valley Community Healthcare in North Hollywood, California, on Wednesday, December 21, 2016. ",
"description": null,
"title": "Valley Community Healthcare",
"credit": "Heidi de Marco/KHN",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"news_11274308": {
"type": "attachments",
"id": "news_11274308",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11274308",
"found": true
},
"parent": 11274304,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-520x360.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 360
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-160x111.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 111
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-960x665.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 665
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-375x260.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 260
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan.jpg",
"width": 1920,
"height": 1329
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1020x706.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 706
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1180x817.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 817
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-800x554.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 554
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1920x1329.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1329
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1180x817.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 817
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-1920x1329.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1329
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/PaulRyan-240x166.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 166
}
},
"publishDate": 1484709660,
"modified": 1484783548,
"caption": "House Speaker Paul Ryan speaks as Rep. Diane Black, (R-TN) and House Majority Whip Steve Salise (R-LA) listen during a press conference on repealing Obamacare on Jan. 10.",
"description": "House Speaker Paul Ryan speaks as Rep. Diane Black, (R-TN) and House Majority Whip Steve Salise (R-LA) listen during a press conference on repealing Obamacare on Jan. 10.",
"title": "PaulRyan",
"credit": "Tasos Katopodis/AFP/Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"news_11266432": {
"type": "attachments",
"id": "news_11266432",
"meta": {
"index": "attachments_1716263798",
"site": "news",
"id": "11266432",
"found": true
},
"parent": 11266413,
"imgSizes": {
"small": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-520x347.jpg",
"width": 520,
"mimeType": "image/jpeg",
"height": 347
},
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-160x107.jpg",
"width": 160,
"mimeType": "image/jpeg",
"height": 107
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-960x641.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 641
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"xsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-375x250.jpg",
"width": 375,
"mimeType": "image/jpeg",
"height": 250
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a.jpg",
"width": 1920,
"height": 1281
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1020x681.jpg",
"width": 1020,
"mimeType": "image/jpeg",
"height": 681
},
"xlarge": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-800x534.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 534
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1920x1281.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1281
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-1920x1281.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1281
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
},
"xxsmall": {
"file": "https://ww2.kqed.org/app/uploads/sites/10/2017/01/mcconnell-1920a-240x160.jpg",
"width": 240,
"mimeType": "image/jpeg",
"height": 160
}
},
"publishDate": 1484247024,
"modified": 1484266692,
"caption": "Senate Majority Leader Mitch McConnell (R-KY) speaks with reporters following a GOP caucus meeting with (L-R) Sen. Corey Gardner (R-CO), Sen. John Barrasso (R-WY), Sen. John Thune (R-SD) and U.S. Vice President-elect Mike Pence at the U.S. Capitol Jan. 4, 2017, in Washington, D.C. Pence joined the meeting and talked with the Republican Senators about repealing and replacing Obamacare during the first caucus meeting of the 115th Congress.",
"description": null,
"title": "mcconnell-1920a",
"credit": "Chip Somodevilla/Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"byline_news_11357510": {
"type": "authors",
"id": "byline_news_11357510",
"meta": {
"override": true
},
"slug": "byline_news_11357510",
"name": "\u003cstrong>Brett Neely\u003cbr />NPR\u003c/strong>",
"isLoading": false
},
"byline_stateofhealth_297748": {
"type": "authors",
"id": "byline_stateofhealth_297748",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_297748",
"name": " \u003ca href=\"http://khn.org/news/author/anna-gorman/\">\u003cstrong>Anna Gorman\u003c/strong>\u003c/a>",
"isLoading": false
},
"byline_news_11320305": {
"type": "authors",
"id": "byline_news_11320305",
"meta": {
"override": true
},
"slug": "byline_news_11320305",
"name": "Alison Kodjak",
"isLoading": false
},
"byline_futureofyou_329824": {
"type": "authors",
"id": "byline_futureofyou_329824",
"meta": {
"override": true
},
"slug": "byline_futureofyou_329824",
"name": "Kristin Gourlay\u003cbr />RINPR",
"isLoading": false
},
"byline_stateofhealth_287935": {
"type": "authors",
"id": "byline_stateofhealth_287935",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_287935",
"name": "\u003ca href=\"https://calmatters.org/about/staff/elizabeth-aguilera/\">\u003cstrong>Elizabeth Aguilera\u003c/a>\u003c/strong>\u003cbr/>\u003ca href=\"https://calmatters.org/\">CALmatters\u003c/a>",
"isLoading": false
},
"byline_news_11286464": {
"type": "authors",
"id": "byline_news_11286464",
"meta": {
"override": true
},
"slug": "byline_news_11286464",
"name": "Quil Lawrence",
"isLoading": false
},
"byline_stateofhealth_285454": {
"type": "authors",
"id": "byline_stateofhealth_285454",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_285454",
"name": "\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/eryn-brown/\">Eryn Brown\u003c/a>\u003c/strong>",
"isLoading": false
},
"byline_news_11274304": {
"type": "authors",
"id": "byline_news_11274304",
"meta": {
"override": true
},
"slug": "byline_news_11274304",
"name": "Rebecca Hersher",
"isLoading": false
},
"byline_news_11266413": {
"type": "authors",
"id": "byline_news_11266413",
"meta": {
"override": true
},
"slug": "byline_news_11266413",
"name": "\u003cstrong>Danielle Kurtzleben and Ailsa Chang\u003c/strong>",
"isLoading": false
},
"jbrooks": {
"type": "authors",
"id": "80",
"meta": {
"index": "authors_1716337520",
"id": "80",
"found": true
},
"name": "Jon Brooks",
"firstName": "Jon",
"lastName": "Brooks",
"slug": "jbrooks",
"email": "jbrooks@kqed.org",
"display_author_email": true,
"staff_mastheads": [
"science"
],
"title": "Digital Editor",
"bio": "Jon Brooks is a former Digital Editor for KQED Science. He is the former editor of KQED’s daily news blog, News Fix. In 2014, he won a California Journalism Award for his coverage of ride services like Uber and Lyft and the taxi industry. A veteran blogger, he previously worked for Yahoo! in various news writing and editing roles. Jon is also a playwright whose work has been produced in San Francisco, New York, Italy, and around the U.S. He has written about film for his own blog and studied film at Boston University.",
"avatar": "https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g",
"twitter": "jbrooksfoy",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"Contributor",
"editor"
]
},
{
"site": "news",
"roles": [
"author"
]
},
{
"site": "futureofyou",
"roles": [
"administrator"
]
},
{
"site": "mindshift",
"roles": [
"editor"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
},
{
"site": "science",
"roles": [
"administrator"
]
},
{
"site": "quest",
"roles": [
"editor"
]
}
],
"headData": {
"title": "Jon Brooks | KQED",
"description": "Digital Editor",
"ogImgSrc": "https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/98887f7ed1c876ed414d4c915e969584?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/jbrooks"
},
"kqed": {
"type": "authors",
"id": "236",
"meta": {
"index": "authors_1716337520",
"id": "236",
"found": true
},
"name": "KQED News Staff",
"firstName": "KQED News Staff",
"lastName": null,
"slug": "kqed",
"email": "faq@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/ef0e801a68c4c54afa9180db14084167?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"contributor"
]
},
{
"site": "news",
"roles": [
"editor"
]
},
{
"site": "futureofyou",
"roles": [
"author"
]
}
],
"headData": {
"title": "KQED News Staff | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/ef0e801a68c4c54afa9180db14084167?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/ef0e801a68c4c54afa9180db14084167?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/kqed"
},
"lklivans": {
"type": "authors",
"id": "8648",
"meta": {
"index": "authors_1716337520",
"id": "8648",
"found": true
},
"name": "Laura Klivans",
"firstName": "Laura",
"lastName": "Klivans",
"slug": "lklivans",
"email": "lklivans@kqed.org",
"display_author_email": true,
"staff_mastheads": [
"news",
"science"
],
"title": "Reporter",
"bio": "Laura Klivans is an award-winning science reporter for KQED News, where she covers climate change with an eye on both groundbreaking progress and gaps in action. She is the former host of KQED's blockbuster video series about tiny, amazing animals, \u003cem>Deep Look\u003c/em>. Her work reaches national audiences through NPR, \u003cem>Here & Now, \u003c/em>PRI, and other major outlets. \r\n\r\nLaura’s won five Northern California Area Emmy Awards for Deep Look and First Place in the Greater Bay Area Journalism Awards for a podcast exploring how one Oakland neighborhood teamed up to reduce planet-heating pollution.\r\n\r\nBeyond her reporting, she hosts and moderates events. In the past, she taught audio storytelling at the UC Berkeley Graduate School of Journalism, led international education programs, worked with immigrants and refugees along the Thai-Burmese border, taught high schoolers sex ed, and was an actress. \r\n\r\nShe's a former UC Berkeley Human Rights Fellow, USC Center for Health Journalism's California Fellow and Coro Fellow in Public Affairs. Laura has a master’s in journalism from UC Berkeley, a master’s in education from Harvard, and an undergraduate degree from Northwestern University.\r\n\r\nShe loves trying to riddle the meaning out of vanity license plates.",
"avatar": "https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g",
"twitter": "lauraklivans",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"editor"
]
},
{
"site": "stateofhealth",
"roles": [
"contributor",
"editor"
]
},
{
"site": "science",
"roles": [
"editor"
]
},
{
"site": "forum",
"roles": [
"editor"
]
}
],
"headData": {
"title": "Laura Klivans | KQED",
"description": "Reporter",
"ogImgSrc": "https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/lklivans"
}
},
"pagesReducer": {
"news_tag_affordable-care-act": {
"type": "terms",
"id": "news_2409",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "2409",
"score": 9.101735
},
"featImg": null,
"name": "Affordable Care Act",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Affordable Care Act Archives | KQED News",
"ogDescription": null
},
"ttid": 2424,
"slug": "affordable-care-act",
"isLoading": false,
"title": "Affordable Care Act",
"pageMeta": {
"site": "news",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 7
},
"blocks": [
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/news?tag=affordable-care-act",
"seeMore": false,
"paginated": true,
"page": 7
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://streams.kqed.org/kqedradio",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"news_11357510": {
"type": "posts",
"id": "news_11357510",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11357510",
"score": null,
"sort": [
1489428731000
]
},
"parent": 0,
"labelTerm": {
"site": "news",
"term": 72
},
"blocks": [],
"publishDate": 1489428731,
"format": "standard",
"disqusTitle": "New Health Care Bill: Where Does Your Member of Congress Stand?",
"title": "New Health Care Bill: Where Does Your Member of Congress Stand?",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>Millions of Americans will experience major changes to their health coverage if both chambers of Congress pass the Republican health care bill that's currently under consideration in the House of Representatives.\u003c/p>\n\u003cp>The bill would no longer require that Americans buy health insurance, and it would eliminate the current subsidies that are used to bring down the cost of premiums. NPR's \u003ca href=\"http://www.npr.org/tags/519003617/american-health-care-act\" target=\"_blank\">full coverage\u003c/a> explains \u003ca href=\"http://www.npr.org/sections/health-shots/2017/03/09/519304881/5-things-to-watch-with-the-gop-health-law-overhaul\" target=\"_blank\">how those subsidies would be replaced\u003c/a> with a fixed refundable tax credit, and there would be big changes to Medicaid.\u003c/p>\n\u003cp>NPR and dozens of member stations want to help the public understand where lawmakers in Congress stand as this debate continues.\u003c/p>\n\u003cp>Our reporting finds that lawmakers' responses fall into four categories. Most Republicans on the record support the bill, but a large group of the most conservative members are vehemently opposed to the legislation, arguing that it's not a sufficient repeal of Obamacare. A smaller group of Republicans, primarily in the Senate, are concerned that bill will result in many residents of their states losing coverage via Medicaid.\u003c/p>\n\u003cp>While Democrats are almost universally opposed, a small group of Democrats in districts won by Trump last November have struck a more equivocal tone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>We'll continue to update this tracker as we collect new statements from members. If you spot errors or have comments, please use the form \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSd3_9yxpN-FKh5XEPXV8nPpUkOnlLVpLQI58IFnFzzLeDcFLg/viewform\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[trackerNPRACA]\u003c/p>\n\n",
"disqusIdentifier": "11357510 https://ww2.kqed.org/news/?p=11357510",
"disqusUrl": "https://ww2.kqed.org/news/2017/03/13/new-health-care-bill-where-does-your-member-of-congress-stand/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 227,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 9
},
"modified": 1489442410,
"excerpt": "NPR and its member stations are compiling statements from lawmakers about their stance on the new health care bill.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "NPR and its member stations are compiling statements from lawmakers about their stance on the new health care bill.",
"title": "New Health Care Bill: Where Does Your Member of Congress Stand? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "New Health Care Bill: Where Does Your Member of Congress Stand?",
"datePublished": "2017-03-13T11:12:11-07:00",
"dateModified": "2017-03-13T15:00:10-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"guestAuthors": [],
"slug": "new-health-care-bill-where-does-your-member-of-congress-stand",
"status": "publish",
"nprByline": "\u003cstrong>Brett Neely\u003cbr />NPR\u003c/strong>",
"path": "/news/11357510/new-health-care-bill-where-does-your-member-of-congress-stand",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Millions of Americans will experience major changes to their health coverage if both chambers of Congress pass the Republican health care bill that's currently under consideration in the House of Representatives.\u003c/p>\n\u003cp>The bill would no longer require that Americans buy health insurance, and it would eliminate the current subsidies that are used to bring down the cost of premiums. NPR's \u003ca href=\"http://www.npr.org/tags/519003617/american-health-care-act\" target=\"_blank\">full coverage\u003c/a> explains \u003ca href=\"http://www.npr.org/sections/health-shots/2017/03/09/519304881/5-things-to-watch-with-the-gop-health-law-overhaul\" target=\"_blank\">how those subsidies would be replaced\u003c/a> with a fixed refundable tax credit, and there would be big changes to Medicaid.\u003c/p>\n\u003cp>NPR and dozens of member stations want to help the public understand where lawmakers in Congress stand as this debate continues.\u003c/p>\n\u003cp>Our reporting finds that lawmakers' responses fall into four categories. Most Republicans on the record support the bill, but a large group of the most conservative members are vehemently opposed to the legislation, arguing that it's not a sufficient repeal of Obamacare. A smaller group of Republicans, primarily in the Senate, are concerned that bill will result in many residents of their states losing coverage via Medicaid.\u003c/p>\n\u003cp>While Democrats are almost universally opposed, a small group of Democrats in districts won by Trump last November have struck a more equivocal tone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We'll continue to update this tracker as we collect new statements from members. If you spot errors or have comments, please use the form \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSd3_9yxpN-FKh5XEPXV8nPpUkOnlLVpLQI58IFnFzzLeDcFLg/viewform\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[trackerNPRACA]\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11357510/new-health-care-bill-where-does-your-member-of-congress-stand",
"authors": [
"byline_news_11357510"
],
"programs": [
"news_6944",
"news_72"
],
"categories": [
"news_457",
"news_8",
"news_13"
],
"tags": [
"news_2409",
"news_19542",
"news_3890",
"news_387"
],
"affiliates": [
"news_253"
],
"featImg": "news_11357538",
"label": "news_72"
},
"news_11353686": {
"type": "posts",
"id": "news_11353686",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11353686",
"score": null,
"sort": [
1489198247000
]
},
"guestAuthors": [],
"slug": "insurance-commissioner-dave-jones-gops-new-health-plan-cia-cybertools-craig-newmark",
"title": "Insurance Commissioner Dave Jones, GOP's New Health Plan, CIA Cybertools, Craig Newmark",
"publishDate": 1489198247,
"format": "video",
"headTitle": "Insurance Commissioner Dave Jones, GOP’s New Health Plan, CIA Cybertools, Craig Newmark | KQED",
"labelTerm": {
"term": 7052,
"site": "news"
},
"content": "\u003cp>\u003cb>California Insurance Commissioner Dave Jones\u003c/b>\u003cbr>\nFive million Californians get their health insurance through the Affordable Care Act, but the GOP’s plan to repeal and replace Obamacare could jeopardize their coverage, says Insurance Commissioner Dave Jones.\u003c/p>\n\u003cp>\u003cb>GOP’s New Health Plan\u003c/b>\u003cbr>\nThis week, two congressional committees cleared the Republicans’ proposal to repeal and replace Obamacare. We hear from KQED Health Editor Carrie Feibel and Hoover Institution research fellow Lanhee Chen about how the plan would impact California. \u003c/p>\n\u003cp>\u003cb>CIA Cybertools\u003c/b>\u003cbr>\nThis week, Wikileaks released thousands of documents detailing covert tools the CIA uses to hack into smartphones and internet-connected devices. Cindy Cohn of the Electronic Frontier Foundation discusses the impact of Wikileaks’ disclosure on consumers, tech giants like Google and Apple, and the cyber arms race. \u003c/p>\n\u003cp>\u003cb>Craig Newmark\u003c/b>\u003cbr>\nFor more than 20 years, the website Craigslist that he founded has helped millions around the world find a roommate, a used sofa or a new job. Today, Craig Newmark is turning to philanthropy to help promote trustworthy journalism, which he calls “the immune system of a democracy.” \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"blocks": [],
"excerpt": "Insurance Commissioner Dave Jones on the GOP's new healthcare plan, analysis about its impact on California, Wikileaks reveals details about CIA cybertools and Craig Newmark on supporting trustworthy journalism. ",
"status": "publish",
"parent": 0,
"modified": 1721152381,
"stats": {
"hasAudio": false,
"hasVideo": false,
"hasChartOrMap": false,
"iframeSrcs": [],
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"hasPolis": false,
"paragraphCount": 6,
"wordCount": 184
},
"headData": {
"title": "Insurance Commissioner Dave Jones, GOP's New Health Plan, CIA Cybertools, Craig Newmark | KQED",
"description": "Insurance Commissioner Dave Jones on the GOP's new healthcare plan, analysis about its impact on California, Wikileaks reveals details about CIA cybertools and Craig Newmark on supporting trustworthy journalism. ",
"ogTitle": "",
"ogDescription": "",
"ogImgId": "",
"twTitle": "",
"twDescription": "",
"twImgId": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "Insurance Commissioner Dave Jones, GOP's New Health Plan, CIA Cybertools, Craig Newmark",
"datePublished": "2017-03-10T18:10:47-08:00",
"dateModified": "2024-07-16T10:53:01-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"videoEmbed": "https://youtu.be/l76_9rql8l4",
"sticky": false,
"path": "/news/11353686/insurance-commissioner-dave-jones-gops-new-health-plan-cia-cybertools-craig-newmark",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>California Insurance Commissioner Dave Jones\u003c/b>\u003cbr>\nFive million Californians get their health insurance through the Affordable Care Act, but the GOP’s plan to repeal and replace Obamacare could jeopardize their coverage, says Insurance Commissioner Dave Jones.\u003c/p>\n\u003cp>\u003cb>GOP’s New Health Plan\u003c/b>\u003cbr>\nThis week, two congressional committees cleared the Republicans’ proposal to repeal and replace Obamacare. We hear from KQED Health Editor Carrie Feibel and Hoover Institution research fellow Lanhee Chen about how the plan would impact California. \u003c/p>\n\u003cp>\u003cb>CIA Cybertools\u003c/b>\u003cbr>\nThis week, Wikileaks released thousands of documents detailing covert tools the CIA uses to hack into smartphones and internet-connected devices. Cindy Cohn of the Electronic Frontier Foundation discusses the impact of Wikileaks’ disclosure on consumers, tech giants like Google and Apple, and the cyber arms race. \u003c/p>\n\u003cp>\u003cb>Craig Newmark\u003c/b>\u003cbr>\nFor more than 20 years, the website Craigslist that he founded has helped millions around the world find a roommate, a used sofa or a new job. Today, Craig Newmark is turning to philanthropy to help promote trustworthy journalism, which he calls “the immune system of a democracy.” \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11353686/insurance-commissioner-dave-jones-gops-new-health-plan-cia-cybertools-craig-newmark",
"authors": [
"236"
],
"programs": [
"news_7052"
],
"categories": [
"news_8"
],
"tags": [
"news_2409",
"news_20646",
"news_20297",
"news_19177",
"news_3890",
"news_329"
],
"featImg": "news_11353688",
"label": "news_7052"
},
"stateofhealth_297748": {
"type": "posts",
"id": "stateofhealth_297748",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "297748",
"score": null,
"sort": [
1487964421000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 3036
},
"blocks": [],
"publishDate": 1487964421,
"format": "standard",
"disqusTitle": "A Safety-Net Medical Center Wrestles With Specter Of ‘Repeal’",
"title": "A Safety-Net Medical Center Wrestles With Specter Of ‘Repeal’",
"headTitle": "California Healthline | State of Health | KQED News",
"content": "\u003cp>SAN MATEO — Little surprises Lynda Sutherland, who has been a licensed vocational nurse for 35 years at San Mateo Medical Center. But in the past few years, Sutherland said, she’s been surprised by what’s missing: the patients who used to return again and again to the public hospital for the same ailments.\u003c/p>\n\u003cp>“They’re just not coming back,” she said.\u003c/p>\n\u003cp>Spurred by the Affordable Care Act (ACA), medical centers like this one have overhauled the way they deliver care in an effort to keep patients healthier and out of hospital beds. They have connected newly insured patients with primary care doctors in outpatient clinics, helped them manage chronic diseases and tried to reduce their reliance on emergency rooms for routine care.\u003c/p>\n\u003cp>Now, with President Donald Trump and congressional Republicans pledging to repeal Obamacare, such hospitals fear the gains they have made could be lost or diminished. In particular, they worry that if patients lose health insurance, their revenue will fall — to the detriment of the patients, the hospital staff and the community.\u003c/p>\n\u003cp>“It would be felt on a daily basis,” said Erin O’Malley, director of policy for America’s Essential Hospitals, a nationwide association of nearly 300 hospitals that serve low-income patients. “Our mission will not be changing, but the challenges will be mounting … especially if we have a ‘repeal’ without a comparable ‘replace.’ ”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The California Hospital Association sent a letter Feb. 8 to California’s congressional delegation on behalf of hundreds of hospitals and health systems, saying that repealing the Affordable Care Act without replacing it “would upend the financial stability of hospitals and their patients.”\u003c/p>\n\u003cp>The association wrote that it was particularly concerned about proposals that would reduce federal dollars for Medicaid, which was significantly expanded under the 2010 health law to include low-income childless adults. The association also expressed concern about dismantling the changes hospitals have made to promote the quality of care over the quantity. For instance, as a result of new financial penalties under Medicare, many hospitals invested in changes to ensure they weren’t readmitting patients too soon after discharge.\u003c/p>\n\u003cp>Although all hospitals would be affected if the health law were repealed, public and safety-net facilities such as San Mateo Medical Center would suffer more, said Gerald Kominski, director of the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>“The Affordable Care Act has certainly stabilized the financial situation of safety-net providers,” he said. “If we roll back the ACA completely and don’t have a replacement plan that specifically improves funding for safety-net providers, then those hospitals are going to become more vulnerable again.”\u003c/p>\n\u003cp>Across the nation, hospitals that serve the poor have raised similar concerns. A recent analysis by America’s Essential Hospitals showed that hospitals could lose more than $40 billion in funding from 2018 to 2026 if the law is repealed.\u003c/p>\n\u003cp> Over the past several years, safety-net hospitals like San Mateo Medical Center have worked to help patients better manage their chronic diseases and reduce their reliance on emergency rooms for routine care. Administrators worry if the Affordable Care Act is repealed, they will lose revenue and be unable to focus as much on prevention. (Anna Gorman/KHN)\u003c/p>\n\u003cp>Republicans have put forward several proposals that worry hospital administrators. Among them are Medicaid block grants, which could result in less funding for beneficiaries, and withdrawal of federal support for insurance exchanges.\u003c/p>\n\u003cp>About 72,000 patients are seen annually at the county-run San Mateo Medical Center, which includes the hospital and nine outpatient clinics. Before the health law took effect, 48 percent of patients were uninsured and 31 percent were on Medi-Cal, the state’s version of Medicaid. Now, 17 percent are uninsured and 57 percent have Medi-Cal.\u003c/p>\n\u003cp>“If Medicaid rolls back … not only does the revenue disappear, but then people will delay care, get sicker and then costs will go up,” said Chester Kunnappilly, CEO of the medical center.\u003c/p>\n\u003cp>The hospital and clinics receive $166 million annually in Medi-Cal revenue — which makes up about 60 percent of the total budget. At least $50 million would be at risk with a repeal of the ACA, Kunnappilly said.\u003c/p>\n\u003cp>“People will lose their jobs, and it becomes this vicious cycle,” he said. “How many people we can take care of continues to shrink because the teams get smaller.”\u003c/p>\n\u003cp> Michael Asip enrolled in expanded Medi-Cal under the Affordable Care Act before switching to Medicare when he turned 65 last year. Now, the San Mateo resident sees a cardiologist, a primary care doctor, a psychologist and an endocrinologist through the San Mateo Medical Center. “I’m the poster boy for the safety net,” he said. (Anna Gorman/KHN)\u003c/p>\n\u003cp>San Mateo Medical Center made numerous changes over the past few years to catch patients before they became seriously ill. For example, it created teams of outpatient providers — including pharmacists, medical assistants and social workers — to coordinate care. It began reminding patients when they needed to get mammograms and other preventive tests. They expanded substance abuse and mental health treatment, which was required to be covered under the law.\u003c/p>\n\u003cp>In addition, the medical center sent patients with urgent needs to “express care” so they wouldn’t have to go to the emergency room or wait to see their doctor. Hospital administrators changed the discharge process, sending some patients home with the medications they needed and even dispatching staff to visit others after release.\u003c/p>\n\u003cp>Dramatic changes were made by safety-net hospitals elsewhere in response to the ACA. In Los Angeles County, for example, a computer system was developed to the ensure less duplication of care and better monitoring of patients, and patients were assigned to clinics that served as their medical “homes.”\u003c/p>\n\u003cp>“The ACA provided the economic incentive to do what should have been done anyway,” said Mitch Katz, director of the Los Angeles County health department. “It won’t go back to the way it was done before.”\u003c/p>\n\u003cp>On a recent day at the San Mateo Medical Center, Marla Muniz, a 46-year-old waitress from San Mateo, came to a clinic at the medical center for a physical and treatment for worsening pain in her shoulders and arm. She has Medi-Cal now, because of the program’s expansion, after going years without health insurance.\u003c/p>\n\u003cp>“I am scared they are going to take away my Medi-Cal,” she said. “If I had a good job that paid well, it wouldn’t matter. But I don’t. And I have a lot of pain. I have more and more pain every day.”\u003c/p>\n\u003cp>Another patient, Michael Asip, was there to see one of his physicians. He’d enrolled in expanded Medi-Cal before turning 65, then switched to Medicare. Long uninsured, he had gone months without seeing a doctor even after a heart attack. Now, the San Mateo resident sees a cardiologist, a primary care doctor, a psychologist and an endocrinologist through the medical center.\u003c/p>\n\u003cp>Sumita Kalra, a physician at a primary care clinic, said she has seen numerous patients like Muniz and Asip who put off health care for years. When they finally got coverage through the ACA, some were diagnosed with diabetes, cancer and other serious diseases.\u003c/p>\n\u003cp>Now “we can catch those ticking time bombs before something worse happens,” Kalra said.\u003c/p>\n\u003cp>Louise Rogers, chief of the San Mateo County Health System, said that kind of change, fostered by the ACA, should not be reversed.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We don’t want to see a turning back of the clock,” she said.\u003c/p>\n\n",
"disqusIdentifier": "297748 https://ww2.kqed.org/stateofhealth/?p=297748",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2017/02/24/a-safety-net-medical-center-wrestles-with-specter-of-repeal/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1334,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 30
},
"modified": 1487965192,
"excerpt": "San Mateo Medical Center is among hundreds of hospitals in California and across the country that serve low-income patients, and fear the gains they have made under the Affordable Care Act could be lost. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "San Mateo Medical Center is among hundreds of hospitals in California and across the country that serve low-income patients, and fear the gains they have made under the Affordable Care Act could be lost. ",
"title": "A Safety-Net Medical Center Wrestles With Specter Of ‘Repeal’ | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "A Safety-Net Medical Center Wrestles With Specter Of ‘Repeal’",
"datePublished": "2017-02-24T11:27:01-08:00",
"dateModified": "2017-02-24T11:39:52-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "a-safety-net-medical-center-wrestles-with-specter-of-repeal",
"status": "publish",
"nprByline": " \u003ca href=\"http://khn.org/news/author/anna-gorman/\">\u003cstrong>Anna Gorman\u003c/strong>\u003c/a>",
"path": "/stateofhealth/297748/a-safety-net-medical-center-wrestles-with-specter-of-repeal",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SAN MATEO — Little surprises Lynda Sutherland, who has been a licensed vocational nurse for 35 years at San Mateo Medical Center. But in the past few years, Sutherland said, she’s been surprised by what’s missing: the patients who used to return again and again to the public hospital for the same ailments.\u003c/p>\n\u003cp>“They’re just not coming back,” she said.\u003c/p>\n\u003cp>Spurred by the Affordable Care Act (ACA), medical centers like this one have overhauled the way they deliver care in an effort to keep patients healthier and out of hospital beds. They have connected newly insured patients with primary care doctors in outpatient clinics, helped them manage chronic diseases and tried to reduce their reliance on emergency rooms for routine care.\u003c/p>\n\u003cp>Now, with President Donald Trump and congressional Republicans pledging to repeal Obamacare, such hospitals fear the gains they have made could be lost or diminished. In particular, they worry that if patients lose health insurance, their revenue will fall — to the detriment of the patients, the hospital staff and the community.\u003c/p>\n\u003cp>“It would be felt on a daily basis,” said Erin O’Malley, director of policy for America’s Essential Hospitals, a nationwide association of nearly 300 hospitals that serve low-income patients. “Our mission will not be changing, but the challenges will be mounting … especially if we have a ‘repeal’ without a comparable ‘replace.’ ”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The California Hospital Association sent a letter Feb. 8 to California’s congressional delegation on behalf of hundreds of hospitals and health systems, saying that repealing the Affordable Care Act without replacing it “would upend the financial stability of hospitals and their patients.”\u003c/p>\n\u003cp>The association wrote that it was particularly concerned about proposals that would reduce federal dollars for Medicaid, which was significantly expanded under the 2010 health law to include low-income childless adults. The association also expressed concern about dismantling the changes hospitals have made to promote the quality of care over the quantity. For instance, as a result of new financial penalties under Medicare, many hospitals invested in changes to ensure they weren’t readmitting patients too soon after discharge.\u003c/p>\n\u003cp>Although all hospitals would be affected if the health law were repealed, public and safety-net facilities such as San Mateo Medical Center would suffer more, said Gerald Kominski, director of the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>“The Affordable Care Act has certainly stabilized the financial situation of safety-net providers,” he said. “If we roll back the ACA completely and don’t have a replacement plan that specifically improves funding for safety-net providers, then those hospitals are going to become more vulnerable again.”\u003c/p>\n\u003cp>Across the nation, hospitals that serve the poor have raised similar concerns. A recent analysis by America’s Essential Hospitals showed that hospitals could lose more than $40 billion in funding from 2018 to 2026 if the law is repealed.\u003c/p>\n\u003cp> Over the past several years, safety-net hospitals like San Mateo Medical Center have worked to help patients better manage their chronic diseases and reduce their reliance on emergency rooms for routine care. Administrators worry if the Affordable Care Act is repealed, they will lose revenue and be unable to focus as much on prevention. (Anna Gorman/KHN)\u003c/p>\n\u003cp>Republicans have put forward several proposals that worry hospital administrators. Among them are Medicaid block grants, which could result in less funding for beneficiaries, and withdrawal of federal support for insurance exchanges.\u003c/p>\n\u003cp>About 72,000 patients are seen annually at the county-run San Mateo Medical Center, which includes the hospital and nine outpatient clinics. Before the health law took effect, 48 percent of patients were uninsured and 31 percent were on Medi-Cal, the state’s version of Medicaid. Now, 17 percent are uninsured and 57 percent have Medi-Cal.\u003c/p>\n\u003cp>“If Medicaid rolls back … not only does the revenue disappear, but then people will delay care, get sicker and then costs will go up,” said Chester Kunnappilly, CEO of the medical center.\u003c/p>\n\u003cp>The hospital and clinics receive $166 million annually in Medi-Cal revenue — which makes up about 60 percent of the total budget. At least $50 million would be at risk with a repeal of the ACA, Kunnappilly said.\u003c/p>\n\u003cp>“People will lose their jobs, and it becomes this vicious cycle,” he said. “How many people we can take care of continues to shrink because the teams get smaller.”\u003c/p>\n\u003cp> Michael Asip enrolled in expanded Medi-Cal under the Affordable Care Act before switching to Medicare when he turned 65 last year. Now, the San Mateo resident sees a cardiologist, a primary care doctor, a psychologist and an endocrinologist through the San Mateo Medical Center. “I’m the poster boy for the safety net,” he said. (Anna Gorman/KHN)\u003c/p>\n\u003cp>San Mateo Medical Center made numerous changes over the past few years to catch patients before they became seriously ill. For example, it created teams of outpatient providers — including pharmacists, medical assistants and social workers — to coordinate care. It began reminding patients when they needed to get mammograms and other preventive tests. They expanded substance abuse and mental health treatment, which was required to be covered under the law.\u003c/p>\n\u003cp>In addition, the medical center sent patients with urgent needs to “express care” so they wouldn’t have to go to the emergency room or wait to see their doctor. Hospital administrators changed the discharge process, sending some patients home with the medications they needed and even dispatching staff to visit others after release.\u003c/p>\n\u003cp>Dramatic changes were made by safety-net hospitals elsewhere in response to the ACA. In Los Angeles County, for example, a computer system was developed to the ensure less duplication of care and better monitoring of patients, and patients were assigned to clinics that served as their medical “homes.”\u003c/p>\n\u003cp>“The ACA provided the economic incentive to do what should have been done anyway,” said Mitch Katz, director of the Los Angeles County health department. “It won’t go back to the way it was done before.”\u003c/p>\n\u003cp>On a recent day at the San Mateo Medical Center, Marla Muniz, a 46-year-old waitress from San Mateo, came to a clinic at the medical center for a physical and treatment for worsening pain in her shoulders and arm. She has Medi-Cal now, because of the program’s expansion, after going years without health insurance.\u003c/p>\n\u003cp>“I am scared they are going to take away my Medi-Cal,” she said. “If I had a good job that paid well, it wouldn’t matter. But I don’t. And I have a lot of pain. I have more and more pain every day.”\u003c/p>\n\u003cp>Another patient, Michael Asip, was there to see one of his physicians. He’d enrolled in expanded Medi-Cal before turning 65, then switched to Medicare. Long uninsured, he had gone months without seeing a doctor even after a heart attack. Now, the San Mateo resident sees a cardiologist, a primary care doctor, a psychologist and an endocrinologist through the medical center.\u003c/p>\n\u003cp>Sumita Kalra, a physician at a primary care clinic, said she has seen numerous patients like Muniz and Asip who put off health care for years. When they finally got coverage through the ACA, some were diagnosed with diabetes, cancer and other serious diseases.\u003c/p>\n\u003cp>Now “we can catch those ticking time bombs before something worse happens,” Kalra said.\u003c/p>\n\u003cp>Louise Rogers, chief of the San Mateo County Health System, said that kind of change, fostered by the ACA, should not be reversed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We don’t want to see a turning back of the clock,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/297748/a-safety-net-medical-center-wrestles-with-specter-of-repeal",
"authors": [
"byline_stateofhealth_297748"
],
"categories": [
"stateofhealth_11",
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_2808",
"stateofhealth_2519",
"stateofhealth_365"
],
"affiliates": [
"stateofhealth_3036"
],
"featImg": "stateofhealth_297751",
"label": "stateofhealth_3036"
},
"stateofhealth_297072": {
"type": "posts",
"id": "stateofhealth_297072",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "297072",
"score": null,
"sort": [
1487825418000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1487825418,
"format": "standard",
"disqusTitle": "After Introduction of New Bill, Nurses Rally for Universal Health Care",
"title": "After Introduction of New Bill, Nurses Rally for Universal Health Care",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Chanting \"Medicare for all is our fight, health care is a human right,\" nurses and health care activists rallied in Sacramento Wednesday to support a new bill that would create universal health coverage for Californians.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/309210872\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>State Senators Ricardo Lara (D-Bell Gardens) and Toni G. Atkins (D-San Diego) introduced \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB562\" target=\"_blank\">Senate Bill 562 \u003c/a>last week. The bill would cover all residents of the state, even those who are undocumented. The bill does not include a timeline or specifics, but it does mention the intent to \"enact legislation that would establish a comprehensive universal single-payer health care coverage program.\" This would mean that the state government, not insurance companies, would pay for care. Such systems are also known as \"single payer,\" with Medicare being the best-known example.\u003c/p>\n\u003cp>Lara spoke at the rally, greeting the crowd of roughly 400, many of them nurses mobilized by their union, the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\">California Nurses Association\u003c/a>. \"We’re going to finally put doctors, nurses, and clinicians actually in charge of the care, and not insurance companies,\" he said.\u003c/p>\n\u003cp>California legislators have twice submitted bills for universal health care that went all the way to the desk of then-governor Arnold Schwarzennegger. He vetoed both.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The head of the California Nurses Association, RoseAnn DeMoro, thinks this time things will be different. She acknowledged the Affordable Care Act has expanded coverage, but said the plans it offers are still too expensive for some, and asking low-income people to step up and politically defend the ACA doesn't make sense.\u003c/p>\n\u003cp>\"The average person who we’re asking to take a stand for the ACA, we’re basically asking them to do something they can’t afford,\" she said.\u003c/p>\n\u003cp>She and other nurses, who showed up wearing the red colors of the nurse's union, want something broader than the ACA, which offers few options for undocumented people. They want a system that covers all their patients, no exceptions. They also argue that single-payer health care systems are more cost-efficient, because they eliminate burdensome paperwork and administrative overhead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Critics of universal coverage say it would give government too much control over medicine, and require a drastic increase in taxes to fund it.\u003c/p>\n\n",
"disqusIdentifier": "297072 https://ww2.kqed.org/stateofhealth/?p=297072",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2017/02/22/after-introduction-of-new-bill-nurses-rally-for-universal-health-care/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 404,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 11
},
"modified": 1487877834,
"excerpt": "Supporters say a statewide health system would be better in the long run than fixing Obamacare's flaws.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Supporters say a statewide health system would be better in the long run than fixing Obamacare's flaws.",
"title": "After Introduction of New Bill, Nurses Rally for Universal Health Care | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "After Introduction of New Bill, Nurses Rally for Universal Health Care",
"datePublished": "2017-02-22T20:50:18-08:00",
"dateModified": "2017-02-23T11:23:54-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "after-introduction-of-new-bill-nurses-rally-for-universal-health-care",
"status": "publish",
"path": "/stateofhealth/297072/after-introduction-of-new-bill-nurses-rally-for-universal-health-care",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Chanting \"Medicare for all is our fight, health care is a human right,\" nurses and health care activists rallied in Sacramento Wednesday to support a new bill that would create universal health coverage for Californians.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/309210872&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/309210872'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>State Senators Ricardo Lara (D-Bell Gardens) and Toni G. Atkins (D-San Diego) introduced \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB562\" target=\"_blank\">Senate Bill 562 \u003c/a>last week. The bill would cover all residents of the state, even those who are undocumented. The bill does not include a timeline or specifics, but it does mention the intent to \"enact legislation that would establish a comprehensive universal single-payer health care coverage program.\" This would mean that the state government, not insurance companies, would pay for care. Such systems are also known as \"single payer,\" with Medicare being the best-known example.\u003c/p>\n\u003cp>Lara spoke at the rally, greeting the crowd of roughly 400, many of them nurses mobilized by their union, the \u003ca href=\"http://www.nationalnursesunited.org/site/entry/california-nurses-association\" target=\"_blank\">California Nurses Association\u003c/a>. \"We’re going to finally put doctors, nurses, and clinicians actually in charge of the care, and not insurance companies,\" he said.\u003c/p>\n\u003cp>California legislators have twice submitted bills for universal health care that went all the way to the desk of then-governor Arnold Schwarzennegger. He vetoed both.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The head of the California Nurses Association, RoseAnn DeMoro, thinks this time things will be different. She acknowledged the Affordable Care Act has expanded coverage, but said the plans it offers are still too expensive for some, and asking low-income people to step up and politically defend the ACA doesn't make sense.\u003c/p>\n\u003cp>\"The average person who we’re asking to take a stand for the ACA, we’re basically asking them to do something they can’t afford,\" she said.\u003c/p>\n\u003cp>She and other nurses, who showed up wearing the red colors of the nurse's union, want something broader than the ACA, which offers few options for undocumented people. They want a system that covers all their patients, no exceptions. They also argue that single-payer health care systems are more cost-efficient, because they eliminate burdensome paperwork and administrative overhead.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Critics of universal coverage say it would give government too much control over medicine, and require a drastic increase in taxes to fund it.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/297072/after-introduction-of-new-bill-nurses-rally-for-universal-health-care",
"authors": [
"8648"
],
"categories": [
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_38",
"stateofhealth_2808",
"stateofhealth_2519",
"stateofhealth_3048"
],
"featImg": "stateofhealth_297074",
"label": "stateofhealth"
},
"news_11320305": {
"type": "posts",
"id": "news_11320305",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11320305",
"score": null,
"sort": [
1487320257000
]
},
"parent": 0,
"labelTerm": {},
"blocks": [],
"publishDate": 1487320257,
"format": "standard",
"disqusTitle": "Republican Health Care Proposal Would Cover Fewer Low-Income Families",
"title": "Republican Health Care Proposal Would Cover Fewer Low-Income Families",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>House Republicans are debating a plan to replace the Affordable Care Act that would give consumers tax credits to buy insurance, cut back on Medicaid and allow people to save their own money to pay for health care costs.\u003c/p>\n\u003cp>The outline plan is likely to take away some of the financial help low-income families get through Obamacare subsidies, and also result in fewer people being covered under the Medicaid health care program for the poor.\u003c/p>\n\u003cp>\"In general this is going to result in fewer people covered nationwide,\" says \u003ca href=\"http://avalere.com/team#!/CarolineF-Pearson\">Caroline Pearson\u003c/a>, a senior vice president at Avalere, a health care consulting group.\u003c/p>\n\u003cp>Republican leaders distributed the skeleton proposal at a meeting of the House Republican Conference in the Capitol on Thursday. Lawmakers now have an outline to bring with them to their districts for the Presidents Day holiday weekend, where they may face constituents with questions about what is going to happen to their health care. The plan is based on \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/21/502612264/if-republicans-repeal-obamacare-ryan-has-replacement-blueprint\">one outlined last summer \u003c/a>by House Speaker Paul Ryan.\u003c/p>\n\u003cp>Rep. \u003ca href=\"https://huizenga.house.gov/\">Bill Huizenga\u003c/a>, R-Mich., called the 18-page outline \"guideposts and a road map.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We know the direction we want to go and sort of the destination,\" Huizenga said outside the meeting.\u003c/p>\n\u003cp>[contextly_sidebar id=\"sRJxQM0P8BvLJlS9QdKFt49Wzeme9VV0\"]\u003c/p>\n\u003cp>Lawmakers who attended the meeting said the plan is to repeal the Affordable Care Act with a bill similar to one that passed in 2015 but was vetoed by then-President Barack Obama. That proposal would have repealed all the taxes and subsidies associated with the health care law and would have killed the mandate for individuals to buy health insurance by getting rid of the tax penalty used to enforce it.\u003c/p>\n\u003cp>This Congress could either first pass a repeal bill and then a replacement bill, or include replacement elements in the repeal.\u003c/p>\n\u003cp>The meeting Thursday centered on \"principles and goals on where we're going in patient-centered care,\" said House Ways and Means Committee Chairman Kevin Brady, R-La., after the meeting.\u003c/p>\n\u003cp>\"We're talking about repealing, replacing and starting to return control of health care and restoring the free market,\" he said.\u003c/p>\n\u003cp>Most of the plan is silent on how much money lawmakers want to put behind their proposals, so it's impossible to know exactly how generous the plan is and how many people it would cover.\u003c/p>\n\u003cp>The elements of the plan include replacing the subsidies that help people buy insurance through Obamacare exchanges with fixed tax credits to buy coverage on the open market.\u003c/p>\n\u003cp>The major difference between the two is that the Obamacare subsidies increase as premiums rise so that consumers are responsible for the same premium amount, which is tied to their income. The tax credits proposed by Ryan are not tied to income but rise as a person ages and insurance rates increase.\u003c/p>\n\u003cp>\"The important thing on the tax credits is that they're not income adjusted and we don't know how big they are,\" Pearson says.\u003c/p>\n\u003cp>She says it's unlikely they'll be as generous as the Obamacare subsidies.\u003c/p>\n\u003cp>\"This likely means that low-income people will have difficulty affording individual insurance,\" she says.\u003c/p>\n\u003cp>The outline distributed by Republicans repeatedly mentions that people will be able to buy so-called catastrophic coverage, which has limited day-to-day benefits but protects people when they have a serious illness or accident that requires a lot of health care.\u003c/p>\n\u003cp>The plan also calls for expanding health savings accounts, which allow people to save their own money tax-free to pay for health care costs. It calls for the limits on HSA savings to rise from $6,750 per family to $13,100.\u003c/p>\n\u003cp>HSAs are a favorite among conservatives because they encourage people to save and plan for their health spending and to shop around for price.\u003c/p>\n\u003cp>Democrats have criticized the focus on HSAs because they help only people who have extra money to put away and give a bigger tax cut to people with higher incomes.\u003c/p>\n\u003cp>The Republicans' plan also calls for a major restructuring of the Medicaid health care program for the poor. It would repeal the Medicaid expansion that most states adopted under the Affordable Care Act, which allowed able-bodied people with incomes just above the poverty line to become eligible for Medicaid coverage.\u003c/p>\n\u003cp>And it would cap how much the federal government spends per person per year. Right now, Medicaid pays all health care costs for those who are eligible.\u003c/p>\n\u003cp>\"This is a potentially significant incentive for states to get serious about efficiency,\" says \u003ca href=\"https://www.manhattan-institute.org/expert/paul-howard\">Paul Howard\u003c/a>, director of health policy at the Manhattan Institute, a conservative think tank.\u003c/p>\n\u003cp>Howard says states currently have an incentive to increase their spending on Medicaid, because it boosts the amount of federal money they get.\u003c/p>\n\u003cp>Ryan's plan would make Medicaid either a block grant program, where states receive a fixed amount of money, or it would be a per capita benefit, where the federal government would give the states a set amount for each beneficiary.\u003c/p>\n\u003cp>States could still offer Medicaid to those who became eligible under expansion, but the states' share of the costs would be higher than it is under the Affordable Care Act, likely making it too expensive for many states to do so.\u003c/p>\n\u003cp>Finally, the Republican plan would offer states pools of cash to come up with ways to expand insurance access to more people.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
"disqusIdentifier": "11320305 https://ww2.kqed.org/news/?p=11320305",
"disqusUrl": "https://ww2.kqed.org/news/2017/02/17/republican-health-care-proposal-would-cover-fewer-low-income-families/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 905,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 31
},
"modified": 1487372811,
"excerpt": "The plan that House Republicans discussed Thursday would replace Affordable Care Act subsidies with tax credits and cut Medicaid funds to the states.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The plan that House Republicans discussed Thursday would replace Affordable Care Act subsidies with tax credits and cut Medicaid funds to the states.",
"title": "Republican Health Care Proposal Would Cover Fewer Low-Income Families | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "Republican Health Care Proposal Would Cover Fewer Low-Income Families",
"datePublished": "2017-02-17T00:30:57-08:00",
"dateModified": "2017-02-17T15:06:51-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"guestAuthors": [],
"slug": "republican-health-care-proposal-would-cover-fewer-low-income-families",
"status": "publish",
"sourceUrl": "http://www.npr.org/",
"nprApiLink": "http://api.npr.org/query?id=515622872&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprByline": "Alison Kodjak",
"nprStoryDate": "Thu, 16 Feb 2017 16:36:00 -0500",
"nprLastModifiedDate": "Thu, 16 Feb 2017 19:51:38 -0500",
"nprHtmlLink": "http://www.npr.org/sections/health-shots/2017/02/16/515622872/republican-health-care-proposal-would-cover-fewer-low-income-families?ft=nprml&f=515622872",
"nprImageAgency": "Bloomberg via Getty Images",
"nprImageCredit": "Andrew Harrer",
"source": "NPR",
"nprStoryId": "515622872",
"nprRetrievedStory": "1",
"nprPubDate": "Thu, 16 Feb 2017 19:51:00 -0500",
"path": "/news/11320305/republican-health-care-proposal-would-cover-fewer-low-income-families",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>House Republicans are debating a plan to replace the Affordable Care Act that would give consumers tax credits to buy insurance, cut back on Medicaid and allow people to save their own money to pay for health care costs.\u003c/p>\n\u003cp>The outline plan is likely to take away some of the financial help low-income families get through Obamacare subsidies, and also result in fewer people being covered under the Medicaid health care program for the poor.\u003c/p>\n\u003cp>\"In general this is going to result in fewer people covered nationwide,\" says \u003ca href=\"http://avalere.com/team#!/CarolineF-Pearson\">Caroline Pearson\u003c/a>, a senior vice president at Avalere, a health care consulting group.\u003c/p>\n\u003cp>Republican leaders distributed the skeleton proposal at a meeting of the House Republican Conference in the Capitol on Thursday. Lawmakers now have an outline to bring with them to their districts for the Presidents Day holiday weekend, where they may face constituents with questions about what is going to happen to their health care. The plan is based on \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/21/502612264/if-republicans-repeal-obamacare-ryan-has-replacement-blueprint\">one outlined last summer \u003c/a>by House Speaker Paul Ryan.\u003c/p>\n\u003cp>Rep. \u003ca href=\"https://huizenga.house.gov/\">Bill Huizenga\u003c/a>, R-Mich., called the 18-page outline \"guideposts and a road map.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We know the direction we want to go and sort of the destination,\" Huizenga said outside the meeting.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Lawmakers who attended the meeting said the plan is to repeal the Affordable Care Act with a bill similar to one that passed in 2015 but was vetoed by then-President Barack Obama. That proposal would have repealed all the taxes and subsidies associated with the health care law and would have killed the mandate for individuals to buy health insurance by getting rid of the tax penalty used to enforce it.\u003c/p>\n\u003cp>This Congress could either first pass a repeal bill and then a replacement bill, or include replacement elements in the repeal.\u003c/p>\n\u003cp>The meeting Thursday centered on \"principles and goals on where we're going in patient-centered care,\" said House Ways and Means Committee Chairman Kevin Brady, R-La., after the meeting.\u003c/p>\n\u003cp>\"We're talking about repealing, replacing and starting to return control of health care and restoring the free market,\" he said.\u003c/p>\n\u003cp>Most of the plan is silent on how much money lawmakers want to put behind their proposals, so it's impossible to know exactly how generous the plan is and how many people it would cover.\u003c/p>\n\u003cp>The elements of the plan include replacing the subsidies that help people buy insurance through Obamacare exchanges with fixed tax credits to buy coverage on the open market.\u003c/p>\n\u003cp>The major difference between the two is that the Obamacare subsidies increase as premiums rise so that consumers are responsible for the same premium amount, which is tied to their income. The tax credits proposed by Ryan are not tied to income but rise as a person ages and insurance rates increase.\u003c/p>\n\u003cp>\"The important thing on the tax credits is that they're not income adjusted and we don't know how big they are,\" Pearson says.\u003c/p>\n\u003cp>She says it's unlikely they'll be as generous as the Obamacare subsidies.\u003c/p>\n\u003cp>\"This likely means that low-income people will have difficulty affording individual insurance,\" she says.\u003c/p>\n\u003cp>The outline distributed by Republicans repeatedly mentions that people will be able to buy so-called catastrophic coverage, which has limited day-to-day benefits but protects people when they have a serious illness or accident that requires a lot of health care.\u003c/p>\n\u003cp>The plan also calls for expanding health savings accounts, which allow people to save their own money tax-free to pay for health care costs. It calls for the limits on HSA savings to rise from $6,750 per family to $13,100.\u003c/p>\n\u003cp>HSAs are a favorite among conservatives because they encourage people to save and plan for their health spending and to shop around for price.\u003c/p>\n\u003cp>Democrats have criticized the focus on HSAs because they help only people who have extra money to put away and give a bigger tax cut to people with higher incomes.\u003c/p>\n\u003cp>The Republicans' plan also calls for a major restructuring of the Medicaid health care program for the poor. It would repeal the Medicaid expansion that most states adopted under the Affordable Care Act, which allowed able-bodied people with incomes just above the poverty line to become eligible for Medicaid coverage.\u003c/p>\n\u003cp>And it would cap how much the federal government spends per person per year. Right now, Medicaid pays all health care costs for those who are eligible.\u003c/p>\n\u003cp>\"This is a potentially significant incentive for states to get serious about efficiency,\" says \u003ca href=\"https://www.manhattan-institute.org/expert/paul-howard\">Paul Howard\u003c/a>, director of health policy at the Manhattan Institute, a conservative think tank.\u003c/p>\n\u003cp>Howard says states currently have an incentive to increase their spending on Medicaid, because it boosts the amount of federal money they get.\u003c/p>\n\u003cp>Ryan's plan would make Medicaid either a block grant program, where states receive a fixed amount of money, or it would be a per capita benefit, where the federal government would give the states a set amount for each beneficiary.\u003c/p>\n\u003cp>States could still offer Medicaid to those who became eligible under expansion, but the states' share of the costs would be higher than it is under the Affordable Care Act, likely making it too expensive for many states to do so.\u003c/p>\n\u003cp>Finally, the Republican plan would offer states pools of cash to come up with ways to expand insurance access to more people.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11320305/republican-health-care-proposal-would-cover-fewer-low-income-families",
"authors": [
"byline_news_11320305"
],
"programs": [
"news_6944",
"news_72"
],
"categories": [
"news_457",
"news_8",
"news_13"
],
"tags": [
"news_2409",
"news_2605",
"news_3890",
"news_17286"
],
"featImg": "news_11320306",
"label": "source_news_11320305"
},
"futureofyou_329824": {
"type": "posts",
"id": "futureofyou_329824",
"meta": {
"index": "posts_1716263798",
"site": "futureofyou",
"id": "329824",
"score": null,
"sort": [
1486053802000
]
},
"guestAuthors": [],
"slug": "hospitals-innovations-at-risk-from-obamacare-repeal",
"title": "Hospital Innovations at Risk if Obamacare Repealed",
"publishDate": 1486053802,
"format": "standard",
"headTitle": "Hospital Innovations at Risk if Obamacare Repealed | KQED",
"labelTerm": {},
"content": "\u003cp>Much has been written about the \u003ca href=\"https://aspe.hhs.gov/sites/default/files/pdf/187551/ACA2010-2016.pdf\">20 million people\u003c/a> who gained health insurance under the Affordable Care Act, and \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/24/511413971/arizona-children-could-lose-health-coverage-under-obamacare-repeal\">what could happen\u003c/a> to these patients if the ACA is repealed without a replacement. But some people don’t realize that hospitals nationwide could take a big financial hit on several fronts, too.\u003c/p>\n\u003cp>First, it’s likely that fewer patients would be able to pay their hospital bills, health policy analysts say, so the institutions would be stuck with that bad debt, as they were before Obamacare.\u003c/p>\n\u003cp>“If the Medicaid expansion goes away wholesale, and things go back to the way they were before this expansion was in place, a lot of those hospitals would see an increase in their uncompensated care costs,” says \u003ca href=\"http://kff.org/person/rachel-garfield/\">Rachel Garfield\u003c/a>, an analyst with the Kaiser Family Foundation. The American Hospital Association estimates that hospitals across the U.S. could \u003ca href=\"http://www.aha.org/content/16/impact-repeal-aca-exec-summary.pdf\">lose\u003c/a> more than $160 billion from the reduction in Medicaid revenue and the increase in unpaid medical bills.\u003c/p>\n\u003cp>Then there’s this: The ACA has used financial incentives to encourage hospitals to experiment with ways to improve their care of patients, while reducing health care’s cost. That sort of experimentation has included a sizable upfront investment by many hospitals.\u003c/p>\n\u003cp>Massachusetts General Hospital in Boston, for example, signed \u003ca href=\"http://www.partners.org/For-Patients/ACO/\">agreements\u003c/a> with physicians and insurers to create \u003ca href=\"http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained\">accountable care organizations\u003c/a>, in hopes of saving money in the long run. With an ACO, insurers pay doctors for making sure the patient is getting the best and most appropriate care, instead of paying for every test and procedure a doctor does.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have now more than 20 different programs,” says \u003ca href=\"http://www.massgeneral.org/children/doctors/doctor.aspx?id=16933\">Dr. Timothy Ferris\u003c/a>, an internist and medical director of the Mass General Physicians Organization. “Video visits, electronic consultation with specialists, home hospitalization, [and] programs for patients with diabetes and heart disease. I would be worried that a repeal of the ACA would undermine our ability to invest in services for our patients.”\u003c/p>\n\u003cp>Ferris acknowledges that most of those experiments \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/14/440240225/medicare-fails-to-save-money-so-far-on-cooperative-care-experiment\">haven’t yet\u003c/a> saved money. But they need more time to work out the kinks safely, he says.\u003c/p>\n\u003cp>“One of the things that it’s difficult for people outside of health care to appreciate — particularly politicians — is how long it takes to make significant improvements in the delivery of care,” Ferris says. “You have to be very careful when you make changes.”\u003c/p>\n\u003cp>Ferris says the threatened repeal of the ACA makes him worry “that the progress we’ve made over the past five years would be threatened.”\u003c/p>\n\u003cp>Many other \u003ca href=\"http://healthaffairs.org/blog/2016/04/21/accountable-care-organizations-in-2016-private-and-public-sector-growth-and-dispersion/\">hospitals across the country\u003c/a> have invested in accountable care organizations — often overhauling their medical records systems, hiring staff and creating new services. \u003ca href=\"http://www.carenewengland.org/about/board-of-directors/dennis-keefe.cfm\">Dennis Keefe\u003c/a>, head of a large hospital chain called \u003ca href=\"http://www.carenewengland.org/\">Care New England\u003c/a> in Rhode Island, says he, too, worries about the future of his ACO, \u003ca href=\"http://www.integracare.org/\">Integra\u003c/a>.\u003c/p>\n\u003cp>“I think, if there’s a real change in direction away from these alternative payment models, we will be assuming risk to care for a population,” Keefe says.”We have invested enormously to be successful in this area.”\u003c/p>\n\u003cp>But these seismic changes in the way hospitals do business were predicated, he adds, on long-term support from the federal government — support that might disappear if the ACA is repealed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR’s reporting partnership with NPR, Rhode Island Public Radio and Kaiser Health News. The Kaiser Family Foundation supports Kaiser Health News, an editorially independent program that produces news reports heard on NPR and published on \u003c/em>\u003ca href=\"http://NPR.org\">NPR.org\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Rhode Island Public Radio. To see more, visit \u003ca href=\"http://www.ripr.org/\">Rhode Island Public Radio\u003c/a>.\u003cimg decoding=\"async\" src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospitals+Worry+Repeal+Of+Obamacare+Would+Jeopardize+Innovations+In+Care&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
"blocks": [],
"excerpt": "One part of the federal health law gave hospitals financial incentives to improve patient care. Some invested big to make those changes and are worried about what losing that support would mean.",
"status": "publish",
"parent": 0,
"modified": 1721150105,
"stats": {
"hasAudio": false,
"hasVideo": false,
"hasChartOrMap": false,
"iframeSrcs": [],
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"hasPolis": false,
"paragraphCount": 15,
"wordCount": 623
},
"headData": {
"title": "Hospital Innovations at Risk if Obamacare Repealed",
"description": "One part of the federal health law gave hospitals financial incentives to improve patient care. Some invested big to make those changes and are worried about what losing that support would mean.",
"ogTitle": "",
"ogDescription": "",
"ogImgId": "",
"twTitle": "",
"twDescription": "",
"twImgId": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Hospital Innovations at Risk if Obamacare Repealed",
"datePublished": "2017-02-02T08:43:22-08:00",
"dateModified": "2024-07-16T10:15:05-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"source": "KQED Future of You",
"sticky": false,
"nprImageCredit": "Elise Amendola",
"nprByline": "Kristin Gourlay\u003cbr />RINPR",
"nprImageAgency": "AP",
"nprStoryId": "511753125",
"nprApiLink": "http://api.npr.org/query?id=511753125&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprHtmlLink": "http://www.npr.org/sections/health-shots/2017/01/27/511753125/hospitals-worry-repeal-of-obamacare-would-jeopardize-innovations-in-care?ft=nprml&f=511753125",
"nprRetrievedStory": "1",
"nprPubDate": "Fri, 27 Jan 2017 07:31:00 -0500",
"nprStoryDate": "Fri, 27 Jan 2017 05:01:00 -0500",
"nprLastModifiedDate": "Mon, 30 Jan 2017 14:57:56 -0500",
"nprAudio": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170127_me_hospitals_worry_repeal_of_obamacare_would_jeopardize_innovations_in_care.mp3?orgId=1289&topicId=1128&d=236&p=3&story=511753125&t=progseg&e=511941333&seg=2&ft=nprml&f=511753125",
"nprAudioM3u": "http://api.npr.org/m3u/1511942883-8e4a92.m3u?orgId=1289&topicId=1128&d=236&p=3&story=511753125&t=progseg&e=511941333&seg=2&ft=nprml&f=511753125",
"path": "/futureofyou/329824/hospitals-innovations-at-risk-from-obamacare-repeal",
"audioUrl": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170127_me_hospitals_worry_repeal_of_obamacare_would_jeopardize_innovations_in_care.mp3?orgId=1289&topicId=1128&d=236&p=3&story=511753125&t=progseg&e=511941333&seg=2&ft=nprml&f=511753125",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Much has been written about the \u003ca href=\"https://aspe.hhs.gov/sites/default/files/pdf/187551/ACA2010-2016.pdf\">20 million people\u003c/a> who gained health insurance under the Affordable Care Act, and \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/24/511413971/arizona-children-could-lose-health-coverage-under-obamacare-repeal\">what could happen\u003c/a> to these patients if the ACA is repealed without a replacement. But some people don’t realize that hospitals nationwide could take a big financial hit on several fronts, too.\u003c/p>\n\u003cp>First, it’s likely that fewer patients would be able to pay their hospital bills, health policy analysts say, so the institutions would be stuck with that bad debt, as they were before Obamacare.\u003c/p>\n\u003cp>“If the Medicaid expansion goes away wholesale, and things go back to the way they were before this expansion was in place, a lot of those hospitals would see an increase in their uncompensated care costs,” says \u003ca href=\"http://kff.org/person/rachel-garfield/\">Rachel Garfield\u003c/a>, an analyst with the Kaiser Family Foundation. The American Hospital Association estimates that hospitals across the U.S. could \u003ca href=\"http://www.aha.org/content/16/impact-repeal-aca-exec-summary.pdf\">lose\u003c/a> more than $160 billion from the reduction in Medicaid revenue and the increase in unpaid medical bills.\u003c/p>\n\u003cp>Then there’s this: The ACA has used financial incentives to encourage hospitals to experiment with ways to improve their care of patients, while reducing health care’s cost. That sort of experimentation has included a sizable upfront investment by many hospitals.\u003c/p>\n\u003cp>Massachusetts General Hospital in Boston, for example, signed \u003ca href=\"http://www.partners.org/For-Patients/ACO/\">agreements\u003c/a> with physicians and insurers to create \u003ca href=\"http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained\">accountable care organizations\u003c/a>, in hopes of saving money in the long run. With an ACO, insurers pay doctors for making sure the patient is getting the best and most appropriate care, instead of paying for every test and procedure a doctor does.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have now more than 20 different programs,” says \u003ca href=\"http://www.massgeneral.org/children/doctors/doctor.aspx?id=16933\">Dr. Timothy Ferris\u003c/a>, an internist and medical director of the Mass General Physicians Organization. “Video visits, electronic consultation with specialists, home hospitalization, [and] programs for patients with diabetes and heart disease. I would be worried that a repeal of the ACA would undermine our ability to invest in services for our patients.”\u003c/p>\n\u003cp>Ferris acknowledges that most of those experiments \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/14/440240225/medicare-fails-to-save-money-so-far-on-cooperative-care-experiment\">haven’t yet\u003c/a> saved money. But they need more time to work out the kinks safely, he says.\u003c/p>\n\u003cp>“One of the things that it’s difficult for people outside of health care to appreciate — particularly politicians — is how long it takes to make significant improvements in the delivery of care,” Ferris says. “You have to be very careful when you make changes.”\u003c/p>\n\u003cp>Ferris says the threatened repeal of the ACA makes him worry “that the progress we’ve made over the past five years would be threatened.”\u003c/p>\n\u003cp>Many other \u003ca href=\"http://healthaffairs.org/blog/2016/04/21/accountable-care-organizations-in-2016-private-and-public-sector-growth-and-dispersion/\">hospitals across the country\u003c/a> have invested in accountable care organizations — often overhauling their medical records systems, hiring staff and creating new services. \u003ca href=\"http://www.carenewengland.org/about/board-of-directors/dennis-keefe.cfm\">Dennis Keefe\u003c/a>, head of a large hospital chain called \u003ca href=\"http://www.carenewengland.org/\">Care New England\u003c/a> in Rhode Island, says he, too, worries about the future of his ACO, \u003ca href=\"http://www.integracare.org/\">Integra\u003c/a>.\u003c/p>\n\u003cp>“I think, if there’s a real change in direction away from these alternative payment models, we will be assuming risk to care for a population,” Keefe says.”We have invested enormously to be successful in this area.”\u003c/p>\n\u003cp>But these seismic changes in the way hospitals do business were predicated, he adds, on long-term support from the federal government — support that might disappear if the ACA is repealed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR’s reporting partnership with NPR, Rhode Island Public Radio and Kaiser Health News. The Kaiser Family Foundation supports Kaiser Health News, an editorially independent program that produces news reports heard on NPR and published on \u003c/em>\u003ca href=\"http://NPR.org\">NPR.org\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 Rhode Island Public Radio. To see more, visit \u003ca href=\"http://www.ripr.org/\">Rhode Island Public Radio\u003c/a>.\u003cimg decoding=\"async\" src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospitals+Worry+Repeal+Of+Obamacare+Would+Jeopardize+Innovations+In+Care&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/futureofyou/329824/hospitals-innovations-at-risk-from-obamacare-repeal",
"authors": [
"byline_futureofyou_329824"
],
"categories": [
"futureofyou_452",
"futureofyou_1",
"futureofyou_73"
],
"featImg": "futureofyou_329825",
"label": "source_futureofyou_329824"
},
"stateofhealth_287935": {
"type": "posts",
"id": "stateofhealth_287935",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "287935",
"score": null,
"sort": [
1485468243000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 3041
},
"blocks": [],
"publishDate": 1485468243,
"format": "standard",
"disqusTitle": "California’s Undocumented Kids—Why They Could be First to Lose Medical Care Under Trump",
"title": "California’s Undocumented Kids—Why They Could be First to Lose Medical Care Under Trump",
"headTitle": "CALmatters | State of Health | KQED News",
"content": "\u003cp>On a recent rainy morning in Los Angeles, Maria Bernal’s stove clicks to life with a bright blue flame to toast bread on a griddle for her 9-year-old son Edwin to smear with peanut butter. As she scoops papaya chunks into the blender for a smoothie, she recalls her worry during all the years when she couldn’t afford health care and he suffered painful ear infections.\u003c/p>\n\u003cp>The waiting six months to get an appointment for Edwin at a county facility. The nights trying to calm him as he cried in constant pain. The months-long wait for each of three surgeries to insert tubes into his ears. The fear when the medical bills arrived.\u003c/p>\n\u003cp>At the time, she couldn’t afford health care, and he wasn't eligible for regular government-funded Medi-Cal coverage because she had brought Edwin to the United States illegally from Mexico when he was 1. He qualified for a local program and emergency Medi-Cal, but that didn’t provide all the care he needed. Then last year, she heard on TV that California was \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/SB75/SB75_EE_Plan_032116_Final.PDF\" target=\"_blank\">creating a new program\u003c/a> under Medi-Cal to fully cover poor undocumented children. Relieved, she rushed to sign Edwin up. As a result, she says, “I can take him in whenever he needs to go.”\u003c/p>\n\u003cp>Now, however, the ability of Edwin and some 164,000 poor undocumented California children to see a doctor for regular medical care hangs in the balance—with several experts predicting they could be among the first to lose health coverage if the Trump administration carries out its promise to end much of Obamacare, leaving California to try to make up the difference.\u003c/p>\n\u003cp>To be clear, the federal government does pay \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014b.aspx\" target=\"_blank\">limited medical costs\u003c/a> for kids in the country illegally under the restricted-scope Medi-Cal program, which is available to anyone regardless of immigration status for emergency and prenatal services only. Last May, however, California became one of a handful of states to provide \u003ca href=\"http://www.scpr.org/programs/take-two/2016/04/21/48148/medi-cal-for-immigrant-kids-in-us-illegally-starts/\" target=\"_blank\">state-funded full-scope Medi-Cal\u003c/a>, California’s Medicaid program. About 71 percent of the program is funded by the state, according to the state \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB-75.aspx\" target=\"_blank\">Department of Health Care Services\u003c/a>, with 29 percent paid for out of \u003ca href=\"https://www.medicaid.gov/medicaid/outreach-and-enrollment/downloads/overview-of-eligibility-for-non-citizens-in-medicaid-and-chip.pdf\" target=\"_blank\">federal funds\u003c/a> for emergency coverage. Also of note: Because the federal government funds emergency services, the state shares enrollee information with federal health officials.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In his most recent \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/BudgetSummary/FullBudgetSummary.pdf\" target=\"_blank\">budget proposal\u003c/a>, Gov. Jerry Brown allocated $279.5 million to cover approximately 185,000 kids in the coming year in what the state has dubbed its Health for All Kids program—double what the program was estimated to cost when it was approved.\u003c/p>\n\u003cp>With the election of Donald Trump, who took office last week, some health policy experts and advocates say the fledgling program is in danger. Assuming the new administration carries out plans to change how Medicaid is funded, California could stand to lose $17 billion the federal government currently provides for the Medi-Cal expansion that California adopted under the Affordable Care Act.\u003c/p>\n\u003cp>Such a cut would leave state leaders unable to fully make up the funding difference—and could force them to revisit a decades-old debate over whether the state has an obligation to care for sick children regardless of their immigration status, or should focus limited resources on citizens and legal residents.\u003c/p>\n\u003cp>It’s impossible to precisely predict the ripple effects. But, said Nancy Gomez, organizing director of the health advocacy organization \u003ca href=\"http://Health%20Access%20California\" target=\"_blank\">Health Access California\u003c/a>: “The first things that are going to go are these optional programs. They are not optional to us. But Health for All Kids are discretionary funds and they may be the first to go.”\u003c/p>\n\u003cp>Trying to make up the gap will be nearly impossible, experts say.\u003c/p>\n\u003cp>“These federal cuts to the broader Medi-Cal program would force California policymakers to make some difficult decisions—raise revenue by unprecedented amounts to maintain the current program, cut benefits, reduce eligibility, or make other cuts to the program,” said Laurel Lucia, manager of the Health Care Program at the UC Berkeley \u003ca href=\"http://laborcenter.berkeley.edu/\" target=\"_blank\">Center for Labor Research and Education\u003c/a>. But, she acknowledged, “if the Legislature decides to take a 'last in, first out' approach to making eligibility cuts in response to federal cuts, state-funded Medi-Cal for undocumented kids would especially be at risk because the expansion started less than one year ago.”\u003c/p>\n\u003cp>That’s as is should be, according to those who insist that anyone in the country illegally should not receive state resources—especially if funding is cut short.\u003c/p>\n\u003cp>“Sacramento should be focused on helping American citizens,” said Robin Hvidston, executive director of \u003ca href=\"https://wethepeoplerising.wordpress.com/\" target=\"_blank\">We The People Rising\u003c/a>, a Claremont-based organization that fights against legislation that it says promotes illegal immigration. The group opposed the expansion, which she contends is merely an open invitation for illegal immigration.\u003c/p>\n\u003cp>“It’s a program our state cannot afford,” she said. “We have a burgeoning homeless crisis in this state, we have disabled people in this state that need help. This energy and our tax dollars should be going to help our suffering American citizens in this state and not those here illegally.”\u003c/p>\n\u003cp>Nonetheless, the lawmaker who \u003ca href=\"https://calmatters.org/articles/californias-undocumented-kidswhy-they-could-be-first-to-lose-medical-care-under-trump/\" target=\"_blank\">authored\u003c/a> the expansion to cover undocumented children, Democratic Sen. Ricardo Lara of Los Angeles, has vowed to protect them.\u003c/p>\n\u003cp>“I will fight to ensure that they remain a priority population in terms of receiving adequate healthcare and meeting their health needs,” Lara said. “It makes economic sense, it’s the moral thing to do.”\u003c/p>\n\u003cp>But in an unmistakable sign that the Democratic-controlled state is changing tactics in response to a less receptive White House, California recently \u003ca href=\"http://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\" target=\"_blank\">retracted\u003c/a> its request for a federal waiver that it had hoped would allow undocumented immigrants of all ages to buy unsubsidized health care via California’s Affordable Care Act exchange. Lara labeled it the “first California casualty of the Trump presidency.”\u003c/p>\n\u003cp>He said the state could always renew its quest for such a waiver, but won’t until it first ensures that the state can protect the data immigrants would be sharing with the federal government by using the health exchange.\u003c/p>\n\u003cp>“It’s very clear and apparent that we are dealing with a hostile administration toward our immigration community,” Lara said. “Given the fact that we are working currently on legislation to protect the privacy of the immigrant communities, we felt that it was appropriate to pull the waiver and focus on the fights ahead with the incoming administration.”\u003c/p>\n\u003cp>President Trump and the Republican-controlled Congress favor establishing caps on Medicaid and changing funding to a block grant formula that sets limits on total spending per state regardless of how many people are in the program. Currently it is funded as an entitlement for all enrollees who qualify.\u003c/p>\n\u003cp>Medicaid is the largest insurer in the country, with 73 million people enrolled, mostly low-income or disabled. In California, 13.5 million people are on Medi-Cal, or roughly one in three Californians. The program grew by 3.6 million people when it was expanded under the Affordable Care Act.\u003c/p>\n\u003cp>A study by the Center on Budget and Policy Priorities found that the proposals to reorganize Medicaid funding would decrease funding by one-third to one-half within a decade.\u003c/p>\n\u003cp>Such federal cuts would trigger a cascade of effects, said Senate President Pro Tem Kevin de Leon (D-Los Angeles).\u003c/p>\n\u003cp>“If the Trump administration decides to remove and take away access to quality healthcare that could possibly drive a budget deficit—and if you drive a budget deficit that means cuts would have to be made,” he said at a health care rally in Los Angeles after the November election. “If cuts have to be made that means other people could be hurt.”\u003c/p>\n\u003cp>But others aren’t ready to concede that outcome, and say there are likely alternatives the state can employ to keep as many people covered as possible.\u003c/p>\n\u003cp>“The reality is if Congress has enough votes to change the Medicaid program into a block grant program, California will struggle to maintain its commitment to the 13.5 million people currently covered,” said Gerald Kominski, director of the UCLA Center for Health Policy Research. “I suspect the governor and Legislature will give higher priority to cutting covered services rather than cutting the number of beneficiaries.”\u003c/p>\n\u003cp>Sen. Lara said he hopes the state resists choosing one group over another—adding that he plans to suggest cutting coverage, as the state has done during lean times, or increasing eligibility thresholds in his fight to keep health care for the neediest across all groups, including undocumented children.\u003c/p>\n\u003cp>As for 9-year-old Edwin Bernal, he says going to the doctor more often is good for him because of his hearing challenges and ear tubes.\u003c/p>\n\u003cfigure id=\"attachment_287952\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg\" alt=\"Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-287952\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger. \u003ccite>(Maria J. Avila/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My friends talk to me and I’m like ‘what, what,’ because I can’t hear them that good,” he said. “Same with my mom, she tells me something and I don’t really hear her and I don’t do the stuff she tells me because I can’t hear. So it’s better, I can hear her and I’m not getting in more trouble.”\u003c/p>\n\u003cp>If kids like Edwin lose Medi-Cal overage, their health care will depend largely on where they live. \u003c/p>\n\u003cp>In Los Angeles, the county offers a basic low-cost program to everyone regardless of immigration status and emergency Medi-Cal is expected to still be available. Private insurer Kaiser Permanente also offers a community benefit program for kids without legal status who live near their facilities.\u003c/p>\n\u003cp>“It’s going to be a challenge for us and the patients,” said Chona de Leon, senior vice president and chief operating officer at Eisner Pediatric & Family Center, in downtown Los Angeles, where Edwin has received care since he was a baby. \u003c/p>\n\u003cp>Clinics like Eisner would lose the increased funding that has come from previously uninsured patients getting access through the Affordable Care Act. de Leon says they would continue to serve uninsured patients as they always have, although they would have to work hard to find outside funding and donations.\u003c/p>\n\u003cp>But in 11 California counties, including Orange and San Diego, there are no programs for undocumented families to find care for their children outside of charitable clinics and hospital emergency rooms.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California’s policies and politics.\u003cbr>\n\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "287935 https://ww2.kqed.org/stateofhealth/?p=287935",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2017/01/26/californias-undocumented-kids-why-they-could-be-first-to-lose-medical-care-under-trump/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1837,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 37
},
"modified": 1485468585,
"excerpt": "A medical plan covering some 164,000 poor undocumented California children hangs in the balance. Both experts and families fear a cut-off if the Trump administration carries out its promise to end much of Obamacare. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A medical plan covering some 164,000 poor undocumented California children hangs in the balance. Both experts and families fear a cut-off if the Trump administration carries out its promise to end much of Obamacare. ",
"title": "California’s Undocumented Kids—Why They Could be First to Lose Medical Care Under Trump | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "California’s Undocumented Kids—Why They Could be First to Lose Medical Care Under Trump",
"datePublished": "2017-01-26T14:04:03-08:00",
"dateModified": "2017-01-26T14:09:45-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "californias-undocumented-kids-why-they-could-be-first-to-lose-medical-care-under-trump",
"status": "publish",
"nprByline": "\u003ca href=\"https://calmatters.org/about/staff/elizabeth-aguilera/\">\u003cstrong>Elizabeth Aguilera\u003c/a>\u003c/strong>\u003cbr/>\u003ca href=\"https://calmatters.org/\">CALmatters\u003c/a>",
"path": "/stateofhealth/287935/californias-undocumented-kids-why-they-could-be-first-to-lose-medical-care-under-trump",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On a recent rainy morning in Los Angeles, Maria Bernal’s stove clicks to life with a bright blue flame to toast bread on a griddle for her 9-year-old son Edwin to smear with peanut butter. As she scoops papaya chunks into the blender for a smoothie, she recalls her worry during all the years when she couldn’t afford health care and he suffered painful ear infections.\u003c/p>\n\u003cp>The waiting six months to get an appointment for Edwin at a county facility. The nights trying to calm him as he cried in constant pain. The months-long wait for each of three surgeries to insert tubes into his ears. The fear when the medical bills arrived.\u003c/p>\n\u003cp>At the time, she couldn’t afford health care, and he wasn't eligible for regular government-funded Medi-Cal coverage because she had brought Edwin to the United States illegally from Mexico when he was 1. He qualified for a local program and emergency Medi-Cal, but that didn’t provide all the care he needed. Then last year, she heard on TV that California was \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Documents/SB75/SB75_EE_Plan_032116_Final.PDF\" target=\"_blank\">creating a new program\u003c/a> under Medi-Cal to fully cover poor undocumented children. Relieved, she rushed to sign Edwin up. As a result, she says, “I can take him in whenever he needs to go.”\u003c/p>\n\u003cp>Now, however, the ability of Edwin and some 164,000 poor undocumented California children to see a doctor for regular medical care hangs in the balance—with several experts predicting they could be among the first to lose health coverage if the Trump administration carries out its promise to end much of Obamacare, leaving California to try to make up the difference.\u003c/p>\n\u003cp>To be clear, the federal government does pay \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/Medi-CalFAQs2014b.aspx\" target=\"_blank\">limited medical costs\u003c/a> for kids in the country illegally under the restricted-scope Medi-Cal program, which is available to anyone regardless of immigration status for emergency and prenatal services only. Last May, however, California became one of a handful of states to provide \u003ca href=\"http://www.scpr.org/programs/take-two/2016/04/21/48148/medi-cal-for-immigrant-kids-in-us-illegally-starts/\" target=\"_blank\">state-funded full-scope Medi-Cal\u003c/a>, California’s Medicaid program. About 71 percent of the program is funded by the state, according to the state \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB-75.aspx\" target=\"_blank\">Department of Health Care Services\u003c/a>, with 29 percent paid for out of \u003ca href=\"https://www.medicaid.gov/medicaid/outreach-and-enrollment/downloads/overview-of-eligibility-for-non-citizens-in-medicaid-and-chip.pdf\" target=\"_blank\">federal funds\u003c/a> for emergency coverage. Also of note: Because the federal government funds emergency services, the state shares enrollee information with federal health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In his most recent \u003ca href=\"http://www.ebudget.ca.gov/2017-18/pdf/BudgetSummary/FullBudgetSummary.pdf\" target=\"_blank\">budget proposal\u003c/a>, Gov. Jerry Brown allocated $279.5 million to cover approximately 185,000 kids in the coming year in what the state has dubbed its Health for All Kids program—double what the program was estimated to cost when it was approved.\u003c/p>\n\u003cp>With the election of Donald Trump, who took office last week, some health policy experts and advocates say the fledgling program is in danger. Assuming the new administration carries out plans to change how Medicaid is funded, California could stand to lose $17 billion the federal government currently provides for the Medi-Cal expansion that California adopted under the Affordable Care Act.\u003c/p>\n\u003cp>Such a cut would leave state leaders unable to fully make up the funding difference—and could force them to revisit a decades-old debate over whether the state has an obligation to care for sick children regardless of their immigration status, or should focus limited resources on citizens and legal residents.\u003c/p>\n\u003cp>It’s impossible to precisely predict the ripple effects. But, said Nancy Gomez, organizing director of the health advocacy organization \u003ca href=\"http://Health%20Access%20California\" target=\"_blank\">Health Access California\u003c/a>: “The first things that are going to go are these optional programs. They are not optional to us. But Health for All Kids are discretionary funds and they may be the first to go.”\u003c/p>\n\u003cp>Trying to make up the gap will be nearly impossible, experts say.\u003c/p>\n\u003cp>“These federal cuts to the broader Medi-Cal program would force California policymakers to make some difficult decisions—raise revenue by unprecedented amounts to maintain the current program, cut benefits, reduce eligibility, or make other cuts to the program,” said Laurel Lucia, manager of the Health Care Program at the UC Berkeley \u003ca href=\"http://laborcenter.berkeley.edu/\" target=\"_blank\">Center for Labor Research and Education\u003c/a>. But, she acknowledged, “if the Legislature decides to take a 'last in, first out' approach to making eligibility cuts in response to federal cuts, state-funded Medi-Cal for undocumented kids would especially be at risk because the expansion started less than one year ago.”\u003c/p>\n\u003cp>That’s as is should be, according to those who insist that anyone in the country illegally should not receive state resources—especially if funding is cut short.\u003c/p>\n\u003cp>“Sacramento should be focused on helping American citizens,” said Robin Hvidston, executive director of \u003ca href=\"https://wethepeoplerising.wordpress.com/\" target=\"_blank\">We The People Rising\u003c/a>, a Claremont-based organization that fights against legislation that it says promotes illegal immigration. The group opposed the expansion, which she contends is merely an open invitation for illegal immigration.\u003c/p>\n\u003cp>“It’s a program our state cannot afford,” she said. “We have a burgeoning homeless crisis in this state, we have disabled people in this state that need help. This energy and our tax dollars should be going to help our suffering American citizens in this state and not those here illegally.”\u003c/p>\n\u003cp>Nonetheless, the lawmaker who \u003ca href=\"https://calmatters.org/articles/californias-undocumented-kidswhy-they-could-be-first-to-lose-medical-care-under-trump/\" target=\"_blank\">authored\u003c/a> the expansion to cover undocumented children, Democratic Sen. Ricardo Lara of Los Angeles, has vowed to protect them.\u003c/p>\n\u003cp>“I will fight to ensure that they remain a priority population in terms of receiving adequate healthcare and meeting their health needs,” Lara said. “It makes economic sense, it’s the moral thing to do.”\u003c/p>\n\u003cp>But in an unmistakable sign that the Democratic-controlled state is changing tactics in response to a less receptive White House, California recently \u003ca href=\"http://khn.org/news/california-withdraws-bid-to-allow-undocumented-immigrants-to-buy-unsubsidized-obamacare-plans/\" target=\"_blank\">retracted\u003c/a> its request for a federal waiver that it had hoped would allow undocumented immigrants of all ages to buy unsubsidized health care via California’s Affordable Care Act exchange. Lara labeled it the “first California casualty of the Trump presidency.”\u003c/p>\n\u003cp>He said the state could always renew its quest for such a waiver, but won’t until it first ensures that the state can protect the data immigrants would be sharing with the federal government by using the health exchange.\u003c/p>\n\u003cp>“It’s very clear and apparent that we are dealing with a hostile administration toward our immigration community,” Lara said. “Given the fact that we are working currently on legislation to protect the privacy of the immigrant communities, we felt that it was appropriate to pull the waiver and focus on the fights ahead with the incoming administration.”\u003c/p>\n\u003cp>President Trump and the Republican-controlled Congress favor establishing caps on Medicaid and changing funding to a block grant formula that sets limits on total spending per state regardless of how many people are in the program. Currently it is funded as an entitlement for all enrollees who qualify.\u003c/p>\n\u003cp>Medicaid is the largest insurer in the country, with 73 million people enrolled, mostly low-income or disabled. In California, 13.5 million people are on Medi-Cal, or roughly one in three Californians. The program grew by 3.6 million people when it was expanded under the Affordable Care Act.\u003c/p>\n\u003cp>A study by the Center on Budget and Policy Priorities found that the proposals to reorganize Medicaid funding would decrease funding by one-third to one-half within a decade.\u003c/p>\n\u003cp>Such federal cuts would trigger a cascade of effects, said Senate President Pro Tem Kevin de Leon (D-Los Angeles).\u003c/p>\n\u003cp>“If the Trump administration decides to remove and take away access to quality healthcare that could possibly drive a budget deficit—and if you drive a budget deficit that means cuts would have to be made,” he said at a health care rally in Los Angeles after the November election. “If cuts have to be made that means other people could be hurt.”\u003c/p>\n\u003cp>But others aren’t ready to concede that outcome, and say there are likely alternatives the state can employ to keep as many people covered as possible.\u003c/p>\n\u003cp>“The reality is if Congress has enough votes to change the Medicaid program into a block grant program, California will struggle to maintain its commitment to the 13.5 million people currently covered,” said Gerald Kominski, director of the UCLA Center for Health Policy Research. “I suspect the governor and Legislature will give higher priority to cutting covered services rather than cutting the number of beneficiaries.”\u003c/p>\n\u003cp>Sen. Lara said he hopes the state resists choosing one group over another—adding that he plans to suggest cutting coverage, as the state has done during lean times, or increasing eligibility thresholds in his fight to keep health care for the neediest across all groups, including undocumented children.\u003c/p>\n\u003cp>As for 9-year-old Edwin Bernal, he says going to the doctor more often is good for him because of his hearing challenges and ear tubes.\u003c/p>\n\u003cfigure id=\"attachment_287952\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg\" alt=\"Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger.\" width=\"800\" height=\"533\" class=\"size-medium wp-image-287952\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/01/UNDOCUMENTED-KIDS-Photo-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Maria Bernal, 30, cooks breakfast for her son Edwin Bernal, 9, before school at their home in Los Angeles. His mother fears that under the Trump administration the program will be in danger. \u003ccite>(Maria J. Avila/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“My friends talk to me and I’m like ‘what, what,’ because I can’t hear them that good,” he said. “Same with my mom, she tells me something and I don’t really hear her and I don’t do the stuff she tells me because I can’t hear. So it’s better, I can hear her and I’m not getting in more trouble.”\u003c/p>\n\u003cp>If kids like Edwin lose Medi-Cal overage, their health care will depend largely on where they live. \u003c/p>\n\u003cp>In Los Angeles, the county offers a basic low-cost program to everyone regardless of immigration status and emergency Medi-Cal is expected to still be available. Private insurer Kaiser Permanente also offers a community benefit program for kids without legal status who live near their facilities.\u003c/p>\n\u003cp>“It’s going to be a challenge for us and the patients,” said Chona de Leon, senior vice president and chief operating officer at Eisner Pediatric & Family Center, in downtown Los Angeles, where Edwin has received care since he was a baby. \u003c/p>\n\u003cp>Clinics like Eisner would lose the increased funding that has come from previously uninsured patients getting access through the Affordable Care Act. de Leon says they would continue to serve uninsured patients as they always have, although they would have to work hard to find outside funding and donations.\u003c/p>\n\u003cp>But in 11 California counties, including Orange and San Diego, there are no programs for undocumented families to find care for their children outside of charitable clinics and hospital emergency rooms.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California’s policies and politics.\u003cbr>\n\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/287935/californias-undocumented-kids-why-they-could-be-first-to-lose-medical-care-under-trump",
"authors": [
"byline_stateofhealth_287935"
],
"categories": [
"stateofhealth_166",
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_294",
"stateofhealth_2808",
"stateofhealth_2519",
"stateofhealth_3040"
],
"affiliates": [
"stateofhealth_3041"
],
"featImg": "stateofhealth_287950",
"label": "stateofhealth_3041"
},
"futureofyou_322609": {
"type": "posts",
"id": "futureofyou_322609",
"meta": {
"index": "posts_1716263798",
"site": "futureofyou",
"id": "322609",
"score": null,
"sort": [
1485371139000
]
},
"parent": 0,
"labelTerm": {},
"blocks": [],
"publishDate": 1485371139,
"format": "standard",
"disqusTitle": "Obamacare Architect Says Silicon Valley Tech Won't Steer Health Care",
"title": "Obamacare Architect Says Silicon Valley Tech Won't Steer Health Care",
"headTitle": "KQED Future of You | KQED Science",
"content": "\u003cp>Ezekiel Emanuel is one of the architects of the Affordable Care Act, aka Obamacare, aka \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/17/510281627/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-rep\" target=\"_blank\" rel=\"noopener\">dead-plan-walking\u003c/a>.\u003c/p>\n\u003cp>He's also a \"techno-skeptic,\" as he called himself the other day during an \u003ca href=\"http://audio.californiareport.org/archive/R201701170850/b\" target=\"_blank\" rel=\"noopener\">interview\u003c/a> with KQED health editor Carrie Feibel. When Feibel asked him if there should be any role to play for the \"data gurus of Silicon Valley\" in whatever comes after the ACA, he literally laughed.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I do think there is an important role for tech, but I think the role is probably not what many of the startup companies around here are thinking of.'\u003ccite>Ezekiel Emanuel\u003c/cite>\u003c/aside>\n\u003cp>\"I do think there is an important role for tech, but I think the role is probably not what many of the startup companies around here are thinking of,\" he said, \"around here\" meaning San Francisco and Silicon Valley. Emanuel said tech should play a support role that \"augments\" what health care providers do, providing better data about the patient and where health care funds are spent.\u003c/p>\n\u003cp>\"I am much more skeptical that the computer is going to replace a doctor,\" he said. \"That a computer is going to interface with the patient and take care of them. Not gonna happen.\" (See our posts \"\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/11/07/AI-computers-diagnosis-watson/\" target=\"_blank\" rel=\"noopener\">Will Computers Ever Be as Good as Physicians at Diagnosing Patients\u003c/a>\" and \"\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/02/03/virtual_care_clinic_usc/\" target=\"_blank\" rel=\"noopener\">Would You See a Holographic Doctor?\" \u003c/a>for high hopes surrounding digital docs.)\u003c/p>\n\u003cp>Emanuel said he's also not big on efforts to achieve continuous patient monitoring for health indicators like glucose level and blood pressure. He cited the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/10/fitbit-study/\" target=\"_blank\" rel=\"noopener\">failure of Fitbits and other wearable tech\u003c/a> to improve health outcomes in research studies.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It’s not that we don’t have information,\" he said. \"The problem is what do you do once you have the information. And there, tech is not going to be the key thing. Medicine fundamentally is about human interaction. That is really the most important challenge, and I don’t think the tech sector has locked onto that part of it.\"\u003c/p>\n\u003cp>This sort of digital contrarianism is not unheard of in the health care biz, even at events and panels where tech-oriented medicine is the focus. Last September, for instance, at the Stanford Medicine X conference, Stephen Downs, the chief technical officer at the Robert Wood Johnson Foundation, said digital health companies\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/09/29/analysis-digital-health-companies-arent-solving-the-right-problems/\" target=\"_blank\" rel=\"noopener\"> weren't focused on solving the right problems\u003c/a>. From a report by KQED's Lesley McClurg:\u003c/p>\n\u003cblockquote>\u003cp>In this age of the Fitbit, Downs said, digital health companies are focused on monitoring the consequences of our \u003ca href=\"http://stateofobesity.org/physical-inactivity/\" target=\"_blank\" rel=\"noopener\">notoriously sedentary lifestyles. \u003c/a>But what is really called for from innovators is to stop treating symptoms and start remedying the roots of the problem.\u003c/p>\n\u003cp>“The system needs to be re-engineered,” said Downs. ... “We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.”\u003c/p>\u003c/blockquote>\n\u003cp>Instead of a focus on monitoring, he said, engineers and designers need to incorporate solutions --such as enabling urban farming --to core health problems like obesity and heart disease. \u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Policy Versus Scientific Advances\u003c/strong>\u003c/p>\n\u003cp>Several times now at conferences I've witnessed one expert or another--in the midst of a coterie of big data boosters and monitoring mavens, no less--offer up a kind of indirect scolding by cautioning that the best way to improve health is not via smartphones, but smart policy.\u003c/p>\n\u003cp>That dichotomy to some degree echoes a conversation I once had with a longtime health journalist who thought even something as institutionally sanctioned and evidence-based as \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/01/20/time-running-out-california-stem-cell-agency-yet-to-produce-big-results/\" target=\"_blank\" rel=\"noopener\">California's stem cell initiative\u003c/a> was a waste of money, because the funds would have been better directed toward policy prescriptions that address basic health needs.\u003c/p>\n\u003cp>I asked Emanuel to comment on this point, specifically mentioning stem cells.\u003c/p>\n\u003cp>\"Here's a thought experiment,\" he said. \"You know how many lives stem cells have saved? A tiny number compared to the 2.7 million people [in the U.S.] who die each year.\u003c/p>\n\u003cp>\"Now, how many lives have been saved by the ACA?\" he said. \"I don’t know, but it ain’t zero. I intersect with people all the time who happen to recognize me on the street and say I or a family friend got diagnosed with cancer and got therapy or got a heart transplant or something like that.\u003c/p>\n\u003cp>\"In the future, even under a rosy projection, stem cells will not save tons of people,\" he said. \"If you were to cure every single cancer in the U.S.-- no one in America ever dies again of cancer--we add three years to the average life expectancy. It’s a big improvement but it is not anything close to [gains achieved by] doing the basics.\"\u003c/p>\n\u003cp>The two most effective goals for increasing longevity, he said, would be to reduce smoking even further and to control blood pressure.\u003c/p>\n\u003cp>\"We’re not talking high tech,\" he said. \"There is nothing you can do that is going to come close to those two interventions.\"\u003c/p>\n\u003cp>Of course, medical value depends on your perspective, and Emanuel's is a public health view. Someone suffering from any number of horrendous diseases that stem cell research is targeting is not going to be thinking: \"Boy, what a waste to be chasing stem cell cures. I sure wish they'd divert that money to anti-smoking programs.\"\u003c/p>\n\u003cp>And even on the health tech front, some doctors have come around to viewing digital monitoring devices like \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/17/mobile-ekg-on-a-watchband-is-useful-for-some-say-docs/\" target=\"_blank\" rel=\"noopener\">mobile EKGs\u003c/a> as useful.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for computers versus doctors, physician and author Bob Wachter, has written that radiology may be the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/25/technology-radiology/\" target=\"_blank\" rel=\"noopener\">canary in the coal mine\u003c/a> in terms of algorithms replacing humans.\u003c/p>\n\n",
"disqusIdentifier": "322609 https://ww2.kqed.org/futureofyou/?p=322609",
"disqusUrl": "https://ww2.kqed.org/futureofyou/2017/01/25/obamacare-architect-says-policy-not-tech-should-steer-health-care/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 993,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 24
},
"modified": 1510187555,
"excerpt": "In interviews, Ezekiel Emanuel, a former adviser on health care to President Obama, disses digital health monitoring and even stem cell research. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "In interviews, Ezekiel Emanuel, a former adviser on health care to President Obama, disses digital health monitoring and even stem cell research. ",
"title": "Obamacare Architect Says Silicon Valley Tech Won't Steer Health Care | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Obamacare Architect Says Silicon Valley Tech Won't Steer Health Care",
"datePublished": "2017-01-25T11:05:39-08:00",
"dateModified": "2017-11-08T16:32:35-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "obamacare-architect-says-policy-not-tech-should-steer-health-care",
"status": "publish",
"source": "KQED Future of You",
"path": "/futureofyou/322609/obamacare-architect-says-policy-not-tech-should-steer-health-care",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ezekiel Emanuel is one of the architects of the Affordable Care Act, aka Obamacare, aka \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/17/510281627/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-rep\" target=\"_blank\" rel=\"noopener\">dead-plan-walking\u003c/a>.\u003c/p>\n\u003cp>He's also a \"techno-skeptic,\" as he called himself the other day during an \u003ca href=\"http://audio.californiareport.org/archive/R201701170850/b\" target=\"_blank\" rel=\"noopener\">interview\u003c/a> with KQED health editor Carrie Feibel. When Feibel asked him if there should be any role to play for the \"data gurus of Silicon Valley\" in whatever comes after the ACA, he literally laughed.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I do think there is an important role for tech, but I think the role is probably not what many of the startup companies around here are thinking of.'\u003ccite>Ezekiel Emanuel\u003c/cite>\u003c/aside>\n\u003cp>\"I do think there is an important role for tech, but I think the role is probably not what many of the startup companies around here are thinking of,\" he said, \"around here\" meaning San Francisco and Silicon Valley. Emanuel said tech should play a support role that \"augments\" what health care providers do, providing better data about the patient and where health care funds are spent.\u003c/p>\n\u003cp>\"I am much more skeptical that the computer is going to replace a doctor,\" he said. \"That a computer is going to interface with the patient and take care of them. Not gonna happen.\" (See our posts \"\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/11/07/AI-computers-diagnosis-watson/\" target=\"_blank\" rel=\"noopener\">Will Computers Ever Be as Good as Physicians at Diagnosing Patients\u003c/a>\" and \"\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/02/03/virtual_care_clinic_usc/\" target=\"_blank\" rel=\"noopener\">Would You See a Holographic Doctor?\" \u003c/a>for high hopes surrounding digital docs.)\u003c/p>\n\u003cp>Emanuel said he's also not big on efforts to achieve continuous patient monitoring for health indicators like glucose level and blood pressure. He cited the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/10/fitbit-study/\" target=\"_blank\" rel=\"noopener\">failure of Fitbits and other wearable tech\u003c/a> to improve health outcomes in research studies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It’s not that we don’t have information,\" he said. \"The problem is what do you do once you have the information. And there, tech is not going to be the key thing. Medicine fundamentally is about human interaction. That is really the most important challenge, and I don’t think the tech sector has locked onto that part of it.\"\u003c/p>\n\u003cp>This sort of digital contrarianism is not unheard of in the health care biz, even at events and panels where tech-oriented medicine is the focus. Last September, for instance, at the Stanford Medicine X conference, Stephen Downs, the chief technical officer at the Robert Wood Johnson Foundation, said digital health companies\u003ca href=\"https://ww2.kqed.org/futureofyou/2016/09/29/analysis-digital-health-companies-arent-solving-the-right-problems/\" target=\"_blank\" rel=\"noopener\"> weren't focused on solving the right problems\u003c/a>. From a report by KQED's Lesley McClurg:\u003c/p>\n\u003cblockquote>\u003cp>In this age of the Fitbit, Downs said, digital health companies are focused on monitoring the consequences of our \u003ca href=\"http://stateofobesity.org/physical-inactivity/\" target=\"_blank\" rel=\"noopener\">notoriously sedentary lifestyles. \u003c/a>But what is really called for from innovators is to stop treating symptoms and start remedying the roots of the problem.\u003c/p>\n\u003cp>“The system needs to be re-engineered,” said Downs. ... “We don’t need an app that counts steps, because that really just tells you that your day doesn’t naturally incorporate the time and space to walk.”\u003c/p>\u003c/blockquote>\n\u003cp>Instead of a focus on monitoring, he said, engineers and designers need to incorporate solutions --such as enabling urban farming --to core health problems like obesity and heart disease. \u003cstrong>\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Policy Versus Scientific Advances\u003c/strong>\u003c/p>\n\u003cp>Several times now at conferences I've witnessed one expert or another--in the midst of a coterie of big data boosters and monitoring mavens, no less--offer up a kind of indirect scolding by cautioning that the best way to improve health is not via smartphones, but smart policy.\u003c/p>\n\u003cp>That dichotomy to some degree echoes a conversation I once had with a longtime health journalist who thought even something as institutionally sanctioned and evidence-based as \u003ca href=\"https://ww2.kqed.org/futureofyou/2017/01/20/time-running-out-california-stem-cell-agency-yet-to-produce-big-results/\" target=\"_blank\" rel=\"noopener\">California's stem cell initiative\u003c/a> was a waste of money, because the funds would have been better directed toward policy prescriptions that address basic health needs.\u003c/p>\n\u003cp>I asked Emanuel to comment on this point, specifically mentioning stem cells.\u003c/p>\n\u003cp>\"Here's a thought experiment,\" he said. \"You know how many lives stem cells have saved? A tiny number compared to the 2.7 million people [in the U.S.] who die each year.\u003c/p>\n\u003cp>\"Now, how many lives have been saved by the ACA?\" he said. \"I don’t know, but it ain’t zero. I intersect with people all the time who happen to recognize me on the street and say I or a family friend got diagnosed with cancer and got therapy or got a heart transplant or something like that.\u003c/p>\n\u003cp>\"In the future, even under a rosy projection, stem cells will not save tons of people,\" he said. \"If you were to cure every single cancer in the U.S.-- no one in America ever dies again of cancer--we add three years to the average life expectancy. It’s a big improvement but it is not anything close to [gains achieved by] doing the basics.\"\u003c/p>\n\u003cp>The two most effective goals for increasing longevity, he said, would be to reduce smoking even further and to control blood pressure.\u003c/p>\n\u003cp>\"We’re not talking high tech,\" he said. \"There is nothing you can do that is going to come close to those two interventions.\"\u003c/p>\n\u003cp>Of course, medical value depends on your perspective, and Emanuel's is a public health view. Someone suffering from any number of horrendous diseases that stem cell research is targeting is not going to be thinking: \"Boy, what a waste to be chasing stem cell cures. I sure wish they'd divert that money to anti-smoking programs.\"\u003c/p>\n\u003cp>And even on the health tech front, some doctors have come around to viewing digital monitoring devices like \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/03/17/mobile-ekg-on-a-watchband-is-useful-for-some-say-docs/\" target=\"_blank\" rel=\"noopener\">mobile EKGs\u003c/a> as useful.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As for computers versus doctors, physician and author Bob Wachter, has written that radiology may be the \u003ca href=\"https://ww2.kqed.org/futureofyou/2016/10/25/technology-radiology/\" target=\"_blank\" rel=\"noopener\">canary in the coal mine\u003c/a> in terms of algorithms replacing humans.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/futureofyou/322609/obamacare-architect-says-policy-not-tech-should-steer-health-care",
"authors": [
"80"
],
"categories": [
"futureofyou_1060",
"futureofyou_452",
"futureofyou_1062",
"futureofyou_1",
"futureofyou_73"
],
"tags": [
"futureofyou_1171",
"futureofyou_1173",
"futureofyou_1172",
"futureofyou_680"
],
"featImg": "futureofyou_325331",
"label": "source_futureofyou_322609"
},
"news_11286464": {
"type": "posts",
"id": "news_11286464",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11286464",
"score": null,
"sort": [
1485387102000
]
},
"parent": 0,
"labelTerm": {},
"blocks": [],
"publishDate": 1485387102,
"format": "image",
"disqusTitle": "Hiring Freeze and Obamacare Repeal Could Clobber Veterans Affairs",
"title": "Hiring Freeze and Obamacare Repeal Could Clobber Veterans Affairs",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>As promised, President Trump has moved to dismantle the Affordable Care Act. It's a concern for those who might be left without health insurance — and especially for the Department of Veterans Affairs, which may have to pick up some of the slack.\u003c/p>\n\u003cp>Carrie Farmer, a health policy researcher at the Rand Corp., says 3 million vets who are enrolled in the VA usually get their health care elsewhere — from their employer, or maybe from Obamacare exchanges. If those options go away, she has no idea just how many of those 3 million veterans will move over to the VA.\u003c/p>\n\u003cp>\"I would expect that the number of veterans using VA health care will increase, which will only provide a further challenge for VA to provide timely and accessible care,\" Farmer says.\u003c/p>\n\u003cp>The VA has already seen a surge in usage in the past year, straining what has long been an overtaxed system.\u003c/p>\n\u003cp>That could get worse if the agency can't fill vacancies. Trump signed a federal hiring freeze this week, and while national security is supposed to be exempt, the VA is not. White House spokesman Sean Spicer called it a \"broken\" system.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The VA in particular, if you look at the problems that have plagued people, hiring more people isn't the answer. It's hiring the right people,\" Spicer told reporters on Tuesday.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/304532100\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Just hours after the White House emphasized that there would be no exemption for the VA from the hiring freeze, the acting secretary of the agency, Robert Snyder, seemed to issue a contradiction.\u003c/p>\n\u003cp>\"The Department of Veterans Affairs intends to exempt anyone it deems necessary for public safety, including front-line caregivers,\" he said in a statement.\u003c/p>\n\u003cp>David Shulkin, Trump's nominee to lead the VA, in the past has stressed an urgent need to hire more caregivers. Shulkin has run the VA's health administration for the past two years, and he told NPR this past fall that negative attention to VA caused a 78 percent drop in applications there.\u003c/p>\n\u003cp>\"We have 45,000 job openings. That's too many,\" Shulkin said. \"I need to fill every one of those openings in order to make sure that we're doing the very best for our veterans.\"\u003c/p>\n\u003cp>Shulkin said the VA performs as well or better than private health care systems, but he said that long before he was asked to \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/11/509318144/trump-announces-david-shulkin-as-pick-for-secretary-of-veterans-affairs\" target=\"_blank\">join the Trump administration\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
"disqusIdentifier": "11286464 https://ww2.kqed.org/news/?p=11286464",
"disqusUrl": "https://ww2.kqed.org/news/2017/01/25/hiring-freeze-and-obamacare-repeal-could-clobber-veterans-affairs/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 446,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1485562000,
"excerpt": "If the Affordable Care Act is repealed, some of those left uninsured will be veterans. They may turn to the VA, further burdening a troubled health care system.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "If the Affordable Care Act is repealed, some of those left uninsured will be veterans. They may turn to the VA, further burdening a troubled health care system.",
"title": "Hiring Freeze and Obamacare Repeal Could Clobber Veterans Affairs | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "Hiring Freeze and Obamacare Repeal Could Clobber Veterans Affairs",
"datePublished": "2017-01-25T15:31:42-08:00",
"dateModified": "2017-01-27T16:06:40-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"guestAuthors": [],
"slug": "hiring-freeze-and-obamacare-repeal-could-clobber-veterans-affairs",
"status": "publish",
"nprApiLink": "http://api.npr.org/query?id=511469982&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprStoryDate": "Wed, 25 Jan 2017 04:34:00 -0500",
"nprLastModifiedDate": "Wed, 25 Jan 2017 10:18:40 -0500",
"nprHtmlLink": "http://www.npr.org/2017/01/25/511469982/hiring-freeze-and-obamacare-repeal-could-clobber-veterans-affairs?ft=nprml&f=511469982",
"nprAudio": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170125_me_hiring_freeze_and_obamacare_repeal_could_clobber_veterans_affairs.mp3?orgId=1&topicId=1014&d=126&p=3&story=511469982&t=progseg&e=511537841&seg=4&ft=nprml&f=511469982",
"nprImageAgency": "AP",
"source": "NPR",
"nprAudioM3u": "http://api.npr.org/m3u/1511554882-e0266f.m3u?orgId=1&topicId=1014&d=126&p=3&story=511469982&t=progseg&e=511537841&seg=4&ft=nprml&f=511469982",
"nprStoryId": "511469982",
"sourceUrl": "http://www.npr.org/",
"nprByline": "Quil Lawrence",
"nprImageCredit": "Ross D. Franklin",
"nprRetrievedStory": "1",
"nprPubDate": "Wed, 25 Jan 2017 09:10:00 -0500",
"path": "/news/11286464/hiring-freeze-and-obamacare-repeal-could-clobber-veterans-affairs",
"audioUrl": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170125_me_hiring_freeze_and_obamacare_repeal_could_clobber_veterans_affairs.mp3?orgId=1&topicId=1014&d=126&p=3&story=511469982&t=progseg&e=511537841&seg=4&ft=nprml&f=511469982",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As promised, President Trump has moved to dismantle the Affordable Care Act. It's a concern for those who might be left without health insurance — and especially for the Department of Veterans Affairs, which may have to pick up some of the slack.\u003c/p>\n\u003cp>Carrie Farmer, a health policy researcher at the Rand Corp., says 3 million vets who are enrolled in the VA usually get their health care elsewhere — from their employer, or maybe from Obamacare exchanges. If those options go away, she has no idea just how many of those 3 million veterans will move over to the VA.\u003c/p>\n\u003cp>\"I would expect that the number of veterans using VA health care will increase, which will only provide a further challenge for VA to provide timely and accessible care,\" Farmer says.\u003c/p>\n\u003cp>The VA has already seen a surge in usage in the past year, straining what has long been an overtaxed system.\u003c/p>\n\u003cp>That could get worse if the agency can't fill vacancies. Trump signed a federal hiring freeze this week, and while national security is supposed to be exempt, the VA is not. White House spokesman Sean Spicer called it a \"broken\" system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The VA in particular, if you look at the problems that have plagued people, hiring more people isn't the answer. It's hiring the right people,\" Spicer told reporters on Tuesday.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/304532100&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/304532100'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Just hours after the White House emphasized that there would be no exemption for the VA from the hiring freeze, the acting secretary of the agency, Robert Snyder, seemed to issue a contradiction.\u003c/p>\n\u003cp>\"The Department of Veterans Affairs intends to exempt anyone it deems necessary for public safety, including front-line caregivers,\" he said in a statement.\u003c/p>\n\u003cp>David Shulkin, Trump's nominee to lead the VA, in the past has stressed an urgent need to hire more caregivers. Shulkin has run the VA's health administration for the past two years, and he told NPR this past fall that negative attention to VA caused a 78 percent drop in applications there.\u003c/p>\n\u003cp>\"We have 45,000 job openings. That's too many,\" Shulkin said. \"I need to fill every one of those openings in order to make sure that we're doing the very best for our veterans.\"\u003c/p>\n\u003cp>Shulkin said the VA performs as well or better than private health care systems, but he said that long before he was asked to \u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/11/509318144/trump-announces-david-shulkin-as-pick-for-secretary-of-veterans-affairs\" target=\"_blank\">join the Trump administration\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11286464/hiring-freeze-and-obamacare-repeal-could-clobber-veterans-affairs",
"authors": [
"byline_news_11286464"
],
"programs": [
"news_6944",
"news_72"
],
"categories": [
"news_457",
"news_8",
"news_13"
],
"tags": [
"news_2409",
"news_1323",
"news_3890",
"news_17286",
"news_237",
"news_827"
],
"affiliates": [
"news_253"
],
"featImg": "news_11286470",
"label": "source_news_11286464"
},
"stateofhealth_285454": {
"type": "posts",
"id": "stateofhealth_285454",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "285454",
"score": null,
"sort": [
1484863534000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 3036
},
"blocks": [],
"publishDate": 1484863534,
"format": "standard",
"disqusTitle": "California’s Community Clinics, Big Obamacare Beneficiaries, Worry About Their Future",
"title": "California’s Community Clinics, Big Obamacare Beneficiaries, Worry About Their Future",
"headTitle": "California Healthline | State of Health | KQED News",
"content": "\u003cp>Paula Wilson has seen some tough times in her 23 years as the CEO of Valley Community Healthcare, a clinic that provides care for the poor in North Hollywood, Calif. But nothing was quite like November 9, the day after the U.S. elections, when walking around the office “was like coming into a funeral,” she said.\u003c/p>\n\u003cp>Her staff worried that a repeal of the Affordable Care Act, long promised by Republicans, would obliterate their jobs. Patients fretted it would jeopardize their care.\u003c/p>\n\u003cp>Nearly a third of the clinic’s 25,000 patients were newcomers, many of them recently covered through the expansion of Medi-Cal ushered in by the Affordable Care Act. Thanks to the expansion, Valley Community Healthcare had been growing rapidly, opening one new site, adding on to others, and offering patients new dental and mental health services.\u003c/p>\n\u003cp>What would happen if this new source of financial support were taken away?\u003c/p>\n\u003cp>Wilson didn’t have an answer that day, and she still doesn’t. But she’s hanging on to a cautious hope. “Pretty much that whole first week was getting a grip and assuring people: We’ve been here 46 years and we’re not going anywhere,” she said. “We’ve fought the fight before, and we’ll do it again.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the absence of details about the impact and timing of a possible ACA repeal, Wilson’s brand of determination is all community clinics can count on for now.\u003c/p>\n\u003cp>Republicans, newly empowered by Donald Trump’s ascendance to the White House, have made clear they plan to repeal large parts of the landmark health care law in short order. The timing of any replacement is still uncertain, though political pressure has been growing recently for any void left by a repeal to be quickly filled with a new plan. For the time being, however, consumers are unlikely to see big changes in their health care.\u003c/p>\n\u003cp>Community clinics are key providers of primary care services for the poor. CaliforniaHealth+ Advocates, which represents the state’s clinics, estimates that they serve 6.2 million Californians — an increase of more than a million in less than five years. Today, more than 3.5 million community clinic patients are covered by Medi-Cal, California’s version of Medicaid, the federal health insurance program for people with low incomes.\u003c/p>\n\u003cp>More than half of patients who signed up for Medi-Cal after the advent of the ACA have gotten their primary care at community clinics, according to a December 2015 \u003ca href=\"http://www.chcf.org/publications/2015/12/medical-winwin-surging-enrollment\" target=\"_blank\">report\u003c/a> by the California Health Care Foundation. (California Healthline is an editorially independent service of the California Health Care Foundation.)\u003c/p>\n\u003cp>Historically supported by Democrats and Republicans alike, community clinics worked hard to implement Obamacare reforms, and they benefited as a result. Many, like Valley Community Healthcare, helped enroll patients and expanded their services, taking advantage of special ACA funding that enabled them to improve their facilities and systems of care.\u003c/p>\n\u003cp>The \u003ca href=\"http://khn.org/news/obamacare-boosted-community-health-centers-reach-now-what/\" target=\"_blank\">same scenario\u003c/a> has played out nationwide at many of 1,400 federally backed community health centers — a type of community clinic — according to two studies published recently in the journal \u003ca href=\"http://www.healthaffairs.org/\" target=\"_blank\">Health Affairs\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"http://content.healthaffairs.org/content/36/1/49.abstract\" target=\"_blank\">One of the studies\u003c/a>, which used data from 2012 to 2015 to track visits to community health centers, showed that in states that adopted the Medicaid expansion, the centers saw more patient visits, including those for mental health treatment, and lower rates of uninsured patients — a financial boon for clinics that typically operate on thin margins.\u003c/p>\n\u003cp>The second \u003ca href=\"http://content.healthaffairs.org/content/36/1/40.abstract\" target=\"_blank\">study\u003c/a> which examined data from 2011 to 2014, found that in the Medicaid expansion states, patients were more likely to receive asthma treatment when it was needed, have their body mass index assessed, get pap smears and keep their blood pressure relatively stable.\u003c/p>\n\u003cp>Proponents of the health reform law in California had hoped the expansion of community clinics would provide primary care for more patients, thus reducing expensive emergency room visits at safety-net hospitals.\u003c/p>\n\u003cp>“Health centers have been the poster child of positively embracing the ACA. They’ve gone along with everything,” said Blue Shield of California Foundation CEO Peter Long, whose organization supports the clinics. But without clarity about where funding will come from in the future, or how much of it there will be, it’s possible that clinics will “go into hunker-down mode,” he added. That could mean limiting hours, reinstating waiting lists for new patients and cutting promising new programs.\u003c/p>\n\u003cp>Implementing Obamacare “put a lot of stress on their systems,” Long said. “To unwind it would be equally hard.”\u003c/p>\n\u003cfigure class=\"layout-lg carousel-article carousel slide carousel-article-1\">\n\u003col class=\"carousel-indicators\">\n\u003cli class=\"active\">\n\u003cli>\n\u003cli>\n\u003c/ol>\n\u003cdiv class=\"carousel-inner\">\n\u003cdiv class=\"item active\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-1_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">Paula Wilson, CEO of Valley Community Healthcare, says she has seen some tough times in her 23 years at the clinic which provides care for the poor in the area. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003cdiv class=\"item\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-2_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">The staff at Valley Community Healthcare worry that a promised Republican repeal of the Affordable Care Act would jeopardize the care offered to the 7,400 patients currently under the law. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003cdiv class=\"item\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-3_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">Nearly a third of Valley Community Healthcare’s 25,000 customers are newcomers. Many had only recently secured health coverage through the Medicaid expansion provisions of the Affordable Care Act. After the election, Wilson spent the week assuring her customers: “We’ve been here 46 years and we’re not going anywhere,” said Wilson. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003c/div>\n\u003cp>\u003ca class=\"left carousel-control\" href=\".carousel-article.carousel-article-1\">\u003cspan class=\"btn-prev\">\u003c/span>\u003c/a>\u003ca class=\"right carousel-control\" href=\".carousel-article.carousel-article-1\">\u003cspan class=\"btn-next\">\u003c/span>\u003c/a>\u003c/p>\u003c/figure>\n\u003cp>Wilson and other clinic CEOs said they’re trying to anticipate worst-case scenarios and plan accordingly, but that’s hard when Congress hasn’t specified what changes it is planning, or when to expect them.\u003c/p>\n\u003cp>“Right now it’s all crystal ball gazing,” said Steven Wallace, associate director of the UCLA Center for Health Policy Research. “‘Repeal and replace’ is a great slogan, but ‘replace’ is really hard to figure out.”\u003c/p>\n\u003cp>Community clinic leaders say they’re focusing on several \u003ca href=\"http://khn.org/news/millions-could-lose-medicaid-coverage-under-trump-plan/\" target=\"_blank\">funding challenges\u003c/a>. First is a potential rollback of the ACA’s Medicaid expansion program, which extended new coverage to about 20 million people in the U.S., including more than 5 million in California, said Carmela Castellano-Garcia, CEO of CaliforniaHealth+ Advocates.\u003c/p>\n\u003cp>Some also worry that shifting Medicaid to a block grant system, an idea President-elect Trump has endorsed, would result in cuts to services; or that Congress could decline to reauthorize “330 funding” — an additional $5 billion community clinics receive each year from the federal government. That stream of federal dollars is set to expire in September of 2017.\u003c/p>\n\u003cp>That funding, in addition to payments from the Medi-Cal expansion, allowed the Los Angeles Christian Health Centers to add medical, mental health, dental and case management staff and open two new sites.\u003c/p>\n\u003cp>The clinic, headquartered on Skid Row in downtown Los Angeles, also launched a fundraising campaign to revamp and enlarge its flagship facility. But CEO Dr. Lisa Abdishoo now worries that some financial assumptions made in planning the expansion may no longer apply after Trump takes office on Friday. “We’re trying not to panic, but now we have to question the sustainability of some of the growth,” she said.\u003c/p>\n\u003cp>Health care advocates have advised community clinics that they may need to “look at 2009 levels” to plan for post-ACA operations, Abdishoo said. That year, Los Angeles Christian Health Centers served 6,600 patients a year, compared to 10,000 today.\u003c/p>\n\u003cp>Jane Garcia, CEO of La Clínica De La Raza, a 32-site clinic network in Alameda, Contra Costa and Solano Counties, said her organization could lose ground on hard-fought cost reductions if people’s insurance is taken away and they revert to their old behavior of seeking care only when they are very sick.\u003c/p>\n\u003cp>“Patients who don’t have coverage hesitate to come in and see the doctor, and they hesitate to seek preventive care,” Garcia said. “That’s the kind of thing that was starting to have an impact on bending the curve on cost reduction.”\u003c/p>\n\u003cp>ACA-related grants allowed La Clínica’s health centers to improve case management and collaborate more effectively with partners such as Sutter Health, which also saved money by reducing the number of patients seeking primary care in emergency rooms. La Clínica would probably have to cut such administrative efforts were the ACA repealed, Garcia said.\u003c/p>\n\u003cp>Pamela Richardson, a 60-year-old patient of Valley Community Healthcare who suffers from an iron absorption disorder called hereditary hemochromatosis, was unable to get health insurance before Obamacare prohibited insurers from excluding people with preexisting medical conditions. The clinic helped her sign up for coverage through the Medi-Cal expansion.\u003c/p>\n\u003cp>Once Richardson was covered, she got long-delayed primary care, which revealed that she had “scary high” blood pressure and a lump in one breast (which proved benign). “When you don’t have insurance you don’t get breast exams. You don’t have pap smears,” she said. “I wish people had a little more patience with Obamacare. Once you get what’s wrong with you under control, the cost would come down.”\u003c/p>\n\u003cdiv id=\"attachment_222383\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-222383 size-khn-article-large\" src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-7_770.jpg?w=770&h=513&crop=1\" alt=\"Lisa Zeelander, a medical doctor at Valley Community Healthcare in North Hollywood, California, examines patient Pamela Richardson, 60, on Wednesday, December 21, 2016. (Heidi de Marco/KHN)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Lisa Zeelander, a doctor at Valley Community Healthcare, examines Richardson in December 2016. (Heidi de Marco/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Wilson, Castellano-Garcia and others said they plan to make precisely that case — that community clinics represent a good value — once state and federal officials begin mulling an ACA replacement in earnest.\u003c/p>\n\u003cp>A \u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2016.303341\" target=\"_blank\">November 2016 study\u003c/a> in the American Journal of Public Health showed that Medicaid spending was 24 percent lower for patients who received a majority of their primary care from federally qualified health centers — a type of community clinic — than for patients who got care in other settings. The savings extended across all services, the study’s authors reported.\u003c/p>\n\u003cp>In rural Shasta County, where a majority voted for Trump, one in three people has Medi-Cal coverage. Dean Germano, CEO of Shasta Community Health in Redding, said he has already launched conversations with staffers of Republican U.S. Rep. Doug LaMalfa who he considers “a friend of the health centers.”\u003c/p>\n\u003cp>“Our mission is to make people like him realize what [repeal] will mean for people on the ground,” Germano said. “If the system goes through a major shock, what would happen to jobs? It would have a major impact on rural communities.”\u003c/p>\n\u003cp>Another clinic CEO, Kim Wyard of Northeast Valley Health Corporation in San Fernando, said she takes heart because Congress will have to do something to replace what it is taking away. Just blowing everything up isn’t an option, she said.\u003c/p>\n\u003cp>“We need a safety net, and if more patients are uninsured, we’ll need it more,” Wyard said. “We’re cost-effective,” she added. “Our new president wrote ‘The Art of the Deal.’ He likes a deal. I don’t think there’s a better deal than health centers.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Shefali Luthra contributed reporting.\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "285454 https://ww2.kqed.org/stateofhealth/?p=285454",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2017/01/19/californias-community-clinics-big-aca-beneficiaries-worry-about-their-future/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1925,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 38
},
"modified": 1484869157,
"excerpt": "A flow of Medi-Cal expansion dollars — and patients — has fueled significant growth, making clinics in California one of the linchpins of primary care under the Affordable Care Act.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A flow of Medi-Cal expansion dollars — and patients — has fueled significant growth, making clinics in California one of the linchpins of primary care under the Affordable Care Act.",
"title": "California’s Community Clinics, Big Obamacare Beneficiaries, Worry About Their Future | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "California’s Community Clinics, Big Obamacare Beneficiaries, Worry About Their Future",
"datePublished": "2017-01-19T14:05:34-08:00",
"dateModified": "2017-01-19T15:39:17-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "californias-community-clinics-big-aca-beneficiaries-worry-about-their-future",
"status": "publish",
"nprByline": "\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/eryn-brown/\">Eryn Brown\u003c/a>\u003c/strong>",
"path": "/stateofhealth/285454/californias-community-clinics-big-aca-beneficiaries-worry-about-their-future",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Paula Wilson has seen some tough times in her 23 years as the CEO of Valley Community Healthcare, a clinic that provides care for the poor in North Hollywood, Calif. But nothing was quite like November 9, the day after the U.S. elections, when walking around the office “was like coming into a funeral,” she said.\u003c/p>\n\u003cp>Her staff worried that a repeal of the Affordable Care Act, long promised by Republicans, would obliterate their jobs. Patients fretted it would jeopardize their care.\u003c/p>\n\u003cp>Nearly a third of the clinic’s 25,000 patients were newcomers, many of them recently covered through the expansion of Medi-Cal ushered in by the Affordable Care Act. Thanks to the expansion, Valley Community Healthcare had been growing rapidly, opening one new site, adding on to others, and offering patients new dental and mental health services.\u003c/p>\n\u003cp>What would happen if this new source of financial support were taken away?\u003c/p>\n\u003cp>Wilson didn’t have an answer that day, and she still doesn’t. But she’s hanging on to a cautious hope. “Pretty much that whole first week was getting a grip and assuring people: We’ve been here 46 years and we’re not going anywhere,” she said. “We’ve fought the fight before, and we’ll do it again.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the absence of details about the impact and timing of a possible ACA repeal, Wilson’s brand of determination is all community clinics can count on for now.\u003c/p>\n\u003cp>Republicans, newly empowered by Donald Trump’s ascendance to the White House, have made clear they plan to repeal large parts of the landmark health care law in short order. The timing of any replacement is still uncertain, though political pressure has been growing recently for any void left by a repeal to be quickly filled with a new plan. For the time being, however, consumers are unlikely to see big changes in their health care.\u003c/p>\n\u003cp>Community clinics are key providers of primary care services for the poor. CaliforniaHealth+ Advocates, which represents the state’s clinics, estimates that they serve 6.2 million Californians — an increase of more than a million in less than five years. Today, more than 3.5 million community clinic patients are covered by Medi-Cal, California’s version of Medicaid, the federal health insurance program for people with low incomes.\u003c/p>\n\u003cp>More than half of patients who signed up for Medi-Cal after the advent of the ACA have gotten their primary care at community clinics, according to a December 2015 \u003ca href=\"http://www.chcf.org/publications/2015/12/medical-winwin-surging-enrollment\" target=\"_blank\">report\u003c/a> by the California Health Care Foundation. (California Healthline is an editorially independent service of the California Health Care Foundation.)\u003c/p>\n\u003cp>Historically supported by Democrats and Republicans alike, community clinics worked hard to implement Obamacare reforms, and they benefited as a result. Many, like Valley Community Healthcare, helped enroll patients and expanded their services, taking advantage of special ACA funding that enabled them to improve their facilities and systems of care.\u003c/p>\n\u003cp>The \u003ca href=\"http://khn.org/news/obamacare-boosted-community-health-centers-reach-now-what/\" target=\"_blank\">same scenario\u003c/a> has played out nationwide at many of 1,400 federally backed community health centers — a type of community clinic — according to two studies published recently in the journal \u003ca href=\"http://www.healthaffairs.org/\" target=\"_blank\">Health Affairs\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"http://content.healthaffairs.org/content/36/1/49.abstract\" target=\"_blank\">One of the studies\u003c/a>, which used data from 2012 to 2015 to track visits to community health centers, showed that in states that adopted the Medicaid expansion, the centers saw more patient visits, including those for mental health treatment, and lower rates of uninsured patients — a financial boon for clinics that typically operate on thin margins.\u003c/p>\n\u003cp>The second \u003ca href=\"http://content.healthaffairs.org/content/36/1/40.abstract\" target=\"_blank\">study\u003c/a> which examined data from 2011 to 2014, found that in the Medicaid expansion states, patients were more likely to receive asthma treatment when it was needed, have their body mass index assessed, get pap smears and keep their blood pressure relatively stable.\u003c/p>\n\u003cp>Proponents of the health reform law in California had hoped the expansion of community clinics would provide primary care for more patients, thus reducing expensive emergency room visits at safety-net hospitals.\u003c/p>\n\u003cp>“Health centers have been the poster child of positively embracing the ACA. They’ve gone along with everything,” said Blue Shield of California Foundation CEO Peter Long, whose organization supports the clinics. But without clarity about where funding will come from in the future, or how much of it there will be, it’s possible that clinics will “go into hunker-down mode,” he added. That could mean limiting hours, reinstating waiting lists for new patients and cutting promising new programs.\u003c/p>\n\u003cp>Implementing Obamacare “put a lot of stress on their systems,” Long said. “To unwind it would be equally hard.”\u003c/p>\n\u003cfigure class=\"layout-lg carousel-article carousel slide carousel-article-1\">\n\u003col class=\"carousel-indicators\">\n\u003cli class=\"active\">\n\u003cli>\n\u003cli>\n\u003c/ol>\n\u003cdiv class=\"carousel-inner\">\n\u003cdiv class=\"item active\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-1_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">Paula Wilson, CEO of Valley Community Healthcare, says she has seen some tough times in her 23 years at the clinic which provides care for the poor in the area. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003cdiv class=\"item\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-2_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">The staff at Valley Community Healthcare worry that a promised Republican repeal of the Affordable Care Act would jeopardize the care offered to the 7,400 patients currently under the law. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003cdiv class=\"item\">\u003cimg src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-3_cropped.jpg\" class=\"img-responsive\">\u003cfigcaption class=\"caption carousel-caption\">Nearly a third of Valley Community Healthcare’s 25,000 customers are newcomers. Many had only recently secured health coverage through the Medicaid expansion provisions of the Affordable Care Act. After the election, Wilson spent the week assuring her customers: “We’ve been here 46 years and we’re not going anywhere,” said Wilson. (Heidi de Marco/California Healthline)\u003c/figcaption>\u003c/div>\n\u003c/div>\n\u003cp>\u003ca class=\"left carousel-control\" href=\".carousel-article.carousel-article-1\">\u003cspan class=\"btn-prev\">\u003c/span>\u003c/a>\u003ca class=\"right carousel-control\" href=\".carousel-article.carousel-article-1\">\u003cspan class=\"btn-next\">\u003c/span>\u003c/a>\u003c/p>\u003c/figure>\n\u003cp>Wilson and other clinic CEOs said they’re trying to anticipate worst-case scenarios and plan accordingly, but that’s hard when Congress hasn’t specified what changes it is planning, or when to expect them.\u003c/p>\n\u003cp>“Right now it’s all crystal ball gazing,” said Steven Wallace, associate director of the UCLA Center for Health Policy Research. “‘Repeal and replace’ is a great slogan, but ‘replace’ is really hard to figure out.”\u003c/p>\n\u003cp>Community clinic leaders say they’re focusing on several \u003ca href=\"http://khn.org/news/millions-could-lose-medicaid-coverage-under-trump-plan/\" target=\"_blank\">funding challenges\u003c/a>. First is a potential rollback of the ACA’s Medicaid expansion program, which extended new coverage to about 20 million people in the U.S., including more than 5 million in California, said Carmela Castellano-Garcia, CEO of CaliforniaHealth+ Advocates.\u003c/p>\n\u003cp>Some also worry that shifting Medicaid to a block grant system, an idea President-elect Trump has endorsed, would result in cuts to services; or that Congress could decline to reauthorize “330 funding” — an additional $5 billion community clinics receive each year from the federal government. That stream of federal dollars is set to expire in September of 2017.\u003c/p>\n\u003cp>That funding, in addition to payments from the Medi-Cal expansion, allowed the Los Angeles Christian Health Centers to add medical, mental health, dental and case management staff and open two new sites.\u003c/p>\n\u003cp>The clinic, headquartered on Skid Row in downtown Los Angeles, also launched a fundraising campaign to revamp and enlarge its flagship facility. But CEO Dr. Lisa Abdishoo now worries that some financial assumptions made in planning the expansion may no longer apply after Trump takes office on Friday. “We’re trying not to panic, but now we have to question the sustainability of some of the growth,” she said.\u003c/p>\n\u003cp>Health care advocates have advised community clinics that they may need to “look at 2009 levels” to plan for post-ACA operations, Abdishoo said. That year, Los Angeles Christian Health Centers served 6,600 patients a year, compared to 10,000 today.\u003c/p>\n\u003cp>Jane Garcia, CEO of La Clínica De La Raza, a 32-site clinic network in Alameda, Contra Costa and Solano Counties, said her organization could lose ground on hard-fought cost reductions if people’s insurance is taken away and they revert to their old behavior of seeking care only when they are very sick.\u003c/p>\n\u003cp>“Patients who don’t have coverage hesitate to come in and see the doctor, and they hesitate to seek preventive care,” Garcia said. “That’s the kind of thing that was starting to have an impact on bending the curve on cost reduction.”\u003c/p>\n\u003cp>ACA-related grants allowed La Clínica’s health centers to improve case management and collaborate more effectively with partners such as Sutter Health, which also saved money by reducing the number of patients seeking primary care in emergency rooms. La Clínica would probably have to cut such administrative efforts were the ACA repealed, Garcia said.\u003c/p>\n\u003cp>Pamela Richardson, a 60-year-old patient of Valley Community Healthcare who suffers from an iron absorption disorder called hereditary hemochromatosis, was unable to get health insurance before Obamacare prohibited insurers from excluding people with preexisting medical conditions. The clinic helped her sign up for coverage through the Medi-Cal expansion.\u003c/p>\n\u003cp>Once Richardson was covered, she got long-delayed primary care, which revealed that she had “scary high” blood pressure and a lump in one breast (which proved benign). “When you don’t have insurance you don’t get breast exams. You don’t have pap smears,” she said. “I wish people had a little more patience with Obamacare. Once you get what’s wrong with you under control, the cost would come down.”\u003c/p>\n\u003cdiv id=\"attachment_222383\" style=\"width: 780px\" class=\"wp-caption aligncenter\">\u003cimg class=\"wp-image-222383 size-khn-article-large\" src=\"https://californiahealthline.files.wordpress.com/2016/12/community-clinics-7_770.jpg?w=770&h=513&crop=1\" alt=\"Lisa Zeelander, a medical doctor at Valley Community Healthcare in North Hollywood, California, examines patient Pamela Richardson, 60, on Wednesday, December 21, 2016. (Heidi de Marco/KHN)\" width=\"770\" height=\"513\">\n\u003cp class=\"wp-caption-text\">Lisa Zeelander, a doctor at Valley Community Healthcare, examines Richardson in December 2016. (Heidi de Marco/California Healthline)\u003c/p>\n\u003c/div>\n\u003cp>Wilson, Castellano-Garcia and others said they plan to make precisely that case — that community clinics represent a good value — once state and federal officials begin mulling an ACA replacement in earnest.\u003c/p>\n\u003cp>A \u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2016.303341\" target=\"_blank\">November 2016 study\u003c/a> in the American Journal of Public Health showed that Medicaid spending was 24 percent lower for patients who received a majority of their primary care from federally qualified health centers — a type of community clinic — than for patients who got care in other settings. The savings extended across all services, the study’s authors reported.\u003c/p>\n\u003cp>In rural Shasta County, where a majority voted for Trump, one in three people has Medi-Cal coverage. Dean Germano, CEO of Shasta Community Health in Redding, said he has already launched conversations with staffers of Republican U.S. Rep. Doug LaMalfa who he considers “a friend of the health centers.”\u003c/p>\n\u003cp>“Our mission is to make people like him realize what [repeal] will mean for people on the ground,” Germano said. “If the system goes through a major shock, what would happen to jobs? It would have a major impact on rural communities.”\u003c/p>\n\u003cp>Another clinic CEO, Kim Wyard of Northeast Valley Health Corporation in San Fernando, said she takes heart because Congress will have to do something to replace what it is taking away. Just blowing everything up isn’t an option, she said.\u003c/p>\n\u003cp>“We need a safety net, and if more patients are uninsured, we’ll need it more,” Wyard said. “We’re cost-effective,” she added. “Our new president wrote ‘The Art of the Deal.’ He likes a deal. I don’t think there’s a better deal than health centers.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Shefali Luthra contributed reporting.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/285454/californias-community-clinics-big-aca-beneficiaries-worry-about-their-future",
"authors": [
"byline_stateofhealth_285454"
],
"categories": [
"stateofhealth_1"
],
"tags": [
"stateofhealth_3037",
"stateofhealth_2808",
"stateofhealth_2519",
"stateofhealth_365"
],
"affiliates": [
"stateofhealth_3036"
],
"featImg": "stateofhealth_285467",
"label": "stateofhealth_3036"
},
"news_11274304": {
"type": "posts",
"id": "news_11274304",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11274304",
"score": null,
"sort": [
1484728205000
]
},
"parent": 0,
"labelTerm": {},
"blocks": [],
"publishDate": 1484728205,
"format": "standard",
"disqusTitle": "18 Million People Could Lose Insurance in First Year After Partial Obamacare Repeal",
"title": "18 Million People Could Lose Insurance in First Year After Partial Obamacare Repeal",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>A partial repeal of Obamacare could leave 18 million people who have insurance today with no coverage one year later, according to an \u003ca href=\"https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/reports/52371-coverageandpremiums.pdf\">analysis by the nonpartisan Congressional Budget Office\u003c/a>.\u003c/p>\n\u003cp>The report estimates that 32 million people would lose their insurance over 10 years.\u003c/p>\n\u003cp>The CBO based its estimates on \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762/text\">a bill\u003c/a> passed by Republicans and vetoed by President Obama in 2015. That bill amounted to a partial repeal of the Affordable Care Act, also called Obamacare, eliminating the penalty for people who didn't have health insurance. It also cut out the government subsidies that currently help people pay their premiums.\u003c/p>\n\u003cp>The CBO estimated that getting rid of the penalty for people who do not purchase insurance would lead to 18 million fewer insured people within a year and that the number would eventually grow to 32 million after subsidies and a Medicaid expansion were also eliminated.\u003c/p>\n\u003cp>As NPR's Alison Kodjak reported, \"Congressional Republicans haven't introduced legislation to repeal Obamacare yet [this year], but they've suggested they'll follow the model of the previous [2015] bill.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far, lawmakers pushing for the repeal have no plan for encouraging people to have insurance without the mandate and subsidies.\u003c/p>\n\u003cp>\"We're not holding hard deadlines, only because we want to get it right,\" House Speaker Paul Ryan, R-Wis., \u003ca href=\"http://www.npr.org/2017/01/14/509686528/gops-go-slow-rescue-mission-plan-to-replace-obamacare\">said last week\u003c/a>.\u003c/p>\n\u003cp>[contextly_sidebar id=\"yJ6ezMwILxFPD2mGpWfDtTSMvsyxWokb\"]\u003c/p>\n\u003cp>On Monday, President-elect Donald Trump \u003ca href=\"https://www.washingtonpost.com/politics/trump-vows-insurance-for-everybody-in-obamacare-replacement-plan/2017/01/15/5f2b1e18-db5d-11e6-ad42-f3375f271c9c_story.html?hpid=hp_hp-top-table-main_trump-interview-822pm%3Ahomepage%2Fstory&utm_term=.71f5d1ccae88\">told the Washington Post\u003c/a> he was working on a plan to replace the Affordable Care Act with a proposal that would provide \"insurance for everybody.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/16/510083587/trump-pressures-congress-to-replace-obamacare-quickly\">As we reported\u003c/a>, \"he did not get into any specific details about his health care plan during a telephone interview with the newspaper. But he did say it would be 'much less expensive' and would involve 'much lower deductibles.' \"\u003c/p>\n\u003cp>He also told the newspaper he does not plan to cut benefits for Medicare and that he does not want a single-payer health care system.\u003c/p>\n\u003cp>The CBO analysis makes clear that repealing Obamacare would affect millions of Americans, even those who do not lose their health insurance outright. The report found that in the first year after a repeal-without-replacement law, premiums would rise about 20 to 25 percent over the levels predicted with Obamacare, which itself has been criticized for its failure to control premium costs.\u003c/p>\n\u003cp>The analysis also found that without the federal mandate requiring people to buy insurance, some insurance companies would stop offering plans, and in the first year \"roughly 10 percent of the population would be living in an area that had no insurer participating\" in the market for individuals buying health insurance.\u003c/p>\n\u003cp>By 2026, that would grow to 75 percent of the general U.S. population.\u003c/p>\n\u003cp>Although Republicans have \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\">already taken steps toward a partial repeal\u003c/a>, the marketplaces established by Obamacare are still operating. Open enrollment for 2017 ends Jan. 31, with a \u003ca href=\"https://www.healthcare.gov/glossary/special-enrollment-period/\">few exceptions\u003c/a>, as \u003ca href=\"http://www.npr.org/sections/health-shots/2016/12/28/507102580/for-many-fewer-obamacare-choices-doesnt-mean-higher-prices\">NPR has reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
"disqusIdentifier": "11274304 http://ww2.kqed.org/news/?p=11274304",
"disqusUrl": "https://ww2.kqed.org/news/2017/01/18/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-repeal/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 495,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 18
},
"modified": 1484783621,
"excerpt": "The nonpartisan Congressional Budget Office found that without the federal mandate and subsidies, the number of people who would lose their health insurance could grow to 32 million over 10 years.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The nonpartisan Congressional Budget Office found that without the federal mandate and subsidies, the number of people who would lose their health insurance could grow to 32 million over 10 years.",
"title": "18 Million People Could Lose Insurance in First Year After Partial Obamacare Repeal | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "18 Million People Could Lose Insurance in First Year After Partial Obamacare Repeal",
"datePublished": "2017-01-18T00:30:05-08:00",
"dateModified": "2017-01-18T15:53:41-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"guestAuthors": [],
"slug": "18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-repeal",
"status": "publish",
"sourceUrl": "http://www.npr.org/",
"nprApiLink": "http://api.npr.org/query?id=510281627&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprByline": "Rebecca Hersher",
"nprStoryDate": "Tue, 17 Jan 2017 17:26:00 -0500",
"nprLastModifiedDate": "Tue, 17 Jan 2017 19:06:40 -0500",
"nprHtmlLink": "http://www.npr.org/sections/thetwo-way/2017/01/17/510281627/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-rep?ft=nprml&f=510281627",
"nprImageAgency": "AP",
"nprImageCredit": "J. Scott Applewhite",
"source": "NPR",
"nprStoryId": "510281627",
"nprRetrievedStory": "1",
"nprPubDate": "Tue, 17 Jan 2017 19:06:00 -0500",
"path": "/news/11274304/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-repeal",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A partial repeal of Obamacare could leave 18 million people who have insurance today with no coverage one year later, according to an \u003ca href=\"https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/reports/52371-coverageandpremiums.pdf\">analysis by the nonpartisan Congressional Budget Office\u003c/a>.\u003c/p>\n\u003cp>The report estimates that 32 million people would lose their insurance over 10 years.\u003c/p>\n\u003cp>The CBO based its estimates on \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762/text\">a bill\u003c/a> passed by Republicans and vetoed by President Obama in 2015. That bill amounted to a partial repeal of the Affordable Care Act, also called Obamacare, eliminating the penalty for people who didn't have health insurance. It also cut out the government subsidies that currently help people pay their premiums.\u003c/p>\n\u003cp>The CBO estimated that getting rid of the penalty for people who do not purchase insurance would lead to 18 million fewer insured people within a year and that the number would eventually grow to 32 million after subsidies and a Medicaid expansion were also eliminated.\u003c/p>\n\u003cp>As NPR's Alison Kodjak reported, \"Congressional Republicans haven't introduced legislation to repeal Obamacare yet [this year], but they've suggested they'll follow the model of the previous [2015] bill.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far, lawmakers pushing for the repeal have no plan for encouraging people to have insurance without the mandate and subsidies.\u003c/p>\n\u003cp>\"We're not holding hard deadlines, only because we want to get it right,\" House Speaker Paul Ryan, R-Wis., \u003ca href=\"http://www.npr.org/2017/01/14/509686528/gops-go-slow-rescue-mission-plan-to-replace-obamacare\">said last week\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>On Monday, President-elect Donald Trump \u003ca href=\"https://www.washingtonpost.com/politics/trump-vows-insurance-for-everybody-in-obamacare-replacement-plan/2017/01/15/5f2b1e18-db5d-11e6-ad42-f3375f271c9c_story.html?hpid=hp_hp-top-table-main_trump-interview-822pm%3Ahomepage%2Fstory&utm_term=.71f5d1ccae88\">told the Washington Post\u003c/a> he was working on a plan to replace the Affordable Care Act with a proposal that would provide \"insurance for everybody.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.npr.org/sections/thetwo-way/2017/01/16/510083587/trump-pressures-congress-to-replace-obamacare-quickly\">As we reported\u003c/a>, \"he did not get into any specific details about his health care plan during a telephone interview with the newspaper. But he did say it would be 'much less expensive' and would involve 'much lower deductibles.' \"\u003c/p>\n\u003cp>He also told the newspaper he does not plan to cut benefits for Medicare and that he does not want a single-payer health care system.\u003c/p>\n\u003cp>The CBO analysis makes clear that repealing Obamacare would affect millions of Americans, even those who do not lose their health insurance outright. The report found that in the first year after a repeal-without-replacement law, premiums would rise about 20 to 25 percent over the levels predicted with Obamacare, which itself has been criticized for its failure to control premium costs.\u003c/p>\n\u003cp>The analysis also found that without the federal mandate requiring people to buy insurance, some insurance companies would stop offering plans, and in the first year \"roughly 10 percent of the population would be living in an area that had no insurer participating\" in the market for individuals buying health insurance.\u003c/p>\n\u003cp>By 2026, that would grow to 75 percent of the general U.S. population.\u003c/p>\n\u003cp>Although Republicans have \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/03/508074966/republicans-take-the-first-step-to-repeal-obamacare\">already taken steps toward a partial repeal\u003c/a>, the marketplaces established by Obamacare are still operating. Open enrollment for 2017 ends Jan. 31, with a \u003ca href=\"https://www.healthcare.gov/glossary/special-enrollment-period/\">few exceptions\u003c/a>, as \u003ca href=\"http://www.npr.org/sections/health-shots/2016/12/28/507102580/for-many-fewer-obamacare-choices-doesnt-mean-higher-prices\">NPR has reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11274304/18-million-people-could-lose-insurance-in-first-year-after-partial-obamacare-repeal",
"authors": [
"byline_news_11274304"
],
"programs": [
"news_6944",
"news_72"
],
"categories": [
"news_457",
"news_8",
"news_13"
],
"tags": [
"news_2409",
"news_19542",
"news_3890",
"news_17286",
"news_17041"
],
"affiliates": [
"news_253"
],
"featImg": "news_11274308",
"label": "source_news_11274304"
},
"news_11266413": {
"type": "posts",
"id": "news_11266413",
"meta": {
"index": "posts_1716263798",
"site": "news",
"id": "11266413",
"score": null,
"sort": [
1484247155000
]
},
"parent": 0,
"labelTerm": {
"site": "news",
"term": 72
},
"blocks": [],
"publishDate": 1484247155,
"format": "standard",
"disqusTitle": "Senate Takes First Step to Repeal Obamacare -- So What's Next?",
"title": "Senate Takes First Step to Repeal Obamacare -- So What's Next?",
"headTitle": "The California Report | KQED News",
"content": "\u003cp>At about 1:30 a.m. on Thursday, Republicans moved one step closer to repealing a law they have railed against since the moment it was passed nearly seven years ago.\u003c/p>\n\u003cp>By a final vote of 51-48, the Senate approved a budget resolution that sets the stage for broad swaths of the Affordable Care Act to be repealed through a process known as budget reconciliation. The resolution now goes to the House, where leaders are hoping to approve it by the end of the week.\u003c/p>\n\u003cp>The powerful tool sets up a fast track for repealing large parts of Barack Obama's major domestic achievement; the best guess is that the Senate is still several weeks away from largely repealing Obamacare. But as the process continues, large questions still loom over how -- and when -- Republicans will replace the health care law.\u003c/p>\n\u003ch3>An Expedited Repeal, Starting With a Vote-a-Rama\u003c/h3>\n\u003cp>The vote took place during a session known as a \"vote-a-rama.\" \u003ca href=\"http://politicaldictionary.com/words/vote-a-rama/\" target=\"_blank\">These all-night vote-fests\u003c/a> happen surrounding budget resolutions, which allow senators to propose unlimited amendments, as the \u003ca href=\"https://www.nytimes.com/2017/01/11/us/politics/vote-a-rama-senate-affordable-care-act.html\" target=\"_blank\">New York Times' Thomas Kaplan\u003c/a> explained this week.\u003c/p>\n\u003cp>The passage of the resolution kicks off the budget reconciliation process. That process is special because a reconciliation measure cannot be filibustered, meaning it allows the Senate to pass a bill with a simple majority (as opposed to needing 60 votes to overcome a filibuster). That's good for Republicans, who hold 52 of the Senate's 100 seats.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Once the House approves the measure, which could happen as soon as Friday, committees from both chambers will meet to create instructions telling the budget committee what repeal should look like. Once repeal legislation is drafted, both houses can pass it with a simple majority, and then it would go to President Trump for signature.\u003c/p>\n\u003cp>Should that repeal legislation pass both houses and be signed by a President Trump, it would cut out important provisions of Obamacare, but would still not repeal the entire law.\u003c/p>\n\u003cp>Budget reconciliation allows Congress only to repeal parts of the bill -- more specifically, the parts that deal with how much the government spends or taxes people. That means this process can't repeal, for example, the parts of the bill that allow young adults to stay on their parents' insurance or the rules saying companies couldn't deny coverage for people with pre-existing conditions.\u003c/p>\n\u003cp>But those are the parts of the law that end up costing a lot of money, while the parts that can be repealed through budget reconciliation -- like the mandate that people have coverage (which is enforced through a tax), billions of dollars in Medicaid funds and subsidies for private coverage -- bring money into the system to help balance out the cost equation.\u003c/p>\n\u003ch3>Democrats Try to Send Their Own Messages\u003c/h3>\n\u003cp>Democrats went into Wednesday night with a messaging plan: Use vote-a-rama to get Republicans on the record about what may come next. That plan consisted of proposing amendment after amendment to force Republicans to vote on Medicaid expansion, funding for rural hospitals, women's access to health care and other popular programs.\u003c/p>\n\u003cp>Democrats know this is a train they can't stop. As the night drew to a close, all they could do was stage a protest.\u003c/p>\n\u003cp>Senators aren't supposed to give speeches during a vote, but Sen. Tammy Duckworth, D-Illinois, a disabled Iraq War veteran, ignored the rule.\u003c/p>\n\u003cp>As the presiding senator was gaveling for order, Duckworth said, \"For all those with pre-existing conditions, I stand on prosthetic legs to vote no!\"\u003c/p>\n\u003cp>The gaveling continued as Sen. Al Franken, D-Minnesota, said, \"I vote no on behalf of the more than 2.3 million Minnesotans who can no longer be discriminated against because of the ACA!\"\u003c/p>\n\u003ch3>What's Next (And When)? That's Complicated ...\u003c/h3>\n\u003cp>Republicans are united on wanting to repeal Obamacare. But they're more divided over the time frame of that repeal, as well as what happens next.\u003c/p>\n\u003cp>At one point, it \u003ca href=\"http://www.politico.com/story/2016/12/obamacare-republicans-repeal-replace-232025\" target=\"_blank\">appeared likely\u003c/a> that congressional Republicans would take a \"repeal and delay\" approach -- that is, pass repeal legislation that would only be implemented far down the road, to allow time to craft a replacement for Obamacare.\u003c/p>\n\u003cp>But now divisions are growing. \u003ca href=\"https://www.nytimes.com/2017/01/10/us/repeal-affordable-care-act-donald-trump.html\" target=\"_blank\">House Speaker Paul Ryan\u003c/a> this week said he would like a repeal and a replacement for Obamacare to come \"concurrently.\" And in a \u003ca href=\"http://www.npr.org/2017/01/11/509137239/watch-live-trump-holds-first-press-conference-as-president-elect\" target=\"_blank\">Wednesday press conference\u003c/a>, President-elect Donald Trump indicated that he would like the two to happen in quick succession, though he didn't provide much more clarity on that time frame.\u003c/p>\n\u003cp>\"It will be repeal and replace. It will be essentially simultaneously,\" he said. Later, he added, \"It will be various segments, you understand, but will most likely be on the same day or the same week -- but probably the same day -- could be a same hour.\"\u003c/p>\n\u003cp>Other Republicans, however, believe the process won't be so abbreviated.\u003c/p>\n\u003cp>\"I don't see any possibility of our being able to come up with a comprehensive reform bill that would replace Obamacare by the end of this month,\" said Maine Republican Sen. Susan Collins.\u003c/p>\n\u003cp>Wisconsin Republican Sen. Ron Johnson also seemed to say on Tuesday that the process could take a while, involving multiple intermediate steps. As he \u003ca href=\"http://www.wbur.org/hereandnow/2017/01/10/ron-johnson-obamacare\" target=\"_blank\">told WBUR's Here and Now\u003c/a>:\u003c/p>\n\u003cp>\"If you had a bridge that's about ready to collapse, you know, the first thing you would do is you'd start working to repair that bridge,\" he said. \"You aren't going to blow it up; I mean, at least people have a bridge to use. Repair that so people can use it while you start building other bridges.\"\u003c/p>\n\u003cp>Collins is one of five Republican senators who this week proposed that the resolution provide more time for committees to craft their instructions.\u003c/p>\n\u003cp>One big concern for Republicans here is repealing a law they detest without disrupting the lives of the roughly 20 million people insured because of that law, including \u003ca href=\"http://money.cnn.com/2016/12/21/news/economy/obamacare-enrollment-record/\" target=\"_blank\">6.4 million Americans\u003c/a> insured through ACA exchanges.\u003c/p>\n\u003cp>Americans definitely want some sort of change -- in \u003ca href=\"http://www.npr.org/2017/01/12/509314717/we-asked-people-what-they-know-about-obamacare-see-if-you-know-the-answers\" target=\"_blank\">an NPR-Ipsos poll released Thursday\u003c/a>, 38 percent said the ACA should be \"strengthened or expanded,\" and close behind, 31 percent said it should be repealed and replaced. Meanwhile, only 6 percent said it should be \"left as-is\" (the poll had a margin of error of plus or minus 3.5 percentage points).\u003c/p>\n\u003cp>\u003cem>With reporting from Susan Davis.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n",
"disqusIdentifier": "11266413 http://ww2.kqed.org/news/?p=11266413",
"disqusUrl": "https://ww2.kqed.org/news/2017/01/12/senate-takes-first-step-to-repeal-obamacare-so-whats-next/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1084,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 29
},
"modified": 1484266696,
"excerpt": "A late-night 'vote-a-rama' set in motion the process for gutting key provisions of the Affordable Care Act in a way that evades Democrats' threat of a filibuster.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A late-night 'vote-a-rama' set in motion the process for gutting key provisions of the Affordable Care Act in a way that evades Democrats' threat of a filibuster.",
"title": "Senate Takes First Step to Repeal Obamacare -- So What's Next? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "NewsArticle",
"headline": "Senate Takes First Step to Repeal Obamacare -- So What's Next?",
"datePublished": "2017-01-12T10:52:35-08:00",
"dateModified": "2017-01-12T16:18:16-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"isAccessibleForFree": "True",
"publisher": {
"@type": "NewsMediaOrganization",
"@id": "https://www.kqed.org/#organization",
"name": "KQED",
"logo": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png",
"url": "https://www.kqed.org",
"sameAs": [
"https://www.facebook.com/KQED",
"https://twitter.com/KQED",
"https://www.instagram.com/kqed/",
"https://www.tiktok.com/@kqedofficial",
"https://www.linkedin.com/company/kqed",
"https://www.youtube.com/channel/UCeC0IOo7i1P_61zVUWbJ4nw"
]
}
}
},
"guestAuthors": [],
"slug": "senate-takes-first-step-to-repeal-obamacare-so-whats-next",
"status": "publish",
"nprApiLink": "http://api.npr.org/query?id=509441874&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprByline": "\u003cstrong>Danielle Kurtzleben and Ailsa Chang\u003c/strong>",
"nprStoryDate": "Thu, 12 Jan 2017 05:04:00 -0500",
"nprLastModifiedDate": "Thu, 12 Jan 2017 13:08:03 -0500",
"nprHtmlLink": "http://www.npr.org/2017/01/12/509441874/senate-takes-first-step-towards-repeal-of-obamacare?ft=nprml&f=509441874",
"nprAudio": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170112_me_senate_takes_big_step_towards_repeal_of_obamacare.mp3?orgId=1&topicId=1001&d=213&p=3&story=509441874&t=progseg&e=509444204&seg=4&ft=nprml&f=509441874",
"nprImageAgency": "AP",
"nprAudioM3u": "http://api.npr.org/m3u/1509444355-856fe1.m3u?orgId=1&topicId=1001&d=213&p=3&story=509441874&t=progseg&e=509444204&seg=4&ft=nprml&f=509441874",
"nprStoryId": "509441874",
"nprRetrievedStory": "1",
"nprPubDate": "Thu, 12 Jan 2017 11:30:00 -0500",
"path": "/news/11266413/senate-takes-first-step-to-repeal-obamacare-so-whats-next",
"audioUrl": "https://ondemand.npr.org/anon.npr-mp3/npr/me/2017/01/20170112_me_senate_takes_big_step_towards_repeal_of_obamacare.mp3?orgId=1&topicId=1001&d=213&p=3&story=509441874&t=progseg&e=509444204&seg=4&ft=nprml&f=509441874",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At about 1:30 a.m. on Thursday, Republicans moved one step closer to repealing a law they have railed against since the moment it was passed nearly seven years ago.\u003c/p>\n\u003cp>By a final vote of 51-48, the Senate approved a budget resolution that sets the stage for broad swaths of the Affordable Care Act to be repealed through a process known as budget reconciliation. The resolution now goes to the House, where leaders are hoping to approve it by the end of the week.\u003c/p>\n\u003cp>The powerful tool sets up a fast track for repealing large parts of Barack Obama's major domestic achievement; the best guess is that the Senate is still several weeks away from largely repealing Obamacare. But as the process continues, large questions still loom over how -- and when -- Republicans will replace the health care law.\u003c/p>\n\u003ch3>An Expedited Repeal, Starting With a Vote-a-Rama\u003c/h3>\n\u003cp>The vote took place during a session known as a \"vote-a-rama.\" \u003ca href=\"http://politicaldictionary.com/words/vote-a-rama/\" target=\"_blank\">These all-night vote-fests\u003c/a> happen surrounding budget resolutions, which allow senators to propose unlimited amendments, as the \u003ca href=\"https://www.nytimes.com/2017/01/11/us/politics/vote-a-rama-senate-affordable-care-act.html\" target=\"_blank\">New York Times' Thomas Kaplan\u003c/a> explained this week.\u003c/p>\n\u003cp>The passage of the resolution kicks off the budget reconciliation process. That process is special because a reconciliation measure cannot be filibustered, meaning it allows the Senate to pass a bill with a simple majority (as opposed to needing 60 votes to overcome a filibuster). That's good for Republicans, who hold 52 of the Senate's 100 seats.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Once the House approves the measure, which could happen as soon as Friday, committees from both chambers will meet to create instructions telling the budget committee what repeal should look like. Once repeal legislation is drafted, both houses can pass it with a simple majority, and then it would go to President Trump for signature.\u003c/p>\n\u003cp>Should that repeal legislation pass both houses and be signed by a President Trump, it would cut out important provisions of Obamacare, but would still not repeal the entire law.\u003c/p>\n\u003cp>Budget reconciliation allows Congress only to repeal parts of the bill -- more specifically, the parts that deal with how much the government spends or taxes people. That means this process can't repeal, for example, the parts of the bill that allow young adults to stay on their parents' insurance or the rules saying companies couldn't deny coverage for people with pre-existing conditions.\u003c/p>\n\u003cp>But those are the parts of the law that end up costing a lot of money, while the parts that can be repealed through budget reconciliation -- like the mandate that people have coverage (which is enforced through a tax), billions of dollars in Medicaid funds and subsidies for private coverage -- bring money into the system to help balance out the cost equation.\u003c/p>\n\u003ch3>Democrats Try to Send Their Own Messages\u003c/h3>\n\u003cp>Democrats went into Wednesday night with a messaging plan: Use vote-a-rama to get Republicans on the record about what may come next. That plan consisted of proposing amendment after amendment to force Republicans to vote on Medicaid expansion, funding for rural hospitals, women's access to health care and other popular programs.\u003c/p>\n\u003cp>Democrats know this is a train they can't stop. As the night drew to a close, all they could do was stage a protest.\u003c/p>\n\u003cp>Senators aren't supposed to give speeches during a vote, but Sen. Tammy Duckworth, D-Illinois, a disabled Iraq War veteran, ignored the rule.\u003c/p>\n\u003cp>As the presiding senator was gaveling for order, Duckworth said, \"For all those with pre-existing conditions, I stand on prosthetic legs to vote no!\"\u003c/p>\n\u003cp>The gaveling continued as Sen. Al Franken, D-Minnesota, said, \"I vote no on behalf of the more than 2.3 million Minnesotans who can no longer be discriminated against because of the ACA!\"\u003c/p>\n\u003ch3>What's Next (And When)? That's Complicated ...\u003c/h3>\n\u003cp>Republicans are united on wanting to repeal Obamacare. But they're more divided over the time frame of that repeal, as well as what happens next.\u003c/p>\n\u003cp>At one point, it \u003ca href=\"http://www.politico.com/story/2016/12/obamacare-republicans-repeal-replace-232025\" target=\"_blank\">appeared likely\u003c/a> that congressional Republicans would take a \"repeal and delay\" approach -- that is, pass repeal legislation that would only be implemented far down the road, to allow time to craft a replacement for Obamacare.\u003c/p>\n\u003cp>But now divisions are growing. \u003ca href=\"https://www.nytimes.com/2017/01/10/us/repeal-affordable-care-act-donald-trump.html\" target=\"_blank\">House Speaker Paul Ryan\u003c/a> this week said he would like a repeal and a replacement for Obamacare to come \"concurrently.\" And in a \u003ca href=\"http://www.npr.org/2017/01/11/509137239/watch-live-trump-holds-first-press-conference-as-president-elect\" target=\"_blank\">Wednesday press conference\u003c/a>, President-elect Donald Trump indicated that he would like the two to happen in quick succession, though he didn't provide much more clarity on that time frame.\u003c/p>\n\u003cp>\"It will be repeal and replace. It will be essentially simultaneously,\" he said. Later, he added, \"It will be various segments, you understand, but will most likely be on the same day or the same week -- but probably the same day -- could be a same hour.\"\u003c/p>\n\u003cp>Other Republicans, however, believe the process won't be so abbreviated.\u003c/p>\n\u003cp>\"I don't see any possibility of our being able to come up with a comprehensive reform bill that would replace Obamacare by the end of this month,\" said Maine Republican Sen. Susan Collins.\u003c/p>\n\u003cp>Wisconsin Republican Sen. Ron Johnson also seemed to say on Tuesday that the process could take a while, involving multiple intermediate steps. As he \u003ca href=\"http://www.wbur.org/hereandnow/2017/01/10/ron-johnson-obamacare\" target=\"_blank\">told WBUR's Here and Now\u003c/a>:\u003c/p>\n\u003cp>\"If you had a bridge that's about ready to collapse, you know, the first thing you would do is you'd start working to repair that bridge,\" he said. \"You aren't going to blow it up; I mean, at least people have a bridge to use. Repair that so people can use it while you start building other bridges.\"\u003c/p>\n\u003cp>Collins is one of five Republican senators who this week proposed that the resolution provide more time for committees to craft their instructions.\u003c/p>\n\u003cp>One big concern for Republicans here is repealing a law they detest without disrupting the lives of the roughly 20 million people insured because of that law, including \u003ca href=\"http://money.cnn.com/2016/12/21/news/economy/obamacare-enrollment-record/\" target=\"_blank\">6.4 million Americans\u003c/a> insured through ACA exchanges.\u003c/p>\n\u003cp>Americans definitely want some sort of change -- in \u003ca href=\"http://www.npr.org/2017/01/12/509314717/we-asked-people-what-they-know-about-obamacare-see-if-you-know-the-answers\" target=\"_blank\">an NPR-Ipsos poll released Thursday\u003c/a>, 38 percent said the ACA should be \"strengthened or expanded,\" and close behind, 31 percent said it should be repealed and replaced. Meanwhile, only 6 percent said it should be \"left as-is\" (the poll had a margin of error of plus or minus 3.5 percentage points).\u003c/p>\n\u003cp>\u003cem>With reporting from Susan Davis.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/news/11266413/senate-takes-first-step-to-repeal-obamacare-so-whats-next",
"authors": [
"byline_news_11266413"
],
"programs": [
"news_6944",
"news_72"
],
"categories": [
"news_457",
"news_8",
"news_13"
],
"tags": [
"news_2409",
"news_19542",
"news_3890"
],
"affiliates": [
"news_253"
],
"featImg": "news_11266432",
"label": "news_72"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"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",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"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",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"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",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"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": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"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.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"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.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"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": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"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": {
"site": "news",
"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",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"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": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"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": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"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": {
"site": "news",
"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",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"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": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"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": {
"site": "news",
"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",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"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/",
"meta": {
"site": "news",
"source": "npr"
},
"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",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"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": {
"site": "radio",
"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"
}
},
"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": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/news?tag=affordable-care-act": {
"isFetching": false,
"latestQuery": {
"from": 72,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 104,
"relation": "eq"
},
"items": [
"news_11357510",
"news_11353686",
"stateofhealth_297748",
"stateofhealth_297072",
"news_11320305",
"futureofyou_329824",
"stateofhealth_287935",
"futureofyou_322609",
"news_11286464",
"stateofhealth_285454",
"news_11274304",
"news_11266413"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"news_tag_affordable-care-act": {
"isLoading": true
},
"news_2409": {
"type": "terms",
"id": "news_2409",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "2409",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Affordable Care Act",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Affordable Care Act Archives | KQED News",
"ogDescription": null
},
"ttid": 2424,
"slug": "affordable-care-act",
"isLoading": false,
"link": "/news/tag/affordable-care-act"
},
"source_news_11320305": {
"type": "terms",
"id": "source_news_11320305",
"meta": {
"override": true
},
"name": "NPR",
"link": "http://www.npr.org/",
"isLoading": false
},
"source_futureofyou_329824": {
"type": "terms",
"id": "source_futureofyou_329824",
"meta": {
"override": true
},
"name": "KQED Future of You",
"isLoading": false
},
"source_futureofyou_322609": {
"type": "terms",
"id": "source_futureofyou_322609",
"meta": {
"override": true
},
"name": "KQED Future of You",
"isLoading": false
},
"source_news_11286464": {
"type": "terms",
"id": "source_news_11286464",
"meta": {
"override": true
},
"name": "NPR",
"link": "http://www.npr.org/",
"isLoading": false
},
"source_news_11274304": {
"type": "terms",
"id": "source_news_11274304",
"meta": {
"override": true
},
"name": "NPR",
"link": "http://www.npr.org/",
"isLoading": false
},
"news_6944": {
"type": "terms",
"id": "news_6944",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "6944",
"found": true
},
"relationships": {},
"featImg": "https://ww2.kqed.org/app/uploads/sites/10/2014/10/News-Fix-Logo-Web-Banners-04.png",
"name": "News Fix",
"description": null,
"taxonomy": "program",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The News Fix is a daily news podcast from KQED that breaks down the latest headlines and provides in-depth analysis of the stories that matter to the Bay Area.",
"title": "News Fix - Daily Dose of Bay Area News | KQED",
"ogDescription": null
},
"ttid": 6968,
"slug": "news-fix",
"isLoading": false,
"link": "/news/program/news-fix"
},
"news_72": {
"type": "terms",
"id": "news_72",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "72",
"found": true
},
"relationships": {},
"featImg": "https://ww2.kqed.org/app/uploads/sites/10/2014/10/TCR-2-Logo-Web-Banners-03.png",
"name": "The California Report",
"description": null,
"taxonomy": "program",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "The California Report Archives | KQED News",
"ogDescription": null
},
"ttid": 6969,
"slug": "the-california-report",
"isLoading": false,
"link": "/news/program/the-california-report"
},
"news_457": {
"type": "terms",
"id": "news_457",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "457",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Archives | KQED News",
"ogDescription": null
},
"ttid": 16998,
"slug": "health",
"isLoading": false,
"link": "/news/category/health"
},
"news_8": {
"type": "terms",
"id": "news_8",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "8",
"found": true
},
"relationships": {},
"featImg": null,
"name": "News",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "News Archives | KQED News",
"ogDescription": null
},
"ttid": 8,
"slug": "news",
"isLoading": false,
"link": "/news/category/news"
},
"news_13": {
"type": "terms",
"id": "news_13",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "13",
"found": true
},
"relationships": {},
"name": "Politics",
"slug": "politics",
"taxonomy": "category",
"description": null,
"featImg": null,
"headData": {
"title": "Politics | KQED News",
"description": null,
"ogTitle": null,
"ogDescription": null,
"ogImgId": null,
"twTitle": null,
"twDescription": null,
"twImgId": null
},
"ttid": 13,
"isLoading": false,
"link": "/news/category/politics"
},
"news_19542": {
"type": "terms",
"id": "news_19542",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "19542",
"found": true
},
"relationships": {},
"featImg": null,
"name": "featured",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "featured Archives | KQED News",
"ogDescription": null
},
"ttid": 19559,
"slug": "featured",
"isLoading": false,
"link": "/news/tag/featured"
},
"news_3890": {
"type": "terms",
"id": "news_3890",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "3890",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Obamacare Archives | KQED News",
"ogDescription": null
},
"ttid": 3909,
"slug": "obamacare",
"isLoading": false,
"link": "/news/tag/obamacare"
},
"news_387": {
"type": "terms",
"id": "news_387",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "387",
"found": true
},
"relationships": {},
"featImg": null,
"name": "U.S. House of Representatives",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "U.S. House of Representatives Archives | KQED News",
"ogDescription": null
},
"ttid": 395,
"slug": "u-s-house-of-representatives",
"isLoading": false,
"link": "/news/tag/u-s-house-of-representatives"
},
"news_253": {
"type": "terms",
"id": "news_253",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "253",
"found": true
},
"relationships": {},
"featImg": null,
"name": "NPR",
"description": null,
"taxonomy": "affiliate",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "KQED is the NPR station for the Bay Area, providing award-winning news, programming, and community engagement.",
"title": "NPR Archives - Get the Latest News and Reports from California | KQED",
"ogDescription": null
},
"ttid": 7083,
"slug": "npr",
"isLoading": false,
"link": "/news/affiliate/npr"
},
"news_7052": {
"type": "terms",
"id": "news_7052",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "7052",
"found": true
},
"relationships": {
"ogImgId": {
"data": {
"type": "attachments",
"id": "news_117396"
}
}
},
"featImg": "https://ww2.kqed.org/app/uploads/sites/10/2014/10/KQED-Newsroom-Logo-Web-Banners-051.png",
"name": "KQED Newsroom",
"description": null,
"taxonomy": "program",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": "KQED Newsroom",
"ogImgId": "news_117396",
"twDescription": null,
"description": "KQED Newsroom airs every Friday on KQED-9",
"title": "KQED Newsroom | KQED Arts",
"ogDescription": "KQED Newsroom is our weekly show highlighting the issues that matter most to the people of Northern California."
},
"ttid": 7078,
"slug": "kqed-newsroom",
"isLoading": false,
"link": "/news/program/kqed-newsroom"
},
"news_20646": {
"type": "terms",
"id": "news_20646",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "20646",
"found": true
},
"relationships": {},
"name": "Craigslist",
"slug": "craigslist",
"taxonomy": "tag",
"description": null,
"featImg": null,
"headData": {
"title": "Craigslist | KQED News",
"description": null,
"ogTitle": null,
"ogDescription": null,
"ogImgId": null,
"twTitle": null,
"twDescription": null,
"twImgId": null,
"metaRobotsNoIndex": "noindex"
},
"ttid": 20663,
"isLoading": false,
"link": "/news/tag/craigslist"
},
"news_20297": {
"type": "terms",
"id": "news_20297",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "20297",
"found": true
},
"relationships": {},
"featImg": "https://ww2.kqed.org/app/uploads/sites/10/2014/10/KQED-Newsroom-Logo-Web-Banners-051.png",
"name": "KQED Newsroom Full Episodes",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED Newsroom Full Episodes Archives | KQED News",
"ogDescription": null
},
"ttid": 20314,
"slug": "kqed-newsroom-episode",
"isLoading": false,
"link": "/news/tag/kqed-newsroom-episode"
},
"news_19177": {
"type": "terms",
"id": "news_19177",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "19177",
"found": true
},
"relationships": {},
"featImg": null,
"name": "kqed-newsroom-featured",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "kqed-newsroom-featured Archives | KQED News",
"ogDescription": null
},
"ttid": 19194,
"slug": "kqed-newsroom-featured",
"isLoading": false,
"link": "/news/tag/kqed-newsroom-featured"
},
"news_329": {
"type": "terms",
"id": "news_329",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "329",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Wikileaks",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Wikileaks Archives | KQED News",
"ogDescription": null
},
"ttid": 337,
"slug": "wikileaks",
"isLoading": false,
"link": "/news/tag/wikileaks"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_15": {
"type": "terms",
"id": "stateofhealth_15",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "15",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President?",
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 15,
"slug": "reform",
"isLoading": false,
"link": "/stateofhealth/category/reform"
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_2808": {
"type": "terms",
"id": "stateofhealth_2808",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2808",
"found": true
},
"relationships": {},
"featImg": null,
"name": "featured",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "featured Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2817,
"slug": "featured",
"isLoading": false,
"link": "/stateofhealth/tag/featured"
},
"stateofhealth_2519": {
"type": "terms",
"id": "stateofhealth_2519",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2519",
"found": true
},
"relationships": {},
"featImg": null,
"name": "News",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "News Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2528,
"slug": "news",
"isLoading": false,
"link": "/stateofhealth/tag/news"
},
"stateofhealth_365": {
"type": "terms",
"id": "stateofhealth_365",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "365",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 366,
"slug": "obamacare",
"isLoading": false,
"link": "/stateofhealth/tag/obamacare"
},
"stateofhealth_3036": {
"type": "terms",
"id": "stateofhealth_3036",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "3036",
"found": true
},
"relationships": {},
"featImg": null,
"name": "California Healthline",
"description": null,
"taxonomy": "affiliate",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "California Healthline Archives | KQED Arts",
"ogDescription": null
},
"ttid": 3045,
"slug": "california-healthline",
"isLoading": false,
"link": "/stateofhealth/affiliate/california-healthline"
},
"stateofhealth_38": {
"type": "terms",
"id": "stateofhealth_38",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "38",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Affordable Care Act",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Affordable Care Act Archives | KQED Arts",
"ogDescription": null
},
"ttid": 38,
"slug": "affordable-care-act",
"isLoading": false,
"link": "/stateofhealth/tag/affordable-care-act"
},
"stateofhealth_3048": {
"type": "terms",
"id": "stateofhealth_3048",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "3048",
"found": true
},
"relationships": {},
"featImg": null,
"name": "single payer",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "single payer Archives | KQED Arts",
"ogDescription": null
},
"ttid": 3057,
"slug": "single-payer",
"isLoading": false,
"link": "/stateofhealth/tag/single-payer"
},
"news_2605": {
"type": "terms",
"id": "news_2605",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "2605",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Medi-Cal",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Medi-Cal Archives | KQED News",
"ogDescription": null
},
"ttid": 2621,
"slug": "medi-cal",
"isLoading": false,
"link": "/news/tag/medi-cal"
},
"news_17286": {
"type": "terms",
"id": "news_17286",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "17286",
"found": true
},
"relationships": {},
"featImg": null,
"name": "tcr",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "tcr Archives | KQED News",
"ogDescription": null
},
"ttid": 17318,
"slug": "tcr",
"isLoading": false,
"link": "/news/tag/tcr"
},
"futureofyou_452": {
"type": "terms",
"id": "futureofyou_452",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "452",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health Policy",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 452,
"slug": "health-policy",
"isLoading": false,
"link": "/futureofyou/category/health-policy"
},
"futureofyou_1": {
"type": "terms",
"id": "futureofyou_1",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1",
"found": true
},
"relationships": {},
"featImg": null,
"name": "KQED Future Of You",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED Future Of You Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1,
"slug": "future-of-you",
"isLoading": false,
"link": "/futureofyou/category/future-of-you"
},
"futureofyou_73": {
"type": "terms",
"id": "futureofyou_73",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "73",
"found": true
},
"relationships": {},
"featImg": null,
"name": "KQED News",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED News Archives | KQED Arts",
"ogDescription": null
},
"ttid": 73,
"slug": "kqed-news",
"isLoading": false,
"link": "/futureofyou/category/kqed-news"
},
"stateofhealth_166": {
"type": "terms",
"id": "stateofhealth_166",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "166",
"found": true
},
"relationships": {},
"featImg": null,
"name": "KQED blogs",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "KQED blogs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 166,
"slug": "kqed-blogs",
"isLoading": false,
"link": "/stateofhealth/category/kqed-blogs"
},
"stateofhealth_294": {
"type": "terms",
"id": "stateofhealth_294",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "294",
"found": true
},
"relationships": {},
"featImg": null,
"name": "ACA",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "ACA Archives | KQED Arts",
"ogDescription": null
},
"ttid": 295,
"slug": "aca",
"isLoading": false,
"link": "/stateofhealth/tag/aca"
},
"stateofhealth_3040": {
"type": "terms",
"id": "stateofhealth_3040",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "3040",
"found": true
},
"relationships": {},
"featImg": null,
"name": "undocumnted",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "undocumnted Archives | KQED Arts",
"ogDescription": null
},
"ttid": 3049,
"slug": "undocumnted",
"isLoading": false,
"link": "/stateofhealth/tag/undocumnted"
},
"stateofhealth_3041": {
"type": "terms",
"id": "stateofhealth_3041",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "3041",
"found": true
},
"relationships": {},
"featImg": null,
"name": "CALmatters",
"description": null,
"taxonomy": "affiliate",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "CALmatters Archives | KQED Arts",
"ogDescription": null
},
"ttid": 3050,
"slug": "calmatters",
"isLoading": false,
"link": "/stateofhealth/affiliate/calmatters"
},
"futureofyou_1060": {
"type": "terms",
"id": "futureofyou_1060",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1060",
"found": true
},
"relationships": {},
"featImg": null,
"name": "DIY Health",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "DIY Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1060,
"slug": "diy-health",
"isLoading": false,
"link": "/futureofyou/category/diy-health"
},
"futureofyou_1062": {
"type": "terms",
"id": "futureofyou_1062",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1062",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Hope/Hype",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Hope/Hype Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1062,
"slug": "hopehype",
"isLoading": false,
"link": "/futureofyou/category/hopehype"
},
"futureofyou_1171": {
"type": "terms",
"id": "futureofyou_1171",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1171",
"found": true
},
"relationships": {},
"featImg": null,
"name": "ACA",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "ACA Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1171,
"slug": "aca",
"isLoading": false,
"link": "/futureofyou/tag/aca"
},
"futureofyou_1173": {
"type": "terms",
"id": "futureofyou_1173",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1173",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Ezekiel Emanuel",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Ezekiel Emanuel Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1173,
"slug": "ezekiel-emanuel",
"isLoading": false,
"link": "/futureofyou/tag/ezekiel-emanuel"
},
"futureofyou_1172": {
"type": "terms",
"id": "futureofyou_1172",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "1172",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1172,
"slug": "obamacare",
"isLoading": false,
"link": "/futureofyou/tag/obamacare"
},
"futureofyou_680": {
"type": "terms",
"id": "futureofyou_680",
"meta": {
"index": "terms_1716263798",
"site": "futureofyou",
"id": "680",
"found": true
},
"relationships": {},
"featImg": null,
"name": "stem cells",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "stem cells Archives | KQED Arts",
"ogDescription": null
},
"ttid": 680,
"slug": "stem-cells",
"isLoading": false,
"link": "/futureofyou/tag/stem-cells"
},
"news_1323": {
"type": "terms",
"id": "news_1323",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "1323",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Donald Trump",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Donald Trump Archives | KQED News",
"ogDescription": null
},
"ttid": 1335,
"slug": "donald-trump",
"isLoading": false,
"link": "/news/tag/donald-trump"
},
"news_237": {
"type": "terms",
"id": "news_237",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "237",
"found": true
},
"relationships": {},
"featImg": null,
"name": "veterans",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "veterans Archives | KQED News",
"ogDescription": null
},
"ttid": 245,
"slug": "veterans",
"isLoading": false,
"link": "/news/tag/veterans"
},
"news_827": {
"type": "terms",
"id": "news_827",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "827",
"found": true
},
"relationships": {},
"featImg": null,
"name": "veterans affairs",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "veterans affairs Archives | KQED News",
"ogDescription": null
},
"ttid": 837,
"slug": "veterans-affairs",
"isLoading": false,
"link": "/news/tag/veterans-affairs"
},
"stateofhealth_1": {
"type": "terms",
"id": "stateofhealth_1",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "1",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Uncategorized",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Uncategorized Archives | KQED Arts",
"ogDescription": null
},
"ttid": 1,
"slug": "uncategorized",
"isLoading": false,
"link": "/stateofhealth/category/uncategorized"
},
"stateofhealth_3037": {
"type": "terms",
"id": "stateofhealth_3037",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "3037",
"found": true
},
"relationships": {},
"featImg": null,
"name": "community health clinic",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "community health clinic Archives | KQED Arts",
"ogDescription": null
},
"ttid": 3046,
"slug": "community-health-clinic",
"isLoading": false,
"link": "/stateofhealth/tag/community-health-clinic"
},
"news_17041": {
"type": "terms",
"id": "news_17041",
"meta": {
"index": "terms_1716263798",
"site": "news",
"id": "17041",
"found": true
},
"relationships": {},
"featImg": null,
"name": "the-california-report-featured",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "the-california-report-featured Archives | KQED News",
"ogDescription": null
},
"ttid": 17067,
"slug": "the-california-report-featured",
"isLoading": false,
"link": "/news/tag/the-california-report-featured"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
}
}
