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"content": "\u003cp>A U.S. jury on Wednesday awarded $80 million in damages to a North Bay resident who blamed Roundup weed killer for his cancer, in a case that his attorneys say could help determine the fate of hundreds of similar lawsuits.\u003c/p>\n\u003cp>The six-person jury in a San Francisco federal court returned its verdict in favor of Edwin Hardeman, 70, who said he used Roundup products to treat poison oak, overgrowth and weeds on his Sonoma County property for years, and was never adequately warned of its potential dangers. The same jury previously found, in a unanimous verdict, that Roundup was a substantial factor in Hardeman's non-Hodgkin's lymphoma.\u003c/p>\n\u003cp>Monsanto said it would appeal the jury award.\u003c/p>\n\u003cp>Agribusiness giant Monsanto, which was purchased last year by Bayer AG for $63 billion, says studies have established that the active ingredient in its widely used weed killer, glyphosate, is safe. The company said it will appeal.\u003c/p>\n\u003cp>[aside label=\"Monsanto in Court\" tag=\"monsanto\"]\u003c/p>\n\u003cp>\"We are disappointed with the jury's decision, but this verdict does not change the weight of over four decades of extensive science and the conclusions of regulators worldwide that support the safety of our glyphosate-based herbicides and that they are not carcinogenic,\" according to a statement from Bayer, which acquired Monsanto last year.\u003c/p>\n\u003cp>A different jury in August awarded another man $289 million, but a judge later reduced it to $78 million. Monsanto has appealed that award as well.\u003c/p>\n\u003cp>Hardeman's trial may be more significant than that case. U.S. Judge Vince Chhabria is overseeing hundreds of Roundup lawsuits and deemed Hardeman's case and two others \"bellwether trials.\"\u003c/p>\n\u003cp>The outcome of such cases can help attorneys decide whether to keep fighting similar lawsuits or settle them. Legal experts said verdicts in favor of Hardeman and the other test plaintiffs would give their attorneys a strong bargaining position in any settlement talks for the remaining cases before Chhabria.\u003c/p>\n\u003cp>Many government regulators have rejected a link between cancer and glyphosate. Monsanto has vehemently denied such a connection, saying hundreds of studies have established that the chemical is safe.\u003c/p>\n\u003cp>Monsanto developed glyphosate in the 1970s, and the weed killer is now sold in more than 160 countries and widely used in the United States.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The herbicide came under increasing scrutiny after the France-based International Agency for Research on Cancer, which is part of the World Health Organization, classified it as a \"probable human carcinogen\" in 2015.\u003c/p>\n\u003cp>Lawsuits against Monsanto followed, and thousands are now pending nationwide. Another trial, beginning Thursday in Oakland, involves a Livermore couple in their mid-70s who were both diagnosed with non-Hodgkin’s lymphoma after using Roundup for about 40 years.\u003c/p>\n\u003cp>Monsanto has attacked the international research agency's opinion as an outlier. The U.S. Environmental Protection Agency says glyphosate is safe for people when used in accordance with label directions.\u003c/p>\n\u003cp>Jennifer Moore, one of Hardeman's attorneys, called the verdict history making.\u003c/p>\n\u003cp>\"Today the jury sent a message loud and clear that companies should no longer put products on the market for anyone to buy without being truthful, without testing, and without warning if it causes cancer,\" she said. \"They chose not to tell the American public and they chose not to tell the world that their product was dangerous and today the jury held unanimously that that was wrong, it was deceitful and it was malicious.\"\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A U.S. jury on Wednesday awarded $80 million in damages to a North Bay resident who blamed Roundup weed killer for his cancer, in a case that his attorneys say could help determine the fate of hundreds of similar lawsuits.\u003c/p>\n\u003cp>The six-person jury in a San Francisco federal court returned its verdict in favor of Edwin Hardeman, 70, who said he used Roundup products to treat poison oak, overgrowth and weeds on his Sonoma County property for years, and was never adequately warned of its potential dangers. The same jury previously found, in a unanimous verdict, that Roundup was a substantial factor in Hardeman's non-Hodgkin's lymphoma.\u003c/p>\n\u003cp>Monsanto said it would appeal the jury award.\u003c/p>\n\u003cp>Agribusiness giant Monsanto, which was purchased last year by Bayer AG for $63 billion, says studies have established that the active ingredient in its widely used weed killer, glyphosate, is safe. The company said it will appeal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We are disappointed with the jury's decision, but this verdict does not change the weight of over four decades of extensive science and the conclusions of regulators worldwide that support the safety of our glyphosate-based herbicides and that they are not carcinogenic,\" according to a statement from Bayer, which acquired Monsanto last year.\u003c/p>\n\u003cp>A different jury in August awarded another man $289 million, but a judge later reduced it to $78 million. Monsanto has appealed that award as well.\u003c/p>\n\u003cp>Hardeman's trial may be more significant than that case. U.S. Judge Vince Chhabria is overseeing hundreds of Roundup lawsuits and deemed Hardeman's case and two others \"bellwether trials.\"\u003c/p>\n\u003cp>The outcome of such cases can help attorneys decide whether to keep fighting similar lawsuits or settle them. Legal experts said verdicts in favor of Hardeman and the other test plaintiffs would give their attorneys a strong bargaining position in any settlement talks for the remaining cases before Chhabria.\u003c/p>\n\u003cp>Many government regulators have rejected a link between cancer and glyphosate. Monsanto has vehemently denied such a connection, saying hundreds of studies have established that the chemical is safe.\u003c/p>\n\u003cp>Monsanto developed glyphosate in the 1970s, and the weed killer is now sold in more than 160 countries and widely used in the United States.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The herbicide came under increasing scrutiny after the France-based International Agency for Research on Cancer, which is part of the World Health Organization, classified it as a \"probable human carcinogen\" in 2015.\u003c/p>\n\u003cp>Lawsuits against Monsanto followed, and thousands are now pending nationwide. Another trial, beginning Thursday in Oakland, involves a Livermore couple in their mid-70s who were both diagnosed with non-Hodgkin’s lymphoma after using Roundup for about 40 years.\u003c/p>\n\u003cp>Monsanto has attacked the international research agency's opinion as an outlier. The U.S. Environmental Protection Agency says glyphosate is safe for people when used in accordance with label directions.\u003c/p>\n\u003cp>Jennifer Moore, one of Hardeman's attorneys, called the verdict history making.\u003c/p>\n\u003cp>\"Today the jury sent a message loud and clear that companies should no longer put products on the market for anyone to buy without being truthful, without testing, and without warning if it causes cancer,\" she said. \"They chose not to tell the American public and they chose not to tell the world that their product was dangerous and today the jury held unanimously that that was wrong, it was deceitful and it was malicious.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A California woman who says Johnson & Johnson baby powder caused her to develop mesothelioma was awarded $29 million by a jury Wednesday. J&J says it will appeal the judgment.\u003c/p>\n\u003cp>The plaintiff, Terry Leavitt, said she regularly used two J&J products in the 1960s and ’70s containing talc. In 2017, she was diagnosed with mesothelioma, a kind of cancer linked to asbestos exposure.\u003c/p>\n\u003cp>After two days of deliberation, the jury found that J&J talc-based products were defective and caused Leavitt’s mesothelioma, and that the company had failed to warn consumers about the risks. The jury, in the California Superior Court in Oakland, awarded Leavitt and her husband $29.4 million in damages.\u003c/p>\n\u003cp>J&J faces thousands of lawsuits alleging its talc-based products harmed consumers. This suit is the first to go to trial since articles by Reuters and The New York Times alleged the company feared for years that its baby powder might contain asbestos. J&J denies that its talc powder contains asbestos or is responsible for health problems.\u003c/p>\n\u003cp>J&J said it would appeal, pointing to “serious procedural and evidentiary errors,” Reuters reported. “The jury verdicts are not medical, scientific or regulatory conclusions about a product,” it said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In December, documents came to light showing J&J \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\">worried for decades\u003c/a> that its baby powder might be laced with small amounts of asbestos, which can occur naturally underground near talc. A company executive in the 1970s warned that J&J’s talc mines might not be free of asbestos. Some of its talc products sometimes contained materials that “might be classified as asbestos powder,” The \u003ca href=\"https://www.nytimes.com/2018/12/14/business/baby-powder-asbestos-johnson-johnson.html\">New York Times\u003c/a> reported, quoting an internal company memo.\u003c/p>\n\u003cp>Recent cases have focused on talc’s link to mesothelioma, but many additional cases allege the powder has caused ovarian cancer. All told, the pharmaceutical company faces more than 13,000 talc-related lawsuits nationwide, Reuters reports.\u003c/p>\n\u003cp>Last year, 22 women \u003ca href=\"https://www.npr.org/2018/07/13/628684038/jury-awards-4-7-billion-to-women-in-johnson-johnson-talcum-powder-suit\">were awarded\u003c/a> $4.7 billion after they sued J&J, alleging they developed ovarian cancer because of the company’s products. More than $4 billion of the jury award consisted of punitive damages, which are meant to punish a defendant for wrongdoing. J&J \u003ca href=\"https://www.nytimes.com/2018/12/19/business/johnson-johnson-baby-powder-verdict.html\">failed \u003c/a>in December to convince a judge to throw out that verdict but told The Times it would appeal that decision.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Research, clinical evidence and nearly 40 years of studies by independent medical experts around the world continue to support the safety of talc,” the company \u003ca href=\"https://www.jnj.com/our-products/5-important-facts-about-the-safety-of-talc\">says\u003c/a>. “Talc does not cause cancer.”\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Johnson+%26+Johnson+Hit+With+%2429+Million+Verdict+In+Mesothelioma+Case&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California woman who says Johnson & Johnson baby powder caused her to develop mesothelioma was awarded $29 million by a jury Wednesday. J&J says it will appeal the judgment.\u003c/p>\n\u003cp>The plaintiff, Terry Leavitt, said she regularly used two J&J products in the 1960s and ’70s containing talc. In 2017, she was diagnosed with mesothelioma, a kind of cancer linked to asbestos exposure.\u003c/p>\n\u003cp>After two days of deliberation, the jury found that J&J talc-based products were defective and caused Leavitt’s mesothelioma, and that the company had failed to warn consumers about the risks. The jury, in the California Superior Court in Oakland, awarded Leavitt and her husband $29.4 million in damages.\u003c/p>\n\u003cp>J&J faces thousands of lawsuits alleging its talc-based products harmed consumers. This suit is the first to go to trial since articles by Reuters and The New York Times alleged the company feared for years that its baby powder might contain asbestos. J&J denies that its talc powder contains asbestos or is responsible for health problems.\u003c/p>\n\u003cp>J&J said it would appeal, pointing to “serious procedural and evidentiary errors,” Reuters reported. “The jury verdicts are not medical, scientific or regulatory conclusions about a product,” it said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In December, documents came to light showing J&J \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\">worried for decades\u003c/a> that its baby powder might be laced with small amounts of asbestos, which can occur naturally underground near talc. A company executive in the 1970s warned that J&J’s talc mines might not be free of asbestos. Some of its talc products sometimes contained materials that “might be classified as asbestos powder,” The \u003ca href=\"https://www.nytimes.com/2018/12/14/business/baby-powder-asbestos-johnson-johnson.html\">New York Times\u003c/a> reported, quoting an internal company memo.\u003c/p>\n\u003cp>Recent cases have focused on talc’s link to mesothelioma, but many additional cases allege the powder has caused ovarian cancer. All told, the pharmaceutical company faces more than 13,000 talc-related lawsuits nationwide, Reuters reports.\u003c/p>\n\u003cp>Last year, 22 women \u003ca href=\"https://www.npr.org/2018/07/13/628684038/jury-awards-4-7-billion-to-women-in-johnson-johnson-talcum-powder-suit\">were awarded\u003c/a> $4.7 billion after they sued J&J, alleging they developed ovarian cancer because of the company’s products. More than $4 billion of the jury award consisted of punitive damages, which are meant to punish a defendant for wrongdoing. J&J \u003ca href=\"https://www.nytimes.com/2018/12/19/business/johnson-johnson-baby-powder-verdict.html\">failed \u003c/a>in December to convince a judge to throw out that verdict but told The Times it would appeal that decision.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Research, clinical evidence and nearly 40 years of studies by independent medical experts around the world continue to support the safety of talc,” the company \u003ca href=\"https://www.jnj.com/our-products/5-important-facts-about-the-safety-of-talc\">says\u003c/a>. “Talc does not cause cancer.”\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Johnson+%26+Johnson+Hit+With+%2429+Million+Verdict+In+Mesothelioma+Case&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A jury in federal court in San Francisco will decide whether Roundup weed killer caused a California man's cancer in a trial starting Monday. Plaintiffs' attorneys say the trial could help determine the fate of hundreds of similar lawsuits.\u003c/p>\n\u003cp>Edwin Hardeman, 70, is the second plaintiff to go to trial of thousands around the United States who claim agribusiness giant Monsanto's weed killer causes cancer.\u003c/p>\n\u003cp>Monsanto says studies have established that the active ingredient in Roundup, glyphosate, is safe.\u003c/p>\n\u003cp>\"There is a mountain of evidence,\" Hardeman's attorney, Brent Wisner, said outside court. \"This company needs to get straight and be honest with its customers and say, listen, there is evidence it's associated with cancer and let people make a choice about whether or not they use the product.\"\u003c/p>\n\u003cp>A San Francisco jury in August \u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\" rel=\"noopener\" target=\"_blank\">awarded another man $289 million \u003c/a>after determining Roundup caused his non-Hodgkin's lymphoma. A judge later slashed the award to $78 million, and Monsanto has appealed.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\">Monsanto Found Guilty in Landmark Cancer Case Trial\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/35/2018/07/GettyImages-994931004-1180x824.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Hardeman's trial is before a different judge and may be more significant. U.S. Judge Vince Chhabria is overseeing hundreds of Roundup lawsuits, and has deemed Hardeman's case and two others \"bellwether trials.\"\u003c/p>\n\u003cp>\"If we are able to succeed here then it really sends a signal to Monsanto and specifically to Bayer that they have a real problem,\" Wisner said.\u003c/p>\n\u003cp>The outcome of bellwether cases can help attorneys decide whether to continue fighting similar suits in court or settle them. A jury verdict in favor of Hardeman and the other test plaintiffs would give their attorneys a strong bargaining position in any settlement talks for the remaining cases before Chhabria, said David Levine, a professor at the University of California, Hastings College of the Law who has followed the Roundup litigation.\u003c/p>\n\u003cp>Thousands of \u003ca href=\"https://www.kqed.org/stateofhealth/361923/california-cracks-down-on-weed-killer-as-lawsuits-abound\">other Roundup lawsuits\u003c/a> are pending in state courts around the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many government regulators have rejected a link between cancer and glyphosate. Monsanto has vehemently denied such a connection, saying hundreds of studies have established that the chemical is safe.\u003c/p>\n\u003cp>Monsanto developed glyphosate in the 1970s, and the weed killer is now sold in more than 160 countries and widely used in the U.S.\u003c/p>\n\u003cp>The herbicide came under increasing scrutiny after the France-based International Agency for Research on Cancer, which is part of the World Health Organization, classified it as a \"probable human carcinogen\" in 2015.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1920399/us-judge-blocks-weed-killer-warning-label-in-california\">U.S. Judge Blocks Weed-Killer Warning Label in California\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1920399/us-judge-blocks-weed-killer-warning-label-in-california\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/35/2018/02/GettyImages-899547980-1180x785.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Lawsuits against Monsanto followed. Monsanto has attacked the international research agency's opinion as an outlier. The U.S. Environmental Protection Agency says glyphosate is safe for people when used in accordance with label directions.\u003c/p>\n\u003cp>Hardeman started using Roundup products to treat poison oak, overgrowth and weeds on his 56-acre Sonoma County property in the 1980s and continued using them through 2012, according to his attorneys. He was diagnosed with non-Hodgkin's lymphoma in 2015.\u003c/p>\n\u003cp>In a setback for Hardeman, Chhabria issued a ruling last month breaking his trial up into two phases. Hardeman's attorneys will first have to convince jurors that his use of Roundup caused his non-Hodgkin's lymphoma before they can make arguments for punitive damages.\u003c/p>\n\u003cp>The trial is expected to last about a month.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Edwin Hardeman, 70, is the second plaintiff to go to trial of thousands around the U.S. who claim agribusiness giant Monsanto's weed killer Roundup causes cancer. The judge has called it a ‘bellwether trial.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A jury in federal court in San Francisco will decide whether Roundup weed killer caused a California man's cancer in a trial starting Monday. Plaintiffs' attorneys say the trial could help determine the fate of hundreds of similar lawsuits.\u003c/p>\n\u003cp>Edwin Hardeman, 70, is the second plaintiff to go to trial of thousands around the United States who claim agribusiness giant Monsanto's weed killer causes cancer.\u003c/p>\n\u003cp>Monsanto says studies have established that the active ingredient in Roundup, glyphosate, is safe.\u003c/p>\n\u003cp>\"There is a mountain of evidence,\" Hardeman's attorney, Brent Wisner, said outside court. \"This company needs to get straight and be honest with its customers and say, listen, there is evidence it's associated with cancer and let people make a choice about whether or not they use the product.\"\u003c/p>\n\u003cp>A San Francisco jury in August \u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\" rel=\"noopener\" target=\"_blank\">awarded another man $289 million \u003c/a>after determining Roundup caused his non-Hodgkin's lymphoma. A judge later slashed the award to $78 million, and Monsanto has appealed.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\">Monsanto Found Guilty in Landmark Cancer Case Trial\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1927142/san-francisco-jury-to-rule-whether-monsanto-caused-bay-area-mans-cancer\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/35/2018/07/GettyImages-994931004-1180x824.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Hardeman's trial is before a different judge and may be more significant. U.S. Judge Vince Chhabria is overseeing hundreds of Roundup lawsuits, and has deemed Hardeman's case and two others \"bellwether trials.\"\u003c/p>\n\u003cp>\"If we are able to succeed here then it really sends a signal to Monsanto and specifically to Bayer that they have a real problem,\" Wisner said.\u003c/p>\n\u003cp>The outcome of bellwether cases can help attorneys decide whether to continue fighting similar suits in court or settle them. A jury verdict in favor of Hardeman and the other test plaintiffs would give their attorneys a strong bargaining position in any settlement talks for the remaining cases before Chhabria, said David Levine, a professor at the University of California, Hastings College of the Law who has followed the Roundup litigation.\u003c/p>\n\u003cp>Thousands of \u003ca href=\"https://www.kqed.org/stateofhealth/361923/california-cracks-down-on-weed-killer-as-lawsuits-abound\">other Roundup lawsuits\u003c/a> are pending in state courts around the country.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many government regulators have rejected a link between cancer and glyphosate. Monsanto has vehemently denied such a connection, saying hundreds of studies have established that the chemical is safe.\u003c/p>\n\u003cp>Monsanto developed glyphosate in the 1970s, and the weed killer is now sold in more than 160 countries and widely used in the U.S.\u003c/p>\n\u003cp>The herbicide came under increasing scrutiny after the France-based International Agency for Research on Cancer, which is part of the World Health Organization, classified it as a \"probable human carcinogen\" in 2015.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/science/1920399/us-judge-blocks-weed-killer-warning-label-in-california\">U.S. Judge Blocks Weed-Killer Warning Label in California\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/science/1920399/us-judge-blocks-weed-killer-warning-label-in-california\">\u003cimg src=\"https://ww2.kqed.org/wp-content/uploads/sites/35/2018/02/GettyImages-899547980-1180x785.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Lawsuits against Monsanto followed. Monsanto has attacked the international research agency's opinion as an outlier. The U.S. Environmental Protection Agency says glyphosate is safe for people when used in accordance with label directions.\u003c/p>\n\u003cp>Hardeman started using Roundup products to treat poison oak, overgrowth and weeds on his 56-acre Sonoma County property in the 1980s and continued using them through 2012, according to his attorneys. He was diagnosed with non-Hodgkin's lymphoma in 2015.\u003c/p>\n\u003cp>In a setback for Hardeman, Chhabria issued a ruling last month breaking his trial up into two phases. Hardeman's attorneys will first have to convince jurors that his use of Roundup caused his non-Hodgkin's lymphoma before they can make arguments for punitive damages.\u003c/p>\n\u003cp>The trial is expected to last about a month.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Nobel Prize for 'Landmark' Cancer Research Conducted at UC Berkeley",
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"content": "\u003cp>https://www.youtube.com/watch?time_continue=899&v=ScuTG1bzSHY\u003c/p>\n\u003cp>The Nobel Prize in medicine was awarded Monday to two researchers from the United States and Japan for advances in discovering how the body’s immune system can fight off the scourge of cancer.[contextly_sidebar id=\"CWuF65jUQjKNMEH73SFwE7Eh0o965day\"]\u003c/p>\n\u003cp>The $1.01 million prize will be shared by James Allison and Tasuku Honjo.\u003c/p>\n\u003cp>Allison conducted his research at the University of California-Berkeley and is now at the M.D. Anderson cancer center in Houston. Honju works at Japan’s Kyoto University.\u003c/p>\n\u003cp>Their parallel work concerned proteins that act as brakes on the body’s immune system and it constitutes “a landmark in our fight against cancer,” said a statement from the Nobel Assembly of Sweden’s Karolinska Institute, which selects winners of the annual prestigious award.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Allison studied a known protein and developed the concept into a new treatment approach, while Honjo discovered a new protein that also operated as a brake on immune cells.\u003c/p>\n\u003cp>“I’m honored and humbled to receive this prestigious recognition,” Allison said in a statement released by the university’s MD Anderson Cancer Center in Houston, where he is a professor.\u003c/p>\n\u003cp>“A driving motivation for scientists is simply to push the frontiers of knowledge. I didn’t set out to study cancer, but to understand the biology of T cells, these incredible cells that travel our bodies and work to protect us,” he said.[contextly_sidebar id=\"TrEVYlEaRWGIwxl3wZCxQN7b50EP4tx2\"]\u003c/p>\n\u003cp>Allison takes care in his statement to give credit to “a succession of graduate students, postdoctoral fellows and colleagues at MD Anderson, the University of California, Berkeley, and Memorial Sloan Kettering Cancer Center” who joined in the research.\u003c/p>\n\u003cp>Allison’s and Honjo’s prize-winning work started in the 1990s and was part of significant advances in cancer immunotherapy.\u003c/p>\n\u003cp>“In some patients, this therapy is remarkably effective,” Jeremy Berg, editor-in-chief of the \u003cem>Science\u003c/em> family of journals, told The Associated Press. “The number of different types of cancers for which this approach to immunotherapy is being found to be effective in at least some patients continues to grow.”\u003c/p>\n\u003cp>Therapy developed from Honjo’s work led to long-term remission in patients with metastatic cancer that had been considered essentially untreatable, the Nobel Assembly said.[contextly_sidebar id=\"JxHmQ4y9gmGqrPe0YiiMCtrrGiOV1Oid\"]\u003c/p>\n\u003cp>Berg said that former President Jimmy Carter’s cancer, which had spread to his brain, was treated with one of the drugs developed from Honjo’s work.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The physics prize is to be announced Tuesday, followed by chemistry. The winner of the Nobel Peace Prize will be named Friday and the economics laureate will be announced next Monday. No literature prize is being given this year.\u003c/p>\n\n",
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"content": "\u003cp>As he grew older, Dale Kunitomi paid closer attention to his health — and to his doctor’s advice. When he noticed rectal bleeding in 2010, he went to see his physician, who ordered a colonoscopy.[contextly_sidebar id=\"vc7B3eLIIv6aV3Hq5qcJq85a0z0PMqRC\"]\u003c/p>\n\u003cp>The diagnosis: colon cancer.\u003c/p>\n\u003cp>Kunitomi, now 74, underwent surgery, radiation and chemotherapy — and now he has been cancer-free for seven years. “The things that are said about early detection and living a healthy lifestyle are important,” said Kunitomi, a resident of Ventura County, Calif. “You are foolish if you don’t pay attention.”\u003c/p>\n\u003cp>Californians are living longer with most types of cancer, due to earlier detection and more effective treatments, according to\u003ca href=\"http://www.ucdmc.ucdavis.edu/publish/news/newsroom/13098\" target=\"_blank\" rel=\"noopener\"> new research\u003c/a> from the University of California-Davis. But racial, ethnic and socioeconomic disparities persist, the report found.\u003c/p>\n\u003cp>The study, published this month, shows that 65 percent of people diagnosed with cancer between 2006 and 2010 survived five years or more from the time their disease was discovered, up from 58 percent for those diagnosed between 1990 and 1994. The researchers drew from data on 1.4 million California adults diagnosed with 27 different kinds of cancer. They found improved survival rates for patients with all but five types of cancer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Non-Latino whites had the highest five-year survival rate for all cancers combined, followed by Latinos — though Pacific Islanders and Asians, like Kunitomi, had the highest rates for 13 of the cancers studied, including breast, colon, liver and lung. African-Americans had the worst overall prognosis.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444171\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_over-time1-1020x747.png\" alt=\"\" width=\"640\" height=\"469\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-1020x747.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-160x117.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-800x586.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-768x563.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-960x703.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-240x176.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-375x275.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-520x381.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>The California numbers echo a national trend of significant improvement in cancer survival, one also tempered by racial and ethnic disparities. A recent analysis in the journal Cancer, which relied on death rather than survival rates, found a \u003ca href=\"https://onlinelibrary.wiley.com/doi/epdf/10.3322/caac.21460\" target=\"_blank\" rel=\"noopener\">26 percent decline in cancer mortality\u003c/a> in the United States between 1991 and 2015 — translating to nearly 2.4 million cancer deaths avoided. The study showed mortality rates declined for all the major cancers, including breast, colorectal and prostate.\u003c/p>\n\u003cp>Dr. Otis Brawley, one of the authors of that report and chief medical and scientific officer of the American Cancer Society, attributed the improvement to better screening, detection and treatment — and a decline in smoking. He said cancer deaths likely would drop even further if there were more equal access to prevention, diagnosis and treatment.[contextly_sidebar id=\"fmc02MyXuNyOxUDOEz7MyAsTaZY5UAeN\"]\u003c/p>\n\u003cp>Perhaps unsurprisingly, the UC-Davis data show that poor Californians don’t live as long with cancer as those of greater means. About three-quarters of the patients at the highest socioeconomic level, with all cancers combined, survived five years or more. Just over half the patients at the lowest levels lived that long. Age was also a major factor: The younger patients were at the time of the diagnosis, the better their chance of survival.\u003c/p>\n\u003cp>Separate research from UC-Davis, published in 2015, showed the impact of health insurance status: Uninsured patients and those on Medi-Cal — California’s version of the federal Medicaid program for low-income people — had worse cancer care and outcomes than people with private insurance.\u003c/p>\n\u003cp>The research published this month showed the most critical factor in survival was finding the cancer early, which the report said underscores the importance of screening. One hundred percent of breast cancer patients survived at least five years if their disease was detected at stage 1. Only 28 percent of patients lived that long if their cancer was found when it was at stage 4, the most advanced stage. Most types of cancer show similarly stark disparities.\u003c/p>\n\u003cp>Stages, which depend in part on the size of the tumor and whether the cancer has spread, are a gauge of how serious the disease is.\u003c/p>\n\u003cp>“The earlier things are picked up, the more likely it is that treatment is successful,” said Dr. Kenneth Kizer, senior author of the study and director of the UC-Davis Institute for Population Health Improvement.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444172\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-1020x708.png\" alt=\"\" width=\"640\" height=\"444\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-1020x708.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-160x111.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-800x555.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-768x533.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-960x667.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-240x167.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-375x260.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-520x361.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>Cancer screening and treatment for African-Americans lag behind other racial and ethnic groups, said Dr. Nancy Lee, who is on the board of Black Women’s Health Imperative, a national organization that seeks to improve the health of black women. Long-standing and sometimes unrecognized bias in the health care system disadvantages black patients in a way that can compromise their medical outcomes, said Lee, who previously led the cancer division of the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>White women in California are more likely to get breast cancer, the most common cancer among women, but black women are more likely to die from it, the UC-Davis report found.[contextly_sidebar id=\"VH6Y1JhelA7uLcj4KfqvO237ZI6LRYmK\"]\u003c/p>\n\u003cp>Bobby Smith’s wife, an African-American, died 13 years ago after her breast cancer moved into her lymph nodes and eventually metastasized to her brain. Smith said he doesn’t believe doctors gave her all the information she needed to make the best decisions about her treatment. “Health care professionals treat and serve people of color differently,” said Smith, who lives in Los Angeles.\u003c/p>\n\u003cp>The UC-Davis report used data from the \u003ca href=\"http://www.ccrcal.org/\" target=\"_blank\" rel=\"noopener\">California Cancer Registry,\u003c/a> a repository of data on cancer patients dating to 1988 that contains information on patient demographics, diagnosis, initial treatment and outcomes.\u003c/p>\n\u003cp>The rates reported in the study measure “relative” survival, which represents survival in the absence of other causes of death. The study showed patients with prostate, breast, melanoma and uterine cancers had among the highest survival rates: More than 80 percent of them lived at least five years after their diagnosis.\u003c/p>\n\u003cp>Survival did not improve for patients with some cancers, including bladder, cervical and testicular. And fewer than 20 percent of patients with cancers of the lung, liver, pancreas and esophagus lived past five years.\u003c/p>\n\u003cp>For breast cancer patients, five-year survival improved from 85 percent among those diagnosed between 1990 and 1994 to 90 percent among those diagnosed between 2006 and 2010.\u003c/p>\n\u003cp>The patterns were similar for lung cancer, the second most commonly diagnosed cancer in California and the leading cause of cancer deaths nationwide. The disease tends to be diagnosed late, and patients with stage 4 cancer had just a 4 percent survival rate after five years.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444173\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-1020x708.png\" alt=\"\" width=\"640\" height=\"444\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-1020x708.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-160x111.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-800x555.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-768x533.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-960x667.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-240x167.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-375x260.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-520x361.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>Kizer of UC-Davis said new treatments offer great promise for cancer patients, but how much money they have and who their insurers are may well determine whether or not they reap the benefits.\u003c/p>\n\u003cp>Cancer is hard enough for people with means and education, said Susan Lasker Hertz, 61, a Colorado nurse who was diagnosed with stage 2 breast cancer in 2009 and then developed leukemia three years later. Hertz, who is now in remission from both cancers, said her knowledge and experience helped her navigate the health care system and get treated quickly after her diagnosis. But it wasn’t easy.\u003c/p>\n\u003cp>“I am an educated, white, highly knowledgeable health care professional,” she said, “and it is still overwhelming.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>KHN's coverage in California is supported in part by \u003ca href=\"http://www.blueshieldcafoundation.org/\" target=\"_blank\" rel=\"noopener\">Blue Shield of California Foundation.\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As he grew older, Dale Kunitomi paid closer attention to his health — and to his doctor’s advice. When he noticed rectal bleeding in 2010, he went to see his physician, who ordered a colonoscopy.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The diagnosis: colon cancer.\u003c/p>\n\u003cp>Kunitomi, now 74, underwent surgery, radiation and chemotherapy — and now he has been cancer-free for seven years. “The things that are said about early detection and living a healthy lifestyle are important,” said Kunitomi, a resident of Ventura County, Calif. “You are foolish if you don’t pay attention.”\u003c/p>\n\u003cp>Californians are living longer with most types of cancer, due to earlier detection and more effective treatments, according to\u003ca href=\"http://www.ucdmc.ucdavis.edu/publish/news/newsroom/13098\" target=\"_blank\" rel=\"noopener\"> new research\u003c/a> from the University of California-Davis. But racial, ethnic and socioeconomic disparities persist, the report found.\u003c/p>\n\u003cp>The study, published this month, shows that 65 percent of people diagnosed with cancer between 2006 and 2010 survived five years or more from the time their disease was discovered, up from 58 percent for those diagnosed between 1990 and 1994. The researchers drew from data on 1.4 million California adults diagnosed with 27 different kinds of cancer. They found improved survival rates for patients with all but five types of cancer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Non-Latino whites had the highest five-year survival rate for all cancers combined, followed by Latinos — though Pacific Islanders and Asians, like Kunitomi, had the highest rates for 13 of the cancers studied, including breast, colon, liver and lung. African-Americans had the worst overall prognosis.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444171\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_over-time1-1020x747.png\" alt=\"\" width=\"640\" height=\"469\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-1020x747.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-160x117.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-800x586.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-768x563.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-960x703.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-240x176.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-375x275.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1-520x381.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_over-time1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>The California numbers echo a national trend of significant improvement in cancer survival, one also tempered by racial and ethnic disparities. A recent analysis in the journal Cancer, which relied on death rather than survival rates, found a \u003ca href=\"https://onlinelibrary.wiley.com/doi/epdf/10.3322/caac.21460\" target=\"_blank\" rel=\"noopener\">26 percent decline in cancer mortality\u003c/a> in the United States between 1991 and 2015 — translating to nearly 2.4 million cancer deaths avoided. The study showed mortality rates declined for all the major cancers, including breast, colorectal and prostate.\u003c/p>\n\u003cp>Dr. Otis Brawley, one of the authors of that report and chief medical and scientific officer of the American Cancer Society, attributed the improvement to better screening, detection and treatment — and a decline in smoking. He said cancer deaths likely would drop even further if there were more equal access to prevention, diagnosis and treatment.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Perhaps unsurprisingly, the UC-Davis data show that poor Californians don’t live as long with cancer as those of greater means. About three-quarters of the patients at the highest socioeconomic level, with all cancers combined, survived five years or more. Just over half the patients at the lowest levels lived that long. Age was also a major factor: The younger patients were at the time of the diagnosis, the better their chance of survival.\u003c/p>\n\u003cp>Separate research from UC-Davis, published in 2015, showed the impact of health insurance status: Uninsured patients and those on Medi-Cal — California’s version of the federal Medicaid program for low-income people — had worse cancer care and outcomes than people with private insurance.\u003c/p>\n\u003cp>The research published this month showed the most critical factor in survival was finding the cancer early, which the report said underscores the importance of screening. One hundred percent of breast cancer patients survived at least five years if their disease was detected at stage 1. Only 28 percent of patients lived that long if their cancer was found when it was at stage 4, the most advanced stage. Most types of cancer show similarly stark disparities.\u003c/p>\n\u003cp>Stages, which depend in part on the size of the tumor and whether the cancer has spread, are a gauge of how serious the disease is.\u003c/p>\n\u003cp>“The earlier things are picked up, the more likely it is that treatment is successful,” said Dr. Kenneth Kizer, senior author of the study and director of the UC-Davis Institute for Population Health Improvement.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444172\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-1020x708.png\" alt=\"\" width=\"640\" height=\"444\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-1020x708.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-160x111.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-800x555.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-768x533.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-960x667.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-240x167.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-375x260.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1-520x361.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_breast-cancer1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>Cancer screening and treatment for African-Americans lag behind other racial and ethnic groups, said Dr. Nancy Lee, who is on the board of Black Women’s Health Imperative, a national organization that seeks to improve the health of black women. Long-standing and sometimes unrecognized bias in the health care system disadvantages black patients in a way that can compromise their medical outcomes, said Lee, who previously led the cancer division of the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>White women in California are more likely to get breast cancer, the most common cancer among women, but black women are more likely to die from it, the UC-Davis report found.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Bobby Smith’s wife, an African-American, died 13 years ago after her breast cancer moved into her lymph nodes and eventually metastasized to her brain. Smith said he doesn’t believe doctors gave her all the information she needed to make the best decisions about her treatment. “Health care professionals treat and serve people of color differently,” said Smith, who lives in Los Angeles.\u003c/p>\n\u003cp>The UC-Davis report used data from the \u003ca href=\"http://www.ccrcal.org/\" target=\"_blank\" rel=\"noopener\">California Cancer Registry,\u003c/a> a repository of data on cancer patients dating to 1988 that contains information on patient demographics, diagnosis, initial treatment and outcomes.\u003c/p>\n\u003cp>The rates reported in the study measure “relative” survival, which represents survival in the absence of other causes of death. The study showed patients with prostate, breast, melanoma and uterine cancers had among the highest survival rates: More than 80 percent of them lived at least five years after their diagnosis.\u003c/p>\n\u003cp>Survival did not improve for patients with some cancers, including bladder, cervical and testicular. And fewer than 20 percent of patients with cancers of the lung, liver, pancreas and esophagus lived past five years.\u003c/p>\n\u003cp>For breast cancer patients, five-year survival improved from 85 percent among those diagnosed between 1990 and 1994 to 90 percent among those diagnosed between 2006 and 2010.\u003c/p>\n\u003cp>The patterns were similar for lung cancer, the second most commonly diagnosed cancer in California and the leading cause of cancer deaths nationwide. The disease tends to be diagnosed late, and patients with stage 4 cancer had just a 4 percent survival rate after five years.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-large wp-image-444173\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-1020x708.png\" alt=\"\" width=\"640\" height=\"444\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-1020x708.png 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-160x111.png 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-800x555.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-768x533.png 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-960x667.png 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-240x167.png 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-375x260.png 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1-520x361.png 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/08/cancer-survival_lung-cancer1.png 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/p>\n\u003cp>Kizer of UC-Davis said new treatments offer great promise for cancer patients, but how much money they have and who their insurers are may well determine whether or not they reap the benefits.\u003c/p>\n\u003cp>Cancer is hard enough for people with means and education, said Susan Lasker Hertz, 61, a Colorado nurse who was diagnosed with stage 2 breast cancer in 2009 and then developed leukemia three years later. Hertz, who is now in remission from both cancers, said her knowledge and experience helped her navigate the health care system and get treated quickly after her diagnosis. But it wasn’t easy.\u003c/p>\n\u003cp>“I am an educated, white, highly knowledgeable health care professional,” she said, “and it is still overwhelming.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>KHN's coverage in California is supported in part by \u003ca href=\"http://www.blueshieldcafoundation.org/\" target=\"_blank\" rel=\"noopener\">Blue Shield of California Foundation.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>State officials, having concluded coffee drinking is not a risky pastime, are proposing a regulation that will essentially tell consumers of America’s favorite beverage they can drink up without fear.\u003c/p>\n\u003cp>The unprecedented action Friday by the Office of Environmental Health Hazard Assessment to propose a regulation to clear coffee of the stigma that it could pose a toxic risk followed a review of more than 1,000 studies published this week by the World Health Organization that found inadequate evidence that coffee causes cancer.\u003c/p>\n\u003cp>The state agency implements a law passed by voters in 1986 that requires warnings of chemicals known to cause cancer and birth defects. One of those chemicals is acrylamide, which is found in many things and is a byproduct of coffee roasting and brewing present in every cup of joe.\u003c/p>\n\u003cp>If the regulation is adopted, it would be a huge win for the coffee industry which faces potentially massive civil penalties after recently losing an \u003ca href=\"https://www.kqed.org/bayareabites/126358/fact-check-calif-judge-rules-coffee-must-come-with-a-cancer-warning-but-should-it\" rel=\"noopener\" target=\"_blank\">8-year-old lawsuit\u003c/a> in Los Angeles Superior Court that \u003ca href=\"https://www.kqed.org/science/1921850/california-judge-coffee-needs-cancer-warnings\" rel=\"noopener\" target=\"_blank\">could require scary warnings on all coffee packaging sold in California\u003c/a>.\u003c/p>\n\u003cp>Judge Elihu Berle found that Starbucks and other coffee roasters and retailers had failed to show that benefits from drinking coffee outweighed any cancer risks. He had previously ruled the companies hadn’t shown the threat from the chemical was insignificant.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The state’s action rejects that ruling.\u003c/p>\n\u003cp>“The proposed regulation would state that drinking coffee does not pose a significant cancer risk, despite the presence of chemicals created during the roasting and brewing process that are listed under Proposition 65 as known carcinogens,” the agency said in a statement. “The proposed regulation is based on extensive scientific evidence that drinking coffee has not been shown to increase the risk of cancer and may reduce the risk of some types of cancer.”\u003c/p>\n\u003cp>Attorney Raphael Metzger, who won the court case on behalf of The Council for Education and Research on Toxics, said he was shocked the agency would move to nullify the court decision and undermine its own report more than a decade ago that drinking even small amounts of coffee resulted in a significant cancer risk.\u003c/p>\n\u003cp>“The takeaway is that the state is proposing a rule contrary to its own scientific conclusion. That’s unprecedented and bad,” Metzger said. “The whole thing stinks to high hell.”\u003c/p>\n\u003cp>The National Coffee Association had no comment on the proposed change. In the past, the organization has said coffee has health benefits and that the lawsuit made a mockery of the state law intended to protect people from toxics.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/science/1921948/science-says-what-we-know-about-cancer-risk-and-coffee\" rel=\"noopener\" target=\"_blank\">Scientific evidence on coffee has gone back and forth over many years\u003c/a>, but concerns have eased recently about possible dangers, with some studies finding health benefits.\u003c/p>\n\u003cp>Big Coffee didn’t deny that acrylamide was found in the coffee, but argued it was only found at low levels and was outweighed by other benefits such as antioxidants that reduce cancer risk.\u003c/p>\n\u003cp>The state agency’s action comes about a week after bipartisan bills were introduced in both houses of Congress to require science-based criteria for labels on food and other products. One of the sponsors, Rep. Kurt Schrader, D-Oregon, alluded to the California coffee lawsuit as an example of misleading warnings.\u003c/p>\n\u003cp>“When we have mandatory cancer warnings on a cup of coffee, something has gone seriously wrong with the process,” Schrader said in a news release. “We now have so many warnings unrelated to the actual health risk posed to consumers, that most people just ignore them.”\u003c/p>\n\u003cp>The lawsuit against Starbucks and 90 companies was brought by the tiny nonprofit under a law that allows private citizens, advocacy groups and attorneys to sue on behalf of the state and collect a portion of civil penalties for failure to provide warnings.\u003c/p>\n\u003cp>The Safe Drinking Water and Toxic Enforcement Act, better known as Proposition 65, requires warning labels for about 900 chemicals known to cause cancer or birth defects.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law has been credited with reducing cancer-causing chemicals, but it has been criticized for leading to quick settlement shakedowns and vague warnings that are often ignored.\u003c/p>\n\n",
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"excerpt": "State health officials proposed a regulation change that would declare coffee doesn't present a significant cancer risk, countering a recent state court ruling that had shaken up some coffee drinkers. ",
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"title": "State Moves to Clear Coffee of Cancer-Risk Stigma | KQED",
"description": "State health officials proposed a regulation change that would declare coffee doesn't present a significant cancer risk, countering a recent state court ruling that had shaken up some coffee drinkers. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State officials, having concluded coffee drinking is not a risky pastime, are proposing a regulation that will essentially tell consumers of America’s favorite beverage they can drink up without fear.\u003c/p>\n\u003cp>The unprecedented action Friday by the Office of Environmental Health Hazard Assessment to propose a regulation to clear coffee of the stigma that it could pose a toxic risk followed a review of more than 1,000 studies published this week by the World Health Organization that found inadequate evidence that coffee causes cancer.\u003c/p>\n\u003cp>The state agency implements a law passed by voters in 1986 that requires warnings of chemicals known to cause cancer and birth defects. One of those chemicals is acrylamide, which is found in many things and is a byproduct of coffee roasting and brewing present in every cup of joe.\u003c/p>\n\u003cp>If the regulation is adopted, it would be a huge win for the coffee industry which faces potentially massive civil penalties after recently losing an \u003ca href=\"https://www.kqed.org/bayareabites/126358/fact-check-calif-judge-rules-coffee-must-come-with-a-cancer-warning-but-should-it\" rel=\"noopener\" target=\"_blank\">8-year-old lawsuit\u003c/a> in Los Angeles Superior Court that \u003ca href=\"https://www.kqed.org/science/1921850/california-judge-coffee-needs-cancer-warnings\" rel=\"noopener\" target=\"_blank\">could require scary warnings on all coffee packaging sold in California\u003c/a>.\u003c/p>\n\u003cp>Judge Elihu Berle found that Starbucks and other coffee roasters and retailers had failed to show that benefits from drinking coffee outweighed any cancer risks. He had previously ruled the companies hadn’t shown the threat from the chemical was insignificant.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state’s action rejects that ruling.\u003c/p>\n\u003cp>“The proposed regulation would state that drinking coffee does not pose a significant cancer risk, despite the presence of chemicals created during the roasting and brewing process that are listed under Proposition 65 as known carcinogens,” the agency said in a statement. “The proposed regulation is based on extensive scientific evidence that drinking coffee has not been shown to increase the risk of cancer and may reduce the risk of some types of cancer.”\u003c/p>\n\u003cp>Attorney Raphael Metzger, who won the court case on behalf of The Council for Education and Research on Toxics, said he was shocked the agency would move to nullify the court decision and undermine its own report more than a decade ago that drinking even small amounts of coffee resulted in a significant cancer risk.\u003c/p>\n\u003cp>“The takeaway is that the state is proposing a rule contrary to its own scientific conclusion. That’s unprecedented and bad,” Metzger said. “The whole thing stinks to high hell.”\u003c/p>\n\u003cp>The National Coffee Association had no comment on the proposed change. In the past, the organization has said coffee has health benefits and that the lawsuit made a mockery of the state law intended to protect people from toxics.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/science/1921948/science-says-what-we-know-about-cancer-risk-and-coffee\" rel=\"noopener\" target=\"_blank\">Scientific evidence on coffee has gone back and forth over many years\u003c/a>, but concerns have eased recently about possible dangers, with some studies finding health benefits.\u003c/p>\n\u003cp>Big Coffee didn’t deny that acrylamide was found in the coffee, but argued it was only found at low levels and was outweighed by other benefits such as antioxidants that reduce cancer risk.\u003c/p>\n\u003cp>The state agency’s action comes about a week after bipartisan bills were introduced in both houses of Congress to require science-based criteria for labels on food and other products. One of the sponsors, Rep. Kurt Schrader, D-Oregon, alluded to the California coffee lawsuit as an example of misleading warnings.\u003c/p>\n\u003cp>“When we have mandatory cancer warnings on a cup of coffee, something has gone seriously wrong with the process,” Schrader said in a news release. “We now have so many warnings unrelated to the actual health risk posed to consumers, that most people just ignore them.”\u003c/p>\n\u003cp>The lawsuit against Starbucks and 90 companies was brought by the tiny nonprofit under a law that allows private citizens, advocacy groups and attorneys to sue on behalf of the state and collect a portion of civil penalties for failure to provide warnings.\u003c/p>\n\u003cp>The Safe Drinking Water and Toxic Enforcement Act, better known as Proposition 65, requires warning labels for about 900 chemicals known to cause cancer or birth defects.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law has been credited with reducing cancer-causing chemicals, but it has been criticized for leading to quick settlement shakedowns and vague warnings that are often ignored.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients?",
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"headTitle": "Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients? | KQED",
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"content": "\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.’\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It’s like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn’t fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,” Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn’t been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient’s fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We’re trying to help people’s quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope — and Risks — to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown’s desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what’s at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>For people who don’t have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that’s just wrong.’\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don’t want to provide them the false hope that they could go freeze their eggs when it’s going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>‘Cancer Patients Often Don’t Have Time’\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don’t have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that’s just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient’s Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who’d benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don’t have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn’t be an issue of whether or not it would be covered. We’d just cover it. We wouldn’t say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can’t have them because they’re too expensive.’ We don’t do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci’s story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n",
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"title": "Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients? | KQED",
"description": "It used to be that cancer patients gave up on having children of their own. Now there are options — but who pays?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.’\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It’s like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn’t fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,” Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn’t been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient’s fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We’re trying to help people’s quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope — and Risks — to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown’s desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what’s at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>For people who don’t have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that’s just wrong.’\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don’t want to provide them the false hope that they could go freeze their eggs when it’s going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>‘Cancer Patients Often Don’t Have Time’\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don’t have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that’s just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient’s Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who’d benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don’t have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn’t be an issue of whether or not it would be covered. We’d just cover it. We wouldn’t say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can’t have them because they’re too expensive.’ We don’t do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci’s story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Many Breast Cancer Patients Can Skip Chemo, Study Finds",
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"content": "\u003cp>Most women with the most common form of early-stage breast cancer can safely skip chemotherapy without hurting their chances of beating the disease, doctors are reporting from a landmark study that used genetic testing to gauge each patient’s risk.[contextly_sidebar id=\"BFMet48xKrp1h6NyWt3K8Xsz7gIOPSeq\"]\u003c/p>\n\u003cp>The study is the largest ever done of breast cancer treatment, and the results are expected to spare up to 70,000 patients a year in the United States and many more elsewhere the ordeal and expense of these drugs.\u003c/p>\n\u003cp>“The impact is tremendous,” said the study leader, Dr. Joseph Sparano of Montefiore Medical Center in New York. Most women in this situation don’t need treatment beyond surgery and hormone therapy, he said.\u003c/p>\n\u003cp>The study was funded by the National Cancer Institute, some foundations and proceeds from the U.S. breast cancer postage stamp. Results were discussed Sunday at an American Society of Clinical Oncology conference in Chicago and published by the New England Journal of Medicine. Some study leaders consult for breast cancer drugmakers or for the company that makes the gene test.\u003c/p>\n\u003cp>\u003cstrong>Moving Away From Chemo\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. When chemo is used now, it’s sometimes for shorter periods or lower doses than it once was.\u003c/p>\n\u003cp>For example, another study at the conference found that Merck’s immunotherapy drug Keytruda worked better than chemo as initial treatment for most people with the most common type of lung cancer, and with far fewer side effects.[contextly_sidebar id=\"sLig6uVQeZQDplnvMdLRkmGUnVlPvI7v\"]\u003c/p>\n\u003cp>The breast cancer study focused on cases where chemo’s value increasingly is in doubt: women with early-stage disease that has not spread to lymph nodes, is hormone-positive (meaning its growth is fueled by estrogen or progesterone) and is not the type that the drug Herceptin targets.\u003c/p>\n\u003cp>The usual treatment is surgery followed by years of a hormone-blocking drug. But many women also are urged to have chemo to help kill any stray cancer cells. Doctors know that most don’t need it, but evidence is thin on who can forgo it.\u003c/p>\n\u003cp>The study gave 10,273 patients a test called Oncotype DX, which uses a biopsy sample to measure the activity of genes involved in cell growth and response to hormone therapy, to estimate the risk that a cancer will recur.\u003c/p>\n\u003cp>\u003cstrong>What the Study Found\u003c/strong>\u003c/p>\n\u003cp>About 17 percent of women had high-risk scores and were advised to have chemo. The 16 percent with low-risk scores now know they can skip chemo, based on earlier results from this study.\u003c/p>\n\u003cp>The new results are on the 67 percent of women at intermediate risk. All had surgery and hormone therapy, and half also got chemo.[contextly_sidebar id=\"TPjTNdjmhxB5MX6ZoUQCtfkvBdzmJm43\"]\u003c/p>\n\u003cp>After nine years, 94 percent of both groups were still alive, and about 84 percent were alive without signs of cancer, so adding chemo made no difference.\u003c/p>\n\u003cp>Certain women 50 or younger did benefit from chemo; slightly fewer cases of cancer spreading far beyond the breast occurred among some of them given chemo, depending on their risk scores on the gene test.\u003c/p>\n\u003cp>\u003cstrong>Will People Trust the Results?\u003c/strong>\u003c/p>\n\u003cp>All women like those in the study should get gene testing to guide their care, said Dr. Richard Schilsky, chief medical officer of the oncology society. Oncotype DX costs around $4,000, which Medicare and many insurers cover. Similar tests including one called MammaPrint also are widely used.\u003c/p>\n\u003cp>Testing solved a big problem of figuring out who needs chemo, said Dr. Harold Burstein of the Dana-Farber Cancer Institute in Boston. Many women think “if I don’t get chemotherapy I’m going to die, and if I get chemo I’m going to be cured,” but the results show there’s a sliding scale of benefit and sometimes none, he said.\u003c/p>\n\u003cp>Dr. Lisa Carey, a breast specialist at the University of North Carolina’s Lineberger Comprehensive Cancer Center, said she would be very comfortable advising patients to skip chemo if they were like those in the study who did not benefit from it.[contextly_sidebar id=\"2pkXhBlSu04mLyMby8g8IUTSIxIwtjpB\"]\u003c/p>\n\u003cp>Dr. Jennifer Litton at MD Anderson Cancer Center in Houston, agreed, but said: “Risk to one person is not the same thing as risk to another. There are some people who say, ’I don’t care what you say, I’m never going to do chemo,’” and won’t even have the gene test, she said. Others want chemo for even the smallest chance of benefit.\u003c/p>\n\u003cp>Adine Usher, 78, who lives in Hartsdale, New York, joined the study 10 years ago at Montefiore and was randomly assigned to the group given chemo.\u003c/p>\n\u003cp>“I was a little relieved. I sort of viewed chemo as extra insurance,” she said. The treatments “weren’t pleasant,” she concedes. Her hair fell out, she developed an infection and was hospitalized for a low white blood count, “but it was over fairly quickly and I’m really glad I had it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If doctors had recommended she skip chemo based on the gene test, “I would have accepted that,” she said. “I’m a firm believer in medical research.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most women with the most common form of early-stage breast cancer can safely skip chemotherapy without hurting their chances of beating the disease, doctors are reporting from a landmark study that used genetic testing to gauge each patient’s risk.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The study is the largest ever done of breast cancer treatment, and the results are expected to spare up to 70,000 patients a year in the United States and many more elsewhere the ordeal and expense of these drugs.\u003c/p>\n\u003cp>“The impact is tremendous,” said the study leader, Dr. Joseph Sparano of Montefiore Medical Center in New York. Most women in this situation don’t need treatment beyond surgery and hormone therapy, he said.\u003c/p>\n\u003cp>The study was funded by the National Cancer Institute, some foundations and proceeds from the U.S. breast cancer postage stamp. Results were discussed Sunday at an American Society of Clinical Oncology conference in Chicago and published by the New England Journal of Medicine. Some study leaders consult for breast cancer drugmakers or for the company that makes the gene test.\u003c/p>\n\u003cp>\u003cstrong>Moving Away From Chemo\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. When chemo is used now, it’s sometimes for shorter periods or lower doses than it once was.\u003c/p>\n\u003cp>For example, another study at the conference found that Merck’s immunotherapy drug Keytruda worked better than chemo as initial treatment for most people with the most common type of lung cancer, and with far fewer side effects.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The breast cancer study focused on cases where chemo’s value increasingly is in doubt: women with early-stage disease that has not spread to lymph nodes, is hormone-positive (meaning its growth is fueled by estrogen or progesterone) and is not the type that the drug Herceptin targets.\u003c/p>\n\u003cp>The usual treatment is surgery followed by years of a hormone-blocking drug. But many women also are urged to have chemo to help kill any stray cancer cells. Doctors know that most don’t need it, but evidence is thin on who can forgo it.\u003c/p>\n\u003cp>The study gave 10,273 patients a test called Oncotype DX, which uses a biopsy sample to measure the activity of genes involved in cell growth and response to hormone therapy, to estimate the risk that a cancer will recur.\u003c/p>\n\u003cp>\u003cstrong>What the Study Found\u003c/strong>\u003c/p>\n\u003cp>About 17 percent of women had high-risk scores and were advised to have chemo. The 16 percent with low-risk scores now know they can skip chemo, based on earlier results from this study.\u003c/p>\n\u003cp>The new results are on the 67 percent of women at intermediate risk. All had surgery and hormone therapy, and half also got chemo.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>After nine years, 94 percent of both groups were still alive, and about 84 percent were alive without signs of cancer, so adding chemo made no difference.\u003c/p>\n\u003cp>Certain women 50 or younger did benefit from chemo; slightly fewer cases of cancer spreading far beyond the breast occurred among some of them given chemo, depending on their risk scores on the gene test.\u003c/p>\n\u003cp>\u003cstrong>Will People Trust the Results?\u003c/strong>\u003c/p>\n\u003cp>All women like those in the study should get gene testing to guide their care, said Dr. Richard Schilsky, chief medical officer of the oncology society. Oncotype DX costs around $4,000, which Medicare and many insurers cover. Similar tests including one called MammaPrint also are widely used.\u003c/p>\n\u003cp>Testing solved a big problem of figuring out who needs chemo, said Dr. Harold Burstein of the Dana-Farber Cancer Institute in Boston. Many women think “if I don’t get chemotherapy I’m going to die, and if I get chemo I’m going to be cured,” but the results show there’s a sliding scale of benefit and sometimes none, he said.\u003c/p>\n\u003cp>Dr. Lisa Carey, a breast specialist at the University of North Carolina’s Lineberger Comprehensive Cancer Center, said she would be very comfortable advising patients to skip chemo if they were like those in the study who did not benefit from it.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Dr. Jennifer Litton at MD Anderson Cancer Center in Houston, agreed, but said: “Risk to one person is not the same thing as risk to another. There are some people who say, ’I don’t care what you say, I’m never going to do chemo,’” and won’t even have the gene test, she said. Others want chemo for even the smallest chance of benefit.\u003c/p>\n\u003cp>Adine Usher, 78, who lives in Hartsdale, New York, joined the study 10 years ago at Montefiore and was randomly assigned to the group given chemo.\u003c/p>\n\u003cp>“I was a little relieved. I sort of viewed chemo as extra insurance,” she said. The treatments “weren’t pleasant,” she concedes. Her hair fell out, she developed an infection and was hospitalized for a low white blood count, “but it was over fairly quickly and I’m really glad I had it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If doctors had recommended she skip chemo based on the gene test, “I would have accepted that,” she said. “I’m a firm believer in medical research.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Get Screened Earlier For Colorectal Cancer, Urges American Cancer Society",
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"content": "\u003cp>Colorectal cancer is the second-leading cause of cancer death in the United States, most frequently diagnosed among adults over 65. To catch those typically slow-growing malignancies early, when they can often be cured, most doctors' groups recommend colorectal cancer screening starting at age 50.[contextly_sidebar id=\"NOUTn2zOpMrMGpyA6RwGCmEzUmw18jiE\"]\u003c/p>\n\u003cp>But the American Cancer Society this week changed its advice and is \u003ca href=\"https://onlinelibrary.wiley.com/doi/full/10.3322/caac.21457\" target=\"_blank\" rel=\"noopener\">recommending that screening start five years earlier\u003c/a>.\u003c/p>\n\u003cp>\"There is compelling evidence that the optimum age to start is now 45,\" says \u003ca href=\"https://www.cancer.org/about-us/who-we-are/executive-leadership/richard-wender-bio.html\" target=\"_blank\" rel=\"noopener\">Dr. Richard Wender\u003c/a>, chief cancer control officer of the society, who cites a sharp \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2647859\" target=\"_blank\" rel=\"noopener\">increase in deaths\u003c/a> from colon and rectal cancers among men and women under age 50.\u003c/p>\n\u003cp>\"People born in the '80s and '90s are at higher risk of developing colon cancer, particularly rectal cancer, than people born when I was born back in the '50s,\" Wender says.\u003c/p>\n\u003cp>And the rise is not just because detection is getting better, he says. In fact, the risk of developing colon cancer is twice as high as it was years ago and the risk of developing rectal cancer is four times higher.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We just have to face reality,\" says Wender. \"We just don't know \u003cem>why\u003c/em> it's increasing.\"\u003c/p>\n\u003cp>Some of the increase could stem from the increase in obesity in the U.S., a known risk factor for colorectal cancer, he says.\u003c/p>\n\u003cp>\"But we don't think that explains the entire change,\" he adds. \"There is a great deal of interest and a lot of research beginning to try to answer that question.\"\u003c/p>\n\u003cp>So far, other groups are maintaining their recommendation that colon cancer screening start at age 50, including the U.S. Preventive Services Task Force, an independent, volunteer panel of national experts in disease prevention and evidence-based medicine.[contextly_sidebar id=\"P5idbi4fl2nJQ4sgNYQ8kwPxKThEw1dW\"]\u003c/p>\n\u003cp>Stanford University internist \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Biography/Doug--Owens\" target=\"_blank\" rel=\"noopener\">Douglas K. Owens\u003c/a>, the task force's vice-chairperson, says the group's \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/colorectal-cancer-screening2\" target=\"_blank\" rel=\"noopener\">2016 recommendations\u003c/a> were based on extensive review of the benefits and harms of colorectal screening at the time.\u003c/p>\n\u003cp>\"There was limited data on screening people under age 50,\" Owens says. The new American Cancer Society guidelines, he adds, should prompt more research into the relative benefits and harms of screening among younger people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mskcc.org/cancer-care/doctors/robin-mendelsohn\" target=\"_blank\" rel=\"noopener\">Dr. Robin B. Mendelsohn\u003c/a>, a gastroenterologist at Memorial Sloan Kettering Cancer Center in New York, says there's been an \"alarming\" increase in cancer among younger adults. She's the co-director of the recently established \u003ca href=\"https://www.mskcc.org/cancer-care/types/colorectal/colorectal-cancer-young-adults\" target=\"_blank\" rel=\"noopener\">Center for Young Onset Colorectal Cancer\u003c/a> there.\u003c/p>\n\u003cp>Over the last 10 years, Memorial Sloan Kettering has seen 4,000 new colorectal cancer patients under age 50, she says. Many of them did not have traditional risk factors such as obesity, smoking, alcohol, physical inactivity or a diet high in fat or low in fiber.\u003c/p>\n\u003cp>In fact, Mendelsohn says, they were typically less likely to smoke and less likely to be overweight than their older counterparts.\u003c/p>\n\u003cp>\"Anecdotally, when you talk with these patients, [some] are marathon runners who don't eat red meat, don't smoke, do everything 'right' and say 'why did this happen to me?' \" she says.[contextly_sidebar id=\"MQUcI1nEN5j9iN51hKJ85YEaLuRJyxYZ\"]\u003c/p>\n\u003cp>Often, they tell her they've seen multiple doctors because of rectal bleeding, but have been told, since they're under 50, they \"can't have cancer.\" That's clearly not the case, she says.\u003c/p>\n\u003cp>Ongoing studies are looking at a multitude of factors that might be contributing to the earlier cancer incidence. Potential culprits include over-the-counter anti-inflammatory medicines, antibiotics and antidepressants, as well as multiple vitamins, probiotics and other dietary supplements.\u003c/p>\n\u003cp>The new recommendations should bring greater attention to the value of screening, says Mendelsohn, who suggests that future studies investigate whether even younger people — in their early 40s or even 30s — should be screened.\u003c/p>\n\u003cp>A first colon cancer screening does not have to be a colonoscopy. In its new recommendations, the cancer society recommends choosing from one of six screening tests, which are also currently recommended by other expert groups. The guidelines don't prioritize among screening choices.\u003c/p>\n\u003cp>The choices include three at-home \u003ca href=\"https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/fecal-occult-blood-tests\" target=\"_blank\" rel=\"noopener\">kits that test stool for blood\u003c/a>.\u003c/p>\n\u003cp>These kits need to be ordered by a doctor; primary-care providers often have them on hand in the office to give to patients, Wender says, or they may be mailed.\u003c/p>\n\u003cp>\"It's done in the privacy of your own home,\" he says. Patients mail the sample to a research facility which tests for microscopic traces of blood.\u003c/p>\n\u003cp>If the test is positive, a colonoscopy is recommended, Wender says; but only one in five people test positive for blood in their stool.\u003c/p>\n\u003cp>Typically, these home tests of feces are repeated every year for good results.\u003c/p>\n\u003cp>Alternatively, some patients opt for what's called a \u003ca href=\"https://www.niddk.nih.gov/health-information/diagnostic-tests/virtual-colonoscopy\" target=\"_blank\" rel=\"noopener\">\"virtual\" colonoscopy\u003c/a> — essentially a CT scan of the colon — which should be done every five years, according to the new recommendations.[contextly_sidebar id=\"5Pa1nwLZfbPDZxnlIWvVKTkm9l3Yq23j\"]\u003c/p>\n\u003cp>Another approved option is a \u003ca href=\"https://www.niddk.nih.gov/health-information/diagnostic-tests/flexible-sigmoidoscopy\" target=\"_blank\" rel=\"noopener\">flexible sigmoidoscopy\u003c/a>, which looks at the lower part of the colon, and is followed up by a colonoscopy if polyps are found.\u003c/p>\n\u003cp>A positive result picked up in these screening tests is typically followed up by a colonoscopy, which uses a tiny camera to investigate the entire colon. It is not only a search for early cancer; more often than not, Wender says, it detects pre-malignant, suspicious lesions, or polyps, which are removed during the procedure.\u003c/p>\n\u003cp>\"When we find and remove polyps we actually prevent any future chance of that developing into cancer,\" he says.\u003c/p>\n\u003cp>Despite the high cure rate when colon cancer is caught early, only two-thirds of Americans over 50 get screened.\u003c/p>\n\u003cp>The American Cancer Society says it endorsed the full range of screening tests \"without preference\" in order to improve the rate of screening. In its latest advice, the U.S. Preventive Services Task Force says head-to-head comparison studies have shown that no one screening test is more effective than another in early cancer detection.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>While they differ on the age of first screening, both groups suggest that screening over age 75 should be a joint decision between patient and doctor. And after age 85, screening is no longer necessary, the doctors' groups agree. That's because the risk of colonoscopy among this elderly population can outweigh any benefit.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Get+Screened+Earlier+For+Colorectal+Cancer%2C+Urges+American+Cancer+Society+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Colorectal cancer is the second-leading cause of cancer death in the United States, most frequently diagnosed among adults over 65. To catch those typically slow-growing malignancies early, when they can often be cured, most doctors' groups recommend colorectal cancer screening starting at age 50.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But the American Cancer Society this week changed its advice and is \u003ca href=\"https://onlinelibrary.wiley.com/doi/full/10.3322/caac.21457\" target=\"_blank\" rel=\"noopener\">recommending that screening start five years earlier\u003c/a>.\u003c/p>\n\u003cp>\"There is compelling evidence that the optimum age to start is now 45,\" says \u003ca href=\"https://www.cancer.org/about-us/who-we-are/executive-leadership/richard-wender-bio.html\" target=\"_blank\" rel=\"noopener\">Dr. Richard Wender\u003c/a>, chief cancer control officer of the society, who cites a sharp \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2647859\" target=\"_blank\" rel=\"noopener\">increase in deaths\u003c/a> from colon and rectal cancers among men and women under age 50.\u003c/p>\n\u003cp>\"People born in the '80s and '90s are at higher risk of developing colon cancer, particularly rectal cancer, than people born when I was born back in the '50s,\" Wender says.\u003c/p>\n\u003cp>And the rise is not just because detection is getting better, he says. In fact, the risk of developing colon cancer is twice as high as it was years ago and the risk of developing rectal cancer is four times higher.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We just have to face reality,\" says Wender. \"We just don't know \u003cem>why\u003c/em> it's increasing.\"\u003c/p>\n\u003cp>Some of the increase could stem from the increase in obesity in the U.S., a known risk factor for colorectal cancer, he says.\u003c/p>\n\u003cp>\"But we don't think that explains the entire change,\" he adds. \"There is a great deal of interest and a lot of research beginning to try to answer that question.\"\u003c/p>\n\u003cp>So far, other groups are maintaining their recommendation that colon cancer screening start at age 50, including the U.S. Preventive Services Task Force, an independent, volunteer panel of national experts in disease prevention and evidence-based medicine.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Stanford University internist \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Biography/Doug--Owens\" target=\"_blank\" rel=\"noopener\">Douglas K. Owens\u003c/a>, the task force's vice-chairperson, says the group's \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/colorectal-cancer-screening2\" target=\"_blank\" rel=\"noopener\">2016 recommendations\u003c/a> were based on extensive review of the benefits and harms of colorectal screening at the time.\u003c/p>\n\u003cp>\"There was limited data on screening people under age 50,\" Owens says. The new American Cancer Society guidelines, he adds, should prompt more research into the relative benefits and harms of screening among younger people.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mskcc.org/cancer-care/doctors/robin-mendelsohn\" target=\"_blank\" rel=\"noopener\">Dr. Robin B. Mendelsohn\u003c/a>, a gastroenterologist at Memorial Sloan Kettering Cancer Center in New York, says there's been an \"alarming\" increase in cancer among younger adults. She's the co-director of the recently established \u003ca href=\"https://www.mskcc.org/cancer-care/types/colorectal/colorectal-cancer-young-adults\" target=\"_blank\" rel=\"noopener\">Center for Young Onset Colorectal Cancer\u003c/a> there.\u003c/p>\n\u003cp>Over the last 10 years, Memorial Sloan Kettering has seen 4,000 new colorectal cancer patients under age 50, she says. Many of them did not have traditional risk factors such as obesity, smoking, alcohol, physical inactivity or a diet high in fat or low in fiber.\u003c/p>\n\u003cp>In fact, Mendelsohn says, they were typically less likely to smoke and less likely to be overweight than their older counterparts.\u003c/p>\n\u003cp>\"Anecdotally, when you talk with these patients, [some] are marathon runners who don't eat red meat, don't smoke, do everything 'right' and say 'why did this happen to me?' \" she says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Often, they tell her they've seen multiple doctors because of rectal bleeding, but have been told, since they're under 50, they \"can't have cancer.\" That's clearly not the case, she says.\u003c/p>\n\u003cp>Ongoing studies are looking at a multitude of factors that might be contributing to the earlier cancer incidence. Potential culprits include over-the-counter anti-inflammatory medicines, antibiotics and antidepressants, as well as multiple vitamins, probiotics and other dietary supplements.\u003c/p>\n\u003cp>The new recommendations should bring greater attention to the value of screening, says Mendelsohn, who suggests that future studies investigate whether even younger people — in their early 40s or even 30s — should be screened.\u003c/p>\n\u003cp>A first colon cancer screening does not have to be a colonoscopy. In its new recommendations, the cancer society recommends choosing from one of six screening tests, which are also currently recommended by other expert groups. The guidelines don't prioritize among screening choices.\u003c/p>\n\u003cp>The choices include three at-home \u003ca href=\"https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/fecal-occult-blood-tests\" target=\"_blank\" rel=\"noopener\">kits that test stool for blood\u003c/a>.\u003c/p>\n\u003cp>These kits need to be ordered by a doctor; primary-care providers often have them on hand in the office to give to patients, Wender says, or they may be mailed.\u003c/p>\n\u003cp>\"It's done in the privacy of your own home,\" he says. Patients mail the sample to a research facility which tests for microscopic traces of blood.\u003c/p>\n\u003cp>If the test is positive, a colonoscopy is recommended, Wender says; but only one in five people test positive for blood in their stool.\u003c/p>\n\u003cp>Typically, these home tests of feces are repeated every year for good results.\u003c/p>\n\u003cp>Alternatively, some patients opt for what's called a \u003ca href=\"https://www.niddk.nih.gov/health-information/diagnostic-tests/virtual-colonoscopy\" target=\"_blank\" rel=\"noopener\">\"virtual\" colonoscopy\u003c/a> — essentially a CT scan of the colon — which should be done every five years, according to the new recommendations.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Another approved option is a \u003ca href=\"https://www.niddk.nih.gov/health-information/diagnostic-tests/flexible-sigmoidoscopy\" target=\"_blank\" rel=\"noopener\">flexible sigmoidoscopy\u003c/a>, which looks at the lower part of the colon, and is followed up by a colonoscopy if polyps are found.\u003c/p>\n\u003cp>A positive result picked up in these screening tests is typically followed up by a colonoscopy, which uses a tiny camera to investigate the entire colon. It is not only a search for early cancer; more often than not, Wender says, it detects pre-malignant, suspicious lesions, or polyps, which are removed during the procedure.\u003c/p>\n\u003cp>\"When we find and remove polyps we actually prevent any future chance of that developing into cancer,\" he says.\u003c/p>\n\u003cp>Despite the high cure rate when colon cancer is caught early, only two-thirds of Americans over 50 get screened.\u003c/p>\n\u003cp>The American Cancer Society says it endorsed the full range of screening tests \"without preference\" in order to improve the rate of screening. In its latest advice, the U.S. Preventive Services Task Force says head-to-head comparison studies have shown that no one screening test is more effective than another in early cancer detection.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While they differ on the age of first screening, both groups suggest that screening over age 75 should be a joint decision between patient and doctor. And after age 85, screening is no longer necessary, the doctors' groups agree. That's because the risk of colonoscopy among this elderly population can outweigh any benefit.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Get+Screened+Earlier+For+Colorectal+Cancer%2C+Urges+American+Cancer+Society+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Lucas Tran, 17, is a senior at Abraham Lincoln High School in San Francisco. He spends a lot of his free time on expeditions with the Boy Scouts. He’s currently working toward the Eagle Scout rank, the highest achievement in the Boy Scouts. When he first joined, however, he wasn’t too excited about the program. It took a meaningful friendship to draw him into the Boy Scouts. In the end, the friendships he made through the program gave him much more than an outdoor education. Lucas’ story is part of \u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" rel=\"noopener\" target=\"_blank\">KQED’s Youth Takeover Week\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>We all have objects, people or events that change who we are as a person. Whether that’s winning a competition, meeting the love of your life or joining a gang. 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Because of him, I opened up and became more social. We became best friends that couldn’t be separated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Slowly, he started showing up less and less, and eventually he stopped coming altogether. I moved up to Boy Scouts without him, and pushed through the ranks and positions. Days turns into weeks, weeks into months, and months into years.\u003c/p>\n\u003cp>One day I got an email asking me to go visit him. The skinny energetic kid I once knew was now a round, bald kid stuck in a wheelchair. He was diagnosed with brain cancer and had been dealing with it for years.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">Youth Takeover of KQED News\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/education/wp-content/uploads/sites/38/2018/04/Youth-Takeover-image-2.png\">\u003c/a>\u003c/figure>\n\u003cp>Youth are taking over KQED! From April 23 – 27, KQED programs will feature stories pitched, produced and reported by youth from Bay Area high schools. Participating programs include \u003ca href=\"https://www.kqed.org/news/program/the-california-report\" target=\"_blank\" rel=\"noopener\">The California Report\u003c/a>, \u003ca href=\"https://www.youtube.com/channel/UC4K10PNjqgGLKA3lo5V8KdQ\" target=\"_blank\" rel=\"noopener\">Above the Noise\u003c/a>, \u003ca href=\"https://www.kqed.org/perspectives\" target=\"_blank\" rel=\"noopener\">Perspectives\u003c/a> and \u003ca href=\"https://www.kqed.org/news/program/kqed-newsroom/\" target=\"_blank\" rel=\"noopener\">KQED Newsroom\u003c/a>.\u003c/p>\n\u003c/aside>\n\u003cp>His eyes lit up when I saw him for the first time. I stayed with him for hours, talking about the past, the present and the future. Eventually, it was getting late and I had to leave.\u003c/p>\n\u003cp>This process repeated over the weeks even after he was allowed back home. He always made time for me, just how I always made time for him.\u003c/p>\n\u003cp>One day while visiting him, we were all playing games when he fell asleep, which was pretty normal. In his state, just staying up used up a lot of energy. After he was tucked in, his family and I talked for a bit and had dinner. I left without saying goodbye because I was coming back tomorrow just like every weekend.\u003c/p>\n\u003cp>He passed away in his sleep the night I left without saying goodbye.\u003c/p>\n\u003cp>The funeral was held a few days later. Everyone I knew was there. We all had hoped for him to make a recovery — to be one of the lucky ones, and to be happy. But sometimes, bad things happen so we can learn.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With a lot of time and support, I got through this very tough time. Even when he passed, he taught me things about my life. He taught me to enjoy life and to stay positive. But most importantly, Andy taught me to never take things for granted. Enjoy what you have right now because you never truly appreciate it until it’s gone. It could slip through your fingers at any moment and change your life for the worse, or for the better.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Slowly, he started showing up less and less, and eventually he stopped coming altogether. I moved up to Boy Scouts without him, and pushed through the ranks and positions. Days turns into weeks, weeks into months, and months into years.\u003c/p>\n\u003cp>One day I got an email asking me to go visit him. The skinny energetic kid I once knew was now a round, bald kid stuck in a wheelchair. He was diagnosed with brain cancer and had been dealing with it for years.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">Youth Takeover of KQED News\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://ww2.kqed.org/education/2018/04/18/youth-takeover-of-kqed-news-starts-april-23/\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/education/wp-content/uploads/sites/38/2018/04/Youth-Takeover-image-2.png\">\u003c/a>\u003c/figure>\n\u003cp>Youth are taking over KQED! From April 23 – 27, KQED programs will feature stories pitched, produced and reported by youth from Bay Area high schools. Participating programs include \u003ca href=\"https://www.kqed.org/news/program/the-california-report\" target=\"_blank\" rel=\"noopener\">The California Report\u003c/a>, \u003ca href=\"https://www.youtube.com/channel/UC4K10PNjqgGLKA3lo5V8KdQ\" target=\"_blank\" rel=\"noopener\">Above the Noise\u003c/a>, \u003ca href=\"https://www.kqed.org/perspectives\" target=\"_blank\" rel=\"noopener\">Perspectives\u003c/a> and \u003ca href=\"https://www.kqed.org/news/program/kqed-newsroom/\" target=\"_blank\" rel=\"noopener\">KQED Newsroom\u003c/a>.\u003c/p>\n\u003c/aside>\n\u003cp>His eyes lit up when I saw him for the first time. I stayed with him for hours, talking about the past, the present and the future. Eventually, it was getting late and I had to leave.\u003c/p>\n\u003cp>This process repeated over the weeks even after he was allowed back home. He always made time for me, just how I always made time for him.\u003c/p>\n\u003cp>One day while visiting him, we were all playing games when he fell asleep, which was pretty normal. In his state, just staying up used up a lot of energy. After he was tucked in, his family and I talked for a bit and had dinner. I left without saying goodbye because I was coming back tomorrow just like every weekend.\u003c/p>\n\u003cp>He passed away in his sleep the night I left without saying goodbye.\u003c/p>\n\u003cp>The funeral was held a few days later. Everyone I knew was there. We all had hoped for him to make a recovery — to be one of the lucky ones, and to be happy. But sometimes, bad things happen so we can learn.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>With a lot of time and support, I got through this very tough time. Even when he passed, he taught me things about my life. He taught me to enjoy life and to stay positive. But most importantly, Andy taught me to never take things for granted. Enjoy what you have right now because you never truly appreciate it until it’s gone. It could slip through your fingers at any moment and change your life for the worse, or for the better.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Last month, the \u003ca href=\"http://www.burbankca.gov/about-us/city-council\" target=\"_blank\" rel=\"noopener\">Burbank City Council\u003c/a> held its first public session of the new year. Normally, this wouldn’t really be a big deal. Lots of city councils are getting back to work after the winter break.\u003c/p>\n\u003cp>But Burbank's council meetings have taken a different feel just a few months after 60-year-old \u003ca href=\"http://www.burbankca.gov/about-us/city-council/will-rogers-mayor\" target=\"_blank\" rel=\"noopener\">Mayor Will Rogers\u003c/a> made this announcement:\u003c/p>\n\u003cp>“I am here to tell the people of Burbank that I have been diagnosed with liver cancer. My cancer is at Stage 4. I don’t know today if I have another week or another five weeks,” Rogers announced at a \u003ca href=\"https://www.youtube.com/watch?v=jG3_pvOj3KU\" target=\"_blank\" rel=\"noopener\">news conference\u003c/a> in front of Burbank City Hall in September.\u003c/p>\n\u003cp>Not only is Rogers still going strong, but he also continues to preside over each and every City Council meeting.\u003c/p>\n\u003cp>Rogers sat down with \u003cem>The California Report\u003c/em> in his City Hall office to talk about his priorities for 2018, his colorful past as a TV actor and his ongoing health challenges:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2018/02/BurbankMayorCuevas180205.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/BURBANK-Council-1180x709.jpg\" Title=\"Burbank Mayor Going Strong After Cancer Diagnosis\" program=\"The California Report\"]\u003c/p>\n\u003cp>\u003cem>\u003cstrong>So how are you feeling?\u003c/strong>\u003c/em>\u003c/p>\n\u003cblockquote>\u003cp>Good, feeling good. The number one symptom that I deal with is exhaustion. I can plan one or two things in a day and then I go home and I am absolutely wiped out. Because I’m either dealing with nausea or exhaustion or both.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>Why did you choose to stay on (the job) after this diagnosis? And not, say, focus on just your health, your family and other things you like to do outside of this?\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Because there isn’t too much that I enjoy as much as doing this, to actually make changes.\u003c/p>\n\u003cp>I don’t know if you’ve ever seen one of our council meetings, but I have fun. I’ve always admired City Hall. City Hall is so important to us no matter where we live.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>What are your priorities for 2018? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>In 2018 we’re dealing with some messes from the middle 1990s.\u003c/p>\n\u003cp>Burbank councils back then chose to take a vacation on making pension payments (\u003cem>leading to a roughly $11 million shortfall\u003c/em>). That really narrows the choices for solutions to things like a parcel sales tax, something along those lines. We'll see what the voters say.\u003c/p>\u003c/blockquote>\n\u003cp>The council is also contemplating deep cuts that could include everything from shuttering many of the city’s public parks to laying off dozens of workers -- actions that Rogers says few city leaders or residents have the stomach for.\u003c/p>\n\u003cfigure id=\"attachment_11648018\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648018\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-800x599.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-1020x764.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-1180x884.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-960x719.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-520x389.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A flock of plastic pink flamingos now inhabit a garden behind Burbank City Hall. The flamingos are a tribute to Mayor Rogers, placed there by a neighbor of his. For years he and his wife kept a collection of the kitschy lawn ornaments in their front yard. \u003ccite>(Steven Cuevas / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cem>Burbank is known for its contribution to film and television. It is home of \"The Tonight Show,\" of Walt Disney. You yourself have \u003ca href=\"http://www.imdb.com/name/nm0737264/?ref_=fn_nm_nm_3\" target=\"_blank\" rel=\"noopener\">acted in the past\u003c/a> on TV and in film. Did you have aspirations you were going to be a star? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Everybody who starts out thinks they’re going to be a star, yeah absolutely! And I did \u003cem>a lot\u003c/em> of little bit parts.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>So, I found this \u003ca href=\"https://www.dailymotion.com/video/x57oyu2\" target=\"_blank\" rel=\"noopener\">1982 episode\u003c/a> of M*A*S*H...\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Oh God, I was so young!\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>You have a small appearance as a wounded soldier, a Cpl. Logan. You have a scene with Harry Morgan, who played Col. Potter, and Loretta Swit, who played nurse ‘Hot Lips’ Houlihan. Can you remember your two or three lines? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I remember, 'What about my buddy?'\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>OK, here it is. So, nurse Houlihan says, ‘We’re sending you to the evac, corporal.’ And then you say, ‘What about Fisher? We’re buddies.’ And then Col. Potter says, ‘I’m afraid we’re going to have to extend his reservation another couple days.’ And then you say, ‘But we have the same wounds, don’t we?’ And that’s it. \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Man, I was so naïve. I remember Alan Alda (who played chief military surgeon ‘Hawkeye’ Pierce) came up behind me in the makeup chair and said, ‘Hi, I’m Alan Alda.’ And I said, ‘Hi, I’m Will Rogers.'\u003c/p>\n\u003cp>And he said; ‘No, really! I’m Alan Alda.’ And I said, ‘I’m \u003cem>really\u003c/em> Will Rogers!’ (Rogers was not actually born ‘Will Rogers’, nor was he purposely named after the famous humorist of the same name. He assumed the Rogers surname after his stepfather.)\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>You look like this good-looking, fresh-faced kid from Wisconsin.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I \u003cem>was\u003c/em> a fresh-faced kid from Wisconsin! And I wore great big hiking boots, and during the summer I wore shorts, denim cutoff shorts. So I really looked like something completely different.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>I asked you how you felt at the beginning (of the interview) about how long you think you can reasonably keep working based on what you have been feeling these past few months.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I’m going to find out. I’m going to find out, because this is not work.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>It sounds like its own kind of medicine. \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>It really is. Because yeah, what would I be doing? I think I’d be sitting at home.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Watching reruns of M*A*S*H.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Yeah, exactly! But that’s part of the fun I have.\u003c/p>\u003c/blockquote>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last month, the \u003ca href=\"http://www.burbankca.gov/about-us/city-council\" target=\"_blank\" rel=\"noopener\">Burbank City Council\u003c/a> held its first public session of the new year. Normally, this wouldn’t really be a big deal. Lots of city councils are getting back to work after the winter break.\u003c/p>\n\u003cp>But Burbank's council meetings have taken a different feel just a few months after 60-year-old \u003ca href=\"http://www.burbankca.gov/about-us/city-council/will-rogers-mayor\" target=\"_blank\" rel=\"noopener\">Mayor Will Rogers\u003c/a> made this announcement:\u003c/p>\n\u003cp>“I am here to tell the people of Burbank that I have been diagnosed with liver cancer. My cancer is at Stage 4. I don’t know today if I have another week or another five weeks,” Rogers announced at a \u003ca href=\"https://www.youtube.com/watch?v=jG3_pvOj3KU\" target=\"_blank\" rel=\"noopener\">news conference\u003c/a> in front of Burbank City Hall in September.\u003c/p>\n\u003cp>Not only is Rogers still going strong, but he also continues to preside over each and every City Council meeting.\u003c/p>\n\u003cp>Rogers sat down with \u003cem>The California Report\u003c/em> in his City Hall office to talk about his priorities for 2018, his colorful past as a TV actor and his ongoing health challenges:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>So how are you feeling?\u003c/strong>\u003c/em>\u003c/p>\n\u003cblockquote>\u003cp>Good, feeling good. The number one symptom that I deal with is exhaustion. I can plan one or two things in a day and then I go home and I am absolutely wiped out. Because I’m either dealing with nausea or exhaustion or both.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>Why did you choose to stay on (the job) after this diagnosis? And not, say, focus on just your health, your family and other things you like to do outside of this?\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Because there isn’t too much that I enjoy as much as doing this, to actually make changes.\u003c/p>\n\u003cp>I don’t know if you’ve ever seen one of our council meetings, but I have fun. I’ve always admired City Hall. City Hall is so important to us no matter where we live.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>What are your priorities for 2018? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>In 2018 we’re dealing with some messes from the middle 1990s.\u003c/p>\n\u003cp>Burbank councils back then chose to take a vacation on making pension payments (\u003cem>leading to a roughly $11 million shortfall\u003c/em>). That really narrows the choices for solutions to things like a parcel sales tax, something along those lines. We'll see what the voters say.\u003c/p>\u003c/blockquote>\n\u003cp>The council is also contemplating deep cuts that could include everything from shuttering many of the city’s public parks to laying off dozens of workers -- actions that Rogers says few city leaders or residents have the stomach for.\u003c/p>\n\u003cfigure id=\"attachment_11648018\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11648018\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-800x599.jpg\" alt=\"\" width=\"800\" height=\"599\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-800x599.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-1020x764.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-1180x884.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-960x719.jpg 960w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/02/burbank-garden-pink-flamingos-520x389.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A flock of plastic pink flamingos now inhabit a garden behind Burbank City Hall. The flamingos are a tribute to Mayor Rogers, placed there by a neighbor of his. For years he and his wife kept a collection of the kitschy lawn ornaments in their front yard. \u003ccite>(Steven Cuevas / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>\u003cem>Burbank is known for its contribution to film and television. It is home of \"The Tonight Show,\" of Walt Disney. You yourself have \u003ca href=\"http://www.imdb.com/name/nm0737264/?ref_=fn_nm_nm_3\" target=\"_blank\" rel=\"noopener\">acted in the past\u003c/a> on TV and in film. Did you have aspirations you were going to be a star? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Everybody who starts out thinks they’re going to be a star, yeah absolutely! And I did \u003cem>a lot\u003c/em> of little bit parts.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>So, I found this \u003ca href=\"https://www.dailymotion.com/video/x57oyu2\" target=\"_blank\" rel=\"noopener\">1982 episode\u003c/a> of M*A*S*H...\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Oh God, I was so young!\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>You have a small appearance as a wounded soldier, a Cpl. Logan. You have a scene with Harry Morgan, who played Col. Potter, and Loretta Swit, who played nurse ‘Hot Lips’ Houlihan. Can you remember your two or three lines? \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I remember, 'What about my buddy?'\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>OK, here it is. So, nurse Houlihan says, ‘We’re sending you to the evac, corporal.’ And then you say, ‘What about Fisher? We’re buddies.’ And then Col. Potter says, ‘I’m afraid we’re going to have to extend his reservation another couple days.’ And then you say, ‘But we have the same wounds, don’t we?’ And that’s it. \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Man, I was so naïve. I remember Alan Alda (who played chief military surgeon ‘Hawkeye’ Pierce) came up behind me in the makeup chair and said, ‘Hi, I’m Alan Alda.’ And I said, ‘Hi, I’m Will Rogers.'\u003c/p>\n\u003cp>And he said; ‘No, really! I’m Alan Alda.’ And I said, ‘I’m \u003cem>really\u003c/em> Will Rogers!’ (Rogers was not actually born ‘Will Rogers’, nor was he purposely named after the famous humorist of the same name. He assumed the Rogers surname after his stepfather.)\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>You look like this good-looking, fresh-faced kid from Wisconsin.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I \u003cem>was\u003c/em> a fresh-faced kid from Wisconsin! And I wore great big hiking boots, and during the summer I wore shorts, denim cutoff shorts. So I really looked like something completely different.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>I asked you how you felt at the beginning (of the interview) about how long you think you can reasonably keep working based on what you have been feeling these past few months.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>I’m going to find out. I’m going to find out, because this is not work.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>\u003cem>It sounds like its own kind of medicine. \u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>It really is. Because yeah, what would I be doing? I think I’d be sitting at home.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Watching reruns of M*A*S*H.\u003c/em>\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Yeah, exactly! But that’s part of the fun I have.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"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",
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"officialWebsiteLink": "/news/series/baycurious",
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"source": "kqed",
"order": 3
},
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}
},
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"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": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"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",
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"officialWebsiteLink": "/californiareport",
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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}
},
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"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",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"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": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
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"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 />",
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"meta": {
"site": "radio",
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},
"link": "/radio/program/code-switch-life-kit",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"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",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
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"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",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"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.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"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",
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"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",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"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",
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