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"content": "\u003cp>Commercial surrogacy is a \u003ca href=\"https://www.kqed.org/forum/2010101913083/ethical-questions-arise-from-cas-commercial-surrogacy-industry\">life-changing option for couples\u003c/a> who have been unable to conceive. As one listener told KQED’s \u003cem>Forum\u003c/em> in late February, her experience with ovarian cancer meant that she lost her ability to have her own children.\u003c/p>\n\u003cp>“I used surrogacy to have my two children,” the listener said. “And without it, we wouldn’t be able to have this incredible life that we have.”\u003c/p>\n\u003cp>Another caller was a gay father based in San Francisco, who had twin boys through surrogacy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The vast, vast majority of parents that have kids through surrogacy — it’s the biggest blessing of their life,” he said. “And they had to work extremely hard to make it happen.”\u003c/p>\n\u003cp>But many in the fertility field — especially commercial surrogacy — were rocked by a recent investigation by \u003ca href=\"https://www.newyorker.com/magazine/2026/02/16/the-babies-kept-in-a-mysterious-los-angeles-mansion\">\u003cem>The New Yorker’s \u003c/em>Ava Kofman\u003c/a>, which followed the story of Kayla Elliott.\u003c/p>\n\u003cp>Elliott was a Texas mother of four, already carrying a baby for a Los Angeles couple, when she found out the couple had more than 20 other children.\u003c/p>\n\u003cfigure id=\"attachment_12076885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2.jpg\" alt=\"\" width=\"2000\" height=\"1408\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2-1536x1081.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A newborn lying on a changing table on June 5, 2001, in the maternity ward of the Franco-British Hospital in Levallois-Perret. \u003ccite>(Didier Pallages/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the children, a baby, was reportedly hospitalized with bleeding inside the brain and eyes, indicating potential child abuse. That prompted police to visit the couple’s Arcadia home, where they found it crowded with many young infants and children.\u003c/p>\n\u003cp>Authorities also found surveillance footage from devices the couple set up in the house — and allegedly saw that the children were being beaten and neglected by nannies.\u003c/p>\n\u003cp>The children, including the baby Elliott gave birth to, were taken into custody, and the couple was arrested but later released. At the time, several surrogates were still pregnant for the couple.[aside postID=news_12070643 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/ivfchanges.jpg']For many of the children, the future remains unclear. Even amid an ongoing battle over who should have custody, the pair has engaged new surrogates.\u003c/p>\n\u003cp>“People are drawn to being surrogates for all sorts of different reasons, but for many of them, like Kayla, this was something they wanted to do to kind of try to make a difference,” Kofman said. “It was especially painful to realize that they might be bringing a child into a situation that not only was not great, but if anything, potentially dangerous.”\u003c/p>\n\u003cp>The case is highly unusual, said Deborah Wald, a certified family law specialist based in San Francisco. She said she has never seen a child born through surrogacy end up in the foster care system in her 35 years in the field.\u003c/p>\n\u003cp>“These typically are very wanted, very planned for, very loved children,” Wald said. “The other times there have been sort of scandals within the industry, it’s been more with professionals figuring out how to take off with the money or those kinds of things.”\u003c/p>\n\u003cp>KQED’s \u003ca href=\"https://www.kqed.org/forum/2010101913083/ethical-questions-arise-from-cas-commercial-surrogacy-industry\">Forum\u003c/a> spoke to Kofman and Wald about the Los Angeles family, commercial surrogacy in California and regulations around the practice.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>The Los Angeles case and a trend among the wealthy\u003c/h2>\n\u003cp>\u003cstrong>How unusual is this case — and what motivated the Los Angeles couple?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Ava Kofman:\u003c/strong> It’s incredibly unusual to have this many children, and certainly it seems like what was going on inside the home is quite unusual … but there’s also nothing stopping people from having as many children as they would like through surrogacy or assisted reproduction.\u003c/p>\n\u003cp>There’s been some \u003ca href=\"https://www.wsj.com/us-news/chinese-billionaires-surrogacy-pregnancy-7fdfc0c3?gaa_at=eafs&gaa_n=AWEtsqdvbDQdnj9DIEnvCQrLrOYqKlcKqN_RtWLgcWH0dqcHyBD7bV1NGX_HvtmmF3w%3D&gaa_ts=69afae86&gaa_sig=hsKIq7GlEe6jTV_AiBszh8M-VLOFzbVMW-UnX2fkYed7Ly-9K5nIrY-HLpdrbwJtFK3lWqMpL15gNRrlnAJy4w%3D%3D\">great reporting recently in the\u003cem> Wall Street Journa\u003c/em>\u003c/a>\u003cem>l\u003c/em>, as well, showing people having upward of 100 children, in part, using surrogates.\u003c/p>\n\u003cp>[The couple] wanted to have a big family; they wanted to have a lot of kids as they got older, who could be successful and carry on the family bloodline and legacy.\u003c/p>\n\u003cp>It does seem like this is part of a wider trend we’ve seen with \u003ca href=\"https://www.today.com/parents/parents/elon-musk-kids-rcna19692\">billionaires like Elon Musk [who has 14 children]\u003c/a> and others who are really interested in spreading their gene pool and their legacy.\u003c/p>\n\u003cfigure id=\"attachment_12046885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12046885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed.jpg\" alt=\"\" width=\"2000\" height=\"1330\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed-1536x1021.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A shocking case in Los Angeles has rocked the fertility industry, sparking a conversation around commercial surrogacy and regulations. \u003ccite>(iStock/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>How were they able to have over 20 children through surrogates?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>This couple — after they had a few children through a professional surrogate agency — actually opened their own agency. And this is what was called Mark Surrogacy. As far as I could tell, no one’s really done this before.\u003c/p>\n\u003cp>The surrogates had no awareness of this, and neither, it seems, did some of the attorneys working with the agency.\u003c/p>\n\u003cp>Most parents are using an agency because they \u003cem>want \u003c/em>a middleman, right? They want to be protected; they want to have someone who really knows the ropes. It’s a field with its own legal particularities. There [are] all kinds of things that can easily go right with experienced people, and can easily go wrong without them.\u003c/p>\n\u003cp>\u003cstrong>If Kayla Elliott or any other surrogates wanted to get custody of the child in this case, could they? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>Legally, it seemed like it would have been quite complicated. She definitely didn’t have any legal custody off the bat, and no surrogates do. The industry kind of wouldn’t work if that [were] the case … the surrogate is not biologically related most of the time.\u003c/p>\n\u003cp>In some states … there’s no federal regulation … and it’s so, so state-based. And some states are in fact even silent on the question of how surrogacy should work.\u003c/p>\n\u003ch2>The regulations and practices around surrogacy in California\u003c/h2>\n\u003cp>\u003cstrong>Are all versions of surrogacy commercial? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Deborah Wald: \u003c/strong>I want to make sure everyone’s aware, there’s a huge amount of surrogacy that happens … [for example] a sister having a baby for her infertile sister, that kind of thing.\u003c/p>\n\u003cp>I think it’s very accepted within certain cultures and in certain communities that if you can’t have a baby and you have someone who loves you who’s going to do that, they’ll do it for you.\u003c/p>\n\u003cfigure id=\"attachment_12075793\" class=\"wp-caption aligncenter\" style=\"max-width: 1980px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075793\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602.jpg\" alt=\"\" width=\"1980\" height=\"1320\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602.jpg 1980w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\">\u003cfigcaption class=\"wp-caption-text\">A couple holds hands as they meet with a pregnant woman who is interviewing them for potential adoptive parents. \u003ccite>(SDI Productions via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What are the typical compensation rates for commercial surrogacy in California?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>It varies a lot. So this is what the women themselves get paid. This has nothing to do with what the doctors charge or what the agencies charge. Typical rates were in the $30,000 to $50,000 range.\u003c/p>\n\u003cp>I still do sometimes see that. But I also recently saw a $120,000 fee to the surrogate herself. So it’s really jumped during and since COVID.\u003c/p>\n\u003cp>\u003cstrong>Are there protections around surrogacy in California?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>Every surrogate I’ve ever represented has been looking for the same reassurance that intended parents look for, which is that she’s not doing this because she wants another child. And she wants to know that no matter what, the intended parents can’t bail. That the baby will be theirs, that she will not be legally and financially responsible for a child that’s not genetically hers, and that she never intended to parent.\u003c/p>\n\u003cp>California law actually requires that a surrogate have a right to independent legal counsel of her own choosing. It can’t be the same attorney who works for the agency or the same attorney who’s representing the intended parents.[aside postID=forum_2010101913083 hero='https://cdn.kqed.org/wp-content/uploads/sites/43/2026/02/GettyImages-2225535809-2000x1333.jpg']She has a right to have all her medical care paid for.\u003c/p>\n\u003cp>Our law is clear that until the moment she gives birth, even if there’s been a pre-birth determination that the intended parents will be the legal parents, that doesn’t go into effect till the moment she gives birth. So there won’t be conflict over her right to make medical choices for herself.\u003c/p>\n\u003cp>In any state, when a woman gives birth, she’s the mother unless a court has said she isn’t. And so, for the intended parents to become the legal parents, there has to be an actual court action in almost every state.\u003c/p>\n\u003cp>In California, we do allow that court action to happen before the baby’s born, so there is complete clarity at the moment of birth as to who the parents are.\u003c/p>\n\u003cp>It facilitates medical decision-making for the baby. It facilitates making sure the baby is on the parents’ health insurance from the beginning. And that the intended parents are able to take the baby home from the hospital. That if the surrogate is ready to be discharged before the baby is, she’s free to leave.\u003c/p>\n\u003cp>There are a number of benefits to having everything clear before the baby’s born.\u003c/p>\n\u003cp>\u003cstrong>Are there future regulations that experts are looking at?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald:\u003c/strong> I was one of the attorneys who worked on our statutory structure for gestational surrogacy in California, with an eye toward making sure surrogates were well protected by it. But [Kofman’s reporting] certainly has brought other holes to light.\u003c/p>\n\u003cp>One of the things in real time we’re talking about right now is enacting a surrogate’s Bill of Rights for the state of California, that would include the protections we already have, [like] that she has a right to make her own medical decisions, that she has a right to counsel and good health insurance.\u003c/p>\n\u003cp>Particularly in response to the Mark Surrogacy situation, we’re talking about including that she has a right to better disclosures about who she’s carrying for.\u003c/p>\n\u003cfigure id=\"attachment_12046881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12046881 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California law actually requires that a surrogate have a right to independent legal counsel of her own choosing. It can’t be the same attorney who works for the agency or the same attorney who’s representing the intended parents. \u003ccite>(MoMo Productions/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>Just from doing this reporting and talking to so many of these surrogates, I’d like to just lift up kind of what they’ve told me they want to see the most, which is just a lot more transparency.\u003c/p>\n\u003cp>They went through such extensive vetting — psychological evaluations. Now, it’s also clear that some intended parents do the same, but that’s not often the case. That certainly wasn’t the case here.\u003c/p>\n\u003cp>And there’s already such a kind of a potential for a power asymmetry. There’s \u003ca href=\"https://www.wsj.com/us-news/surrogacy-unregulated-debts-profits-b9fdd987?gaa_at=eafs&gaa_n=AWEtsqc6VTBbJAQD14SIAJz06ZQSQDHkRTqfwaxeHircQ2OXbcTIQyPrfEzaejcoZ00%3D&gaa_ts=69af9a29&gaa_sig=AT4QNSJUCK78FyjVv_Gy3eOaEI6-EBddUwynFBqmzVqMDiQ8IvkGBGtKEFnqfoJY_jle0jk_Hqms2DbkPDTmwA%3D%3D\">a financial asymmetry in the exchange\u003c/a>, of course … just rectifying that with truly independent legal counsel, with the ability for agencies to ask hard questions of the parents, like they’re asking of the surrogates.\u003c/p>\n\u003cp>And for the surrogates to just know what they’re getting into. A surrogate wants to know if they’re bringing a baby into a home with 15 other children or a home with one other child.\u003c/p>\n\u003cp>\u003cstrong>Thinking of Elon Musk, some people may wonder about the \u003cem>number \u003c/em>of kids families may be having. Can you speak about this a little bit? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>What was one of the things that was so unusual about this case was, you know, people actually raising all, I mean, even Elon Musk, I don’t think he’s actually raising the 14 children.\u003c/p>\n\u003cp>But who’s supposed to decide that? It makes me very nervous to think about the state determining how many children a family can have. I agree that there’s an ethical and moral conversation to be had. State regulation is different from that.\u003c/p>\n\u003cfigure id=\"attachment_11934757\" class=\"wp-caption aligncenter\" style=\"max-width: 2121px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11934757 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327.jpg\" alt=\"The midsection of a pregnant Black woman holding her belly.\" width=\"2121\" height=\"1414\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327.jpg 2121w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2121px) 100vw, 2121px\">\u003cfigcaption class=\"wp-caption-text\">“People are drawn to being surrogates for all sorts of different reasons, but for many of them, like Kayla, this was something they wanted to do to kind of try to make a difference,” The New Yorker’s Ava Kofman said. \u003ccite>(LWA/Dann Tardif via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What about strengthening requirements for setting up surrogacy \u003cem>agencies\u003c/em>? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman:\u003c/strong> Right now, it’s very easy to set up a surrogacy agency in every state but New York. [States don’t] require any sort of license. It’s much easier to set up a surrogacy agency than it is to set up a hair salon or adoption agency or child care.\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>Within the \u003ca href=\"https://www.acal.org/\">Academy of California Adoption and Assisted Reproduction Lawyers\u003c/a>, we’re definitely looking at the New York statute.\u003c/p>\n\u003cp>It is something we’re looking at, whether we should look at a licensing requirement in the state of California and what that would look like.\u003c/p>\n\u003cp>It’s not easy to get legislation passed. That’s probably true in every state. It’s certainly true in this state. And particularly if it’s gonna cost the state money. So who’s gonna regulate that?\u003c/p>\n\u003cp>So we have to look at all of that when we try to figure out how realistic it is. But I can tell you that there are big conversations happening and a lot of smart, ethical people invested in trying to figure out how to make sure nothing like this happens again.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The vast, vast majority of parents that have kids through surrogacy — it’s the biggest blessing of their life,” he said. “And they had to work extremely hard to make it happen.”\u003c/p>\n\u003cp>But many in the fertility field — especially commercial surrogacy — were rocked by a recent investigation by \u003ca href=\"https://www.newyorker.com/magazine/2026/02/16/the-babies-kept-in-a-mysterious-los-angeles-mansion\">\u003cem>The New Yorker’s \u003c/em>Ava Kofman\u003c/a>, which followed the story of Kayla Elliott.\u003c/p>\n\u003cp>Elliott was a Texas mother of four, already carrying a baby for a Los Angeles couple, when she found out the couple had more than 20 other children.\u003c/p>\n\u003cfigure id=\"attachment_12076885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2.jpg\" alt=\"\" width=\"2000\" height=\"1408\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/SurrogacyGetty2-1536x1081.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A newborn lying on a changing table on June 5, 2001, in the maternity ward of the Franco-British Hospital in Levallois-Perret. \u003ccite>(Didier Pallages/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the children, a baby, was reportedly hospitalized with bleeding inside the brain and eyes, indicating potential child abuse. That prompted police to visit the couple’s Arcadia home, where they found it crowded with many young infants and children.\u003c/p>\n\u003cp>Authorities also found surveillance footage from devices the couple set up in the house — and allegedly saw that the children were being beaten and neglected by nannies.\u003c/p>\n\u003cp>The children, including the baby Elliott gave birth to, were taken into custody, and the couple was arrested but later released. At the time, several surrogates were still pregnant for the couple.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For many of the children, the future remains unclear. Even amid an ongoing battle over who should have custody, the pair has engaged new surrogates.\u003c/p>\n\u003cp>“People are drawn to being surrogates for all sorts of different reasons, but for many of them, like Kayla, this was something they wanted to do to kind of try to make a difference,” Kofman said. “It was especially painful to realize that they might be bringing a child into a situation that not only was not great, but if anything, potentially dangerous.”\u003c/p>\n\u003cp>The case is highly unusual, said Deborah Wald, a certified family law specialist based in San Francisco. She said she has never seen a child born through surrogacy end up in the foster care system in her 35 years in the field.\u003c/p>\n\u003cp>“These typically are very wanted, very planned for, very loved children,” Wald said. “The other times there have been sort of scandals within the industry, it’s been more with professionals figuring out how to take off with the money or those kinds of things.”\u003c/p>\n\u003cp>KQED’s \u003ca href=\"https://www.kqed.org/forum/2010101913083/ethical-questions-arise-from-cas-commercial-surrogacy-industry\">Forum\u003c/a> spoke to Kofman and Wald about the Los Angeles family, commercial surrogacy in California and regulations around the practice.\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003ch2>The Los Angeles case and a trend among the wealthy\u003c/h2>\n\u003cp>\u003cstrong>How unusual is this case — and what motivated the Los Angeles couple?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Ava Kofman:\u003c/strong> It’s incredibly unusual to have this many children, and certainly it seems like what was going on inside the home is quite unusual … but there’s also nothing stopping people from having as many children as they would like through surrogacy or assisted reproduction.\u003c/p>\n\u003cp>There’s been some \u003ca href=\"https://www.wsj.com/us-news/chinese-billionaires-surrogacy-pregnancy-7fdfc0c3?gaa_at=eafs&gaa_n=AWEtsqdvbDQdnj9DIEnvCQrLrOYqKlcKqN_RtWLgcWH0dqcHyBD7bV1NGX_HvtmmF3w%3D&gaa_ts=69afae86&gaa_sig=hsKIq7GlEe6jTV_AiBszh8M-VLOFzbVMW-UnX2fkYed7Ly-9K5nIrY-HLpdrbwJtFK3lWqMpL15gNRrlnAJy4w%3D%3D\">great reporting recently in the\u003cem> Wall Street Journa\u003c/em>\u003c/a>\u003cem>l\u003c/em>, as well, showing people having upward of 100 children, in part, using surrogates.\u003c/p>\n\u003cp>[The couple] wanted to have a big family; they wanted to have a lot of kids as they got older, who could be successful and carry on the family bloodline and legacy.\u003c/p>\n\u003cp>It does seem like this is part of a wider trend we’ve seen with \u003ca href=\"https://www.today.com/parents/parents/elon-musk-kids-rcna19692\">billionaires like Elon Musk [who has 14 children]\u003c/a> and others who are really interested in spreading their gene pool and their legacy.\u003c/p>\n\u003cfigure id=\"attachment_12046885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12046885 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed.jpg\" alt=\"\" width=\"2000\" height=\"1330\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/iStock_000039661108_Large_qed-1536x1021.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A shocking case in Los Angeles has rocked the fertility industry, sparking a conversation around commercial surrogacy and regulations. \u003ccite>(iStock/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>How were they able to have over 20 children through surrogates?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>This couple — after they had a few children through a professional surrogate agency — actually opened their own agency. And this is what was called Mark Surrogacy. As far as I could tell, no one’s really done this before.\u003c/p>\n\u003cp>The surrogates had no awareness of this, and neither, it seems, did some of the attorneys working with the agency.\u003c/p>\n\u003cp>Most parents are using an agency because they \u003cem>want \u003c/em>a middleman, right? They want to be protected; they want to have someone who really knows the ropes. It’s a field with its own legal particularities. There [are] all kinds of things that can easily go right with experienced people, and can easily go wrong without them.\u003c/p>\n\u003cp>\u003cstrong>If Kayla Elliott or any other surrogates wanted to get custody of the child in this case, could they? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>Legally, it seemed like it would have been quite complicated. She definitely didn’t have any legal custody off the bat, and no surrogates do. The industry kind of wouldn’t work if that [were] the case … the surrogate is not biologically related most of the time.\u003c/p>\n\u003cp>In some states … there’s no federal regulation … and it’s so, so state-based. And some states are in fact even silent on the question of how surrogacy should work.\u003c/p>\n\u003ch2>The regulations and practices around surrogacy in California\u003c/h2>\n\u003cp>\u003cstrong>Are all versions of surrogacy commercial? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Deborah Wald: \u003c/strong>I want to make sure everyone’s aware, there’s a huge amount of surrogacy that happens … [for example] a sister having a baby for her infertile sister, that kind of thing.\u003c/p>\n\u003cp>I think it’s very accepted within certain cultures and in certain communities that if you can’t have a baby and you have someone who loves you who’s going to do that, they’ll do it for you.\u003c/p>\n\u003cfigure id=\"attachment_12075793\" class=\"wp-caption aligncenter\" style=\"max-width: 1980px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075793\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602.jpg\" alt=\"\" width=\"1980\" height=\"1320\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602.jpg 1980w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/GettyImages-2183738602-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\">\u003cfigcaption class=\"wp-caption-text\">A couple holds hands as they meet with a pregnant woman who is interviewing them for potential adoptive parents. \u003ccite>(SDI Productions via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What are the typical compensation rates for commercial surrogacy in California?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>It varies a lot. So this is what the women themselves get paid. This has nothing to do with what the doctors charge or what the agencies charge. Typical rates were in the $30,000 to $50,000 range.\u003c/p>\n\u003cp>I still do sometimes see that. But I also recently saw a $120,000 fee to the surrogate herself. So it’s really jumped during and since COVID.\u003c/p>\n\u003cp>\u003cstrong>Are there protections around surrogacy in California?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>Every surrogate I’ve ever represented has been looking for the same reassurance that intended parents look for, which is that she’s not doing this because she wants another child. And she wants to know that no matter what, the intended parents can’t bail. That the baby will be theirs, that she will not be legally and financially responsible for a child that’s not genetically hers, and that she never intended to parent.\u003c/p>\n\u003cp>California law actually requires that a surrogate have a right to independent legal counsel of her own choosing. It can’t be the same attorney who works for the agency or the same attorney who’s representing the intended parents.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She has a right to have all her medical care paid for.\u003c/p>\n\u003cp>Our law is clear that until the moment she gives birth, even if there’s been a pre-birth determination that the intended parents will be the legal parents, that doesn’t go into effect till the moment she gives birth. So there won’t be conflict over her right to make medical choices for herself.\u003c/p>\n\u003cp>In any state, when a woman gives birth, she’s the mother unless a court has said she isn’t. And so, for the intended parents to become the legal parents, there has to be an actual court action in almost every state.\u003c/p>\n\u003cp>In California, we do allow that court action to happen before the baby’s born, so there is complete clarity at the moment of birth as to who the parents are.\u003c/p>\n\u003cp>It facilitates medical decision-making for the baby. It facilitates making sure the baby is on the parents’ health insurance from the beginning. And that the intended parents are able to take the baby home from the hospital. That if the surrogate is ready to be discharged before the baby is, she’s free to leave.\u003c/p>\n\u003cp>There are a number of benefits to having everything clear before the baby’s born.\u003c/p>\n\u003cp>\u003cstrong>Are there future regulations that experts are looking at?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald:\u003c/strong> I was one of the attorneys who worked on our statutory structure for gestational surrogacy in California, with an eye toward making sure surrogates were well protected by it. But [Kofman’s reporting] certainly has brought other holes to light.\u003c/p>\n\u003cp>One of the things in real time we’re talking about right now is enacting a surrogate’s Bill of Rights for the state of California, that would include the protections we already have, [like] that she has a right to make her own medical decisions, that she has a right to counsel and good health insurance.\u003c/p>\n\u003cp>Particularly in response to the Mark Surrogacy situation, we’re talking about including that she has a right to better disclosures about who she’s carrying for.\u003c/p>\n\u003cfigure id=\"attachment_12046881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12046881 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/MaternityLeaveGetty1-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California law actually requires that a surrogate have a right to independent legal counsel of her own choosing. It can’t be the same attorney who works for the agency or the same attorney who’s representing the intended parents. \u003ccite>(MoMo Productions/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Kofman: \u003c/strong>Just from doing this reporting and talking to so many of these surrogates, I’d like to just lift up kind of what they’ve told me they want to see the most, which is just a lot more transparency.\u003c/p>\n\u003cp>They went through such extensive vetting — psychological evaluations. Now, it’s also clear that some intended parents do the same, but that’s not often the case. That certainly wasn’t the case here.\u003c/p>\n\u003cp>And there’s already such a kind of a potential for a power asymmetry. There’s \u003ca href=\"https://www.wsj.com/us-news/surrogacy-unregulated-debts-profits-b9fdd987?gaa_at=eafs&gaa_n=AWEtsqc6VTBbJAQD14SIAJz06ZQSQDHkRTqfwaxeHircQ2OXbcTIQyPrfEzaejcoZ00%3D&gaa_ts=69af9a29&gaa_sig=AT4QNSJUCK78FyjVv_Gy3eOaEI6-EBddUwynFBqmzVqMDiQ8IvkGBGtKEFnqfoJY_jle0jk_Hqms2DbkPDTmwA%3D%3D\">a financial asymmetry in the exchange\u003c/a>, of course … just rectifying that with truly independent legal counsel, with the ability for agencies to ask hard questions of the parents, like they’re asking of the surrogates.\u003c/p>\n\u003cp>And for the surrogates to just know what they’re getting into. A surrogate wants to know if they’re bringing a baby into a home with 15 other children or a home with one other child.\u003c/p>\n\u003cp>\u003cstrong>Thinking of Elon Musk, some people may wonder about the \u003cem>number \u003c/em>of kids families may be having. Can you speak about this a little bit? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>What was one of the things that was so unusual about this case was, you know, people actually raising all, I mean, even Elon Musk, I don’t think he’s actually raising the 14 children.\u003c/p>\n\u003cp>But who’s supposed to decide that? It makes me very nervous to think about the state determining how many children a family can have. I agree that there’s an ethical and moral conversation to be had. State regulation is different from that.\u003c/p>\n\u003cfigure id=\"attachment_11934757\" class=\"wp-caption aligncenter\" style=\"max-width: 2121px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11934757 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327.jpg\" alt=\"The midsection of a pregnant Black woman holding her belly.\" width=\"2121\" height=\"1414\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327.jpg 2121w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/GettyImages-694024327-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2121px) 100vw, 2121px\">\u003cfigcaption class=\"wp-caption-text\">“People are drawn to being surrogates for all sorts of different reasons, but for many of them, like Kayla, this was something they wanted to do to kind of try to make a difference,” The New Yorker’s Ava Kofman said. \u003ccite>(LWA/Dann Tardif via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>What about strengthening requirements for setting up surrogacy \u003cem>agencies\u003c/em>? \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Kofman:\u003c/strong> Right now, it’s very easy to set up a surrogacy agency in every state but New York. [States don’t] require any sort of license. It’s much easier to set up a surrogacy agency than it is to set up a hair salon or adoption agency or child care.\u003c/p>\n\u003cp>\u003cstrong>Wald: \u003c/strong>Within the \u003ca href=\"https://www.acal.org/\">Academy of California Adoption and Assisted Reproduction Lawyers\u003c/a>, we’re definitely looking at the New York statute.\u003c/p>\n\u003cp>It is something we’re looking at, whether we should look at a licensing requirement in the state of California and what that would look like.\u003c/p>\n\u003cp>It’s not easy to get legislation passed. That’s probably true in every state. It’s certainly true in this state. And particularly if it’s gonna cost the state money. So who’s gonna regulate that?\u003c/p>\n\u003cp>So we have to look at all of that when we try to figure out how realistic it is. But I can tell you that there are big conversations happening and a lot of smart, ethical people invested in trying to figure out how to make sure nothing like this happens again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Inspired by the Winter Olympics? You Can Learn to Ski in San Francisco",
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"headTitle": "Inspired by the Winter Olympics? You Can Learn to Ski in San Francisco | KQED",
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"content": "\u003cp>Kellan Hirschler is standing in a large room in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> — learning how to snowboard.\u003c/p>\n\u003cp>Hirschler, a 30-year-old nurse who lives in the Castro District, is a student at Adventurous Sports, an indoor ski school in the city’s Hayes Valley area. Here, aspiring skiers and snowboarders like her can get some turns in — snow and ice not included.\u003c/p>\n\u003cp>Hirschler said her partner being an avid skier made her want to be able to keep up on the mountain. “So I was like, ‘You know what? It’s time,’” she said. “I need to get a little serious.”\u003c/p>\n\u003cp>\u003ca href=\"https://adventurous.com/\">Adventurous Sports\u003c/a> has been in business for around two decades. But in January of 2024, the ski school moved from its Potrero Hill location to Hayes Valley with upgraded “ski decks” — carpeted treadmills that attempt to simulate skiing on a real hill — and plans to build out an area for boot fitting as well.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Adventurous offers lessons for new and experienced ski and snowboarders alike, with an emphasis on perfecting the technique of carving: the smooth arc of the ski or snowboard that’s accomplished by slowly rolling the ankles and knees onto one edge, then the other.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#FacilitiesintheBayAreathatofferdrylandskitraining\">Facilities in the Bay Area that offer dry land ski training\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Owner Sarah Cooper said training indoors is not meant to fully replace learning and progressing on a real ski hill, but rather to accelerate muscle memory and confidence once a person hits the actual slopes.\u003c/p>\n\u003cp>The setup of the facility — where teachers are positioned below the incline of the treadmill, eye to eye with their students’ hips and legs — allows them to watch and critique students’ every move, said Cooper, even at high speeds.\u003c/p>\n\u003cfigure id=\"attachment_12076273\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An Adventurous client works on ski drills on one of the company’s indoor decks. \u003ccite>(Courtesy of Adventurous )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We can see everything on every single person’s body,” she said. “Every movement, their timing, their confidence, their comfort.”\u003c/p>\n\u003cp>Joad Stein, an instructor at Adventurous who is also an expert outdoor skier, had just returned from a ski trip to Tahoe. Getting on the deck to demonstrate, he said he found skiing on the simulator to be the much more demanding option.\u003c/p>\n\u003cp>“I have to remind myself to be more patient with my movements, which makes it harder,” he said. “If I want to have nice, graceful turns, I really have to take my sweet time.”\u003c/p>\n\u003ch2>Movement matters\u003c/h2>\n\u003cp>But does all this indoor work on carving actually produce results on the slopes?\u003c/p>\n\u003cp>There has been very little scientific research on these types of ski decks. A \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC3761755/\">2013 study \u003c/a>found the benefits of training on ski simulators to be minimal, but it only tested two types of ski simulators — neither of which was particularly similar to the type of deck used at Adventurous.\u003c/p>\n\u003cp>Cooper said many Adventurous clients have reported positive impacts of their indoor training, and that Olympic athletes, including Mikaela Shiffrin, have spoken about their experiences of using indoor decks as part of their training.\u003c/p>\n\u003cp>And on-hill ski instructors say any type of dry land training, especially the kind that works the same core and leg muscles as skiing and snowboarding, is going to help performance on the mountain.\u003c/p>\n\u003cfigure id=\"attachment_12076274\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076274\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An Adventurous client works on a “power roll” drill on one of the company’s indoor decks. \u003ccite>(Courtesy of Adventurous )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That fitness \u003cem>will \u003c/em>translate,” said Jon Tekulve, director of ski services at Diamond Peak Ski Resort in Tahoe. “The movements are still there, and learning those can be helpful.”\u003c/p>\n\u003cp>Around 80% of the adults taught at Diamond Peak have never been on snow before. But Tekulve warned that beginners who start indoors may be taken aback by the role that being outside plays in skiing, because the carpet and indoor environment are so consistent.\u003c/p>\n\u003cp>“Being out in the elements is different,” he said. “Sun and shade spots on the mountain can be the difference between going really fast and really slow.”\u003c/p>\n\u003cp>Plus, he said, who would want to miss out on the mountain views?\u003c/p>\n\u003cp>Cooper acknowledges there is one major factor about skiing for real that she cannot prepare her students for on the Adventurous simulator: “The snow is just gonna ‘feel slippery’ — that’s what everyone says,” she said.\u003c/p>\n\u003cp>Hirschler said she’s proud of the progress she’s made so far with her indoor lessons. She’s even able to ride on the indoor carpet without keeping her hands on the safety bar, and is working on visualizing being on a mountain instead of inside.\u003c/p>\n\u003cp>“But is it gonna transition well to the mountain? I don’t know,” she mused.\u003c/p>\n\u003cp>“I’ll be starting with the bunny hill for sure.”\u003c/p>\n\u003ch2>\u003ca id=\"FacilitiesintheBayAreathatofferdrylandskitraining\">\u003c/a>Where to learn how to ski indoors in the Bay Area\u003c/h2>\n\u003cp>\u003ca href=\"https://adventurous.com/\">\u003cstrong>Adventurous Sports\u003c/strong>\u003c/a>\u003cstrong>, San Francisco\u003c/strong>\u003c/p>\n\u003cp>Located in Hayes Valley, this indoor ski school emphasizes carving and requires all first-timers to complete an hourlong intro class to get familiar with skiing on their carpeted treadmill.\u003c/p>\n\u003cp>\u003cstrong>Cost: \u003c/strong>The intro lesson costs $185 in the winter and $145 in the summer. You can then purchase packages of multiple lessons, and more experienced skiers and riders can also book cheaper conditioning sessions.[aside postID=news_12066608 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SNOWY-TAHOE-CS-KQED.jpg']\u003c/p>\n\u003cp>\u003ca href=\"https://freeslope.com/\">\u003cstrong>Freeslope,\u003c/strong>\u003c/a>\u003cstrong> Fremont\u003c/strong>\u003c/p>\n\u003cp>Want to practice your skills on mats and dry slopes before heading to the park? The East Bay’s Freeslope offers beginner lessons and workshops most days of the week, plus drop-in sessions to practice what you’ve learned.\u003c/p>\n\u003cp>Cost: Intro lessons cost $120, and workshops range from $40-$80. You can purchase a drop-in session for $35.\u003c/p>\n\u003cp>\u003ca href=\"https://houseofair.com/san-francisco/\">\u003cstrong>House of Air,\u003c/strong>\u003c/a>\u003cstrong> San Francisco\u003c/strong>\u003c/p>\n\u003cp>This indoor trampoline park near San Francisco’s Crissy Field offers a \u003ca href=\"https://houseofair.com/san-francisco/programs/adults/\">Slopestyle Workshop\u003c/a> for free skiers to work on aerial tricks and hitting park features like boxes and rails.\u003c/p>\n\u003cp>Cost: $40 for per hour for adults and $60 for kids.\u003c/p>\n\u003cp>\u003cem>Clarification: The radio version of this story, which aired Feb. 18, 2026, discussed the lack of research into the impacts of indoor ski decks. The broadcast mentioned “little scientific evidence” in reference to a lack of peer-reviewed studies from universities and similar entities. In a follow-up email from Sarah Cooper, owner of Adventurous Sports, she acknowledged the well-established positive experiences of some Olympic athletes who have used indoor ski decks, and shared similar testimonials from Adventurous clients.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Inspired by the Winter Olympics? You Can Learn to Ski in San Francisco | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kellan Hirschler is standing in a large room in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> — learning how to snowboard.\u003c/p>\n\u003cp>Hirschler, a 30-year-old nurse who lives in the Castro District, is a student at Adventurous Sports, an indoor ski school in the city’s Hayes Valley area. Here, aspiring skiers and snowboarders like her can get some turns in — snow and ice not included.\u003c/p>\n\u003cp>Hirschler said her partner being an avid skier made her want to be able to keep up on the mountain. “So I was like, ‘You know what? It’s time,’” she said. “I need to get a little serious.”\u003c/p>\n\u003cp>\u003ca href=\"https://adventurous.com/\">Adventurous Sports\u003c/a> has been in business for around two decades. But in January of 2024, the ski school moved from its Potrero Hill location to Hayes Valley with upgraded “ski decks” — carpeted treadmills that attempt to simulate skiing on a real hill — and plans to build out an area for boot fitting as well.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Adventurous offers lessons for new and experienced ski and snowboarders alike, with an emphasis on perfecting the technique of carving: the smooth arc of the ski or snowboard that’s accomplished by slowly rolling the ankles and knees onto one edge, then the other.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#FacilitiesintheBayAreathatofferdrylandskitraining\">Facilities in the Bay Area that offer dry land ski training\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Owner Sarah Cooper said training indoors is not meant to fully replace learning and progressing on a real ski hill, but rather to accelerate muscle memory and confidence once a person hits the actual slopes.\u003c/p>\n\u003cp>The setup of the facility — where teachers are positioned below the incline of the treadmill, eye to eye with their students’ hips and legs — allows them to watch and critique students’ every move, said Cooper, even at high speeds.\u003c/p>\n\u003cfigure id=\"attachment_12076273\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076273\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An Adventurous client works on ski drills on one of the company’s indoor decks. \u003ccite>(Courtesy of Adventurous )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We can see everything on every single person’s body,” she said. “Every movement, their timing, their confidence, their comfort.”\u003c/p>\n\u003cp>Joad Stein, an instructor at Adventurous who is also an expert outdoor skier, had just returned from a ski trip to Tahoe. Getting on the deck to demonstrate, he said he found skiing on the simulator to be the much more demanding option.\u003c/p>\n\u003cp>“I have to remind myself to be more patient with my movements, which makes it harder,” he said. “If I want to have nice, graceful turns, I really have to take my sweet time.”\u003c/p>\n\u003ch2>Movement matters\u003c/h2>\n\u003cp>But does all this indoor work on carving actually produce results on the slopes?\u003c/p>\n\u003cp>There has been very little scientific research on these types of ski decks. A \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC3761755/\">2013 study \u003c/a>found the benefits of training on ski simulators to be minimal, but it only tested two types of ski simulators — neither of which was particularly similar to the type of deck used at Adventurous.\u003c/p>\n\u003cp>Cooper said many Adventurous clients have reported positive impacts of their indoor training, and that Olympic athletes, including Mikaela Shiffrin, have spoken about their experiences of using indoor decks as part of their training.\u003c/p>\n\u003cp>And on-hill ski instructors say any type of dry land training, especially the kind that works the same core and leg muscles as skiing and snowboarding, is going to help performance on the mountain.\u003c/p>\n\u003cfigure id=\"attachment_12076274\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12076274\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/Adventurous-2-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">An Adventurous client works on a “power roll” drill on one of the company’s indoor decks. \u003ccite>(Courtesy of Adventurous )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“That fitness \u003cem>will \u003c/em>translate,” said Jon Tekulve, director of ski services at Diamond Peak Ski Resort in Tahoe. “The movements are still there, and learning those can be helpful.”\u003c/p>\n\u003cp>Around 80% of the adults taught at Diamond Peak have never been on snow before. But Tekulve warned that beginners who start indoors may be taken aback by the role that being outside plays in skiing, because the carpet and indoor environment are so consistent.\u003c/p>\n\u003cp>“Being out in the elements is different,” he said. “Sun and shade spots on the mountain can be the difference between going really fast and really slow.”\u003c/p>\n\u003cp>Plus, he said, who would want to miss out on the mountain views?\u003c/p>\n\u003cp>Cooper acknowledges there is one major factor about skiing for real that she cannot prepare her students for on the Adventurous simulator: “The snow is just gonna ‘feel slippery’ — that’s what everyone says,” she said.\u003c/p>\n\u003cp>Hirschler said she’s proud of the progress she’s made so far with her indoor lessons. She’s even able to ride on the indoor carpet without keeping her hands on the safety bar, and is working on visualizing being on a mountain instead of inside.\u003c/p>\n\u003cp>“But is it gonna transition well to the mountain? I don’t know,” she mused.\u003c/p>\n\u003cp>“I’ll be starting with the bunny hill for sure.”\u003c/p>\n\u003ch2>\u003ca id=\"FacilitiesintheBayAreathatofferdrylandskitraining\">\u003c/a>Where to learn how to ski indoors in the Bay Area\u003c/h2>\n\u003cp>\u003ca href=\"https://adventurous.com/\">\u003cstrong>Adventurous Sports\u003c/strong>\u003c/a>\u003cstrong>, San Francisco\u003c/strong>\u003c/p>\n\u003cp>Located in Hayes Valley, this indoor ski school emphasizes carving and requires all first-timers to complete an hourlong intro class to get familiar with skiing on their carpeted treadmill.\u003c/p>\n\u003cp>\u003cstrong>Cost: \u003c/strong>The intro lesson costs $185 in the winter and $145 in the summer. You can then purchase packages of multiple lessons, and more experienced skiers and riders can also book cheaper conditioning sessions.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://freeslope.com/\">\u003cstrong>Freeslope,\u003c/strong>\u003c/a>\u003cstrong> Fremont\u003c/strong>\u003c/p>\n\u003cp>Want to practice your skills on mats and dry slopes before heading to the park? The East Bay’s Freeslope offers beginner lessons and workshops most days of the week, plus drop-in sessions to practice what you’ve learned.\u003c/p>\n\u003cp>Cost: Intro lessons cost $120, and workshops range from $40-$80. You can purchase a drop-in session for $35.\u003c/p>\n\u003cp>\u003ca href=\"https://houseofair.com/san-francisco/\">\u003cstrong>House of Air,\u003c/strong>\u003c/a>\u003cstrong> San Francisco\u003c/strong>\u003c/p>\n\u003cp>This indoor trampoline park near San Francisco’s Crissy Field offers a \u003ca href=\"https://houseofair.com/san-francisco/programs/adults/\">Slopestyle Workshop\u003c/a> for free skiers to work on aerial tricks and hitting park features like boxes and rails.\u003c/p>\n\u003cp>Cost: $40 for per hour for adults and $60 for kids.\u003c/p>\n\u003cp>\u003cem>Clarification: The radio version of this story, which aired Feb. 18, 2026, discussed the lack of research into the impacts of indoor ski decks. The broadcast mentioned “little scientific evidence” in reference to a lack of peer-reviewed studies from universities and similar entities. In a follow-up email from Sarah Cooper, owner of Adventurous Sports, she acknowledged the well-established positive experiences of some Olympic athletes who have used indoor ski decks, and shared similar testimonials from Adventurous clients.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "san-francisco-receives-100-million-prop-1-windfall-to-expand-treatment-beds",
"title": "San Francisco Receives $100 Million Proposition 1 Windfall to Expand Treatment Beds",
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"headTitle": "San Francisco Receives $100 Million Proposition 1 Windfall to Expand Treatment Beds | KQED",
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"content": "\u003cp>As San Francisco faces a looming budget deficit, city leaders are breathing a momentary sigh of relief thanks to around $100 million in new state funding that will go toward expanding local psychiatric and addiction treatment beds.\u003c/p>\n\u003cp>The latest funding comes from \u003ca href=\"https://www.kqed.org/news/11980415/newsom-celebrates-proposition-1-victory-after-sleepless-weeks\">Proposition 1\u003c/a>, a $6.4 billion bond that California voters passed in 2024, and will specifically fund additional beds at three different locations in San Francisco.\u003c/p>\n\u003cp>It comes as the city is also proposing to cut millions of dollars across departments, including public health, to close a nearly $900 million budget shortfall and amid federal funding cuts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“These investments strengthen our city’s ability to respond with compassion and accountability. Facing a serious budget deficit as we are here in the city, we are leveraging every possible funding source,” Lurie said as he announced the funding on Thursday. “We’re not simply pouring money into something that’s broken, but investing in solutions that get people off the streets, into treatment and on a path to recovery.”\u003c/p>\n\u003cp>Already, California has distributed nearly $4.17 billion across the state in one-time Proposition 1 dollars to support nearly 7,000 residential treatment beds and 27,500 outpatient treatment slots, although \u003ca href=\"https://www.kqed.org/news/12076232/projects-under-initial-prop-1-funding-hit-delays\">some projects have been delayed\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12036369\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12036369\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed.jpg\" alt=\"\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The dormitory at the Embarcadero SAFE Navigation Center at the corner of Embarcadero and Beale Street in San Francisco on Jan. 30, 2020. San Francisco plans to expand a program pairing shelter beds at the Adante Hotel on Geary Street in Lower Nob Hill with access to addiction treatment, to intervene in the city’s drug crisis. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco received funding for 73 new locked and dual diagnosis treatment beds through the bond program last year.\u003c/p>\n\u003cp>In this latest funding round, local health officials plan to put $70.2 million toward 50 sub-acute beds and six acute psychiatric beds at UCSF Health Hyde Hospital, $14.2 million toward 44 treatment beds on Treasure Island and $11.2 million toward opening a sobering center in an unused city property at 1660 Mission St.\u003c/p>\n\u003cp>Health Director Daniel Tsai said the funding is desperately needed. The city has a dearth of adequate and \u003ca href=\"https://www.findtreatment-sf.org/\">available beds\u003c/a>, which means that people who are ready for treatment must often leave the city.[aside postID=news_12075619 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/250418-SFPDFile-46-BL_qed.jpg']The move can pull them away from their support network, making their recovery even more difficult, or it can deter them from treatment entirely. “There are simply not enough beds. We are sending people as far as Santa Barbara for this level of care,” Tsai said on Thursday. “In many cases, folks are left on the street because there is no appropriate level of care.”\u003c/p>\n\u003cp>Construction for the new beds on Treasure Island is slated to begin in winter of 2026 at a 64,000-square-foot, six-story building located at Tradewinds Avenue and Mackey Lane. About 172 existing recovery beds on Treasure Island will also be relocated from the former U.S. Navy housing on the island to the site that is slated to be redeveloped.\u003c/p>\n\u003cp>Timelines for the other two projects were not specified, but Tsai said they will begin “as fast as humanely possible.”\u003c/p>\n\u003cp>City officials added that the vision for the site at 1660 Mission St. includes a sobering center that also serves as a hub for other public health care services, like pharmacy pick-ups, case worker meetings and other health assessments.\u003c/p>\n\u003cp>It would be the second sobering center that Lurie’s administration has attempted, after the city recently announced the upcoming opening of the so-called \u003ca href=\"https://www.kqed.org/news/12073638/san-francisco-moves-ahead-with-sobering-center-despite-legal-risk-memo\">RESET Center\u003c/a>, where police are expected to drop off people they arrest for outdoor drug use, rather than taking them to jail for booking.\u003c/p>\n\u003cfigure id=\"attachment_12038603\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12038603\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A new behavioral health center at 822 Geary St., opened by the Department of Public Health, in San Francisco on May 2, 2025, is geared toward treating unhoused individuals experiencing a behavioral health crisis. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>However, if someone has an outstanding warrant or other reason for arrest along with drug use, they could still be booked into jail. Some studies have shown that the risk of fatal and non-fatal \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10795482/\">overdose dramatically increases\u003c/a> following a release from jail or prison. That, along with Lurie’s controversial decision to \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scale back many of the city’s harm reduction\u003c/a> public health programs, has alarmed some addiction experts and advocates.\u003c/p>\n\u003cp>The new funding comes almost a year after Lurie opened a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health crisis center at 822 Geary St.\u003c/a>, also intended for first responders to drop off people struggling on the street. Individuals can also walk in themselves for a quiet space to relax and get connected with medical professionals.\u003c/p>\n\u003cp>“These programs will provide much-needed mental health services to some of our most vulnerable individuals in the community and support them on their road to recovery,” Crestwood CEO Patty Bloom said in a statement.\u003c/p>\n\u003cp>The health organization will operate the new 50 locked beds at Health Hyde Hospital for people under mental health conservatorship, and it currently oversees the stabilization center at 822 Geary St.\u003c/p>\n\u003cfigure id=\"attachment_12026726\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026726\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">James Patrick McDonald on Sixth Street in San Francisco after visiting the outdoor triage center to get a shelter space on Feb. 11, 2025. He has a broken hip. “I’ve been on the streets so long, I just want off,” he said. “I just want to cry.” \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie’s \u003ca href=\"https://www.kqed.org/news/12028499/can-sfs-new-triage-centers-help-solve-the-addiction-crisis\">police-friendly triage center on Sixth Street\u003c/a>, however, did not have the same success and has quietly tapered off services such as offering a place to sit and get a hot coffee on the often-hectic South of Market neighborhood stretch, or sign up for social services.\u003c/p>\n\u003cp>Meanwhile, overdose rates have fluctuated on a month-to-month basis but \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">remain high in San Francisco\u003c/a>, with fentanyl still one of the most common substances involved in accidental overdose death.\u003c/p>\n\u003cp>On Thursday, the mayor touted the progress the city has made on street-level conditions, one of the key issues he campaigned on before entering office. Last month, the city saw a drop in tent encampments and more people participating in Journey Home, a program that covers transportation out of the city for unhoused people.\u003c/p>\n\u003cp>“We know that we have challenges on our streets, but with this momentum, we will continue to push for results for the people of San Francisco,” Lurie said. “We must keep going.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As San Francisco faces a looming budget deficit, city leaders are breathing a momentary sigh of relief thanks to around $100 million in new state funding that will go toward expanding local psychiatric and addiction treatment beds.\u003c/p>\n\u003cp>The latest funding comes from \u003ca href=\"https://www.kqed.org/news/11980415/newsom-celebrates-proposition-1-victory-after-sleepless-weeks\">Proposition 1\u003c/a>, a $6.4 billion bond that California voters passed in 2024, and will specifically fund additional beds at three different locations in San Francisco.\u003c/p>\n\u003cp>It comes as the city is also proposing to cut millions of dollars across departments, including public health, to close a nearly $900 million budget shortfall and amid federal funding cuts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“These investments strengthen our city’s ability to respond with compassion and accountability. Facing a serious budget deficit as we are here in the city, we are leveraging every possible funding source,” Lurie said as he announced the funding on Thursday. “We’re not simply pouring money into something that’s broken, but investing in solutions that get people off the streets, into treatment and on a path to recovery.”\u003c/p>\n\u003cp>Already, California has distributed nearly $4.17 billion across the state in one-time Proposition 1 dollars to support nearly 7,000 residential treatment beds and 27,500 outpatient treatment slots, although \u003ca href=\"https://www.kqed.org/news/12076232/projects-under-initial-prop-1-funding-hit-delays\">some projects have been delayed\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12036369\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12036369\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed.jpg\" alt=\"\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/019_KQED_EmbarcaderoNavigationCenter_01302020_7872_qed-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The dormitory at the Embarcadero SAFE Navigation Center at the corner of Embarcadero and Beale Street in San Francisco on Jan. 30, 2020. San Francisco plans to expand a program pairing shelter beds at the Adante Hotel on Geary Street in Lower Nob Hill with access to addiction treatment, to intervene in the city’s drug crisis. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco received funding for 73 new locked and dual diagnosis treatment beds through the bond program last year.\u003c/p>\n\u003cp>In this latest funding round, local health officials plan to put $70.2 million toward 50 sub-acute beds and six acute psychiatric beds at UCSF Health Hyde Hospital, $14.2 million toward 44 treatment beds on Treasure Island and $11.2 million toward opening a sobering center in an unused city property at 1660 Mission St.\u003c/p>\n\u003cp>Health Director Daniel Tsai said the funding is desperately needed. The city has a dearth of adequate and \u003ca href=\"https://www.findtreatment-sf.org/\">available beds\u003c/a>, which means that people who are ready for treatment must often leave the city.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The move can pull them away from their support network, making their recovery even more difficult, or it can deter them from treatment entirely. “There are simply not enough beds. We are sending people as far as Santa Barbara for this level of care,” Tsai said on Thursday. “In many cases, folks are left on the street because there is no appropriate level of care.”\u003c/p>\n\u003cp>Construction for the new beds on Treasure Island is slated to begin in winter of 2026 at a 64,000-square-foot, six-story building located at Tradewinds Avenue and Mackey Lane. About 172 existing recovery beds on Treasure Island will also be relocated from the former U.S. Navy housing on the island to the site that is slated to be redeveloped.\u003c/p>\n\u003cp>Timelines for the other two projects were not specified, but Tsai said they will begin “as fast as humanely possible.”\u003c/p>\n\u003cp>City officials added that the vision for the site at 1660 Mission St. includes a sobering center that also serves as a hub for other public health care services, like pharmacy pick-ups, case worker meetings and other health assessments.\u003c/p>\n\u003cp>It would be the second sobering center that Lurie’s administration has attempted, after the city recently announced the upcoming opening of the so-called \u003ca href=\"https://www.kqed.org/news/12073638/san-francisco-moves-ahead-with-sobering-center-despite-legal-risk-memo\">RESET Center\u003c/a>, where police are expected to drop off people they arrest for outdoor drug use, rather than taking them to jail for booking.\u003c/p>\n\u003cfigure id=\"attachment_12038603\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12038603\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/05/250502-TENDERLOINTRIAGECENTER-02-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A new behavioral health center at 822 Geary St., opened by the Department of Public Health, in San Francisco on May 2, 2025, is geared toward treating unhoused individuals experiencing a behavioral health crisis. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>However, if someone has an outstanding warrant or other reason for arrest along with drug use, they could still be booked into jail. Some studies have shown that the risk of fatal and non-fatal \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10795482/\">overdose dramatically increases\u003c/a> following a release from jail or prison. That, along with Lurie’s controversial decision to \u003ca href=\"https://www.kqed.org/news/12032239/overdoses-climb-lurie-orders-scaling-back-harm-reduction-programs\">scale back many of the city’s harm reduction\u003c/a> public health programs, has alarmed some addiction experts and advocates.\u003c/p>\n\u003cp>The new funding comes almost a year after Lurie opened a \u003ca href=\"https://www.kqed.org/news/12038376/tenderloin-welcomes-mental-health-clinic-demands-broader-city-action-on-homelessness\">mental health crisis center at 822 Geary St.\u003c/a>, also intended for first responders to drop off people struggling on the street. Individuals can also walk in themselves for a quiet space to relax and get connected with medical professionals.\u003c/p>\n\u003cp>“These programs will provide much-needed mental health services to some of our most vulnerable individuals in the community and support them on their road to recovery,” Crestwood CEO Patty Bloom said in a statement.\u003c/p>\n\u003cp>The health organization will operate the new 50 locked beds at Health Hyde Hospital for people under mental health conservatorship, and it currently oversees the stabilization center at 822 Geary St.\u003c/p>\n\u003cfigure id=\"attachment_12026726\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026726\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-20-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">James Patrick McDonald on Sixth Street in San Francisco after visiting the outdoor triage center to get a shelter space on Feb. 11, 2025. He has a broken hip. “I’ve been on the streets so long, I just want off,” he said. “I just want to cry.” \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lurie’s \u003ca href=\"https://www.kqed.org/news/12028499/can-sfs-new-triage-centers-help-solve-the-addiction-crisis\">police-friendly triage center on Sixth Street\u003c/a>, however, did not have the same success and has quietly tapered off services such as offering a place to sit and get a hot coffee on the often-hectic South of Market neighborhood stretch, or sign up for social services.\u003c/p>\n\u003cp>Meanwhile, overdose rates have fluctuated on a month-to-month basis but \u003ca href=\"https://www.sf.gov/data--preliminary-unintentional-drug-overdose-deaths\">remain high in San Francisco\u003c/a>, with fentanyl still one of the most common substances involved in accidental overdose death.\u003c/p>\n\u003cp>On Thursday, the mayor touted the progress the city has made on street-level conditions, one of the key issues he campaigned on before entering office. Last month, the city saw a drop in tent encampments and more people participating in Journey Home, a program that covers transportation out of the city for unhoused people.\u003c/p>\n\u003cp>“We know that we have challenges on our streets, but with this momentum, we will continue to push for results for the people of San Francisco,” Lurie said. “We must keep going.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=7858210&GUID=73DF6CC5-C865-4168-B284-4E9B0B35C1AA\">has agreed to pay $500,000\u003c/a> to a family that sued for wrongful death and elder abuse after their relative died following his transfer out of Laguna Honda Hospital and Rehabilitation Center.\u003c/p>\n\u003cp>The settlement was approved by the Board of Supervisors on Tuesday and comes after an overhaul of Laguna Honda, a safety net hospital for low-income patients with complex medical needs, which lost its certification in 2022 after failing a series of safety inspections.\u003c/p>\n\u003cp>While working to regain good standing, state and federal regulators \u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">forced the hospital to prepare for potential closure\u003c/a> and some residents were discharged or transferred to other skilled nursing facilities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Several people died shortly after moving, which some nursing home watchdogs have attributed to a detrimental disruption in care during the relocation process, known as transfer trauma.\u003c/p>\n\u003cp>“They thought it was necessary to keep Laguna Honda from being shut down by the state. But in fact, what they were doing was more harmful,” said Teresa Palmer, an advocate with the social justice organization Gray Panthers who worked as a physician at Laguna Honda from 1989 to 2004. “They were violating patients’ rights and safety and discharging them illegally to nursing homes where they wouldn’t get as good care.”\u003c/p>\n\u003cfigure id=\"attachment_11940770\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11940770\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg\" alt=\"Three women with banners stand outside the Laguna Honda hospital entrance with protest signs in their hands.\" width=\"1920\" height=\"1277\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1020x678.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cristina Gutierrez, 74, speaks out during a protest against the discharge and transfer of patients from the Laguna Honda Hospital and Rehabilitation Center, in San Francisco, on Feb. 2, 2023. \u003ccite>(Kori Suzuki/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Pham family sued the city and county of San Francisco in 2023, alleging elder abuse and neglect, violation of patients’ rights and wrongful death for their father, Quy Pham, who had moved into Laguna Honda in 2021 and lived with Alzheimer’s disease.\u003c/p>\n\u003cp>As Laguna Honda worked toward recertification, which it \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">achieved in 2023\u003c/a>, state and federal regulators urged the hospital to discharge and transfer patients. According to the complaint, the Pham family was contacted during that time and told that a bed would be available for their father at Seton Hospital in Daly City.\u003c/p>\n\u003cp>“They didn’t want him to go there, but they reluctantly agreed because they felt pressured,” said Kathryn Stebner, the attorney representing the Pham family.[aside postID=news_12064768 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/008_KQED_LagunaHondaHospital_01312023_qed.jpg']Their father left Laguna Honda on July 8 and died on July 25 at Seton, the complaint states. He was 80 years old.\u003c/p>\n\u003cp>“They noticed a quick decline, and he died really quickly after,” Stebner said, adding that Pham required assistance for just about every aspect of daily living. “There are laws and regulations that say what exactly is to be done if someone is transferred and we alleged they did not prepare him for this. If people with dementia are moved, even to a different building, they can go downhill immediately.”\u003c/p>\n\u003cp>Stebner’s firm initially filed three lawsuits alleging that transfer trauma led to wrongful death after the hospital began transferring patients. Two of those cases were dismissed, and Pham’s case ended with a settlement.\u003c/p>\n\u003cp>“Although defendants knew of conditions that made [Pham] unable to provide for his own basic needs as described herein, defendants recklessly and egregiously denied and withheld goods or services necessary to meet [Pham]’s basic needs,” the complaint reads.\u003c/p>\n\u003cp>In November 2025, San Francisco agreed to pay \u003ca href=\"https://www.kqed.org/news/12064768/sf-to-pay-5-8-million-in-class-action-settlement-over-elder-abuse-at-laguna-honda\">$5.8 million in a class action settlement\u003c/a> over elder abuse claims at Laguna Honda between 2016 and 2019.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Public Health, which runs Laguna Honda, declined to comment and referred KQED to the city attorney’s office.\u003c/p>\n\u003cp>“We believe the proposed settlement is an appropriate resolution given the inherent costs of continued litigation,” said Jen Kwart, a spokesperson for the San Francisco City Attorney’s Office.\u003c/p>\n\u003cp>Stebner said the settlement with the Pham family is the last remaining lawsuit her firm has closed stemming from the turmoil at Laguna Honda while it faced potential closure.\u003c/p>\n\u003cp>“I’m hoping that by filing all these lawsuits that the families can hold the city and county accountable and I hope we did do that,” Stebner said. “And hopefully this journey is over.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=7858210&GUID=73DF6CC5-C865-4168-B284-4E9B0B35C1AA\">has agreed to pay $500,000\u003c/a> to a family that sued for wrongful death and elder abuse after their relative died following his transfer out of Laguna Honda Hospital and Rehabilitation Center.\u003c/p>\n\u003cp>The settlement was approved by the Board of Supervisors on Tuesday and comes after an overhaul of Laguna Honda, a safety net hospital for low-income patients with complex medical needs, which lost its certification in 2022 after failing a series of safety inspections.\u003c/p>\n\u003cp>While working to regain good standing, state and federal regulators \u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">forced the hospital to prepare for potential closure\u003c/a> and some residents were discharged or transferred to other skilled nursing facilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Several people died shortly after moving, which some nursing home watchdogs have attributed to a detrimental disruption in care during the relocation process, known as transfer trauma.\u003c/p>\n\u003cp>“They thought it was necessary to keep Laguna Honda from being shut down by the state. But in fact, what they were doing was more harmful,” said Teresa Palmer, an advocate with the social justice organization Gray Panthers who worked as a physician at Laguna Honda from 1989 to 2004. “They were violating patients’ rights and safety and discharging them illegally to nursing homes where they wouldn’t get as good care.”\u003c/p>\n\u003cfigure id=\"attachment_11940770\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11940770\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg\" alt=\"Three women with banners stand outside the Laguna Honda hospital entrance with protest signs in their hands.\" width=\"1920\" height=\"1277\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1020x678.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cristina Gutierrez, 74, speaks out during a protest against the discharge and transfer of patients from the Laguna Honda Hospital and Rehabilitation Center, in San Francisco, on Feb. 2, 2023. \u003ccite>(Kori Suzuki/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Pham family sued the city and county of San Francisco in 2023, alleging elder abuse and neglect, violation of patients’ rights and wrongful death for their father, Quy Pham, who had moved into Laguna Honda in 2021 and lived with Alzheimer’s disease.\u003c/p>\n\u003cp>As Laguna Honda worked toward recertification, which it \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">achieved in 2023\u003c/a>, state and federal regulators urged the hospital to discharge and transfer patients. According to the complaint, the Pham family was contacted during that time and told that a bed would be available for their father at Seton Hospital in Daly City.\u003c/p>\n\u003cp>“They didn’t want him to go there, but they reluctantly agreed because they felt pressured,” said Kathryn Stebner, the attorney representing the Pham family.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Their father left Laguna Honda on July 8 and died on July 25 at Seton, the complaint states. He was 80 years old.\u003c/p>\n\u003cp>“They noticed a quick decline, and he died really quickly after,” Stebner said, adding that Pham required assistance for just about every aspect of daily living. “There are laws and regulations that say what exactly is to be done if someone is transferred and we alleged they did not prepare him for this. If people with dementia are moved, even to a different building, they can go downhill immediately.”\u003c/p>\n\u003cp>Stebner’s firm initially filed three lawsuits alleging that transfer trauma led to wrongful death after the hospital began transferring patients. Two of those cases were dismissed, and Pham’s case ended with a settlement.\u003c/p>\n\u003cp>“Although defendants knew of conditions that made [Pham] unable to provide for his own basic needs as described herein, defendants recklessly and egregiously denied and withheld goods or services necessary to meet [Pham]’s basic needs,” the complaint reads.\u003c/p>\n\u003cp>In November 2025, San Francisco agreed to pay \u003ca href=\"https://www.kqed.org/news/12064768/sf-to-pay-5-8-million-in-class-action-settlement-over-elder-abuse-at-laguna-honda\">$5.8 million in a class action settlement\u003c/a> over elder abuse claims at Laguna Honda between 2016 and 2019.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Public Health, which runs Laguna Honda, declined to comment and referred KQED to the city attorney’s office.\u003c/p>\n\u003cp>“We believe the proposed settlement is an appropriate resolution given the inherent costs of continued litigation,” said Jen Kwart, a spokesperson for the San Francisco City Attorney’s Office.\u003c/p>\n\u003cp>Stebner said the settlement with the Pham family is the last remaining lawsuit her firm has closed stemming from the turmoil at Laguna Honda while it faced potential closure.\u003c/p>\n\u003cp>“I’m hoping that by filing all these lawsuits that the families can hold the city and county accountable and I hope we did do that,” Stebner said. “And hopefully this journey is over.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Standing in the lobby of the University of California, San Francisco, administration offices on Thursday, Alejandro Alvarez was struck by the line of six security officers preventing him and other social workers from going upstairs.\u003c/p>\n\u003cp>“That’s five more than we had,” said Alvarez, one of dozens of UCSF social workers who flooded the lobby during their lunch break in an attempt to meet with Chancellor Sam Hawgood and demand changes to \u003ca href=\"https://www.kqed.org/news/12068599/salt-to-a-wound-social-workers-still-reeling-in-aftermath-of-ward-86-stabbing\">safety protocols at San Francisco General Hospital\u003c/a> and other facilities.\u003c/p>\n\u003cp>The rally occurred nearly three months after \u003ca href=\"https://www.kqed.org/news/12066248/stabbing-at-san-francisco-general-hospital-leaves-social-worker-in-critical-condition\">a patient fatally stabbed their colleague\u003c/a>, Alberto Rangel, at the city’s historic HIV/AIDS clinic, Ward 86 at SF General, last December.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Staff issued warnings in the weeks leading up to his death about the alleged killer, Wilfredo Tortolero-Arriechi, who they said had threatened violence toward a doctor before Rangel stepped in to try to calm him down and was attacked.\u003c/p>\n\u003cp>San Francisco’s Department of Public Health oversees SF General alongside UCSF. Union representatives say they’ve met with Public Health Director Daniel Tsai and Mayor Daniel Lurie in the weeks and months since Rangel’s death.\u003c/p>\n\u003cfigure id=\"attachment_12075559\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075559\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A supporter holds a sign reading “Protect Our Workers” during a rally outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, where union members gathered to demand stronger protections for health care workers following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But they’ve yet to have a direct sit-down with UCSF leadership, and their frustration is boiling over.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">UCSF said university representatives, including the dean of the UCSF School of Medicine and the vice dean, have met with Ward 86 staff who were affected by the stabbing. But union officials said those meetings have not included the chancellor and other “decision makers.”\u003c/span>\u003c/p>\n\u003cp>Some staff have yet to return to work because they’re experiencing the same post-traumatic stress symptoms they’re used to diagnosing and treating in their patients.\u003c/p>\n\u003cp>“Alberto’s blood is on their hands!” yelled one social worker to the UCSF labor and employee relations official who came downstairs to take the letter with their safety demands. “He was killed at work!” another cried.[aside postID=news_12068599 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251230-SFSocialWorker-19-BL.jpg']The months following Rangel’s tragic death have been heavy with loss and fear of danger in the workplace.\u003c/p>\n\u003cp>Findings from a recent survey conducted by the union representing UCSF social workers say that the vast majority of workers have directly experienced or witnessed violence.\u003c/p>\n\u003cp>Nearly 90% reported having experienced physical, sexual or verbal threats, assault or intimidation on the job, according to the survey. Around 20% of social workers said they have been violently assaulted on the job, and 50% of respondents said they have been sexually assaulted or harassed.\u003c/p>\n\u003cp>In response to the survey results, UCSF issued a statement saying, “We have not independently reviewed the underlying data or methodology. We are interested in learning more about the information generated.”\u003c/p>\n\u003cp>While a criminal investigation into the stabbing is still ongoing, UCSF and the Department of Public Health have implemented several changes on site at Ward 86, which opened in 1983 and today serves many low-income patients with dual diagnoses.\u003c/p>\n\u003cp>They’ve created a 24/7 threat management team to triage and respond to non-emergency safety concerns, added panic buttons at some sites, and updated their security training plans and developed new threat-escalation protocols for staff.\u003c/p>\n\u003cfigure id=\"attachment_12075556\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Tia Blackburn, a clinical social worker of four years, addresses workers and supporters during a rally outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, calling for stronger workplace safety protections following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city said it has also increased security staffing at Ward 86 and other sites, an issue many social workers said has been top of mind since before the December incident.\u003c/p>\n\u003cp>Prior to the stabbing, SF General had reduced staffing of sheriff’s deputies from 45 in 2022 to 28 at the end of 2025, according to Ken Lomba, president of the San Francisco Deputy Sheriffs’ Association. Multiple workers and a patient told KQED that Ward 86 did not have any metal detectors on-site either.\u003c/p>\n\u003cp>As additional safety measures have been added to Ward 86, social workers at other clinics said on Thursday that they’re still waiting for the same kind of response where they work.\u003c/p>\n\u003cp>“We just heard today that any changes needed to our clinic, be that like metal detectors or more panic buttons, could take over a year, so that’s frustrating to hear,” said Nicole Morris, a clinical social worker on the CityWide stabilization team.\u003c/p>\n\u003cfigure id=\"attachment_12066544\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12066544\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But part of the low security is by design. SF General and Ward 86 often care for patients that other hospitals and clinics may refuse, whether that’s due to lack of insurance or the complexity and challenge of the medical and behavioral needs they present.\u003c/p>\n\u003cp>So too much security or barriers to entry could cause vulnerable patients to avoid care altogether, patient advocates say. Adding too much police presence or security measures has become a point of friction, even in an industry that’s known for having the highest rate of non-fatal injuries, according to data from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>“This is a very challenging industry to work in. You have risk factors, you are dealing with a public that’s sick, hurting, in pain, all of the above, trying to get access to care,” said Cammie Chaumont Menendez, a research epidemiologist with the U.S. Department of Health and Human Services.[aside postID=news_12066395 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/San-Francisco-General-Hospital-Getty.jpg']“It might be alarming for patients who are seeking care to go to a hospital that has metal detectors everywhere. Because health care is based in large part on skill, but also on trust.”\u003c/p>\n\u003cp>Alvarez, who stepped in to pull the patient off of Rangel during the stabbing, said his safety concerns have been made worse by a warped public narrative of the event.\u003c/p>\n\u003cp>“I was the individual who physically intervened in an attempt to stop the attack. A sheriff’s deputy who was present on the unit and assigned to provide safety support did not immediately intervene and was prompted by staff before taking action,” Alvarez said at Thursday’s rally. “When staff have to guide the sheriff to a life-threatening moment, that tells us something in the system is not working.”\u003c/p>\n\u003cp>Still, some patients say they feel safer with the added security.\u003c/p>\n\u003cp>Charles Adams, a longtime Ward 86 patient, was in the clinic on the day Rangel was attacked. He is seeing a therapist but still struggling with nightmares from the event. But he’s seen the gradual security enhancements at his doctor’s office and said that’s made it easier for him to return.\u003c/p>\n\u003cfigure id=\"attachment_12075557\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075557\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Shamann Walton speaks to workers and union members gathered outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, during a rally demanding stronger safety protections for employees following the killing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There’s now a locker system outside of the entrance where people can leave their personal items with no questions asked before passing through a metal detector.\u003c/p>\n\u003cp>“I feel a lot more comfortable about the safety of the building itself,” Adams said. “But the safety risk factor has always been there because of who the clientele is here. A lot of folks are at the lowest economic level, coming off of the streets or maybe under the influence.”\u003c/p>\n\u003cp>Along with more adequate security, social workers are asking for the hospital to beef up its behavioral health workforce, lower case loads and boost pay for their line of work.\u003c/p>\n\u003cp>“We’ve appreciated meeting with the mayor and the public health director, but the staffing funds come specifically from UCSF. They have not increased any staffing. And they haven’t added any resources that we need to also implement the changes and the protocols that have been enacted,” said Julia Pascoe, a Ward 86 social worker.\u003c/p>\n\u003cp>Nearly 71% of those surveyed said they considered leaving their positions at UCSF due to safety concerns.\u003c/p>\n\u003cfigure id=\"attachment_12075560\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075560\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dozens of union members and supporters gather inside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, demanding stronger safety protections for employees following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In response to funding and staffing demands, UCSF officials said the union and university recently reached a labor agreement that includes compensation terms. “Any additional compensation proposals must be addressed through the systemwide bargaining process,” the statement reads.\u003c/p>\n\u003cp>Pascoe, Alvarez and other social workers say they still don’t feel ready to return.\u003c/p>\n\u003cp>Going back without adding even more resources to implement the changes feels “even less safe than it was before,” Pascoe said. “And it was incredibly unsafe before.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Standing in the lobby of the University of California, San Francisco, administration offices on Thursday, Alejandro Alvarez was struck by the line of six security officers preventing him and other social workers from going upstairs.\u003c/p>\n\u003cp>“That’s five more than we had,” said Alvarez, one of dozens of UCSF social workers who flooded the lobby during their lunch break in an attempt to meet with Chancellor Sam Hawgood and demand changes to \u003ca href=\"https://www.kqed.org/news/12068599/salt-to-a-wound-social-workers-still-reeling-in-aftermath-of-ward-86-stabbing\">safety protocols at San Francisco General Hospital\u003c/a> and other facilities.\u003c/p>\n\u003cp>The rally occurred nearly three months after \u003ca href=\"https://www.kqed.org/news/12066248/stabbing-at-san-francisco-general-hospital-leaves-social-worker-in-critical-condition\">a patient fatally stabbed their colleague\u003c/a>, Alberto Rangel, at the city’s historic HIV/AIDS clinic, Ward 86 at SF General, last December.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Staff issued warnings in the weeks leading up to his death about the alleged killer, Wilfredo Tortolero-Arriechi, who they said had threatened violence toward a doctor before Rangel stepped in to try to calm him down and was attacked.\u003c/p>\n\u003cp>San Francisco’s Department of Public Health oversees SF General alongside UCSF. Union representatives say they’ve met with Public Health Director Daniel Tsai and Mayor Daniel Lurie in the weeks and months since Rangel’s death.\u003c/p>\n\u003cfigure id=\"attachment_12075559\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075559\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_019-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A supporter holds a sign reading “Protect Our Workers” during a rally outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, where union members gathered to demand stronger protections for health care workers following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But they’ve yet to have a direct sit-down with UCSF leadership, and their frustration is boiling over.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">UCSF said university representatives, including the dean of the UCSF School of Medicine and the vice dean, have met with Ward 86 staff who were affected by the stabbing. But union officials said those meetings have not included the chancellor and other “decision makers.”\u003c/span>\u003c/p>\n\u003cp>Some staff have yet to return to work because they’re experiencing the same post-traumatic stress symptoms they’re used to diagnosing and treating in their patients.\u003c/p>\n\u003cp>“Alberto’s blood is on their hands!” yelled one social worker to the UCSF labor and employee relations official who came downstairs to take the letter with their safety demands. “He was killed at work!” another cried.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The months following Rangel’s tragic death have been heavy with loss and fear of danger in the workplace.\u003c/p>\n\u003cp>Findings from a recent survey conducted by the union representing UCSF social workers say that the vast majority of workers have directly experienced or witnessed violence.\u003c/p>\n\u003cp>Nearly 90% reported having experienced physical, sexual or verbal threats, assault or intimidation on the job, according to the survey. Around 20% of social workers said they have been violently assaulted on the job, and 50% of respondents said they have been sexually assaulted or harassed.\u003c/p>\n\u003cp>In response to the survey results, UCSF issued a statement saying, “We have not independently reviewed the underlying data or methodology. We are interested in learning more about the information generated.”\u003c/p>\n\u003cp>While a criminal investigation into the stabbing is still ongoing, UCSF and the Department of Public Health have implemented several changes on site at Ward 86, which opened in 1983 and today serves many low-income patients with dual diagnoses.\u003c/p>\n\u003cp>They’ve created a 24/7 threat management team to triage and respond to non-emergency safety concerns, added panic buttons at some sites, and updated their security training plans and developed new threat-escalation protocols for staff.\u003c/p>\n\u003cfigure id=\"attachment_12075556\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075556\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_013-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Tia Blackburn, a clinical social worker of four years, addresses workers and supporters during a rally outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, calling for stronger workplace safety protections following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city said it has also increased security staffing at Ward 86 and other sites, an issue many social workers said has been top of mind since before the December incident.\u003c/p>\n\u003cp>Prior to the stabbing, SF General had reduced staffing of sheriff’s deputies from 45 in 2022 to 28 at the end of 2025, according to Ken Lomba, president of the San Francisco Deputy Sheriffs’ Association. Multiple workers and a patient told KQED that Ward 86 did not have any metal detectors on-site either.\u003c/p>\n\u003cp>As additional safety measures have been added to Ward 86, social workers at other clinics said on Thursday that they’re still waiting for the same kind of response where they work.\u003c/p>\n\u003cp>“We just heard today that any changes needed to our clinic, be that like metal detectors or more panic buttons, could take over a year, so that’s frustrating to hear,” said Nicole Morris, a clinical social worker on the CityWide stabilization team.\u003c/p>\n\u003cfigure id=\"attachment_12066544\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12066544\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/12/251209-SFGENERALMEMORIAL-01-BL-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A memorial for social worker Alberto Rangel, who was fatally stabbed on Dec. 4 at Zuckerberg San Francisco General Hospital, outside the hospital on Dec. 9, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But part of the low security is by design. SF General and Ward 86 often care for patients that other hospitals and clinics may refuse, whether that’s due to lack of insurance or the complexity and challenge of the medical and behavioral needs they present.\u003c/p>\n\u003cp>So too much security or barriers to entry could cause vulnerable patients to avoid care altogether, patient advocates say. Adding too much police presence or security measures has become a point of friction, even in an industry that’s known for having the highest rate of non-fatal injuries, according to data from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>“This is a very challenging industry to work in. You have risk factors, you are dealing with a public that’s sick, hurting, in pain, all of the above, trying to get access to care,” said Cammie Chaumont Menendez, a research epidemiologist with the U.S. Department of Health and Human Services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It might be alarming for patients who are seeking care to go to a hospital that has metal detectors everywhere. Because health care is based in large part on skill, but also on trust.”\u003c/p>\n\u003cp>Alvarez, who stepped in to pull the patient off of Rangel during the stabbing, said his safety concerns have been made worse by a warped public narrative of the event.\u003c/p>\n\u003cp>“I was the individual who physically intervened in an attempt to stop the attack. A sheriff’s deputy who was present on the unit and assigned to provide safety support did not immediately intervene and was prompted by staff before taking action,” Alvarez said at Thursday’s rally. “When staff have to guide the sheriff to a life-threatening moment, that tells us something in the system is not working.”\u003c/p>\n\u003cp>Still, some patients say they feel safer with the added security.\u003c/p>\n\u003cp>Charles Adams, a longtime Ward 86 patient, was in the clinic on the day Rangel was attacked. He is seeing a therapist but still struggling with nightmares from the event. But he’s seen the gradual security enhancements at his doctor’s office and said that’s made it easier for him to return.\u003c/p>\n\u003cfigure id=\"attachment_12075557\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075557\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_016-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Shamann Walton speaks to workers and union members gathered outside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, during a rally demanding stronger safety protections for employees following the killing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There’s now a locker system outside of the entrance where people can leave their personal items with no questions asked before passing through a metal detector.\u003c/p>\n\u003cp>“I feel a lot more comfortable about the safety of the building itself,” Adams said. “But the safety risk factor has always been there because of who the clientele is here. A lot of folks are at the lowest economic level, coming off of the streets or maybe under the influence.”\u003c/p>\n\u003cp>Along with more adequate security, social workers are asking for the hospital to beef up its behavioral health workforce, lower case loads and boost pay for their line of work.\u003c/p>\n\u003cp>“We’ve appreciated meeting with the mayor and the public health director, but the staffing funds come specifically from UCSF. They have not increased any staffing. And they haven’t added any resources that we need to also implement the changes and the protocols that have been enacted,” said Julia Pascoe, a Ward 86 social worker.\u003c/p>\n\u003cp>Nearly 71% of those surveyed said they considered leaving their positions at UCSF due to safety concerns.\u003c/p>\n\u003cfigure id=\"attachment_12075560\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12075560\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/03/030526_-SOCIAL-WORKER-SAFETY-_GH_024-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dozens of union members and supporters gather inside UCSF Medical Center at Mission Bay in San Francisco on March 5, 2026, demanding stronger safety protections for employees following the fatal stabbing of social worker Alberto Rangel. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In response to funding and staffing demands, UCSF officials said the union and university recently reached a labor agreement that includes compensation terms. “Any additional compensation proposals must be addressed through the systemwide bargaining process,” the statement reads.\u003c/p>\n\u003cp>Pascoe, Alvarez and other social workers say they still don’t feel ready to return.\u003c/p>\n\u003cp>Going back without adding even more resources to implement the changes feels “even less safe than it was before,” Pascoe said. “And it was incredibly unsafe before.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>On a recent weekday afternoon, about 15 people sat in a circle in a light-filled room above the Sutter Health emergency room in San Francisco. Facing one another, they each held a packet containing music and lyrics of songs from the 1960s.\u003c/p>\n\u003cp>Together, they began singing the Beatles classic, \u003cem>Here Comes the Sun\u003c/em>.\u003c/p>\n\u003cp>Then, they paused. Some needed help turning the page or finding the lyrics. Others hummed while waiting to rejoin the group. No one rushed them. After a moment, they began again.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Once a month at Sutter Health’s \u003ca href=\"https://www.sutterhealth.org/giving/giving-opportunities/neuroscience/ray-dolby-brain-health-center\">Brain Health Center\u003c/a> in San Francisco, people living with Alzheimer’s disease and other forms of cognitive decline gather alongside their caregivers, spouses and friends to sing together — part of a growing effort to support patients living with memory loss beyond medication.\u003c/p>\n\u003cp>In California, the Alzheimer’s Association \u003ca href=\"https://www.alz.org/getmedia/4e2d7fc8-0a5e-4e03-858b-0c106f07d8f0/california-cog-brfss-fact-sheet.pdf\">reports\u003c/a> that one in 10 adults age 45 and older experiences confusion or memory loss. Research shows\u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9796133/\"> music can help\u003c/a> people with conditions like Alzheimer’s and dementia as a complement to medical care.\u003c/p>\n\u003cfigure id=\"attachment_12071051\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071051\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Joe Debellis passes a tambourine to Pat Ronzone during a Music Mends Minds group singing event hosted by Sutter’s Ray Dolby Brain Health Center at CPMC’s Davies Campus in San Francisco on Jan. 23, 2026. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:21dea527-cdcd-4f55-8ee5-ea73036142bc\">“Music Mends Minds” sessions at Sutter Health\u003c/a>, which are free to join, are led by Pat Ronzone and Joe Debellis, a married musical duo who have performed together since 2009. Ronzone now lives with cognitive decline, and Debellis has watched participants, including his wife, benefit from the singing circles.\u003c/p>\n\u003cp>“Music is a different circuit from memory,” said Debellis. “People who don’t remember my name are able to take to music, and it seems to be incorporated not just in the speech side of the brain but throughout the whole being.”\u003c/p>\n\u003cp>He notices something else happen when the group sings together.\u003c/p>\n\u003cp>“Trying to decide who was memory-impaired and a caregiver, when singing, it’s just not obvious,” said Debellis.\u003c/p>\n\u003cp>This program that uses music to supplement medical care was the brainchild of cognitive neurologist Dr. Armen Moughamian. With Alzheimer’s, where brain function is lost over time, medications can slow progression of the disease, explained Moughamian, but primarily in early stages. By the time Alzheimer’s reaches its later stages, many patients no longer qualify for medical treatments, making music an approach that can offer relief at any stage of the disease.\u003c/p>\n\u003cp>“There’s a lot of literature supporting non-medication ways to help patients manage the disease,” Moughamian explained. “And one aspect of that is building community, bringing patients together and using music.”[aside postID=news_12058091 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/09/250831-CREATIVEMUTUALAID00140_TV-KQED.jpg']The goal, he said, is not restoring memory, but rather improving quality of life for people in all stages of cognitive decline.\u003c/p>\n\u003cp>“When language gets affected, people struggle to communicate, but music can transcend language,” said Moughamian, “It becomes a way of communicating and it calms people.”\u003c/p>\n\u003cp>And music can help surface memories.\u003c/p>\n\u003cp>The group was singing \u003cem>King of the Road\u003c/em> when Lauri Musumeche, who was diagnosed with Alzheimer’s three years ago, became overcome with emotion. The melody reminded her of her 98-year-old father, who used to play the harmonica.\u003c/p>\n\u003cp>“He did play [this song] for me one time, so it makes me want to cry,” she said.\u003c/p>\n\u003cp>Her friend Kandy Jones drove her from Livermore to attend, and has witnessed music prompting recall outside these sessions.\u003c/p>\n\u003cp>“I’ll say a phrase from a song and she immediately starts singing it,” Jones said. “It’s a real trigger.”\u003c/p>\n\u003cp>For Musumeche, the benefit is emotional as much as cognitive.\u003c/p>\n\u003cp>“It helps me feel good,” she said. “When you have Alzheimer’s, you’re always kind of sad.”\u003c/p>\n\u003cfigure id=\"attachment_12071048\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071048\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rachel Main, support services coordinator at Sutter’s Ray Dolby Brain Health Center, holds up a song list during a Music Mends Minds group singing event themed “Songs of the ’60s” at CPMC’s Davies Campus in San Francisco on Jan. 23, 2026 \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Jim Hayden, the group helps preserve part of his wife Sandy Noltimier’s identity. She studied vocal performance, sang in a symphony chorus and performed as part of an A capella trio called PMS for decades before developing Alzheimer’s.\u003c/p>\n\u003cp>“She’s doing what she loves. It’s something she’s still good at,” said Hayden.\u003c/p>\n\u003cp>Noltimier said she values the absence of judgment and being less self-critical.\u003c/p>\n\u003cp>“This is a place where I don’t have to feel like someone’s listening too closely or saying I did it wrong,” she explained. “Everybody here has something they’re working through, and that makes it easier.”\u003c/p>\n\u003cp>Noltimier and Hayden attend together not as caregiver and patient but as partners. The hour gives them a shared activity that Alzheimer’s has not taken away.\u003c/p>\n\u003cp>“We’re always trying to drown each other out,” laughed Hayden.\u003c/p>\n\u003cp>By the time the session came to an end, the participants had run through nearly ten songs, clapping and tapping their feet to \u003cem>Puff the Magic Dragon\u003c/em> and \u003cem>Itsy Bitsy Teenie Weenie Yellow Polka Dot Bikini.\u003c/em>\u003c/p>\n\u003cp>And next month, they’ll come back and sing a repertoire of songs reflective of Spring, dust the cobwebs off of another set of lyrics from their youth, and perhaps, unlock significant memories.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Once a month at Sutter Health’s \u003ca href=\"https://www.sutterhealth.org/giving/giving-opportunities/neuroscience/ray-dolby-brain-health-center\">Brain Health Center\u003c/a> in San Francisco, people living with Alzheimer’s disease and other forms of cognitive decline gather alongside their caregivers, spouses and friends to sing together — part of a growing effort to support patients living with memory loss beyond medication.\u003c/p>\n\u003cp>In California, the Alzheimer’s Association \u003ca href=\"https://www.alz.org/getmedia/4e2d7fc8-0a5e-4e03-858b-0c106f07d8f0/california-cog-brfss-fact-sheet.pdf\">reports\u003c/a> that one in 10 adults age 45 and older experiences confusion or memory loss. Research shows\u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC9796133/\"> music can help\u003c/a> people with conditions like Alzheimer’s and dementia as a complement to medical care.\u003c/p>\n\u003cfigure id=\"attachment_12071051\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071051\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_012-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Joe Debellis passes a tambourine to Pat Ronzone during a Music Mends Minds group singing event hosted by Sutter’s Ray Dolby Brain Health Center at CPMC’s Davies Campus in San Francisco on Jan. 23, 2026. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:21dea527-cdcd-4f55-8ee5-ea73036142bc\">“Music Mends Minds” sessions at Sutter Health\u003c/a>, which are free to join, are led by Pat Ronzone and Joe Debellis, a married musical duo who have performed together since 2009. Ronzone now lives with cognitive decline, and Debellis has watched participants, including his wife, benefit from the singing circles.\u003c/p>\n\u003cp>“Music is a different circuit from memory,” said Debellis. “People who don’t remember my name are able to take to music, and it seems to be incorporated not just in the speech side of the brain but throughout the whole being.”\u003c/p>\n\u003cp>He notices something else happen when the group sings together.\u003c/p>\n\u003cp>“Trying to decide who was memory-impaired and a caregiver, when singing, it’s just not obvious,” said Debellis.\u003c/p>\n\u003cp>This program that uses music to supplement medical care was the brainchild of cognitive neurologist Dr. Armen Moughamian. With Alzheimer’s, where brain function is lost over time, medications can slow progression of the disease, explained Moughamian, but primarily in early stages. By the time Alzheimer’s reaches its later stages, many patients no longer qualify for medical treatments, making music an approach that can offer relief at any stage of the disease.\u003c/p>\n\u003cp>“There’s a lot of literature supporting non-medication ways to help patients manage the disease,” Moughamian explained. “And one aspect of that is building community, bringing patients together and using music.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The goal, he said, is not restoring memory, but rather improving quality of life for people in all stages of cognitive decline.\u003c/p>\n\u003cp>“When language gets affected, people struggle to communicate, but music can transcend language,” said Moughamian, “It becomes a way of communicating and it calms people.”\u003c/p>\n\u003cp>And music can help surface memories.\u003c/p>\n\u003cp>The group was singing \u003cem>King of the Road\u003c/em> when Lauri Musumeche, who was diagnosed with Alzheimer’s three years ago, became overcome with emotion. The melody reminded her of her 98-year-old father, who used to play the harmonica.\u003c/p>\n\u003cp>“He did play [this song] for me one time, so it makes me want to cry,” she said.\u003c/p>\n\u003cp>Her friend Kandy Jones drove her from Livermore to attend, and has witnessed music prompting recall outside these sessions.\u003c/p>\n\u003cp>“I’ll say a phrase from a song and she immediately starts singing it,” Jones said. “It’s a real trigger.”\u003c/p>\n\u003cp>For Musumeche, the benefit is emotional as much as cognitive.\u003c/p>\n\u003cp>“It helps me feel good,” she said. “When you have Alzheimer’s, you’re always kind of sad.”\u003c/p>\n\u003cfigure id=\"attachment_12071048\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12071048\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/012326_SINGINGHEALTH_GH_002-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rachel Main, support services coordinator at Sutter’s Ray Dolby Brain Health Center, holds up a song list during a Music Mends Minds group singing event themed “Songs of the ’60s” at CPMC’s Davies Campus in San Francisco on Jan. 23, 2026 \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Jim Hayden, the group helps preserve part of his wife Sandy Noltimier’s identity. She studied vocal performance, sang in a symphony chorus and performed as part of an A capella trio called PMS for decades before developing Alzheimer’s.\u003c/p>\n\u003cp>“She’s doing what she loves. It’s something she’s still good at,” said Hayden.\u003c/p>\n\u003cp>Noltimier said she values the absence of judgment and being less self-critical.\u003c/p>\n\u003cp>“This is a place where I don’t have to feel like someone’s listening too closely or saying I did it wrong,” she explained. “Everybody here has something they’re working through, and that makes it easier.”\u003c/p>\n\u003cp>Noltimier and Hayden attend together not as caregiver and patient but as partners. The hour gives them a shared activity that Alzheimer’s has not taken away.\u003c/p>\n\u003cp>“We’re always trying to drown each other out,” laughed Hayden.\u003c/p>\n\u003cp>By the time the session came to an end, the participants had run through nearly ten songs, clapping and tapping their feet to \u003cem>Puff the Magic Dragon\u003c/em> and \u003cem>Itsy Bitsy Teenie Weenie Yellow Polka Dot Bikini.\u003c/em>\u003c/p>\n\u003cp>And next month, they’ll come back and sing a repertoire of songs reflective of Spring, dust the cobwebs off of another set of lyrics from their youth, and perhaps, unlock significant memories.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Gov. Gavin Newsom announced Monday that California is expanding resources to support its first-of-its-kind \u003ca href=\"https://www.kqed.org/news/12007175/care-court-was-supposed-to-help-those-hardest-to-treat-heres-how-its-going\">mental health court program\u003c/a>, but threatened to divert those funds from counties, including multiple in the Bay Area, where implementation is falling behind.\u003c/p>\n\u003cp>Two years after the launch of the CARE Court program, which aims to connect unhoused Californians suffering from psychosis with housing and treatment plans, Newsom’s office awarded an additional $291 million toward housing and behavioral health services. The governor’s office is also adding accountability measures to speed up the adoption of CARE Court programs for counties like San Francisco, where the programs are struggling to connect people to services.\u003c/p>\n\u003cp>“Through CARE Court, we have seen inspirational stories of recovery and resilience, but many counties continue to lag behind their peers,” Newsom said in a statement. “Local leaders have a moral and legal obligation to deliver this transformational tool for those who need it most. We will not accept failure and excuses when lives are on the line.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In October 2023, counties across the state began rolling out CARE Court programs created by the Community Assistance, Recovery, and Empowerment Act. All 58 counties implemented the programs by the end of 2024. The legislation aims to make it easier for first responders, doctors and family members to petition the court to help people suffering from psychosis due to schizophrenia and other behavioral health challenges.\u003c/p>\n\u003cp>If a case is accepted, a civil court judge presents a voluntary treatment plan, which can include access to housing, mental health counseling, medication and other services. If the person refuses, a judge can compel them into treatment.\u003c/p>\n\u003cp>So far, it’s \u003ca href=\"https://www.kqed.org/news/12073589/californias-care-court-is-falling-short-of-expectations\">failed to keep up with expectations\u003c/a> in some parts of the state. While Newsom’s office predicted CARE could reach \u003ca href=\"https://www.kqed.org/news/12007175/care-court-was-supposed-to-help-those-hardest-to-treat-heres-how-its-going\">7,000 to 12,000 people annually\u003c/a> when it was introduced, only about 3,800 CARE petitions have been submitted to courts. An additional 4,000 cases where people have been considered for CARE have been diverted by connecting them with services without court participation, Newsom’s office said.\u003c/p>\n\u003cfigure id=\"attachment_12047982\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12047982\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orange County Superior Court will technically house the local CARE Court, though judges say they will more likely hold meetings with patients at a more neutral site, like a conference room at the county health office. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Le Ondra Clark Harvey, the CEO of the advocacy organization California Council of Community Behavioral Health Agencies, said she had “expected more” when the program was initially announced.\u003c/p>\n\u003cp>“I do believe that the trickle [of cases] may represent that there’s not enough thoughtfulness and planning around coordination and tracking,” she told KQED. “We know as providers on the ground that every handoff matters and that people can easily fall through the safety net if that’s not done and crafted very well.”\u003c/p>\n\u003cp>Still, CARE \u003ca href=\"https://www.kqed.org/news/12059464/newsom-expands-care-court-mental-health-law-to-reach-more-californians\">expanded in October\u003c/a> to include people experiencing psychotic symptoms as a result of bipolar disorder. Now, Newsom is throwing additional resources behind the program — and calling out counties, like San Francisco, that are underperforming.\u003c/p>\n\u003cp>Newsom said that his office would direct $131.8 million in Proposition 1 funding to eight Homekey+ affordable housing projects, which provide supportive housing with services for veterans, people who are at-risk or experiencing homelessness, or living with behavioral health challenges.\u003c/p>\n\u003cp>Newsom’s office estimates that the funding will create 443 additional homes across the communities, including in Stockton and Contra Costa County.\u003c/p>\n\u003cp>The other $159 million is in newly awarded Homeless Housing Assistance and Prevention funding, which will go toward 20 regions throughout the state to create permanent housing, sustain interim housing and “accelerate proven local interventions.”[aside postID=news_12073589 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/CARECourt_SFChronicle-2000x1333.jpg']Among those counties is Alameda, which Newsom called a “shining example” of CARE implementation. The county has one of the highest rates of petitions submitted per capita, and has seen an 11% drop in unsheltered homelessness since 2023.\u003c/p>\n\u003cp>San Francisco and Santa Clara counties, by contrast, are among 10 that have struggled to implement CARE programs. Both had fewer than 100 petitions in 2025, according to a new state dashboard, and San Francisco has seen a significantly lower percentage decrease in unsheltered homelessness than the state average since 2023.\u003c/p>\n\u003cp>“There are counties that haven’t gotten it done, like Santa Clara County,” Newsom said. “We’re calling [San Francisco] out as well.”\u003c/p>\n\u003cp>“They’re the care court ICU,” Newsom said, referring to the term his office has coined for the 10 “bottom” counties in terms of implementation.\u003c/p>\n\u003cp>Santa Clara recorded just 47 CARE petitions in 2025, equaling a rate of about two petitions per 100,000 residents, compared to the state’s six. New state data tracking counties’ progress on reducing unsheltered homelessness says that the county does not have publicly available data. But last year’s point-in-time count in its most populous city, San José — where Mayor Matt Mahan has also cracked down on street homelessness and encampments — reported a 10% drop between 2023 and 2025.\u003c/p>\n\u003cp>“Long before the creation of CARE Court, the County of Santa Clara has been at the forefront of innovative strategies to address the behavioral health crisis facing California,” Santa Clara County Executive James Williams said in a statement. “Our approach is grounded in what works: rapidly connecting people to clinically appropriate treatment and housing, rather than defaulting to lengthy, costly, and often inadequate court-based processes that do not produce better outcomes.”\u003c/p>\n\u003cp>Williams called the CARE program “one tool among many. He said via email that counties need sustained funding and partnership, not “reducing a complex system to a single scorecard.”\u003c/p>\n\u003cp>In a statement, San Francisco Mayor Daniel Lurie’s office, which has been focused on the homelessness crisis since taking office in 2024, said it “has been using every tool in our toolbox to address the crisis on our streets — reimagining street outreach and adding recovery and treatment resources so we can get people off the street and connected to the support they need.”\u003c/p>\n\u003cp>“Today, encampments are at record lows, more people are getting connected to shelter and treatment, and San Franciscans feel safer than they have in years,” a spokesperson for the office said in a statement.\u003c/p>\n\u003cfigure id=\"attachment_12070970\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070970\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mayor Daniel Lurie speaks on his support for California Senate Bill 63 at a press conference at Embarcadero Plaza in San Francisco on Jan. 23, 2026. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But \u003ca href=\"https://www.accountability.ca.gov/county/san-francisco/housing/\">state data shows\u003c/a> that the city has seen just a 1% decline in unsheltered homelessness since 2023, compared to California’s 9% drop. Fifty CARE petitions were filed in 2025. As of last September, about two-thirds of submitted petitions were dismissed, according to an \u003ca href=\"https://calmatters.org/health/mental-health/2025/09/care-court-2025-data/\">investigation by \u003cem>CalMatters\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>The state dashboard notes that the city has increased its number of beds available for unhoused residents by nearly 10% since 2024.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Clark Harvey said flagging the counties that are performing both well and poorly is important to identify what is and isn’t working, and help bring struggling counties up to speed.\u003c/span>\u003c/p>\n\u003cp>“It’s really now time to drill down and say, ‘Why aren’t things working well for these 10 counties? What can we do to support them? And what can we do to ensure that people aren’t cycling back through the system?’” she said.[aside postID=news_12074462 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_003-KQED.jpg']\u003cspan style=\"font-weight: 400;\">But Monica Porter Gilbert with the advocacy group Disability Rights California said she was concerned about how the governor’s office is measuring a county’s performance on its new accountability dashboard.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\"> “We’re not seeing a ton of rigor in how the governor is defining performance or underperformance,” she told KQED. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She said she was concerned about the number of petitions a county receives being considered a marker of success. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“What CARE Court does is it orders people into services without increasing access to them,” she told KQED. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She said that the program’s first annual report found that more than half of CARE participants were unable to receive at least one mental health service that was part of their treatment plan, such as peer support, medication or therapy. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The report cited administrative delays like pending applications for services, or a lack of availability of some services in some counties, as well as coordination mishaps that led to these issues.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The California Legislature did some analysis this past summer and found CARE Court to be — and this is a quote from them — a very expensive way to coordinate but not directly provide important services,” Gilbert said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Despite awarding San Francisco \u003c/span>\u003ca href=\"https://www.kqed.org/news/12070144/lurie-newsom-tout-millions-in-homelessness-funding-for-san-francisco-amid-budget-blows\">\u003cspan style=\"font-weight: 400;\">nearly $40 million\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> in HHAP funding in January, the governor suggested that money could be diverted from those counties in his May budget revision if they don’t improve implementation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I’m happy to direct every damn penny in these programs to the counties that are getting things done,” Newsom said. “I’m not interested in funding failure.”\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400;\">KQED’s \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/author/vrancano\">\u003ci>\u003cspan style=\"font-weight: 400;\">Vanessa Rancaño\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400;\"> contributed to this report. \u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom announced Monday that California is expanding resources to support its first-of-its-kind \u003ca href=\"https://www.kqed.org/news/12007175/care-court-was-supposed-to-help-those-hardest-to-treat-heres-how-its-going\">mental health court program\u003c/a>, but threatened to divert those funds from counties, including multiple in the Bay Area, where implementation is falling behind.\u003c/p>\n\u003cp>Two years after the launch of the CARE Court program, which aims to connect unhoused Californians suffering from psychosis with housing and treatment plans, Newsom’s office awarded an additional $291 million toward housing and behavioral health services. The governor’s office is also adding accountability measures to speed up the adoption of CARE Court programs for counties like San Francisco, where the programs are struggling to connect people to services.\u003c/p>\n\u003cp>“Through CARE Court, we have seen inspirational stories of recovery and resilience, but many counties continue to lag behind their peers,” Newsom said in a statement. “Local leaders have a moral and legal obligation to deliver this transformational tool for those who need it most. We will not accept failure and excuses when lives are on the line.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In October 2023, counties across the state began rolling out CARE Court programs created by the Community Assistance, Recovery, and Empowerment Act. All 58 counties implemented the programs by the end of 2024. The legislation aims to make it easier for first responders, doctors and family members to petition the court to help people suffering from psychosis due to schizophrenia and other behavioral health challenges.\u003c/p>\n\u003cp>If a case is accepted, a civil court judge presents a voluntary treatment plan, which can include access to housing, mental health counseling, medication and other services. If the person refuses, a judge can compel them into treatment.\u003c/p>\n\u003cp>So far, it’s \u003ca href=\"https://www.kqed.org/news/12073589/californias-care-court-is-falling-short-of-expectations\">failed to keep up with expectations\u003c/a> in some parts of the state. While Newsom’s office predicted CARE could reach \u003ca href=\"https://www.kqed.org/news/12007175/care-court-was-supposed-to-help-those-hardest-to-treat-heres-how-its-going\">7,000 to 12,000 people annually\u003c/a> when it was introduced, only about 3,800 CARE petitions have been submitted to courts. An additional 4,000 cases where people have been considered for CARE have been diverted by connecting them with services without court participation, Newsom’s office said.\u003c/p>\n\u003cfigure id=\"attachment_12047982\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12047982\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/230707-ORANGE-COUNTY-CARE-COURT-AD-02-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Orange County Superior Court will technically house the local CARE Court, though judges say they will more likely hold meetings with patients at a more neutral site, like a conference room at the county health office. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Le Ondra Clark Harvey, the CEO of the advocacy organization California Council of Community Behavioral Health Agencies, said she had “expected more” when the program was initially announced.\u003c/p>\n\u003cp>“I do believe that the trickle [of cases] may represent that there’s not enough thoughtfulness and planning around coordination and tracking,” she told KQED. “We know as providers on the ground that every handoff matters and that people can easily fall through the safety net if that’s not done and crafted very well.”\u003c/p>\n\u003cp>Still, CARE \u003ca href=\"https://www.kqed.org/news/12059464/newsom-expands-care-court-mental-health-law-to-reach-more-californians\">expanded in October\u003c/a> to include people experiencing psychotic symptoms as a result of bipolar disorder. Now, Newsom is throwing additional resources behind the program — and calling out counties, like San Francisco, that are underperforming.\u003c/p>\n\u003cp>Newsom said that his office would direct $131.8 million in Proposition 1 funding to eight Homekey+ affordable housing projects, which provide supportive housing with services for veterans, people who are at-risk or experiencing homelessness, or living with behavioral health challenges.\u003c/p>\n\u003cp>Newsom’s office estimates that the funding will create 443 additional homes across the communities, including in Stockton and Contra Costa County.\u003c/p>\n\u003cp>The other $159 million is in newly awarded Homeless Housing Assistance and Prevention funding, which will go toward 20 regions throughout the state to create permanent housing, sustain interim housing and “accelerate proven local interventions.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Among those counties is Alameda, which Newsom called a “shining example” of CARE implementation. The county has one of the highest rates of petitions submitted per capita, and has seen an 11% drop in unsheltered homelessness since 2023.\u003c/p>\n\u003cp>San Francisco and Santa Clara counties, by contrast, are among 10 that have struggled to implement CARE programs. Both had fewer than 100 petitions in 2025, according to a new state dashboard, and San Francisco has seen a significantly lower percentage decrease in unsheltered homelessness than the state average since 2023.\u003c/p>\n\u003cp>“There are counties that haven’t gotten it done, like Santa Clara County,” Newsom said. “We’re calling [San Francisco] out as well.”\u003c/p>\n\u003cp>“They’re the care court ICU,” Newsom said, referring to the term his office has coined for the 10 “bottom” counties in terms of implementation.\u003c/p>\n\u003cp>Santa Clara recorded just 47 CARE petitions in 2025, equaling a rate of about two petitions per 100,000 residents, compared to the state’s six. New state data tracking counties’ progress on reducing unsheltered homelessness says that the county does not have publicly available data. But last year’s point-in-time count in its most populous city, San José — where Mayor Matt Mahan has also cracked down on street homelessness and encampments — reported a 10% drop between 2023 and 2025.\u003c/p>\n\u003cp>“Long before the creation of CARE Court, the County of Santa Clara has been at the forefront of innovative strategies to address the behavioral health crisis facing California,” Santa Clara County Executive James Williams said in a statement. “Our approach is grounded in what works: rapidly connecting people to clinically appropriate treatment and housing, rather than defaulting to lengthy, costly, and often inadequate court-based processes that do not produce better outcomes.”\u003c/p>\n\u003cp>Williams called the CARE program “one tool among many. He said via email that counties need sustained funding and partnership, not “reducing a complex system to a single scorecard.”\u003c/p>\n\u003cp>In a statement, San Francisco Mayor Daniel Lurie’s office, which has been focused on the homelessness crisis since taking office in 2024, said it “has been using every tool in our toolbox to address the crisis on our streets — reimagining street outreach and adding recovery and treatment resources so we can get people off the street and connected to the support they need.”\u003c/p>\n\u003cp>“Today, encampments are at record lows, more people are getting connected to shelter and treatment, and San Franciscans feel safer than they have in years,” a spokesperson for the office said in a statement.\u003c/p>\n\u003cfigure id=\"attachment_12070970\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12070970\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/01/260123-SIGNATUREKICKOFF00606_TV-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mayor Daniel Lurie speaks on his support for California Senate Bill 63 at a press conference at Embarcadero Plaza in San Francisco on Jan. 23, 2026. \u003ccite>(Tâm Vũ/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But \u003ca href=\"https://www.accountability.ca.gov/county/san-francisco/housing/\">state data shows\u003c/a> that the city has seen just a 1% decline in unsheltered homelessness since 2023, compared to California’s 9% drop. Fifty CARE petitions were filed in 2025. As of last September, about two-thirds of submitted petitions were dismissed, according to an \u003ca href=\"https://calmatters.org/health/mental-health/2025/09/care-court-2025-data/\">investigation by \u003cem>CalMatters\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>The state dashboard notes that the city has increased its number of beds available for unhoused residents by nearly 10% since 2024.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Clark Harvey said flagging the counties that are performing both well and poorly is important to identify what is and isn’t working, and help bring struggling counties up to speed.\u003c/span>\u003c/p>\n\u003cp>“It’s really now time to drill down and say, ‘Why aren’t things working well for these 10 counties? What can we do to support them? And what can we do to ensure that people aren’t cycling back through the system?’” she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400;\">But Monica Porter Gilbert with the advocacy group Disability Rights California said she was concerned about how the governor’s office is measuring a county’s performance on its new accountability dashboard.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\"> “We’re not seeing a ton of rigor in how the governor is defining performance or underperformance,” she told KQED. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She said she was concerned about the number of petitions a county receives being considered a marker of success. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“What CARE Court does is it orders people into services without increasing access to them,” she told KQED. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">She said that the program’s first annual report found that more than half of CARE participants were unable to receive at least one mental health service that was part of their treatment plan, such as peer support, medication or therapy. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">The report cited administrative delays like pending applications for services, or a lack of availability of some services in some counties, as well as coordination mishaps that led to these issues.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“The California Legislature did some analysis this past summer and found CARE Court to be — and this is a quote from them — a very expensive way to coordinate but not directly provide important services,” Gilbert said.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">Despite awarding San Francisco \u003c/span>\u003ca href=\"https://www.kqed.org/news/12070144/lurie-newsom-tout-millions-in-homelessness-funding-for-san-francisco-amid-budget-blows\">\u003cspan style=\"font-weight: 400;\">nearly $40 million\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400;\"> in HHAP funding in January, the governor suggested that money could be diverted from those counties in his May budget revision if they don’t improve implementation.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400;\">“I’m happy to direct every damn penny in these programs to the counties that are getting things done,” Newsom said. “I’m not interested in funding failure.”\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400;\">KQED’s \u003c/span>\u003c/i>\u003ca href=\"https://www.kqed.org/author/vrancano\">\u003ci>\u003cspan style=\"font-weight: 400;\">Vanessa Rancaño\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400;\"> contributed to this report. \u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Possible Measles Exposure in Burlingame Panda Express, Health Officials Warn",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara\u003c/a> County resident with an active measles infection may have exposed others while visiting a Burlingame restaurant this week, Santa Clara County public health officials said.\u003c/p>\n\u003cp>The Santa Clara County Public Health Department said in \u003ca href=\"https://publichealth.santaclaracounty.gov/diseases/measles\">a statement on Friday\u003c/a> that the adult measles patient had “recently returned from international travel,” and that their case was reported to the county late Wednesday.\u003c/p>\n\u003cp>Officials said the possible exposures may have occurred at a \u003ca href=\"https://www.google.com/maps/place/Panda+Express/data=!4m2!3m1!1s0x0:0xf0dbe274f0920e84?sa=X&ved=1t:2428&ictx=111\">Panda Express,\u003c/a> located at 1453 Burlingame Ave., in San Mateo County, on \u003ca href=\"https://publichealth.santaclaracounty.gov/diseases/measles\">either Monday or Tuesday\u003c/a> between 11:30 a.m. and 1:30 p.m.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The fast food restaurant is located in Burlingame’s Fox Mall Shopping Center, off El Camino Real.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#Howcanvaccinatedpeoplegetmeasles\">How can vaccinated people get measles?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The measles patient “visited private work and healthcare locations” in addition to dining at the Panda Express location, according to a statement from the county.\u003c/p>\n\u003cfigure id=\"attachment_12074921\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074921\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty.jpg\" alt=\"\" width=\"2000\" height=\"1362\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty-1536x1046.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vials of measles, mumps and rubella vaccine are displayed on a counter at a Walgreens Pharmacy on Jan. 26, 2015, in Mill Valley, California. \u003ccite>(Photo illustration by Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Santa Clara public health officials said they are working with neighboring San Mateo and the California Department of Public Health “to identify and contact all individuals who may have been exposed.”\u003c/p>\n\u003cp>The infected person was previously vaccinated against measles (more on this below), and “is now isolating at home,” according to the county.\u003c/p>\n\u003ch2>What should I do if I think I was exposed to measles?\u003c/h2>\n\u003cp>According to the Santa Clara County Public Health Department, members of the public who “may have been exposed at the following location and times should stay home and contact their health provider immediately before seeking care.”\u003c/p>\n\u003ch2>What are the symptoms of measles?\u003c/h2>\n\u003cp>Symptoms of measles include fever, cough, runny nose and pink eye, followed a few days later by a rash.\u003c/p>\n\u003cp>These symptoms can emerge between \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/\">seven and 21 days\u003c/a> after exposure.\u003c/p>\n\u003cp>The CDC has \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/index.html\">a timeline \u003c/a>of how measles symptoms appear on the body and \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/photos.html\">how to recognize\u003c/a> a measles rash.\u003c/p>\n\u003ch2>\u003ca id=\"Howcanvaccinatedpeoplegetmeasles\">\u003c/a>How can a vaccinated person get measles?\u003c/h2>\n\u003cp>Measles is preventable with the combined measles, mumps and rubella vaccine, and vaccination against measles has for decades been part of \u003ca href=\"https://www.cdc.gov/measles/about/history.html\">routine childhood immunization\u003c/a>. The \u003ca href=\"https://www.cdc.gov/measles/about/questions.html?CDC_AAref_Val=https://www.cdc.gov/measles/about/faqs.html\">CDC said\u003c/a> two doses of the measles vaccine are “about 97% effective” at preventing measles if you’re exposed, and one dose is “about 93% effective.”\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">92% of 2026 measles cases \u003c/a>nationwide have occurred in people who either aren’t vaccinated or whose vaccination status is unknown, and 4% of patients report only having one MMR shot.\u003c/p>\n\u003cp>But the CDC’s 2026 data also show that 4% of measles cases are in people who’ve had both MMR doses — as is the case with the Santa Clara patient reported Friday.[aside postID=news_12073722 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/GettyImages-1718981175_qut-1020x681.jpg']So-called breakthrough cases in vaccinated measles patients are not unprecedented, according to Dr. Sarah Rudman, Santa Clara County’s health officer.\u003c/p>\n\u003cp>Rudman said that when “there’s this much measles spreading around, both around the country and internationally,” vaccinated people can still be infected, although it’s less common. Rudman clarified that the majority of cases still occur in unvaccinated people.\u003c/p>\n\u003cp>Rudman also echoed \u003ca href=\"https://www.kqed.org/news/12070907/measles-san-francisco-bay-area-2026-is-there-outbreak-mmr-vaccine-booster\">the CDC’s guidance\u003c/a> that measles cases in vaccinated people tend to be less severe than in unvaccinated people. People with two MMR vaccine doses are likely to only be “moderately sick,” she said, and recovering “faster and are less infectious, which means the disease spreads less.”\u003c/p>\n\u003cp>“That’s one more reason why it’s so important for the community to have high rates of immunity against measles by being up to date on vaccination,” she said.\u003c/p>\n\u003cp>What if you have two vaccine doses but are now worried about being infected with measles? Rudman said that for most people who have a record of their vaccination or a childhood case of measles, “it’s not necessary to go \u003ca href=\"https://www.kqed.org/news/12073722/2026-measles-cases-mmr-vaccine-how-to-get-titer-test-immunity-antibodies-extra-dose\">check your measles immunity status\u003c/a>.”\u003c/p>\n\u003cp>However, Rudman said, for those who are vulnerable due to their medical history, an upcoming travel plan or medical treatment, “it might make sense to talk to your doctor and check your immune status.” She said this can be done by verifying vaccination records or by a blood test for proof of immunity.\u003c/p>\n\u003cp>\u003cstrong>Read more about how \u003c/strong>\u003ca href=\"https://www.kqed.org/news/12073722/2026-measles-cases-mmr-vaccine-how-to-get-titer-test-immunity-antibodies-extra-dose\">\u003cstrong>titer tests can assess your immunity\u003c/strong>\u003c/a>\u003cstrong> against measles, and how to ask your provider about getting one.\u003c/strong>\u003c/p>\n\u003ch2>What’s going on with measles in 2026?\u003c/h2>\n\u003cp>The Santa Clara case marks the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/measles.aspx\">22nd\u003c/a> measles case in California in 2026, with the county’s first confirmed measles case in a resident since May 2025. It’s believed to be the Bay Area’s fourth measles case in 2026, with \u003ca href=\"https://www.kqed.org/news/12070907/measles-san-francisco-bay-area-2026-is-there-outbreak-mmr-vaccine-booster\">previous cases reported by San Mateo and Napa counties.\u003c/a>\u003c/p>\n\u003cp>According to the Centers for Disease Control and Prevention’s most recent \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">data\u003c/a>, 1,136 cases of the highly contagious disease have already been reported around the United States this year — with the majority of cases fueled by an outbreak in South Carolina. Last year saw \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">a total of 2,144 confirmed cases,\u003c/a> in contrast to just 285 cases in 2024.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/vrancano\">\u003cem>Vanessa Rancaño \u003c/em>\u003c/a>\u003cem>contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara\u003c/a> County resident with an active measles infection may have exposed others while visiting a Burlingame restaurant this week, Santa Clara County public health officials said.\u003c/p>\n\u003cp>The Santa Clara County Public Health Department said in \u003ca href=\"https://publichealth.santaclaracounty.gov/diseases/measles\">a statement on Friday\u003c/a> that the adult measles patient had “recently returned from international travel,” and that their case was reported to the county late Wednesday.\u003c/p>\n\u003cp>Officials said the possible exposures may have occurred at a \u003ca href=\"https://www.google.com/maps/place/Panda+Express/data=!4m2!3m1!1s0x0:0xf0dbe274f0920e84?sa=X&ved=1t:2428&ictx=111\">Panda Express,\u003c/a> located at 1453 Burlingame Ave., in San Mateo County, on \u003ca href=\"https://publichealth.santaclaracounty.gov/diseases/measles\">either Monday or Tuesday\u003c/a> between 11:30 a.m. and 1:30 p.m.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The fast food restaurant is located in Burlingame’s Fox Mall Shopping Center, off El Camino Real.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Jump straight to: \u003ca href=\"#Howcanvaccinatedpeoplegetmeasles\">How can vaccinated people get measles?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The measles patient “visited private work and healthcare locations” in addition to dining at the Panda Express location, according to a statement from the county.\u003c/p>\n\u003cfigure id=\"attachment_12074921\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074921\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty.jpg\" alt=\"\" width=\"2000\" height=\"1362\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/MeaslesGetty-1536x1046.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vials of measles, mumps and rubella vaccine are displayed on a counter at a Walgreens Pharmacy on Jan. 26, 2015, in Mill Valley, California. \u003ccite>(Photo illustration by Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Santa Clara public health officials said they are working with neighboring San Mateo and the California Department of Public Health “to identify and contact all individuals who may have been exposed.”\u003c/p>\n\u003cp>The infected person was previously vaccinated against measles (more on this below), and “is now isolating at home,” according to the county.\u003c/p>\n\u003ch2>What should I do if I think I was exposed to measles?\u003c/h2>\n\u003cp>According to the Santa Clara County Public Health Department, members of the public who “may have been exposed at the following location and times should stay home and contact their health provider immediately before seeking care.”\u003c/p>\n\u003ch2>What are the symptoms of measles?\u003c/h2>\n\u003cp>Symptoms of measles include fever, cough, runny nose and pink eye, followed a few days later by a rash.\u003c/p>\n\u003cp>These symptoms can emerge between \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/\">seven and 21 days\u003c/a> after exposure.\u003c/p>\n\u003cp>The CDC has \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/index.html\">a timeline \u003c/a>of how measles symptoms appear on the body and \u003ca href=\"https://www.cdc.gov/measles/signs-symptoms/photos.html\">how to recognize\u003c/a> a measles rash.\u003c/p>\n\u003ch2>\u003ca id=\"Howcanvaccinatedpeoplegetmeasles\">\u003c/a>How can a vaccinated person get measles?\u003c/h2>\n\u003cp>Measles is preventable with the combined measles, mumps and rubella vaccine, and vaccination against measles has for decades been part of \u003ca href=\"https://www.cdc.gov/measles/about/history.html\">routine childhood immunization\u003c/a>. The \u003ca href=\"https://www.cdc.gov/measles/about/questions.html?CDC_AAref_Val=https://www.cdc.gov/measles/about/faqs.html\">CDC said\u003c/a> two doses of the measles vaccine are “about 97% effective” at preventing measles if you’re exposed, and one dose is “about 93% effective.”\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">92% of 2026 measles cases \u003c/a>nationwide have occurred in people who either aren’t vaccinated or whose vaccination status is unknown, and 4% of patients report only having one MMR shot.\u003c/p>\n\u003cp>But the CDC’s 2026 data also show that 4% of measles cases are in people who’ve had both MMR doses — as is the case with the Santa Clara patient reported Friday.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>So-called breakthrough cases in vaccinated measles patients are not unprecedented, according to Dr. Sarah Rudman, Santa Clara County’s health officer.\u003c/p>\n\u003cp>Rudman said that when “there’s this much measles spreading around, both around the country and internationally,” vaccinated people can still be infected, although it’s less common. Rudman clarified that the majority of cases still occur in unvaccinated people.\u003c/p>\n\u003cp>Rudman also echoed \u003ca href=\"https://www.kqed.org/news/12070907/measles-san-francisco-bay-area-2026-is-there-outbreak-mmr-vaccine-booster\">the CDC’s guidance\u003c/a> that measles cases in vaccinated people tend to be less severe than in unvaccinated people. People with two MMR vaccine doses are likely to only be “moderately sick,” she said, and recovering “faster and are less infectious, which means the disease spreads less.”\u003c/p>\n\u003cp>“That’s one more reason why it’s so important for the community to have high rates of immunity against measles by being up to date on vaccination,” she said.\u003c/p>\n\u003cp>What if you have two vaccine doses but are now worried about being infected with measles? Rudman said that for most people who have a record of their vaccination or a childhood case of measles, “it’s not necessary to go \u003ca href=\"https://www.kqed.org/news/12073722/2026-measles-cases-mmr-vaccine-how-to-get-titer-test-immunity-antibodies-extra-dose\">check your measles immunity status\u003c/a>.”\u003c/p>\n\u003cp>However, Rudman said, for those who are vulnerable due to their medical history, an upcoming travel plan or medical treatment, “it might make sense to talk to your doctor and check your immune status.” She said this can be done by verifying vaccination records or by a blood test for proof of immunity.\u003c/p>\n\u003cp>\u003cstrong>Read more about how \u003c/strong>\u003ca href=\"https://www.kqed.org/news/12073722/2026-measles-cases-mmr-vaccine-how-to-get-titer-test-immunity-antibodies-extra-dose\">\u003cstrong>titer tests can assess your immunity\u003c/strong>\u003c/a>\u003cstrong> against measles, and how to ask your provider about getting one.\u003c/strong>\u003c/p>\n\u003ch2>What’s going on with measles in 2026?\u003c/h2>\n\u003cp>The Santa Clara case marks the \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/measles.aspx\">22nd\u003c/a> measles case in California in 2026, with the county’s first confirmed measles case in a resident since May 2025. It’s believed to be the Bay Area’s fourth measles case in 2026, with \u003ca href=\"https://www.kqed.org/news/12070907/measles-san-francisco-bay-area-2026-is-there-outbreak-mmr-vaccine-booster\">previous cases reported by San Mateo and Napa counties.\u003c/a>\u003c/p>\n\u003cp>According to the Centers for Disease Control and Prevention’s most recent \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">data\u003c/a>, 1,136 cases of the highly contagious disease have already been reported around the United States this year — with the majority of cases fueled by an outbreak in South Carolina. Last year saw \u003ca href=\"https://www.cdc.gov/measles/data-research/index.html\">a total of 2,144 confirmed cases,\u003c/a> in contrast to just 285 cases in 2024.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/vrancano\">\u003cem>Vanessa Rancaño \u003c/em>\u003c/a>\u003cem>contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> leaders are sounding cautiously optimistic about stopping mass layoffs at the East Bay’s public safety-net hospital system ahead of a hearing on the layoff plan on Wednesday.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.alamedahealthsystem.org/service-reductions/\">latest proposal\u003c/a> from Alameda Health System would cut 187 positions, down from earlier plans for close to 300, as executives brace for \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">major reductions in Medicaid revenue\u003c/a> because of HR 1 — the so-called “Big Beautiful Bill” signed into law by President Donald Trump last year.\u003c/p>\n\u003cp>The 187 full-time-equivalent positions equate to 211 individuals, AHS said, some of them working part-time. Those 211 employees have already received layoff notices with a March 9 separation date, though that could change. The cuts would affect nurses, therapists, food workers and administrative assistants, among others, and would eliminate some programs completely, including two that provide outpatient behavioral health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At a rally outside Wilma Chan Highland Hospital Campus in Oakland on Tuesday, Alameda County Supervisor Nate Miley urged health care workers to weigh in \u003ca href=\"https://alamedacounty.granicus.com/AgendaViewer.php?view_id=2&event_id=7805\">at the hearing\u003c/a>.\u003c/p>\n\u003cp>“Speak your mind, let us know how these reductions in force, the reduction in labor, is going to impact safety net services so that the Board of Supervisors can come to the rescue,” he said.\u003c/p>\n\u003cp>The layoff plans come as AHS expects to lose over $100 million a year by 2030 as a result of HR 1 and its Medicaid cuts, a spokesperson \u003ca href=\"https://www.kqed.org/news/12068383/alameda-health-system-to-lay-off-hundreds-in-january-after-massive-federal-cuts\">previously told KQED\u003c/a>. Medicaid payments make up about 60% of the health system’s revenue.\u003c/p>\n\u003cfigure id=\"attachment_12074475\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074475\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alameda County Supervisor Nate Miley, who represents District 4, speaks during a resident physician “unity break” outside Highland Hospital in Oakland on Feb. 24, 2026. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Miley, who leads the Board of Supervisors’ health committee, said he met with AHS leaders last week and sees a path for the county to come up with funding to suspend the layoffs — at least in the short term.\u003c/p>\n\u003cp>The current estimate, he said, is that AHS needs between $44 million and $52 million to hold back layoffs for a year. AHS officials confirmed that they are in conversations with the county “about ways they can help us, given the extensive funding cuts we’re facing,” but wouldn’t confirm the figures Miley provided, saying it was “premature.”\u003c/p>\n\u003cp>“My hope is the county is going to be able to kick in at least the initial $11 [million] to $13 million so that we can suspend the layoffs for a period of time,” Miley said.[aside postID=news_12072837 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/020926_KAISERSTRIKE_8137B-KQED.jpg']He aims to create a working group made up of labor leaders, county staff, supervisors and Alameda Health System administrators and trustees to develop a more long-term plan.\u003c/p>\n\u003cp>Miley suggested that revenue from \u003ca href=\"https://www.acgov.org/board/bos_calendar/documents/MeasureWAllocationPresentation.pdf\">Measures W\u003c/a> \u003ca href=\"https://budget.alamedacountyca.gov/Content/pdf/FY24-25/FY2024-25ProposedBudget-7_10_24.pdf?utm_source=chatgpt.com\">and A\u003c/a> — sales taxes approved by voters to raise money for medical and essential services, among other things — could help offset some of the cuts.\u003c/p>\n\u003cp>He also floated the idea of the county easing up, at least temporarily, on repayment of what’s known as the “net negative balance,” essentially a county line of credit that Alameda Health System uses to cover expenses when bills come due before large state or federal reimbursements arrive.\u003c/p>\n\u003cp>“There are avenues we can pursue,” he said, noting that cuts to non-safety-net services might be left standing. “There might be some things that are good to have but are not necessary.”\u003c/p>\n\u003cp>Supervisor Nikki Fortunato Bas agreed that the county can likely stanch the bleeding in the near term, but she emphasized that the real solutions are systemic: “It’s about single payer. It’s about making sure that we close the loophole in Prop. 13 and really address how resources and wealth are distributed in our country, as well as our state and our communities.”\u003c/p>\n\u003cfigure id=\"attachment_12074473\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074473\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nikki Fortunato Bas, a member of the Alameda County Board of Supervisors, speaks during a resident physician “unity break” outside Highland Hospital in Oakland on Feb. 24, 2026. Physicians cited layoffs, staffing shortages and contract negotiations with Alameda Health System. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, she said she would seek to hold AHS accountable for doing everything possible to raise revenue and ensure officials there are “very clear and thoughtful about what they’re looking at, and that they’re actually talking in good faith with our labor partners to make sure that we’re addressing all the potential impacts.”\u003c/p>\n\u003cp>Some AHS employees and their unions have criticized system executives for acting rashly.\u003c/p>\n\u003cp>“These layoffs are anticipatory,” said Dr. Elijah Lustig, a resident physician at Highland Hospital and union leader with the Committee of Interns and Residents, part of Service Employees International Union.\u003c/p>\n\u003cp>“They’re not talking to our department heads before instituting cuts or proposing layoffs,” he said of the process. “The people who are deciding who gets fired, frankly, do not have a good grasp on how this hospital runs, on what services are crucial, on what services are impacted.”\u003c/p>\n\u003cfigure id=\"attachment_12074474\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074474\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Wilma Chan Highland Hospital Campus is seen through flowering branches in Oakland on Feb. 24, 2026. The hospital is part of Alameda Health System. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a statement, AHS said it “must take a proactive approach” to reducing costs. “We do not approach this painful decision lightly,” it said. “However, AHS reasonably predicts that it will run out of funds within six months, by August of 2026, if it does not act now.”\u003c/p>\n\u003cp>Wednesday’s hearing is required by law to give the public an opportunity to comment on the proposed cuts to health care services. Supervisors won’t take any action there, but Miley said he hopes the board will reach a decision on allocating funding to prevent layoffs as soon as March 3.\u003c/p>\n\u003cp>The hearing takes place at 3 p.m. at the Alameda County Administration Building, Board of Supervisors’ Chambers, Fifth Floor, Room 512, 1221 Oak St.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/alameda-county\">Alameda County\u003c/a> leaders are sounding cautiously optimistic about stopping mass layoffs at the East Bay’s public safety-net hospital system ahead of a hearing on the layoff plan on Wednesday.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.alamedahealthsystem.org/service-reductions/\">latest proposal\u003c/a> from Alameda Health System would cut 187 positions, down from earlier plans for close to 300, as executives brace for \u003ca href=\"https://www.kqed.org/science/1997707/how-will-trumps-mega-bill-impact-health-care-in-california\">major reductions in Medicaid revenue\u003c/a> because of HR 1 — the so-called “Big Beautiful Bill” signed into law by President Donald Trump last year.\u003c/p>\n\u003cp>The 187 full-time-equivalent positions equate to 211 individuals, AHS said, some of them working part-time. Those 211 employees have already received layoff notices with a March 9 separation date, though that could change. The cuts would affect nurses, therapists, food workers and administrative assistants, among others, and would eliminate some programs completely, including two that provide outpatient behavioral health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At a rally outside Wilma Chan Highland Hospital Campus in Oakland on Tuesday, Alameda County Supervisor Nate Miley urged health care workers to weigh in \u003ca href=\"https://alamedacounty.granicus.com/AgendaViewer.php?view_id=2&event_id=7805\">at the hearing\u003c/a>.\u003c/p>\n\u003cp>“Speak your mind, let us know how these reductions in force, the reduction in labor, is going to impact safety net services so that the Board of Supervisors can come to the rescue,” he said.\u003c/p>\n\u003cp>The layoff plans come as AHS expects to lose over $100 million a year by 2030 as a result of HR 1 and its Medicaid cuts, a spokesperson \u003ca href=\"https://www.kqed.org/news/12068383/alameda-health-system-to-lay-off-hundreds-in-january-after-massive-federal-cuts\">previously told KQED\u003c/a>. Medicaid payments make up about 60% of the health system’s revenue.\u003c/p>\n\u003cfigure id=\"attachment_12074475\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074475\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_015-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Alameda County Supervisor Nate Miley, who represents District 4, speaks during a resident physician “unity break” outside Highland Hospital in Oakland on Feb. 24, 2026. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Miley, who leads the Board of Supervisors’ health committee, said he met with AHS leaders last week and sees a path for the county to come up with funding to suspend the layoffs — at least in the short term.\u003c/p>\n\u003cp>The current estimate, he said, is that AHS needs between $44 million and $52 million to hold back layoffs for a year. AHS officials confirmed that they are in conversations with the county “about ways they can help us, given the extensive funding cuts we’re facing,” but wouldn’t confirm the figures Miley provided, saying it was “premature.”\u003c/p>\n\u003cp>“My hope is the county is going to be able to kick in at least the initial $11 [million] to $13 million so that we can suspend the layoffs for a period of time,” Miley said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He aims to create a working group made up of labor leaders, county staff, supervisors and Alameda Health System administrators and trustees to develop a more long-term plan.\u003c/p>\n\u003cp>Miley suggested that revenue from \u003ca href=\"https://www.acgov.org/board/bos_calendar/documents/MeasureWAllocationPresentation.pdf\">Measures W\u003c/a> \u003ca href=\"https://budget.alamedacountyca.gov/Content/pdf/FY24-25/FY2024-25ProposedBudget-7_10_24.pdf?utm_source=chatgpt.com\">and A\u003c/a> — sales taxes approved by voters to raise money for medical and essential services, among other things — could help offset some of the cuts.\u003c/p>\n\u003cp>He also floated the idea of the county easing up, at least temporarily, on repayment of what’s known as the “net negative balance,” essentially a county line of credit that Alameda Health System uses to cover expenses when bills come due before large state or federal reimbursements arrive.\u003c/p>\n\u003cp>“There are avenues we can pursue,” he said, noting that cuts to non-safety-net services might be left standing. “There might be some things that are good to have but are not necessary.”\u003c/p>\n\u003cp>Supervisor Nikki Fortunato Bas agreed that the county can likely stanch the bleeding in the near term, but she emphasized that the real solutions are systemic: “It’s about single payer. It’s about making sure that we close the loophole in Prop. 13 and really address how resources and wealth are distributed in our country, as well as our state and our communities.”\u003c/p>\n\u003cfigure id=\"attachment_12074473\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074473\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_007-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nikki Fortunato Bas, a member of the Alameda County Board of Supervisors, speaks during a resident physician “unity break” outside Highland Hospital in Oakland on Feb. 24, 2026. Physicians cited layoffs, staffing shortages and contract negotiations with Alameda Health System. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the meantime, she said she would seek to hold AHS accountable for doing everything possible to raise revenue and ensure officials there are “very clear and thoughtful about what they’re looking at, and that they’re actually talking in good faith with our labor partners to make sure that we’re addressing all the potential impacts.”\u003c/p>\n\u003cp>Some AHS employees and their unions have criticized system executives for acting rashly.\u003c/p>\n\u003cp>“These layoffs are anticipatory,” said Dr. Elijah Lustig, a resident physician at Highland Hospital and union leader with the Committee of Interns and Residents, part of Service Employees International Union.\u003c/p>\n\u003cp>“They’re not talking to our department heads before instituting cuts or proposing layoffs,” he said of the process. “The people who are deciding who gets fired, frankly, do not have a good grasp on how this hospital runs, on what services are crucial, on what services are impacted.”\u003c/p>\n\u003cfigure id=\"attachment_12074474\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12074474\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2026/02/022426_ALAMEDA-COUNTY-HEALTH-CUTS-_GH_010-KQED-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Wilma Chan Highland Hospital Campus is seen through flowering branches in Oakland on Feb. 24, 2026. The hospital is part of Alameda Health System. \u003ccite>(Gustavo Hernandez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a statement, AHS said it “must take a proactive approach” to reducing costs. “We do not approach this painful decision lightly,” it said. “However, AHS reasonably predicts that it will run out of funds within six months, by August of 2026, if it does not act now.”\u003c/p>\n\u003cp>Wednesday’s hearing is required by law to give the public an opportunity to comment on the proposed cuts to health care services. Supervisors won’t take any action there, but Miley said he hopes the board will reach a decision on allocating funding to prevent layoffs as soon as March 3.\u003c/p>\n\u003cp>The hearing takes place at 3 p.m. at the Alameda County Administration Building, Board of Supervisors’ Chambers, Fifth Floor, Room 512, 1221 Oak St.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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},
"radiolab": {
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},
"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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