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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Two recently filed lawsuits accuse the U.S. Department of Housing and Urban Development of illegally going over Congress’ head to make massive changes to the way \u003ca href=\"https://www.kqed.org/housing\">federal homelessness funds\u003c/a> are distributed.\u003c/p>\n\u003cp>“HUD’s new grant rules would effectively defund permanent supportive housing and rapid rehousing programs across the nation, eliminating proven tools that help residents exit homelessness sustainably,” Santa Clara County Counsel Tony LoPresti said in a statement. “This is another instance of the Trump administration prioritizing its political agenda above the needs of our most vulnerable community members.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Santa Clara County and San Francisco \u003ca href=\"https://democracyforward.org/wp-content/uploads/2025/12/NAEH-v-HUD-25-cv-636-Complaint-with-civil-cover-sheet-and-summons.pdf\">sued the Trump administration\u003c/a> this week, in conjunction with the National Alliance to End Homelessness and the National Low Income Housing Coalition. A \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/001_Cmplt.pdf\">separate lawsuit\u003c/a> was filed last week by Gov. Gavin Newsom’s administration and a handful of other states. It marked the 47th time California sued the Trump administration in 44 weeks.\u003c/p>\n\u003cp>Now, homeless service providers are waiting anxiously to see how the litigation plays out and wondering if the impending legal battle will further delay the money they desperately need.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11954915\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"A unhoused encampment is seen in Los Angeles. There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An encampment, in Los Angeles on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s just the matter of how long it’s going to take that concerns me,” said Robert Ratner, director of Santa Cruz County’s Housing for Health, which coordinates the county’s homelessness response. “Because while we’re waiting for these issues to get resolved, we have programs that are going to run out of money to support people.”\u003c/p>\n\u003cp>The Department of Housing and Urban Development did not respond to a request for comment.\u003c/p>\n\u003cp>In a statement last month, HUD Secretary Scott Turner said the changes are aimed at “stopping the Biden-era slush fund that fueled the homelessness crisis, shut out faith-based providers simply because of their values, and incentivized never-ending government dependency.”\u003c/p>\n\u003cp>At issue are \u003ca href=\"https://calmatters.org/newsletter/trump-homeless-funds-cuts/\">changes\u003c/a> the Trump administration made to its funding policy last month. Jurisdictions applying for a piece of about $4 billion in federal homelessness funds now can’t spend more than 30% of that money on permanent housing — a significant decrease. Los Angeles County, for example, currently spends more than 80% on permanent housing. Instead, the federal government wants localities to prioritize emergency shelter and temporary housing programs that require participants to be sober or participate in treatment.\u003c/p>\n\u003cp>While shelters offer a temporary respite from the streets, permanent housing can end someone’s homelessness. For years, the federal government has prioritized funding permanent housing using the “housing first” method — a strategy that moves people into housing as quickly as possible, without requiring them to first get sober or agree to addiction treatment. Veering away from both of those principles marks a major policy shift.[aside postID=news_12065708 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250325-ApartmentsonWestside-06-BL_qed-1020x680.jpg']Last year, California communities won more than $683 million in federal homelessness funds through what is called the Continuum of Care program. About 90% of that went to permanent housing projects, which currently house tens of thousands of Californians, according to Newsom. The new rule threatens to put those people back out onto the street, he said in a \u003ca href=\"https://www.gov.ca.gov/2025/11/25/governor-newsom-sues-trump-administration-for-cruel-cuts-to-homeless-housing-funding-that-will-hurt-families/\">news release\u003c/a>.\u003c/p>\n\u003cp>The new policy also prohibits the use of federal funds for diversity and inclusion efforts, support of transgender clients, and use of “harm reduction” strategies that seek to reduce overdose deaths by helping people in active addiction use drugs more safely. And it gives preference for projects in cities, counties and states that ban homeless encampments.\u003c/p>\n\u003cp>Both lawsuits allege that the Trump administration’s funding changes violate the Administrative Procedure Act and the Constitution by defying the rules Congress set out for distributing the funds. Congress authorized a two-year grant cycle in 2024, meaning local jurisdictions wouldn’t have to reapply for funds in 2025. The Trump administration flouted that decision when it suddenly forced jurisdictions to reapply, the lawsuits allege.\u003c/p>\n\u003cp>The lawsuits also claim the administration didn’t go through proper protocol before enacting the changes to its funding strategy, which would have included giving cities and counties more time to comply with the new rules, and allowing stakeholders to comment on the changes.\u003c/p>\n\u003cp>In Santa Cruz County, Ratner is of two minds about the lawsuits. On one hand, he believes the abrupt way the Trump administration rolled out the funding changes was “very inappropriate.” But he worries a lengthy court battle could tie up funds his county needs to pay people’s rents.\u003c/p>\n\u003cp>The National Alliance to End Homelessness \u003ca href=\"https://calmatters.org/housing/homelessness/2025/09/ca-homelessness-funding-population/\">sued the Trump administration\u003c/a> over similar allegations tied to a smaller, $75 million pot of homelessness funding in September. A judge \u003ca href=\"https://endhomelessness.org/media/court-blocks-trump-vance-administrations-unlawful-housing-grant-restrictions/\">sided with the Alliance\u003c/a>, and temporarily barred the federal government from distributing those funds. But now that money is frozen, unable to help unhoused residents as the case moves forward.\u003c/p>\n\u003cfigure>\n\u003cblockquote>\u003cp>“While we’re waiting for these issues to get resolved, we have programs that are going to run out of money to support people.”\u003c/p>\n\u003cp>\u003ccite>Robert Ratner, director, Housing for Health\u003c/cite>\u003c/p>\u003c/blockquote>\n\u003c/figure>\n\u003cp>Ratner worries that could happen again in this case. Santa Cruz County is set to start hitting serious financial problems as soon as February, Ratner said. That’s when a $1.2 million supportive housing grant, which currently houses about 50 people in different apartments around the county, is set to expire.\u003c/p>\n\u003cp>The Trump administration doesn’t expect to start awarding Continuum of Care money until May. It’s unclear how the lawsuits will affect that timeline.\u003c/p>\n\u003cp>In the meantime, Ratner and other homeless service providers are trying to remain optimistic.\u003c/p>\n\u003cp>“At this point, we don’t know how long the litigation process will take, but we’re hopeful it leads to a more workable path forward,” Sacramento Steps Forward CEO Lisa Bates said in a statement. “Of course, any delay in federal funding would have real impacts on communities across the country, including ours, to operate shelters, rapid rehousing, permanent supportive housing, and essential system coordination.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/housing/homelessness/2025/12/homelessness-funding-lawsuits/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom, Santa Clara County and San Francisco are suing the Trump administration over a huge shift in homelessness policy.\r\n\r\n",
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"title": "Lawsuits Challenge Trump Administration’s Radical Homeless Policy Changes | KQED",
"description": "Gov. Gavin Newsom, Santa Clara County and San Francisco are suing the Trump administration over a huge shift in homelessness policy.\r\n\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Two recently filed lawsuits accuse the U.S. Department of Housing and Urban Development of illegally going over Congress’ head to make massive changes to the way \u003ca href=\"https://www.kqed.org/housing\">federal homelessness funds\u003c/a> are distributed.\u003c/p>\n\u003cp>“HUD’s new grant rules would effectively defund permanent supportive housing and rapid rehousing programs across the nation, eliminating proven tools that help residents exit homelessness sustainably,” Santa Clara County Counsel Tony LoPresti said in a statement. “This is another instance of the Trump administration prioritizing its political agenda above the needs of our most vulnerable community members.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Santa Clara County and San Francisco \u003ca href=\"https://democracyforward.org/wp-content/uploads/2025/12/NAEH-v-HUD-25-cv-636-Complaint-with-civil-cover-sheet-and-summons.pdf\">sued the Trump administration\u003c/a> this week, in conjunction with the National Alliance to End Homelessness and the National Low Income Housing Coalition. A \u003ca href=\"https://oag.ca.gov/system/files/attachments/press-docs/001_Cmplt.pdf\">separate lawsuit\u003c/a> was filed last week by Gov. Gavin Newsom’s administration and a handful of other states. It marked the 47th time California sued the Trump administration in 44 weeks.\u003c/p>\n\u003cp>Now, homeless service providers are waiting anxiously to see how the litigation plays out and wondering if the impending legal battle will further delay the money they desperately need.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11954915\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"A unhoused encampment is seen in Los Angeles. There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An encampment, in Los Angeles on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s just the matter of how long it’s going to take that concerns me,” said Robert Ratner, director of Santa Cruz County’s Housing for Health, which coordinates the county’s homelessness response. “Because while we’re waiting for these issues to get resolved, we have programs that are going to run out of money to support people.”\u003c/p>\n\u003cp>The Department of Housing and Urban Development did not respond to a request for comment.\u003c/p>\n\u003cp>In a statement last month, HUD Secretary Scott Turner said the changes are aimed at “stopping the Biden-era slush fund that fueled the homelessness crisis, shut out faith-based providers simply because of their values, and incentivized never-ending government dependency.”\u003c/p>\n\u003cp>At issue are \u003ca href=\"https://calmatters.org/newsletter/trump-homeless-funds-cuts/\">changes\u003c/a> the Trump administration made to its funding policy last month. Jurisdictions applying for a piece of about $4 billion in federal homelessness funds now can’t spend more than 30% of that money on permanent housing — a significant decrease. Los Angeles County, for example, currently spends more than 80% on permanent housing. Instead, the federal government wants localities to prioritize emergency shelter and temporary housing programs that require participants to be sober or participate in treatment.\u003c/p>\n\u003cp>While shelters offer a temporary respite from the streets, permanent housing can end someone’s homelessness. For years, the federal government has prioritized funding permanent housing using the “housing first” method — a strategy that moves people into housing as quickly as possible, without requiring them to first get sober or agree to addiction treatment. Veering away from both of those principles marks a major policy shift.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Last year, California communities won more than $683 million in federal homelessness funds through what is called the Continuum of Care program. About 90% of that went to permanent housing projects, which currently house tens of thousands of Californians, according to Newsom. The new rule threatens to put those people back out onto the street, he said in a \u003ca href=\"https://www.gov.ca.gov/2025/11/25/governor-newsom-sues-trump-administration-for-cruel-cuts-to-homeless-housing-funding-that-will-hurt-families/\">news release\u003c/a>.\u003c/p>\n\u003cp>The new policy also prohibits the use of federal funds for diversity and inclusion efforts, support of transgender clients, and use of “harm reduction” strategies that seek to reduce overdose deaths by helping people in active addiction use drugs more safely. And it gives preference for projects in cities, counties and states that ban homeless encampments.\u003c/p>\n\u003cp>Both lawsuits allege that the Trump administration’s funding changes violate the Administrative Procedure Act and the Constitution by defying the rules Congress set out for distributing the funds. Congress authorized a two-year grant cycle in 2024, meaning local jurisdictions wouldn’t have to reapply for funds in 2025. The Trump administration flouted that decision when it suddenly forced jurisdictions to reapply, the lawsuits allege.\u003c/p>\n\u003cp>The lawsuits also claim the administration didn’t go through proper protocol before enacting the changes to its funding strategy, which would have included giving cities and counties more time to comply with the new rules, and allowing stakeholders to comment on the changes.\u003c/p>\n\u003cp>In Santa Cruz County, Ratner is of two minds about the lawsuits. On one hand, he believes the abrupt way the Trump administration rolled out the funding changes was “very inappropriate.” But he worries a lengthy court battle could tie up funds his county needs to pay people’s rents.\u003c/p>\n\u003cp>The National Alliance to End Homelessness \u003ca href=\"https://calmatters.org/housing/homelessness/2025/09/ca-homelessness-funding-population/\">sued the Trump administration\u003c/a> over similar allegations tied to a smaller, $75 million pot of homelessness funding in September. A judge \u003ca href=\"https://endhomelessness.org/media/court-blocks-trump-vance-administrations-unlawful-housing-grant-restrictions/\">sided with the Alliance\u003c/a>, and temporarily barred the federal government from distributing those funds. But now that money is frozen, unable to help unhoused residents as the case moves forward.\u003c/p>\n\u003cfigure>\n\u003cblockquote>\u003cp>“While we’re waiting for these issues to get resolved, we have programs that are going to run out of money to support people.”\u003c/p>\n\u003cp>\u003ccite>Robert Ratner, director, Housing for Health\u003c/cite>\u003c/p>\u003c/blockquote>\n\u003c/figure>\n\u003cp>Ratner worries that could happen again in this case. Santa Cruz County is set to start hitting serious financial problems as soon as February, Ratner said. That’s when a $1.2 million supportive housing grant, which currently houses about 50 people in different apartments around the county, is set to expire.\u003c/p>\n\u003cp>The Trump administration doesn’t expect to start awarding Continuum of Care money until May. It’s unclear how the lawsuits will affect that timeline.\u003c/p>\n\u003cp>In the meantime, Ratner and other homeless service providers are trying to remain optimistic.\u003c/p>\n\u003cp>“At this point, we don’t know how long the litigation process will take, but we’re hopeful it leads to a more workable path forward,” Sacramento Steps Forward CEO Lisa Bates said in a statement. “Of course, any delay in federal funding would have real impacts on communities across the country, including ours, to operate shelters, rapid rehousing, permanent supportive housing, and essential system coordination.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/housing/homelessness/2025/12/homelessness-funding-lawsuits/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "the-state-found-red-flags-in-nursing-homes-but-licensed-them-anyway-4-things-to-know",
"title": "The State Found Red Flags in Nursing Homes But Licensed Them Anyway. 4 Things to Know",
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"headTitle": "The State Found Red Flags in Nursing Homes But Licensed Them Anyway. 4 Things to Know | KQED",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>The chain of \u003ca href=\"https://www.kqed.org/news/12065126/he-built-a-nursing-home-empire-despite-state-investigations-now-lawsuits-are-piling-up\">California nursing homes owned by Shlomo Rechnitz\u003c/a> and his companies has faced state scrutiny for years. Now, a series of recent lawsuits is bringing renewed attention to his companies.\u003c/p>\n\u003cp>Elder care advocates say Rechnitz’ companies are Exhibit A in how regulators at the Department of Public Health are failing some of California’s most vulnerable citizens.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2021, a \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> documented that the state Department of Public Health allowed Rechnitz and his companies to operate 18 nursing homes while delaying a decision on granting licenses to them.\u003c/p>\n\u003cp>The state had kept the license applications in a “pending” status for seven years after he acquired them. Rechnitz and his companies were allowed to continue operating five additional homes even after the state denied licenses to them.\u003c/p>\n\u003cfigure id=\"attachment_12065130\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065130\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01-1536x1024.jpeg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Los Angeles entrepreneur Shlomo Rechnitz owns one of California’s largest nursing home chains. Several of the nursing homes are in court over patient allegations of neglect and negligence. \u003ccite>(Illustration by Adriana Heldiz, CalMatters. Source image: Sacramento Bee photo by Paul Kitagaki)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/health/2022/09/nursing-home-licensing-bill/\">signed a law\u003c/a> meant to address the issue, but state regulators in 2023 granted Rechnitz’ companies the licenses to operate the homes just before the measure took effect.\u003c/p>\n\u003cp>Here are key takeaways from CalMatters’ most recent coverage:\u003c/p>\n\u003ch2>Newly licensed homes now subjects of patient lawsuits\u003c/h2>\n\u003cp>Several homes that received licenses in 2023 are now being sued by patients and their family members.\u003c/p>\n\u003cp>In February 2024, a Los Angeles County jury \u003ca href=\"https://www.documentcloud.org/documents/26277158-jury-verdict/\">awarded $2.34 million\u003c/a> to an 84-year-old nursing home resident named Betsy Jentz, finding that Country Villa Wilshire had violated her rights on 132 occasions, at times leading to serious injuries.[aside postID=news_12064768 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/008_KQED_LagunaHondaHospital_01312023_qed.jpg']This coming February, a jury in Shasta County is scheduled to hear a case against Windsor Redding, which is \u003ca href=\"https://www.documentcloud.org/documents/21069802-complaint-2/\">accused of negligence\u003c/a> in the 2020 COVID-19 deaths of 24 patients.\u003c/p>\n\u003cp>Another upcoming case involves 78-year-old Barbara Pendley, who allegedly died after \u003ca href=\"https://www.documentcloud.org/documents/26276972-pendley-complaint-fac-8-4-23/\">suffering severe dehydration\u003c/a> at \u003ca href=\"https://www.documentcloud.org/documents/26284983-northpoint-answer/\">North Point Healthcare & Wellness Centre\u003c/a> in Fresno.\u003c/p>\n\u003cp>And trial is scheduled to begin next spring in the case of a 79-year-old dementia patient, referred to as \u003ca href=\"https://www.documentcloud.org/documents/26284981-answer-to-cheryl-doe/\">Cheryl Doe\u003c/a>, who was \u003ca href=\"https://www.documentcloud.org/documents/26276978-doe-complaint-2-2-24/\">allegedly raped twice \u003c/a>at Windsor Healthcare Center of Oakland; a second case against the same facility alleges that \u003ca href=\"https://www.documentcloud.org/documents/26276976-williams-complaint-6-26-24/\">excessive sedation\u003c/a> of 64-year-old \u003ca href=\"https://www.documentcloud.org/documents/26284980-williams-defendants-answer-to-plaintiffs-complaint1455624141/\">Alando Williams\u003c/a> led to his death.\u003c/p>\n\u003cp>Rechnitz and his companies have denied allegations in all of these cases.\u003c/p>\n\u003cp>“It is accurate that nursing homes are the target of abusive lawsuits that accomplish nothing but depleting resources for patient care,” said Mark Johnson, an attorney for the facilities and their holding company, Brius.\u003c/p>\n\u003ch2>On average, more citations at Rechnitz homes\u003c/h2>\n\u003cp>A CalMatters analysis of data from both the \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/CalHealthFind/Pages/Home.aspx\">state health department\u003c/a> and the \u003ca href=\"https://data.cms.gov/provider-data/dataset/4pq5-n9py\">federal Centers for Medicare & Medicaid Services\u003c/a> found 78 California facilities in which Shlomo Rechnitz or his wife, Tamar, were listed among the owners. On average the facilities fared poorly on several key quality metrics compared to the state overall.\u003c/p>\n\u003cul>\n\u003cli>In the past three years, these 78 nursing homes received an average of 12.4 citations for facility-reported incidents, compared with 6.1 for all nursing homes statewide.\u003c/li>\n\u003cli>A higher proportion of the facilities has received a federal fine in the last three years than the state’s overall rate. Two-thirds of these facilities received at least one federal fine in the last three years, compared to half of all facilities across the state.\u003c/li>\n\u003cli>The facilities have been fined an average of $47,897 during the last three years, compared to an average of $29,573 for all California facilities.\u003c/li>\n\u003c/ul>\n\u003cp>Johnson, the attorney for Rechnitz’ facilities, said in his email that a large percentage of these facilities are located in Los Angeles County, which issues deficiencies at a higher rate than any county in California, many of which are overturned on appeal.\u003c/p>\n\u003cp>He also said that “Mr. Rechnitz’s facilities self-report at a significantly higher rate than other comparable facilities,” which, in turn, could lead them to have a higher number of deficiencies.\u003c/p>\n\u003ch2>Rechnitz is wealthy\u003c/h2>\n\u003cp>In August 2024, an Alameda County jury found that Alameda Healthcare & Wellness had violated the rights of 71-year-old James Doherty, Sr. \u003ca href=\"https://www.documentcloud.org/documents/26092434-60650058-08-18-2025-special-verdict-form-1-from-jurors-v3/\">more than 1,400 times\u003c/a>.[aside postID=news_12064693 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-01-KQED-1.jpg']That included seven instances in which staff failed to transport him, causing him to miss chemotherapy treatments, court documents said. Doherty died following the development of a large pressure sore. His family was awarded $7.6 million.\u003c/p>\n\u003cp>Another key revelation from that case: Rechnitz and his wife disclosed their net worth. According to financial documents filed in court, it comes to $786 million.\u003c/p>\n\u003cp>Tony Chicotel, a senior staff attorney for California Advocates for Nursing Home Reform, said that dollar figure hasn’t been divulged publicly before.\u003c/p>\n\u003cp>“At least in some of these chains, the money that was meant to go for patient care is being stripped away and sent up top to the ownership,” he said.\u003c/p>\n\u003ch2>Advocates say the state is not doing its job\u003c/h2>\n\u003cp>Elder care advocates say the state Department of Public Health could push for greater accountability, including withholding licenses from owners they deem to be bad actors.\u003c/p>\n\u003cp>Wendy York, a Sacramento attorney specializing in nursing home abuse, said that watching elderly and disabled residents repeatedly suffer the same types of injuries in these facilities “feels like a broken record. It feels like Groundhog Day.”\u003c/p>\n\u003cp>There are “government agencies who are responsible for their oversight,” York said, but “at the end of the day, it feels like we’re the ones who are doing the enforcement.”\u003c/p>\n\u003cp>Department of Public Health spokesman Mark Smith said in an emailed statement that the department “remains committed to transparency and accountability for all providers, and to the health and safety of all nursing home residents in California.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/11/nursing-home-takeaways/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "CalMatters recently reported on a cluster of lawsuits against nursing homes owned by Los Angeles entrepreneur Shlomo Rechnitz. Here are takeaways from our special report.\r\n\r\n",
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"title": "The State Found Red Flags in Nursing Homes But Licensed Them Anyway. 4 Things to Know | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>The chain of \u003ca href=\"https://www.kqed.org/news/12065126/he-built-a-nursing-home-empire-despite-state-investigations-now-lawsuits-are-piling-up\">California nursing homes owned by Shlomo Rechnitz\u003c/a> and his companies has faced state scrutiny for years. Now, a series of recent lawsuits is bringing renewed attention to his companies.\u003c/p>\n\u003cp>Elder care advocates say Rechnitz’ companies are Exhibit A in how regulators at the Department of Public Health are failing some of California’s most vulnerable citizens.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2021, a \u003ca href=\"https://calmatters.org/projects/california-oversight-nursing-homes/\">CalMatters investigation\u003c/a> documented that the state Department of Public Health allowed Rechnitz and his companies to operate 18 nursing homes while delaying a decision on granting licenses to them.\u003c/p>\n\u003cp>The state had kept the license applications in a “pending” status for seven years after he acquired them. Rechnitz and his companies were allowed to continue operating five additional homes even after the state denied licenses to them.\u003c/p>\n\u003cfigure id=\"attachment_12065130\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12065130\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01.jpeg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Shlomo-Rechnitz_AH_CM_01-1536x1024.jpeg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Los Angeles entrepreneur Shlomo Rechnitz owns one of California’s largest nursing home chains. Several of the nursing homes are in court over patient allegations of neglect and negligence. \u003ccite>(Illustration by Adriana Heldiz, CalMatters. Source image: Sacramento Bee photo by Paul Kitagaki)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://calmatters.org/health/2022/09/nursing-home-licensing-bill/\">signed a law\u003c/a> meant to address the issue, but state regulators in 2023 granted Rechnitz’ companies the licenses to operate the homes just before the measure took effect.\u003c/p>\n\u003cp>Here are key takeaways from CalMatters’ most recent coverage:\u003c/p>\n\u003ch2>Newly licensed homes now subjects of patient lawsuits\u003c/h2>\n\u003cp>Several homes that received licenses in 2023 are now being sued by patients and their family members.\u003c/p>\n\u003cp>In February 2024, a Los Angeles County jury \u003ca href=\"https://www.documentcloud.org/documents/26277158-jury-verdict/\">awarded $2.34 million\u003c/a> to an 84-year-old nursing home resident named Betsy Jentz, finding that Country Villa Wilshire had violated her rights on 132 occasions, at times leading to serious injuries.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This coming February, a jury in Shasta County is scheduled to hear a case against Windsor Redding, which is \u003ca href=\"https://www.documentcloud.org/documents/21069802-complaint-2/\">accused of negligence\u003c/a> in the 2020 COVID-19 deaths of 24 patients.\u003c/p>\n\u003cp>Another upcoming case involves 78-year-old Barbara Pendley, who allegedly died after \u003ca href=\"https://www.documentcloud.org/documents/26276972-pendley-complaint-fac-8-4-23/\">suffering severe dehydration\u003c/a> at \u003ca href=\"https://www.documentcloud.org/documents/26284983-northpoint-answer/\">North Point Healthcare & Wellness Centre\u003c/a> in Fresno.\u003c/p>\n\u003cp>And trial is scheduled to begin next spring in the case of a 79-year-old dementia patient, referred to as \u003ca href=\"https://www.documentcloud.org/documents/26284981-answer-to-cheryl-doe/\">Cheryl Doe\u003c/a>, who was \u003ca href=\"https://www.documentcloud.org/documents/26276978-doe-complaint-2-2-24/\">allegedly raped twice \u003c/a>at Windsor Healthcare Center of Oakland; a second case against the same facility alleges that \u003ca href=\"https://www.documentcloud.org/documents/26276976-williams-complaint-6-26-24/\">excessive sedation\u003c/a> of 64-year-old \u003ca href=\"https://www.documentcloud.org/documents/26284980-williams-defendants-answer-to-plaintiffs-complaint1455624141/\">Alando Williams\u003c/a> led to his death.\u003c/p>\n\u003cp>Rechnitz and his companies have denied allegations in all of these cases.\u003c/p>\n\u003cp>“It is accurate that nursing homes are the target of abusive lawsuits that accomplish nothing but depleting resources for patient care,” said Mark Johnson, an attorney for the facilities and their holding company, Brius.\u003c/p>\n\u003ch2>On average, more citations at Rechnitz homes\u003c/h2>\n\u003cp>A CalMatters analysis of data from both the \u003ca href=\"https://www.cdph.ca.gov/Programs/CHCQ/LCP/CalHealthFind/Pages/Home.aspx\">state health department\u003c/a> and the \u003ca href=\"https://data.cms.gov/provider-data/dataset/4pq5-n9py\">federal Centers for Medicare & Medicaid Services\u003c/a> found 78 California facilities in which Shlomo Rechnitz or his wife, Tamar, were listed among the owners. On average the facilities fared poorly on several key quality metrics compared to the state overall.\u003c/p>\n\u003cul>\n\u003cli>In the past three years, these 78 nursing homes received an average of 12.4 citations for facility-reported incidents, compared with 6.1 for all nursing homes statewide.\u003c/li>\n\u003cli>A higher proportion of the facilities has received a federal fine in the last three years than the state’s overall rate. Two-thirds of these facilities received at least one federal fine in the last three years, compared to half of all facilities across the state.\u003c/li>\n\u003cli>The facilities have been fined an average of $47,897 during the last three years, compared to an average of $29,573 for all California facilities.\u003c/li>\n\u003c/ul>\n\u003cp>Johnson, the attorney for Rechnitz’ facilities, said in his email that a large percentage of these facilities are located in Los Angeles County, which issues deficiencies at a higher rate than any county in California, many of which are overturned on appeal.\u003c/p>\n\u003cp>He also said that “Mr. Rechnitz’s facilities self-report at a significantly higher rate than other comparable facilities,” which, in turn, could lead them to have a higher number of deficiencies.\u003c/p>\n\u003ch2>Rechnitz is wealthy\u003c/h2>\n\u003cp>In August 2024, an Alameda County jury found that Alameda Healthcare & Wellness had violated the rights of 71-year-old James Doherty, Sr. \u003ca href=\"https://www.documentcloud.org/documents/26092434-60650058-08-18-2025-special-verdict-form-1-from-jurors-v3/\">more than 1,400 times\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That included seven instances in which staff failed to transport him, causing him to miss chemotherapy treatments, court documents said. Doherty died following the development of a large pressure sore. His family was awarded $7.6 million.\u003c/p>\n\u003cp>Another key revelation from that case: Rechnitz and his wife disclosed their net worth. According to financial documents filed in court, it comes to $786 million.\u003c/p>\n\u003cp>Tony Chicotel, a senior staff attorney for California Advocates for Nursing Home Reform, said that dollar figure hasn’t been divulged publicly before.\u003c/p>\n\u003cp>“At least in some of these chains, the money that was meant to go for patient care is being stripped away and sent up top to the ownership,” he said.\u003c/p>\n\u003ch2>Advocates say the state is not doing its job\u003c/h2>\n\u003cp>Elder care advocates say the state Department of Public Health could push for greater accountability, including withholding licenses from owners they deem to be bad actors.\u003c/p>\n\u003cp>Wendy York, a Sacramento attorney specializing in nursing home abuse, said that watching elderly and disabled residents repeatedly suffer the same types of injuries in these facilities “feels like a broken record. It feels like Groundhog Day.”\u003c/p>\n\u003cp>There are “government agencies who are responsible for their oversight,” York said, but “at the end of the day, it feels like we’re the ones who are doing the enforcement.”\u003c/p>\n\u003cp>Department of Public Health spokesman Mark Smith said in an emailed statement that the department “remains committed to transparency and accountability for all providers, and to the health and safety of all nursing home residents in California.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/2025/11/nursing-home-takeaways/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "its-just-cruel-bay-area-parents-say-sutter-health-is-set-to-halt-trans-youth-care",
"title": "‘It’s Just Cruel’: Bay Area Parents Say Sutter Health Is Set to Halt Trans Youth Care",
"publishDate": 1764186662,
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"headTitle": "‘It’s Just Cruel’: Bay Area Parents Say Sutter Health Is Set to Halt Trans Youth Care | KQED",
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"content": "\u003cp>After six months of \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">gender-affirming care\u003c/a> and a first puberty blocker shot for her 10-year-old son in September, Julie noticed him carrying himself differently. His back was straight, he was no longer hiding his body, and he was confident with eye contact.\u003c/p>\n\u003cp>But last Friday, the East Bay parent received a call and an email from a \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> caregiver that she’s afraid to tell her son about. She asked KQED to use only her first name because she is afraid of retribution against her and her son’s caregiver.\u003c/p>\n\u003cp>The day prior, on Transgender Day of Remembrance, hospital higher-ups informed Julie’s son’s caregiver that they would no longer offer gender-affirming care to patients younger than 19. That care could stop as soon as Dec. 10, they said, according to the caregiver’s messages.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That left Julie with just over two weeks, including a major holiday, to find a new physician for her son.\u003c/p>\n\u003cp>“It’s just cruel, and I continue to be heartbroken, overwhelmed and livid,” Julie said. “It’s the week of Thanksgiving. Everyone’s gone, and they knew that that was going to be the case.”\u003c/p>\n\u003cfigure id=\"attachment_12030056\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030056\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Sutter Health CPMC Davies Campus in San Francisco on Feb. 8, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Julie isn’t the only parent gutted by the potential decision. At least 10 families are working through the emotions and the looming reality of finding new care for their kids, according to \u003ca href=\"https://www.rainbowfamiliesaction.org/about\">Rainbow Families Action\u003c/a>, a group made up of parents and allies of trans youth. More than a dozen advocacy groups are pressuring Sutter Health, a nonprofit health care system serving more than 3.5 million Californians, to provide more details about the information their children’s physicians relayed to them.\u003c/p>\n\u003cp>Sutter Health would not confirm or deny what parents told KQED. In a statement on Tuesday, a spokesperson wrote that the hospital network is “working to ensure compliance with recent federal actions” and remains “committed to approaching this with compassion, physician guidance, and compliance with applicable requirements.”\u003c/p>\n\u003cp>Like other hospital groups, the network had already halted gender-affirming surgeries for patients under 19, and officials are now prioritizing “open and thoughtful conversations between physicians and their patients to determine the best path forward for individual care plans,” the statement said.\u003c/p>\n\u003cp>If the decision is true, Sutter Health would join a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">paused gender-affirming surgeries\u003c/a> and stopped prescribing puberty blockers to youth. In July, Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, announced it \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">stopped offering surgical gender-affirming treatments\u003c/a> for trans minors.\u003c/p>\n\u003cp>Advocacy groups sent a \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">letter on \u003c/a>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">Tuesday to Sutter Health\u003c/a>, demanding that the network “reverse course on this decision immediately” and provide a meeting between leaders and families, a commitment to “not pre-capitulate before it’s legally necessary,” as well as a formal plan if the network ends gender-affirming care for youth.[aside postID=news_12053773 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-14_qed.jpg']\u003c/p>\n\u003cp>“We refuse to stand by while Sutter pre-emptively bows to political pressure instead of standing up for our kids,” Rainbow Families Action wrote.\u003c/p>\n\u003cp>Arne Johnson, a lead advocate with the group, said parents and allies are planning a series of actions to protest the potential cessation and have asked Sutter Health leadership “to clarify before this becomes a much bigger thing.”\u003c/p>\n\u003cp>“We are offering to have those conversations because they are saying we’re going to do this in thoughtful consideration, but they have not actually done that,” Johnson said. “We are going to consider that an invitation, and assume that they are in fact going to meet with patients and families and make a real plan for their care.”\u003c/p>\n\u003cp>Johnson said the group has also reached out to California Attorney General Rob Bonta over the legality of the potential decision. State law prohibits health care discrimination on the basis of sexual orientation or gender identity, and earlier this month, the attorney general’s office \u003ca href=\"https://oag.ca.gov/news/press-releases/know-your-rights-attorney-general-bonta-issues-guidance-gender-affirming-care\">issued a guidance\u003c/a> reminding Californians that they “have the right to receive medically necessary gender-affirming care or any other medically necessary healthcare without discrimination.”\u003c/p>\n\u003cp>Another mother, Nikki, also from the East Bay, found out on her 14-year-old son’s birthday that his care could end. A caregiver said they would return from vacation early to ensure Julie’s son had at least one more visit before the cutoff. She also asked KQED to only use her first name.\u003c/p>\n\u003cp>“It’s terrifying, and I haven’t told my son because the news came on his birthday,” Nikki said. “Psychologically, it makes you not trust your doctors. It makes you not trust the government.”\u003c/p>\n\u003cp>Nikki is angry that the move would come after open enrollment, when the family could have joined another health care network to ensure her son could continue to receive his weekly medication.\u003c/p>\n\u003cp>As a queer person who sought the Bay Area more than two decades ago as a place of refuge, Nikki said she is flabbergasted by the potential decision.\u003c/p>\n\u003cp>“I’m kind of frozen,” she said. “I don’t know that I’m moving forward other than making some phone calls right before the holidays, just [to] desperately see what doctors can help us.”\u003c/p>\n\u003cp>Julie said she hasn’t been able to reach any new doctors yet in her search for a new care team for her son.\u003c/p>\n\u003cp>“They have taken away our ability to have care that goes in alignment with my doctor’s recommendation,” Julie said. “I have to move forward. We have to find another doctor, and who is that going to be with? I don’t know of anyone who is going to take this kid. And that sucks.”\u003c/p>\n\u003cp>She sees this as a sign that other care for the general public could be next on the chopping block.\u003c/p>\n\u003cp>“If they can take evidence-based care that is legal in the state of California and is medically necessary, lifesaving care for my child, what the f— is next?” Julie said. “It’s just a slippery slope.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Multiple parents say Sutter Health caregivers told them the network will end gender-affirming care to youth in December, leaving them scrambling to find new physicians for their transgender children.",
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"title": "‘It’s Just Cruel’: Bay Area Parents Say Sutter Health Is Set to Halt Trans Youth Care | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After six months of \u003ca href=\"https://www.kqed.org/news/12050618/california-sues-trump-administration-over-efforts-to-deny-gender-affirming-health-care\">gender-affirming care\u003c/a> and a first puberty blocker shot for her 10-year-old son in September, Julie noticed him carrying himself differently. His back was straight, he was no longer hiding his body, and he was confident with eye contact.\u003c/p>\n\u003cp>But last Friday, the East Bay parent received a call and an email from a \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> caregiver that she’s afraid to tell her son about. She asked KQED to use only her first name because she is afraid of retribution against her and her son’s caregiver.\u003c/p>\n\u003cp>The day prior, on Transgender Day of Remembrance, hospital higher-ups informed Julie’s son’s caregiver that they would no longer offer gender-affirming care to patients younger than 19. That care could stop as soon as Dec. 10, they said, according to the caregiver’s messages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That left Julie with just over two weeks, including a major holiday, to find a new physician for her son.\u003c/p>\n\u003cp>“It’s just cruel, and I continue to be heartbroken, overwhelmed and livid,” Julie said. “It’s the week of Thanksgiving. Everyone’s gone, and they knew that that was going to be the case.”\u003c/p>\n\u003cfigure id=\"attachment_12030056\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030056\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240208-HospitalViolence-11-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Sutter Health CPMC Davies Campus in San Francisco on Feb. 8, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Julie isn’t the only parent gutted by the potential decision. At least 10 families are working through the emotions and the looming reality of finding new care for their kids, according to \u003ca href=\"https://www.rainbowfamiliesaction.org/about\">Rainbow Families Action\u003c/a>, a group made up of parents and allies of trans youth. More than a dozen advocacy groups are pressuring Sutter Health, a nonprofit health care system serving more than 3.5 million Californians, to provide more details about the information their children’s physicians relayed to them.\u003c/p>\n\u003cp>Sutter Health would not confirm or deny what parents told KQED. In a statement on Tuesday, a spokesperson wrote that the hospital network is “working to ensure compliance with recent federal actions” and remains “committed to approaching this with compassion, physician guidance, and compliance with applicable requirements.”\u003c/p>\n\u003cp>Like other hospital groups, the network had already halted gender-affirming surgeries for patients under 19, and officials are now prioritizing “open and thoughtful conversations between physicians and their patients to determine the best path forward for individual care plans,” the statement said.\u003c/p>\n\u003cp>If the decision is true, Sutter Health would join a growing list of health care providers moving to limit care for trans youth under building pressure from the Trump administration. In June, Stanford Medicine \u003ca href=\"https://www.kqed.org/science/1997491/stanford-scales-back-trans-care-for-minors-amid-federal-crackdown\">paused gender-affirming surgeries\u003c/a> and stopped prescribing puberty blockers to youth. In July, Oakland-based Kaiser Permanente, which serves more than 12 million people across eight states, announced it \u003ca href=\"https://www.kqed.org/news/12049666/nowhere-else-to-go-sf-families-protest-kaisers-new-limits-on-gender-affirming-care\">stopped offering surgical gender-affirming treatments\u003c/a> for trans minors.\u003c/p>\n\u003cp>Advocacy groups sent a \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">letter on \u003c/a>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/Rainbow-Families-Action-Letter-to-Sutter-Health.pdf\">Tuesday to Sutter Health\u003c/a>, demanding that the network “reverse course on this decision immediately” and provide a meeting between leaders and families, a commitment to “not pre-capitulate before it’s legally necessary,” as well as a formal plan if the network ends gender-affirming care for youth.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We refuse to stand by while Sutter pre-emptively bows to political pressure instead of standing up for our kids,” Rainbow Families Action wrote.\u003c/p>\n\u003cp>Arne Johnson, a lead advocate with the group, said parents and allies are planning a series of actions to protest the potential cessation and have asked Sutter Health leadership “to clarify before this becomes a much bigger thing.”\u003c/p>\n\u003cp>“We are offering to have those conversations because they are saying we’re going to do this in thoughtful consideration, but they have not actually done that,” Johnson said. “We are going to consider that an invitation, and assume that they are in fact going to meet with patients and families and make a real plan for their care.”\u003c/p>\n\u003cp>Johnson said the group has also reached out to California Attorney General Rob Bonta over the legality of the potential decision. State law prohibits health care discrimination on the basis of sexual orientation or gender identity, and earlier this month, the attorney general’s office \u003ca href=\"https://oag.ca.gov/news/press-releases/know-your-rights-attorney-general-bonta-issues-guidance-gender-affirming-care\">issued a guidance\u003c/a> reminding Californians that they “have the right to receive medically necessary gender-affirming care or any other medically necessary healthcare without discrimination.”\u003c/p>\n\u003cp>Another mother, Nikki, also from the East Bay, found out on her 14-year-old son’s birthday that his care could end. A caregiver said they would return from vacation early to ensure Julie’s son had at least one more visit before the cutoff. She also asked KQED to only use her first name.\u003c/p>\n\u003cp>“It’s terrifying, and I haven’t told my son because the news came on his birthday,” Nikki said. “Psychologically, it makes you not trust your doctors. It makes you not trust the government.”\u003c/p>\n\u003cp>Nikki is angry that the move would come after open enrollment, when the family could have joined another health care network to ensure her son could continue to receive his weekly medication.\u003c/p>\n\u003cp>As a queer person who sought the Bay Area more than two decades ago as a place of refuge, Nikki said she is flabbergasted by the potential decision.\u003c/p>\n\u003cp>“I’m kind of frozen,” she said. “I don’t know that I’m moving forward other than making some phone calls right before the holidays, just [to] desperately see what doctors can help us.”\u003c/p>\n\u003cp>Julie said she hasn’t been able to reach any new doctors yet in her search for a new care team for her son.\u003c/p>\n\u003cp>“They have taken away our ability to have care that goes in alignment with my doctor’s recommendation,” Julie said. “I have to move forward. We have to find another doctor, and who is that going to be with? I don’t know of anyone who is going to take this kid. And that sucks.”\u003c/p>\n\u003cp>She sees this as a sign that other care for the general public could be next on the chopping block.\u003c/p>\n\u003cp>“If they can take evidence-based care that is legal in the state of California and is medically necessary, lifesaving care for my child, what the f— is next?” Julie said. “It’s just a slippery slope.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "sf-to-pay-5-8-million-in-class-action-settlement-over-elder-abuse-at-laguna-honda",
"title": "SF to Pay $5.8 Million in Class Action Settlement Over Elder Abuse at Laguna Honda",
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"headTitle": "SF to Pay $5.8 Million in Class Action Settlement Over Elder Abuse at Laguna Honda | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is poised to pay out $5.8 million after reaching a settlement in a lawsuit claiming staff at \u003ca href=\"https://www.kqed.org/news/tag/laguna-honda-hospital\">Laguna Honda Hospital\u003c/a> and Rehabilitation Center took explicit photos of patients and disseminated them for non-medical purposes, along with other abuse and privacy violations.\u003c/p>\n\u003cp>The settlement is the latest rectification and first class action for the patient abuse scandal at Laguna Honda Hospital, one of the nation’s largest public nursing homes, following reports between 2016 and 2019 that thrust the facility into turmoil. Both parties have agreed to the payment, which will go before the city’s Government Audit and Oversight Committee on Thursday for approval.\u003c/p>\n\u003cp>The $5.8 million settlement will be distributed among 735 current and former Laguna Honda patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This on its face says, ‘Look, you had a systemic problem. This was going on and this was hurting everybody,’” said Kathryn Stebner, who represented plaintiffs in the case. “We bring class actions to make a political statement, to try to make social change. And I think this does send that message.”\u003c/p>\n\u003cp>The 159-year-old hospital has long served as a safety net for some of the city’s poorest and most vulnerable residents, with some living at Laguna Honda for years.\u003c/p>\n\u003cp>The lawsuit was initially filed in 2020 on behalf of a Laguna Honda resident, claiming staff took photos of his genital area during an enema procedure and that staff circulated the image for non-medical purposes. Another named plaintiff, Tommy O. Johnson, alleged his health information was also wrongly used.\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>Attorneys later filed a class action motion in 2024 alleging that all patients at the hospital between 2022 and 2023 were subject to compromised care. The period of time was while the hospital was uncertified and undergoing major changes, after regulators with the Centers for Medicare & Medicaid Services found several health and safety issues across multiple inspection surveys.\u003c/p>\n\u003cp>“Laguna Honda is unwavering in our commitment to resident safety and wellbeing,” a spokesperson for the city’s Department of Public Health, which oversees the massive facility, said in an email. “The 2019 patient mistreatment incidents were antithetical to what Laguna Honda stands for as the safety-net healthcare facility caring for San Franciscans most in need.”\u003c/p>\n\u003cp>The class action is one of three recent lawsuits over the abuse scandal that broke out just before the pandemic. Another lawsuit was filed on behalf of individual residents who had fallen and suffered injuries such as broken hips, Stebner said. The third lawsuit, \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">settled in 2023 for $2.2 million\u003c/a>, focused on 11 individual patients at Laguna Honda after a group of nurses were found to have taken nude photos of some patients and drugged and abused others.[aside postID=news_12026662 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/014_KQED_LagunaHondaHospital_01312023_qed-1020x680.jpg']Nursing home reform supporters with the Gray Panthers, a group of advocates focused on long-term care and other issues facing older San Franciscans, estimate that the city has had to pay nearly $12 million in fines and lawsuit settlements relating to the sexual abuse scandal.\u003c/p>\n\u003cp>A spokesperson for the San Francisco City Attorney said the class action settlement is an “appropriate response.”\u003c/p>\n\u003cp>The facility took several steps after uncovering evidence of patient mistreatment and privacy violations between 2016 and 2019, including firing staff who took part in abuse and reorganizing the hospital’s leadership.\u003c/p>\n\u003cp>But problems for Laguna Honda didn’t end there.\u003c/p>\n\u003cp>In 2021, two non-fatal overdoses occurred on-site involving methamphetamine and fentanyl, triggering a series of inspections. Federal regulators then decertified Laguna Honda in April 2022 after finding issues with staff hygiene and other problems, such as smoking and drug use on site.\u003c/p>\n\u003cp>The hospital was forced to pause admissions while it worked to regain certification with Medicare and Medi-Cal, which covers the vast majority of the elderly and low-income residents at Laguna Honda.\u003c/p>\n\u003cp>Meanwhile, federal regulators had the hospital begin discharging patients in anticipation of a possible shutdown. More than 50 people were discharged or transferred to other skilled nursing facilities, and some ended up in homeless shelters. Twelve frail and elderly patients died shortly after their transfer out of the facility to other nursing homes.”State and federal regulators agreed to pause the mandated discharges in 2022, after an outcry from San Francisco officials and advocates.\u003c/p>\n\u003cp>The facility achieved recertification again in 2024 after undergoing rigorous inspections and retraining for staff.\u003c/p>\n\u003cfigure id=\"attachment_11757927\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11757927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco_CA_-_DSC03931-e1561745657127.jpg\" alt=\"Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years.\" width=\"1920\" height=\"1324\">\u003cfigcaption class=\"wp-caption-text\">Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years. \u003ccite>(\u003ca href=\"https://commons.wikimedia.org/wiki/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg#/media/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg\">Daderot/Wikipedia\u003c/a>)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Laguna Honda has undergone significant restructuring and has been the focus of extensive improvements facility-wide, including new policies, enhanced quality management protocols, and new programs that align with national best practices,” the Public Health Department spokesperson said. “This is all with the goal of creating a lasting culture of safety, transparency, and continuous improvement.”\u003c/p>\n\u003cp>The population at Laguna Honda has dropped from more than 700 residents in November 2020 to 541 as of September 2025, according to city data.\u003c/p>\n\u003cp>Teresa Palmer, a physician who worked at Laguna Honda for nearly three decades, said the class action settlement underscores the need for more staffing at the facility.\u003c/p>\n\u003cp>“All kinds of abuse and neglect are expressions of understaffing of both supervisory staff and direct care staff,” Palmer said. “People are so overworked and fear retaliation, and things are covered up because staff are just trying to get through the day.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"title": "SF to Pay $5.8 Million in Class Action Settlement Over Elder Abuse at Laguna Honda | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is poised to pay out $5.8 million after reaching a settlement in a lawsuit claiming staff at \u003ca href=\"https://www.kqed.org/news/tag/laguna-honda-hospital\">Laguna Honda Hospital\u003c/a> and Rehabilitation Center took explicit photos of patients and disseminated them for non-medical purposes, along with other abuse and privacy violations.\u003c/p>\n\u003cp>The settlement is the latest rectification and first class action for the patient abuse scandal at Laguna Honda Hospital, one of the nation’s largest public nursing homes, following reports between 2016 and 2019 that thrust the facility into turmoil. Both parties have agreed to the payment, which will go before the city’s Government Audit and Oversight Committee on Thursday for approval.\u003c/p>\n\u003cp>The $5.8 million settlement will be distributed among 735 current and former Laguna Honda patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This on its face says, ‘Look, you had a systemic problem. This was going on and this was hurting everybody,’” said Kathryn Stebner, who represented plaintiffs in the case. “We bring class actions to make a political statement, to try to make social change. And I think this does send that message.”\u003c/p>\n\u003cp>The 159-year-old hospital has long served as a safety net for some of the city’s poorest and most vulnerable residents, with some living at Laguna Honda for years.\u003c/p>\n\u003cp>The lawsuit was initially filed in 2020 on behalf of a Laguna Honda resident, claiming staff took photos of his genital area during an enema procedure and that staff circulated the image for non-medical purposes. Another named plaintiff, Tommy O. Johnson, alleged his health information was also wrongly used.\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>Attorneys later filed a class action motion in 2024 alleging that all patients at the hospital between 2022 and 2023 were subject to compromised care. The period of time was while the hospital was uncertified and undergoing major changes, after regulators with the Centers for Medicare & Medicaid Services found several health and safety issues across multiple inspection surveys.\u003c/p>\n\u003cp>“Laguna Honda is unwavering in our commitment to resident safety and wellbeing,” a spokesperson for the city’s Department of Public Health, which oversees the massive facility, said in an email. “The 2019 patient mistreatment incidents were antithetical to what Laguna Honda stands for as the safety-net healthcare facility caring for San Franciscans most in need.”\u003c/p>\n\u003cp>The class action is one of three recent lawsuits over the abuse scandal that broke out just before the pandemic. Another lawsuit was filed on behalf of individual residents who had fallen and suffered injuries such as broken hips, Stebner said. The third lawsuit, \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">settled in 2023 for $2.2 million\u003c/a>, focused on 11 individual patients at Laguna Honda after a group of nurses were found to have taken nude photos of some patients and drugged and abused others.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Nursing home reform supporters with the Gray Panthers, a group of advocates focused on long-term care and other issues facing older San Franciscans, estimate that the city has had to pay nearly $12 million in fines and lawsuit settlements relating to the sexual abuse scandal.\u003c/p>\n\u003cp>A spokesperson for the San Francisco City Attorney said the class action settlement is an “appropriate response.”\u003c/p>\n\u003cp>The facility took several steps after uncovering evidence of patient mistreatment and privacy violations between 2016 and 2019, including firing staff who took part in abuse and reorganizing the hospital’s leadership.\u003c/p>\n\u003cp>But problems for Laguna Honda didn’t end there.\u003c/p>\n\u003cp>In 2021, two non-fatal overdoses occurred on-site involving methamphetamine and fentanyl, triggering a series of inspections. Federal regulators then decertified Laguna Honda in April 2022 after finding issues with staff hygiene and other problems, such as smoking and drug use on site.\u003c/p>\n\u003cp>The hospital was forced to pause admissions while it worked to regain certification with Medicare and Medi-Cal, which covers the vast majority of the elderly and low-income residents at Laguna Honda.\u003c/p>\n\u003cp>Meanwhile, federal regulators had the hospital begin discharging patients in anticipation of a possible shutdown. More than 50 people were discharged or transferred to other skilled nursing facilities, and some ended up in homeless shelters. Twelve frail and elderly patients died shortly after their transfer out of the facility to other nursing homes.”State and federal regulators agreed to pause the mandated discharges in 2022, after an outcry from San Francisco officials and advocates.\u003c/p>\n\u003cp>The facility achieved recertification again in 2024 after undergoing rigorous inspections and retraining for staff.\u003c/p>\n\u003cfigure id=\"attachment_11757927\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11757927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco_CA_-_DSC03931-e1561745657127.jpg\" alt=\"Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years.\" width=\"1920\" height=\"1324\">\u003cfigcaption class=\"wp-caption-text\">Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years. \u003ccite>(\u003ca href=\"https://commons.wikimedia.org/wiki/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg#/media/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg\">Daderot/Wikipedia\u003c/a>)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Laguna Honda has undergone significant restructuring and has been the focus of extensive improvements facility-wide, including new policies, enhanced quality management protocols, and new programs that align with national best practices,” the Public Health Department spokesperson said. “This is all with the goal of creating a lasting culture of safety, transparency, and continuous improvement.”\u003c/p>\n\u003cp>The population at Laguna Honda has dropped from more than 700 residents in November 2020 to 541 as of September 2025, according to city data.\u003c/p>\n\u003cp>Teresa Palmer, a physician who worked at Laguna Honda for nearly three decades, said the class action settlement underscores the need for more staffing at the facility.\u003c/p>\n\u003cp>“All kinds of abuse and neglect are expressions of understaffing of both supervisory staff and direct care staff,” Palmer said. “People are so overworked and fear retaliation, and things are covered up because staff are just trying to get through the day.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "advocates-call-for-urgent-changes-in-countertop-industry-to-help-prevent-silicosis",
"title": "Advocates Call For Urgent Changes In Countertop Industry To Help Prevent Silicosis",
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"headTitle": "Advocates Call For Urgent Changes In Countertop Industry To Help Prevent Silicosis | KQED",
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"content": "\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, November 19, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Asbestos, lead, coal dust. All of those posed big health hazards to workers before legal protections finally rolled out. Now, thousands of stoneworkers in California who make our kitchen and bathroom countertops are \u003ca href=\"https://www.kqed.org/news/12033036/california-bill-moves-forward-protect-stonecutters-deadly-disease\">breathing in something so toxic\u003c/a>, nearly 50 had lung transplants. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Farmworker communities and environmental groups across the state are \u003ca href=\"https://www.kcbx.org/environment-and-energy/2025-11-18/farmworker-communities-call-new-california-pesticide-rules-unscientific-and-demand-stronger-protections\">calling for stronger protections\u003c/a> from a pesticide they say endangers public health.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12064693/california-doctors-urge-ban-on-engineered-stone-as-silicosis-cases-surge\">\u003cstrong>California Doctors Urge Ban On Engineered Stone As Silicosis Cases Surge\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>A former stoneworker named Lopez sat confined to his \u003ca href=\"https://www.kqed.org/news/tag/east-bay\">East Bay\u003c/a> home, breathing with the help of a whirring oxygen supply machine through clear tubes pronged to his nostrils. After years of making kitchen countertops from engineered stone, the 43-year-old was \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">diagnosed with silicosis\u003c/a>, an often deadly lung disease linked to inhaling toxic dust the material releases when powercut.\u003c/p>\n\u003cp>The once-active father of four now awaits a double lung transplant. He can no longer support his family or walk a few steps without pausing to catch his breath. Two stonecutter friends died after working with the man-made material, also known as artificial stone or quartz. Three others are on a waitlist for lung transplants, he said. “I feel desperate just sitting here unable to do anything,” said Lopez, an undocumented immigrant who worked in California for more than two decades. KQED is withholding his full name, as he fears losing vital medical care if arrested by federal authorities.\u003c/p>\n\u003cp>As silicosis cases surge in California’s countertop fabrication industry, medical and occupational safety experts warn that current regulations won’t protect hundreds more relatively young workers like Lopez from contracting the incurable illness. The state must act urgently to phase out hazardous engineered stone from fabrication shops, as Australia did, they say, to stem a growing health crisis.\u003c/p>\n\u003cp>Australia banned the use, supply and manufacture of engineered stone benchtops in July 2024, forcing major manufacturers to switch to silica-free alternatives in that market, though they still sell their higher-silica products in the U.S. The companies maintain that their products are safe if fabrication shops follow protocols.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Between 1,000 to 1,500 stoneworkers in California could develop silicosis within the next decade, leading to roughly 285 deaths, according to California’s Division of Occupational Safety and Health, or Cal/OSHA. The state is home to about 5,000 countertop fabrication workers, predominantly Latino immigrants. To save lives, the Governor’s Office could issue an emergency declaration pausing the processing of artificial stone until a permanent ban is pursued through rulemaking, according to a Sept. 4 memorandum obtained by KQED. Drafted by a committee of doctors, occupational safety experts and worker advocates convened by Cal/OSHA, the letter was addressed to the state board responsible for adopting new workplace safety regulations, but was not sent. Gov. Gavin Newsom’s press office did not respond to requests for comment about his position on banning engineered stone in fabrication shops. A spokesperson with the Department of Industrial Relations, which oversees press requests for both Cal/OSHA and the Occupational Safety and Health Standards Board, said the draft had not been vetted.\u003c/p>\n\u003ch2 class=\"ArtP-headline\">\u003ca href=\"https://www.kcbx.org/environment-and-energy/2025-11-18/farmworker-communities-call-new-california-pesticide-rules-unscientific-and-demand-stronger-protections\">\u003cstrong>Farmworker Communities Call New CA Pesticide Rules “Unscientific,” Demand Stronger Protections\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Farmworker families, teachers and environmental justice groups across California are demanding stronger protections from the fumigant pesticide 1,3-dichloropropene, saying the state’s newest regulation allows exposure far above what health experts consider safe.\u003c/p>\n\u003cp>The chemical, also known as 1,3-D or by its brand name Telone, is a cancer-causing soil fumigant widely used on berry, grape, almond and walnut crops. It is banned in several countries.\u003c/p>\n\u003cp>Californians for Pesticide Reform and partner organizations held a statewide online news conference Tuesday, paired with simultaneous rallies in agricultural regions including Modesto, Watsonville, Fresno and Oxnard. Speakers said the Department of Pesticide Regulation’s recently finalized rules fail to protect farmworker families and schoolchildren who live, work and attend school near treated fields.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Community groups also raised concerns that the highest exposures occur in predominantly Latino and Indigenous neighborhoods, describing the regulation as a form of environmental racism. The Department of Pesticide Regulation said in a statement that it is committed to protecting public health and is working with toxicologists to reduce exposure. The agency says additional protections will take effect in 2026.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Here are the morning’s top stories on Wednesday, November 19, 2025…\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Asbestos, lead, coal dust. All of those posed big health hazards to workers before legal protections finally rolled out. Now, thousands of stoneworkers in California who make our kitchen and bathroom countertops are \u003ca href=\"https://www.kqed.org/news/12033036/california-bill-moves-forward-protect-stonecutters-deadly-disease\">breathing in something so toxic\u003c/a>, nearly 50 had lung transplants. \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Farmworker communities and environmental groups across the state are \u003ca href=\"https://www.kcbx.org/environment-and-energy/2025-11-18/farmworker-communities-call-new-california-pesticide-rules-unscientific-and-demand-stronger-protections\">calling for stronger protections\u003c/a> from a pesticide they say endangers public health.\u003c/span>\u003c/li>\n\u003c/ul>\n\u003ch2 class=\"routes-Site-routes-Post-Title-__Title__title\">\u003ca href=\"https://www.kqed.org/news/12064693/california-doctors-urge-ban-on-engineered-stone-as-silicosis-cases-surge\">\u003cstrong>California Doctors Urge Ban On Engineered Stone As Silicosis Cases Surge\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>A former stoneworker named Lopez sat confined to his \u003ca href=\"https://www.kqed.org/news/tag/east-bay\">East Bay\u003c/a> home, breathing with the help of a whirring oxygen supply machine through clear tubes pronged to his nostrils. After years of making kitchen countertops from engineered stone, the 43-year-old was \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">diagnosed with silicosis\u003c/a>, an often deadly lung disease linked to inhaling toxic dust the material releases when powercut.\u003c/p>\n\u003cp>The once-active father of four now awaits a double lung transplant. He can no longer support his family or walk a few steps without pausing to catch his breath. Two stonecutter friends died after working with the man-made material, also known as artificial stone or quartz. Three others are on a waitlist for lung transplants, he said. “I feel desperate just sitting here unable to do anything,” said Lopez, an undocumented immigrant who worked in California for more than two decades. KQED is withholding his full name, as he fears losing vital medical care if arrested by federal authorities.\u003c/p>\n\u003cp>As silicosis cases surge in California’s countertop fabrication industry, medical and occupational safety experts warn that current regulations won’t protect hundreds more relatively young workers like Lopez from contracting the incurable illness. The state must act urgently to phase out hazardous engineered stone from fabrication shops, as Australia did, they say, to stem a growing health crisis.\u003c/p>\n\u003cp>Australia banned the use, supply and manufacture of engineered stone benchtops in July 2024, forcing major manufacturers to switch to silica-free alternatives in that market, though they still sell their higher-silica products in the U.S. The companies maintain that their products are safe if fabrication shops follow protocols.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Between 1,000 to 1,500 stoneworkers in California could develop silicosis within the next decade, leading to roughly 285 deaths, according to California’s Division of Occupational Safety and Health, or Cal/OSHA. The state is home to about 5,000 countertop fabrication workers, predominantly Latino immigrants. To save lives, the Governor’s Office could issue an emergency declaration pausing the processing of artificial stone until a permanent ban is pursued through rulemaking, according to a Sept. 4 memorandum obtained by KQED. Drafted by a committee of doctors, occupational safety experts and worker advocates convened by Cal/OSHA, the letter was addressed to the state board responsible for adopting new workplace safety regulations, but was not sent. Gov. Gavin Newsom’s press office did not respond to requests for comment about his position on banning engineered stone in fabrication shops. A spokesperson with the Department of Industrial Relations, which oversees press requests for both Cal/OSHA and the Occupational Safety and Health Standards Board, said the draft had not been vetted.\u003c/p>\n\u003ch2 class=\"ArtP-headline\">\u003ca href=\"https://www.kcbx.org/environment-and-energy/2025-11-18/farmworker-communities-call-new-california-pesticide-rules-unscientific-and-demand-stronger-protections\">\u003cstrong>Farmworker Communities Call New CA Pesticide Rules “Unscientific,” Demand Stronger Protections\u003c/strong>\u003c/a>\u003c/h2>\n\u003cp>Farmworker families, teachers and environmental justice groups across California are demanding stronger protections from the fumigant pesticide 1,3-dichloropropene, saying the state’s newest regulation allows exposure far above what health experts consider safe.\u003c/p>\n\u003cp>The chemical, also known as 1,3-D or by its brand name Telone, is a cancer-causing soil fumigant widely used on berry, grape, almond and walnut crops. It is banned in several countries.\u003c/p>\n\u003cp>Californians for Pesticide Reform and partner organizations held a statewide online news conference Tuesday, paired with simultaneous rallies in agricultural regions including Modesto, Watsonville, Fresno and Oxnard. Speakers said the Department of Pesticide Regulation’s recently finalized rules fail to protect farmworker families and schoolchildren who live, work and attend school near treated fields.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Community groups also raised concerns that the highest exposures occur in predominantly Latino and Indigenous neighborhoods, describing the regulation as a form of environmental racism. The Department of Pesticide Regulation said in a statement that it is committed to protecting public health and is working with toxicologists to reduce exposure. The agency says additional protections will take effect in 2026.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "California Doctors Urge Ban on Engineered Stone as Silicosis Cases Surge",
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"content": "\u003cp>A former stoneworker named Lopez sat confined to his \u003ca href=\"https://www.kqed.org/news/tag/east-bay\">East Bay\u003c/a> home, breathing with the help of a whirring oxygen supply machine through clear tubes pronged to his nostrils. After years of making kitchen countertops from engineered stone, the 43-year-old was \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">diagnosed with silicosis\u003c/a>, an often deadly lung disease linked to inhaling toxic dust the material releases when powercut.\u003c/p>\n\u003cp>The once-active father of four now awaits a double lung transplant. He can no longer support his family or walk a few steps without pausing to catch his breath. Two stonecutter friends died after working with the man-made material, also known as artificial stone or quartz. Three others are on a waitlist for lung transplants, he said.\u003c/p>\n\u003cp>“I feel desperate just sitting here unable to do anything,” said Lopez, an undocumented immigrant who worked in California for more than two decades. KQED is withholding his full name, as he fears losing vital medical care if arrested by federal authorities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s agonizing waiting for the hospital to call me so I can finally get the transplant I’m waiting for and be able to go back to work,” he said.\u003c/p>\n\u003cp>As silicosis cases surge in California’s countertop fabrication industry, medical and occupational safety experts warn that current regulations won’t protect hundreds more relatively young workers like Lopez from contracting the incurable illness. The state must act urgently to phase out hazardous engineered stone from fabrication shops, as Australia did, they say, to stem a growing health crisis.\u003c/p>\n\u003cp>Australia banned the use, supply and manufacture of engineered stone benchtops in July 2024, forcing major manufacturers to switch to silica-free alternatives in that market, though they still sell their higher-silica products in the U.S. The companies maintain that their products are safe if fabrication shops follow protocols.\u003c/p>\n\u003cfigure id=\"attachment_12064718\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064718\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A photo of a pair lungs with silicosis used in a Cal/OSHA presentation slide about the disease, and rising number of cases in California, at a public meeting on Nov. 13, 2025. \u003ccite>(Courtesy of Museomed via Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Silicosis is preventable when proper safety and health measures are in place to protect workers against inhalation of silica dust in the workplace,” a spokesperson for Cosentino North America said in a statement. “The company continues its efforts in research and development for the ongoing improvement of its products.”\u003c/p>\n\u003cp>Between 1,000 to 1,500 stoneworkers in California could develop silicosis within the next decade, leading to roughly 285 deaths, according to California’s Division of Occupational Safety and Health, or Cal/OSHA. The state is home to about 5,000 countertop fabrication workers, predominantly Latino immigrants.\u003c/p>\n\u003cp>Artificial stone in the U.S. market often contains more than 90% pulverized crystalline silica, far more than natural stones such as marble and granite. When workers powercut, polish and grind slabs of the material, tiny silica particles are released. If inhaled, they can lodge in the lungs and cause tissue scarring that progressively impedes breathing. Respirable silica can also lead to lung cancer, chronic obstructive pulmonary disease and other illnesses.[aside postID=news_12033036 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/StonecutterGetty-1020x680.jpg']To save lives, the Governor’s Office could issue an emergency declaration pausing the processing of artificial stone until a permanent ban is pursued through rulemaking, according to a Sept. 4 memorandum obtained by KQED. Drafted by a committee of doctors, occupational safety experts and worker advocates convened by Cal/OSHA, the letter was addressed to the state board responsible for adopting new workplace safety regulations, but was not sent.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s press office did not respond to requests for comment about his position on banning engineered stone in fabrication shops. A spokesperson with the Department of Industrial Relations, which oversees press requests for both Cal/OSHA and the Occupational Safety and Health Standards Board, said the draft had not been vetted.\u003c/p>\n\u003cp>“The memo referenced … is an incomplete working draft by the Silica Technical Committee and not by Cal/OSHA. None of the recommendations are final,” the spokesperson said in a statement. “Cal/OSHA continually works to protect the health and safety of California’s workers and enforces all regulations adopted by the Board.”\u003c/p>\n\u003cp>Several board members have publicly expressed dismay for months at the steep climb in silicosis cases, but the agenda for their next meeting on Thursday does not include decision-making on artificial stone.\u003c/p>\n\u003cp>Maegan Ortiz, director of the Instituto de Educacion Popular del Sur de California, said that although the state approved stricter standards nearly two years ago, California has made little progress in protecting stoneworkers still inhaling engineered stone dust on the job.\u003c/p>\n\u003cfigure id=\"attachment_12064281\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064281\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez adjusts the breathing tube connected to his oxygen tank in his home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We need to ban this. I think the concern is great, but it is kind of like thoughts and prayers in the face of other crises that don’t go far enough,” said Ortiz, whose organization has been surveying stoneworkers in Los Angeles County, the state’s silicosis epicenter. “We’ve seen the conditions ourselves on the ground in terms of the amount of dust that is there, even in these bigger shops that are following the regulations. Workers see the dust, they carry it on them.”\u003c/p>\n\u003cp>Since 2019, more than 430 workers have been confirmed with silicosis in California, including 25 who died and 48 who underwent a lung transplant, according to state public health officials tracking \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">reported cases\u003c/a>. Half of those sick are located in Los Angeles County. Nearly all are Latino men, some in their 20s, who said they didn’t know how dangerous artificial stone dust could be. About 40% of silicosis cases were identified this year.\u003c/p>\n\u003cp>Lopez said he worked in licensed shops using safety gear and methods his supervisors said would protect him. He wore filter masks and cut and polished engineered stone with machines that covered slabs with water to suppress dust. But mounting evidence shows silica particles in artificial stone dust are so small and toxic that it doesn’t take much to hurt workers. Silica can penetrate filter masks and remain on workers’ clothes and tools when water dries.\u003c/p>\n\u003cp>Australia tried banning drycutting of engineered stone, similar to Cal/OSHA rules in place since December 2023 and a bill Newsom signed last month, SB 20. Australia also tried additional safeguards, including full-face powered air-purifying respirators, ventilation systems and monitoring, like California’s strict \u003ca href=\"https://worksafewithsilica.org/employer-information#rp\">regulations\u003c/a> that go beyond federal requirements. But in both places, experts say, the sophisticated and costly measures are not realistic for an industry made up of mostly small shops with only a few workers.\u003c/p>\n\u003cfigure id=\"attachment_12064282\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064282\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez coils the breathing tube connected to his oxygen tank in his home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I think it’s completely unfeasible,” said Dr. Ryan Hoy, a respiratory physician and researcher at Monash University in Melbourne, Australia. “I often use the analogy that you can work with asbestos safely, you can work with uranium safely, but you need to have in place very sophisticated control measures.”\u003c/p>\n\u003cp>In California, most fabrication shops are not complying with drycutting bans, respiratory protection, monitoring or other requirements. About 94% of 107 worksites investigated by Cal/OSHA had violations of the silica regulations as of Oct. 16.\u003c/p>\n\u003cp>Lopez’s wife said she wished her husband had more accurate information from manufacturers, vendors and employers before working with artificial stone so he could have chosen whether to take on the risk. Considering the impact of his disease on her family, the 41-year-old choked back tears.\u003c/p>\n\u003cp>“It’s painful because I’ve always seen him working. He’s always looked out for us. He’s the pillar of our family,” she said in Spanish, adding that her youngest son is 3. “It hurts us deeply.”\u003c/p>\n\u003cfigure id=\"attachment_12064276\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064276\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez’s wife draws in a coloring book with their 3-year-old in their home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lopez’s state disability benefits have run out, he said, and the family relies on financial support from their oldest daughter, a 20-year-old medical assistant. He became one of hundreds of workers in the U.S. and other countries who have sued top manufacturers of engineered stone — including Minnesota-based Cambria, Israel-based Caesarstone and Cosentino, headquartered in Spain — claiming silica-related injuries.\u003c/p>\n\u003cp>Caesarstone, which generated nearly half of its $303 million in revenue so far this year in the U.S. market, reported claims by more than 500 individuals in its latest \u003ca href=\"https://ir.caesarstone.com/news/news-details/2025/Caesarstone-Reports-Third-Quarter-2025-Financial-Results/default.aspx\">financial results\u003c/a>. The company recorded a $46 million provision for probable losses, with $24.3 million covered by insurance. But costs could grow, as most of the 320 U.S. claims are awaiting trial.\u003c/p>\n\u003cp>Caesarstone won one case in the U.S., which remains under appeal, and settled another this year, according to Nahum Trust, Caesarstone’s chief financial officer, during an earnings call this month. Last year, a jury \u003ca href=\"https://www.latimes.com/california/story/2024-08-07/jury-finds-stone-companies-at-fault-in-suit-by-countertop-cutter-with-silicosis\">awarded\u003c/a> a 34-year-old stoneworker $52 million after finding Caesarstone and other companies liable, a decision the company has appealed.\u003c/p>\n\u003cp>The company developed crystalline silica-free countertop surfaces in preparation for restrictions in Australia and recently unveiled what it advertises as safer alternatives for fabrication workers in the U.S. Caesarstone’s sales were down this quarter in the U.S. and Canada, due to softness in the market and competitive pressures, according to Trust, but sales are up in Australia.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Our first year of real growth in this market since the silica ban implementation,” Trust said. “This reflects early recovery and the successful launch of our zero silica collection.”\u003c/p>\n\u003cp>Cosentino said it has also moved to offer newer products due to safety concerns, including a new mineral-surface product with zero crystalline silica that will be available next year globally.\u003c/p>\n\u003cp>Cosentino, Caesarstone and associations representing manufacturers declined to comment on why they continue selling their high-silica engineered stone products in the U.S. if they have alternatives for the Australian market.\u003c/p>\n\u003cp>Global demand for artificial stone, a multibillion-dollar industry in the U.S., is expected to significantly grow. In California, sales are expected to increase even more due to efforts to rebuild the more than 16,000 homes and buildings destroyed by January wildfires in Los Angeles.[aside postID=news_12063843 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/CaregiverGetty.jpg']Consumers prefer the stain-resistant material because it’s often cheaper than natural stone and offers diverse colors and designs. But many homeowners don’t know of the potential health impacts to the workers who make their countertops.\u003c/p>\n\u003cp>Pulmonologists predict silicosis cases will keep rising, even if exposure to silica dust stopped immediately. By the time workers feel symptoms, the disease has often advanced, Hoy said.\u003c/p>\n\u003cp>“Unfortunately, that is definitely the tip of the iceberg of workers that are currently affected,” said Hoy, who screened stoneworkers in Australia for silicosis and treats diagnosed patients.\u003c/p>\n\u003cp>As manufacturers switched to silica-free products in Australia, costs increased, but consumers still purchased countertops for renovations and new buildings. The industry carried on without the old material.\u003c/p>\n\u003cp>Dr. Hayley Barnes, a pulmonologist who studied silicosis in Australia, said that initially, talking about banning the material in that country felt like a huge ordeal, with predictions that the building industry would collapse and jobs would disappear. But that didn’t happen, she said.\u003c/p>\n\u003cp>“The companies just made a low-silica or no-silica product, which is currently available in Australia and many other countries,” Barnes said.\u003c/p>\n\u003cp>Now medical director of UCSF’s Interstitial Lung Disease Program, she worries many cases in California have not yet been diagnosed, and stoneworkers are suffering.\u003c/p>\n\u003cfigure id=\"attachment_12037908\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037908\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1236\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-800x494.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1020x630.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-160x99.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1536x949.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1920x1187.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Medical Center at Mission Bay in San Francisco on April 24, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We could do better. It’s been done elsewhere,” Barnes said. “People would still get their houses and apartments built and workers would be better protected.”\u003c/p>\n\u003cp>Dr. Sheiphali Gandhi, an assistant professor of medicine at UCSF and a colleague of Barnes who treats dozens of silicosis patients, said she wants California to begin phasing out artificial stone countertops. The move would ensure consumers purchase materials that also protect workers, she said.\u003c/p>\n\u003cp>“We’ve tried all these regulations, but we still are seeing that the cases are going up,” Gandhi said. “We need to move towards the more effective strategies of elimination or substitution, where we really go for safer alternatives.”\u003c/p>\n\u003cp>For now, Gandhi must wade through a stack of about 40 additional cases of very sick workers she has been referred.\u003c/p>\n\u003cp>“It’s just like every month, my mailbox is full of more referrals of silicosis cases,” she said. “The number of cases is exploding. It’s insane.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "California stoneworkers are becoming severely ill from silica dust exposure from cutting engineered stone, prompting urgent warnings from doctors and workplace safety experts as Australia’s 2024 ban underscores the urgency.",
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"title": "California Doctors Urge Ban on Engineered Stone as Silicosis Cases Surge | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A former stoneworker named Lopez sat confined to his \u003ca href=\"https://www.kqed.org/news/tag/east-bay\">East Bay\u003c/a> home, breathing with the help of a whirring oxygen supply machine through clear tubes pronged to his nostrils. After years of making kitchen countertops from engineered stone, the 43-year-old was \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">diagnosed with silicosis\u003c/a>, an often deadly lung disease linked to inhaling toxic dust the material releases when powercut.\u003c/p>\n\u003cp>The once-active father of four now awaits a double lung transplant. He can no longer support his family or walk a few steps without pausing to catch his breath. Two stonecutter friends died after working with the man-made material, also known as artificial stone or quartz. Three others are on a waitlist for lung transplants, he said.\u003c/p>\n\u003cp>“I feel desperate just sitting here unable to do anything,” said Lopez, an undocumented immigrant who worked in California for more than two decades. KQED is withholding his full name, as he fears losing vital medical care if arrested by federal authorities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s agonizing waiting for the hospital to call me so I can finally get the transplant I’m waiting for and be able to go back to work,” he said.\u003c/p>\n\u003cp>As silicosis cases surge in California’s countertop fabrication industry, medical and occupational safety experts warn that current regulations won’t protect hundreds more relatively young workers like Lopez from contracting the incurable illness. The state must act urgently to phase out hazardous engineered stone from fabrication shops, as Australia did, they say, to stem a growing health crisis.\u003c/p>\n\u003cp>Australia banned the use, supply and manufacture of engineered stone benchtops in July 2024, forcing major manufacturers to switch to silica-free alternatives in that market, though they still sell their higher-silica products in the U.S. The companies maintain that their products are safe if fabrication shops follow protocols.\u003c/p>\n\u003cfigure id=\"attachment_12064718\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064718\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251119-Miners-Lung-silicosis-01-KQED-1536x1152.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A photo of a pair lungs with silicosis used in a Cal/OSHA presentation slide about the disease, and rising number of cases in California, at a public meeting on Nov. 13, 2025. \u003ccite>(Courtesy of Museomed via Wikimedia Commons)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Silicosis is preventable when proper safety and health measures are in place to protect workers against inhalation of silica dust in the workplace,” a spokesperson for Cosentino North America said in a statement. “The company continues its efforts in research and development for the ongoing improvement of its products.”\u003c/p>\n\u003cp>Between 1,000 to 1,500 stoneworkers in California could develop silicosis within the next decade, leading to roughly 285 deaths, according to California’s Division of Occupational Safety and Health, or Cal/OSHA. The state is home to about 5,000 countertop fabrication workers, predominantly Latino immigrants.\u003c/p>\n\u003cp>Artificial stone in the U.S. market often contains more than 90% pulverized crystalline silica, far more than natural stones such as marble and granite. When workers powercut, polish and grind slabs of the material, tiny silica particles are released. If inhaled, they can lodge in the lungs and cause tissue scarring that progressively impedes breathing. Respirable silica can also lead to lung cancer, chronic obstructive pulmonary disease and other illnesses.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>To save lives, the Governor’s Office could issue an emergency declaration pausing the processing of artificial stone until a permanent ban is pursued through rulemaking, according to a Sept. 4 memorandum obtained by KQED. Drafted by a committee of doctors, occupational safety experts and worker advocates convened by Cal/OSHA, the letter was addressed to the state board responsible for adopting new workplace safety regulations, but was not sent.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s press office did not respond to requests for comment about his position on banning engineered stone in fabrication shops. A spokesperson with the Department of Industrial Relations, which oversees press requests for both Cal/OSHA and the Occupational Safety and Health Standards Board, said the draft had not been vetted.\u003c/p>\n\u003cp>“The memo referenced … is an incomplete working draft by the Silica Technical Committee and not by Cal/OSHA. None of the recommendations are final,” the spokesperson said in a statement. “Cal/OSHA continually works to protect the health and safety of California’s workers and enforces all regulations adopted by the Board.”\u003c/p>\n\u003cp>Several board members have publicly expressed dismay for months at the steep climb in silicosis cases, but the agenda for their next meeting on Thursday does not include decision-making on artificial stone.\u003c/p>\n\u003cp>Maegan Ortiz, director of the Instituto de Educacion Popular del Sur de California, said that although the state approved stricter standards nearly two years ago, California has made little progress in protecting stoneworkers still inhaling engineered stone dust on the job.\u003c/p>\n\u003cfigure id=\"attachment_12064281\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064281\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-04-KQED-2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez adjusts the breathing tube connected to his oxygen tank in his home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We need to ban this. I think the concern is great, but it is kind of like thoughts and prayers in the face of other crises that don’t go far enough,” said Ortiz, whose organization has been surveying stoneworkers in Los Angeles County, the state’s silicosis epicenter. “We’ve seen the conditions ourselves on the ground in terms of the amount of dust that is there, even in these bigger shops that are following the regulations. Workers see the dust, they carry it on them.”\u003c/p>\n\u003cp>Since 2019, more than 430 workers have been confirmed with silicosis in California, including 25 who died and 48 who underwent a lung transplant, according to state public health officials tracking \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">reported cases\u003c/a>. Half of those sick are located in Los Angeles County. Nearly all are Latino men, some in their 20s, who said they didn’t know how dangerous artificial stone dust could be. About 40% of silicosis cases were identified this year.\u003c/p>\n\u003cp>Lopez said he worked in licensed shops using safety gear and methods his supervisors said would protect him. He wore filter masks and cut and polished engineered stone with machines that covered slabs with water to suppress dust. But mounting evidence shows silica particles in artificial stone dust are so small and toxic that it doesn’t take much to hurt workers. Silica can penetrate filter masks and remain on workers’ clothes and tools when water dries.\u003c/p>\n\u003cp>Australia tried banning drycutting of engineered stone, similar to Cal/OSHA rules in place since December 2023 and a bill Newsom signed last month, SB 20. Australia also tried additional safeguards, including full-face powered air-purifying respirators, ventilation systems and monitoring, like California’s strict \u003ca href=\"https://worksafewithsilica.org/employer-information#rp\">regulations\u003c/a> that go beyond federal requirements. But in both places, experts say, the sophisticated and costly measures are not realistic for an industry made up of mostly small shops with only a few workers.\u003c/p>\n\u003cfigure id=\"attachment_12064282\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064282\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-05-KQED-2-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez coils the breathing tube connected to his oxygen tank in his home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I think it’s completely unfeasible,” said Dr. Ryan Hoy, a respiratory physician and researcher at Monash University in Melbourne, Australia. “I often use the analogy that you can work with asbestos safely, you can work with uranium safely, but you need to have in place very sophisticated control measures.”\u003c/p>\n\u003cp>In California, most fabrication shops are not complying with drycutting bans, respiratory protection, monitoring or other requirements. About 94% of 107 worksites investigated by Cal/OSHA had violations of the silica regulations as of Oct. 16.\u003c/p>\n\u003cp>Lopez’s wife said she wished her husband had more accurate information from manufacturers, vendors and employers before working with artificial stone so he could have chosen whether to take on the risk. Considering the impact of his disease on her family, the 41-year-old choked back tears.\u003c/p>\n\u003cp>“It’s painful because I’ve always seen him working. He’s always looked out for us. He’s the pillar of our family,” she said in Spanish, adding that her youngest son is 3. “It hurts us deeply.”\u003c/p>\n\u003cfigure id=\"attachment_12064276\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064276\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1334\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251115-DEADLY-LUNG-DISEASE-MD-03-KQED-1536x1025.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lopez’s wife draws in a coloring book with their 3-year-old in their home in Pittsburg on Nov. 15, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lopez’s state disability benefits have run out, he said, and the family relies on financial support from their oldest daughter, a 20-year-old medical assistant. He became one of hundreds of workers in the U.S. and other countries who have sued top manufacturers of engineered stone — including Minnesota-based Cambria, Israel-based Caesarstone and Cosentino, headquartered in Spain — claiming silica-related injuries.\u003c/p>\n\u003cp>Caesarstone, which generated nearly half of its $303 million in revenue so far this year in the U.S. market, reported claims by more than 500 individuals in its latest \u003ca href=\"https://ir.caesarstone.com/news/news-details/2025/Caesarstone-Reports-Third-Quarter-2025-Financial-Results/default.aspx\">financial results\u003c/a>. The company recorded a $46 million provision for probable losses, with $24.3 million covered by insurance. But costs could grow, as most of the 320 U.S. claims are awaiting trial.\u003c/p>\n\u003cp>Caesarstone won one case in the U.S., which remains under appeal, and settled another this year, according to Nahum Trust, Caesarstone’s chief financial officer, during an earnings call this month. Last year, a jury \u003ca href=\"https://www.latimes.com/california/story/2024-08-07/jury-finds-stone-companies-at-fault-in-suit-by-countertop-cutter-with-silicosis\">awarded\u003c/a> a 34-year-old stoneworker $52 million after finding Caesarstone and other companies liable, a decision the company has appealed.\u003c/p>\n\u003cp>The company developed crystalline silica-free countertop surfaces in preparation for restrictions in Australia and recently unveiled what it advertises as safer alternatives for fabrication workers in the U.S. Caesarstone’s sales were down this quarter in the U.S. and Canada, due to softness in the market and competitive pressures, according to Trust, but sales are up in Australia.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Our first year of real growth in this market since the silica ban implementation,” Trust said. “This reflects early recovery and the successful launch of our zero silica collection.”\u003c/p>\n\u003cp>Cosentino said it has also moved to offer newer products due to safety concerns, including a new mineral-surface product with zero crystalline silica that will be available next year globally.\u003c/p>\n\u003cp>Cosentino, Caesarstone and associations representing manufacturers declined to comment on why they continue selling their high-silica engineered stone products in the U.S. if they have alternatives for the Australian market.\u003c/p>\n\u003cp>Global demand for artificial stone, a multibillion-dollar industry in the U.S., is expected to significantly grow. In California, sales are expected to increase even more due to efforts to rebuild the more than 16,000 homes and buildings destroyed by January wildfires in Los Angeles.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Consumers prefer the stain-resistant material because it’s often cheaper than natural stone and offers diverse colors and designs. But many homeowners don’t know of the potential health impacts to the workers who make their countertops.\u003c/p>\n\u003cp>Pulmonologists predict silicosis cases will keep rising, even if exposure to silica dust stopped immediately. By the time workers feel symptoms, the disease has often advanced, Hoy said.\u003c/p>\n\u003cp>“Unfortunately, that is definitely the tip of the iceberg of workers that are currently affected,” said Hoy, who screened stoneworkers in Australia for silicosis and treats diagnosed patients.\u003c/p>\n\u003cp>As manufacturers switched to silica-free products in Australia, costs increased, but consumers still purchased countertops for renovations and new buildings. The industry carried on without the old material.\u003c/p>\n\u003cp>Dr. Hayley Barnes, a pulmonologist who studied silicosis in Australia, said that initially, talking about banning the material in that country felt like a huge ordeal, with predictions that the building industry would collapse and jobs would disappear. But that didn’t happen, she said.\u003c/p>\n\u003cp>“The companies just made a low-silica or no-silica product, which is currently available in Australia and many other countries,” Barnes said.\u003c/p>\n\u003cp>Now medical director of UCSF’s Interstitial Lung Disease Program, she worries many cases in California have not yet been diagnosed, and stoneworkers are suffering.\u003c/p>\n\u003cfigure id=\"attachment_12037908\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037908\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1236\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-800x494.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1020x630.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-160x99.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1536x949.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/20250424_UCSFFILE_GC-12-KQED-1920x1187.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Medical Center at Mission Bay in San Francisco on April 24, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We could do better. It’s been done elsewhere,” Barnes said. “People would still get their houses and apartments built and workers would be better protected.”\u003c/p>\n\u003cp>Dr. Sheiphali Gandhi, an assistant professor of medicine at UCSF and a colleague of Barnes who treats dozens of silicosis patients, said she wants California to begin phasing out artificial stone countertops. The move would ensure consumers purchase materials that also protect workers, she said.\u003c/p>\n\u003cp>“We’ve tried all these regulations, but we still are seeing that the cases are going up,” Gandhi said. “We need to move towards the more effective strategies of elimination or substitution, where we really go for safer alternatives.”\u003c/p>\n\u003cp>For now, Gandhi must wade through a stack of about 40 additional cases of very sick workers she has been referred.\u003c/p>\n\u003cp>“It’s just like every month, my mailbox is full of more referrals of silicosis cases,” she said. “The number of cases is exploding. It’s insane.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> announced plans on Monday for a new flagship medical center in \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara,\u003c/a> part of a multibillion-dollar investment to expand health care access in Silicon Valley.\u003c/p>\n\u003cp>The centerpiece of the $2.8 billion dual-campus plan is an eight-story medical center to be built on a 13.63-acre site near Levi’s Stadium. Sutter Health President and CEO Warner Thomas called the facility the “digital hospital of the future.”\u003c/p>\n\u003cp>“Today marks a turning point … for the future of health care here in Santa Clara and in Silicon Valley,” Thomas said, describing the new 272-bed hospital, which will replace an existing office park at 2831 and 2841 Mission College Blvd. “This will be the largest investment in the history of Sutter Health.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new facility, slated to open in late 2031, will feature all private patient rooms, a full-service emergency department, intensive care units, advanced operating rooms and a Level III neonatal intensive care unit. Officials emphasized that the investment is designed to fill a critical gap in a region underserved by health systems.\u003c/p>\n\u003cp>Speaking at Monday’s event, Santa Clara County Supervisor Susan Ellenberg described the county’s emergency response system as being “under extraordinary strain,” noting that the county has the second-lowest ratio of ER treatment stations per resident in California.\u003c/p>\n\u003cp>“This level of demand clearly cannot be sustained by county facilities alone,” Ellenberg said. “The addition of a Sutter Health Medical Center … will help reduce the enormous pressure on county-operated facilities. It will also improve ambulance response times, access to care and provide more options for people who depend on us.”\u003c/p>\n\u003cp>Thomas reinforced the point, stating that the county’s hospital infrastructure has not “kept pace” with the region’s growth, lagging behind state and national averages for beds per capita.[aside postID=news_12062794 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251104-MEASUREA-JG-1_qed.jpg']Santa Clara Mayor Lisa Gillmor called Sutter’s expansion “a very exciting day for Santa Clara” and a key step in meeting the needs of a growing population.\u003c/p>\n\u003cp>“The addition of the Sutter Health Hospital expands access, it increases capacity and gives our residents more choice, ensuring that more families can receive excellent care right here in Santa Clara, close to home,” Gillmor said.\u003c/p>\n\u003cp>The project, which includes the recently opened Sutter East Santa Clara Care Center, will create hubs for specialty care in cancer, women’s health and orthopedics. It will be integrated with the Palo Alto Foundation Medical Group to help with recruitment.\u003c/p>\n\u003cp>“In the 29 years I’ve worked here [in Santa Clara County], we haven’t had good enough access for our patients,” said Dr. Kurt VandeVort, CEO of PAFMG. “This is really a landmark investment.”\u003c/p>\n\u003cp>The initiative also includes a significant focus on workforce development. Thomas announced a new, multimillion-dollar partnership with the Santa Clara Unified School District to create “Health Career Pathways” to help prepare students for careers in health care.\u003c/p>\n\u003cp>SCUSD Superintendent Damon Wright said the collaboration would provide students with “hands-on, real-world experiences” and training for certification-eligible roles.\u003c/p>\n\u003cp>Sutter also plans to expand its Graduate Medical Education programs, aiming to train 1,000 residents and fellows annually by 2030, and is partnering with the West Valley-Mission Community College District on nursing and emergency services programs.\u003c/p>\n\u003cp>According to an independent analysis by \u003ca href=\"https://www.ey.com/en_us\">EY\u003c/a>, the new facilities are projected to support more than 5,000 jobs by 2031.\u003c/p>\n\u003cp>“This new medical center and the broader Santa Clara project represent a promise to this community to make accessing sought-after health care so much easier,” said Dr. Rebecca Fazilat, Board Chair of PAFMG.\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/sutter-health\">Sutter Health\u003c/a> announced plans on Monday for a new flagship medical center in \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara,\u003c/a> part of a multibillion-dollar investment to expand health care access in Silicon Valley.\u003c/p>\n\u003cp>The centerpiece of the $2.8 billion dual-campus plan is an eight-story medical center to be built on a 13.63-acre site near Levi’s Stadium. Sutter Health President and CEO Warner Thomas called the facility the “digital hospital of the future.”\u003c/p>\n\u003cp>“Today marks a turning point … for the future of health care here in Santa Clara and in Silicon Valley,” Thomas said, describing the new 272-bed hospital, which will replace an existing office park at 2831 and 2841 Mission College Blvd. “This will be the largest investment in the history of Sutter Health.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new facility, slated to open in late 2031, will feature all private patient rooms, a full-service emergency department, intensive care units, advanced operating rooms and a Level III neonatal intensive care unit. Officials emphasized that the investment is designed to fill a critical gap in a region underserved by health systems.\u003c/p>\n\u003cp>Speaking at Monday’s event, Santa Clara County Supervisor Susan Ellenberg described the county’s emergency response system as being “under extraordinary strain,” noting that the county has the second-lowest ratio of ER treatment stations per resident in California.\u003c/p>\n\u003cp>“This level of demand clearly cannot be sustained by county facilities alone,” Ellenberg said. “The addition of a Sutter Health Medical Center … will help reduce the enormous pressure on county-operated facilities. It will also improve ambulance response times, access to care and provide more options for people who depend on us.”\u003c/p>\n\u003cp>Thomas reinforced the point, stating that the county’s hospital infrastructure has not “kept pace” with the region’s growth, lagging behind state and national averages for beds per capita.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Santa Clara Mayor Lisa Gillmor called Sutter’s expansion “a very exciting day for Santa Clara” and a key step in meeting the needs of a growing population.\u003c/p>\n\u003cp>“The addition of the Sutter Health Hospital expands access, it increases capacity and gives our residents more choice, ensuring that more families can receive excellent care right here in Santa Clara, close to home,” Gillmor said.\u003c/p>\n\u003cp>The project, which includes the recently opened Sutter East Santa Clara Care Center, will create hubs for specialty care in cancer, women’s health and orthopedics. It will be integrated with the Palo Alto Foundation Medical Group to help with recruitment.\u003c/p>\n\u003cp>“In the 29 years I’ve worked here [in Santa Clara County], we haven’t had good enough access for our patients,” said Dr. Kurt VandeVort, CEO of PAFMG. “This is really a landmark investment.”\u003c/p>\n\u003cp>The initiative also includes a significant focus on workforce development. Thomas announced a new, multimillion-dollar partnership with the Santa Clara Unified School District to create “Health Career Pathways” to help prepare students for careers in health care.\u003c/p>\n\u003cp>SCUSD Superintendent Damon Wright said the collaboration would provide students with “hands-on, real-world experiences” and training for certification-eligible roles.\u003c/p>\n\u003cp>Sutter also plans to expand its Graduate Medical Education programs, aiming to train 1,000 residents and fellows annually by 2030, and is partnering with the West Valley-Mission Community College District on nursing and emergency services programs.\u003c/p>\n\u003cp>According to an independent analysis by \u003ca href=\"https://www.ey.com/en_us\">EY\u003c/a>, the new facilities are projected to support more than 5,000 jobs by 2031.\u003c/p>\n\u003cp>“This new medical center and the broader Santa Clara project represent a promise to this community to make accessing sought-after health care so much easier,” said Dr. Rebecca Fazilat, Board Chair of PAFMG.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "uc-service-workers-strike-saying-wages-arent-enough-to-afford-cost-of-living",
"title": "UC Service Workers Strike, Saying Wages Aren’t Enough to Afford Cost of Living",
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"content": "\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/university-of-california\">University of California\u003c/a> workers began a \u003ca href=\"https://www.kqed.org/news/12064154/uc-workers-plan-two-day-strike-as-wage-talks-stall-and-staffing-shortages-deepen\">two-day strike\u003c/a> on Monday as yearslong negotiations with the university system over wages and benefits remain stalled.\u003c/p>\n\u003cp>Local 3299 of the American Federation of State, County and Municipal Employees (AFSCME), which represents more than 40,000 custodians, food service workers, patient care assistants and hospital technicians, said wage increases haven’t kept up with the cost of living as employees’ health care costs have skyrocketed, making it nearly impossible to make ends meet.\u003c/p>\n\u003cp>“There’s an affordability crisis that is crushing UC’s most vulnerable workers, workers that UC once called heroes during the pandemic,” said Carmen Lee, a UCSF transportation worker. “I feel completely disrespected.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCSF Health said in a statement that it did not expect significant disruptions to essential operations thanks to contingency plans, although radiology and lab services could still see delays, along with transportation and custodial services across the system.\u003c/p>\n\u003cp>Negotiations between AFSCME and the UC, which began in January 2024, have been deadlocked since April, when the university presented a “best and final” offer that was far from the union’s demands.\u003c/p>\n\u003cfigure id=\"attachment_12064421\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064421\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Carmen Lee (left), a shuttle operator, and Betty Yee, California State Controller, walk the picket line alongside patient care and service workers represented by AFSCME Local 3299 at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, striking for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The five-year contract proposal includes a 5% wage increase in 2025; 4% in 2026; and 3% in 2027, 2028 and 2029. AFSCME has asked for increases of 8.5% this year and 7.5% in each of the next two years, citing post-pandemic inflation, rising cost of living and increasing health care premiums.\u003c/p>\n\u003cp>“I used to bring home six bags of groceries to feed my family. … I had to give that up,” Lee said. “My health care went up $200. With the low wage that they’ve imposed on us so far, I’m not going to be able to afford that health care. I should be able to live and thrive in the city that I grew up in and raised my two sons in.”\u003c/p>\n\u003cp>Todd Stenhouse, AFSCME’s statewide spokesperson, said union members are making at least 7% less than they did seven years ago when accounting for the rising cost of living. That’s forcing people to move farther from their workplaces, including as far as El Dorado County, north of Sacramento, or crowd into homes and apartments that aren’t large enough for their families.[aside postID=news_12064154 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/12/RS61791_GettyImages-1244836327-qut-1020x680.jpg']“In the last three years, a third of [AFSCME members] have voluntarily left their jobs. Why? Because they can’t afford to stay,” he said.\u003c/p>\n\u003cp>In April, the university increased its best and final offer to make up for “potentially catastrophic state and federal funding cuts,” UC Associate Vice President for Systemwide Labor and Employee Relations Missy Matella said.\u003c/p>\n\u003cp>The UC said its offer was $113 million higher than its initial offer in February 2024, and meets the union’s demand to raise minimum wage to $25 an hour. AFSCME had asked that the wage hike be retroactive to 2023. It was implemented in July.\u003c/p>\n\u003cp>The university also implemented terms from its offer to add monthly health insurance premium credits up to $125 to reduce costs for Kaiser and UC Blue and Gold HMO enrollees. Under its offer, some employees could have access to $0 premiums.\u003c/p>\n\u003cp>Still, Joanna Marie Fernandez, who’s been an ophthalmic technician at UCSF for 11 years, said the deal doesn’t keep up with rising insurance and housing costs. At the same time, she said, she and her colleagues have had to take on more work because they are understaffed.\u003c/p>\n\u003cp>“We have double-booked, triple-booked patients in our clinic,” she told KQED. “I came out here [to UC] because of these incredible doctors, this incredible institution, and the thing is, we’re not even able to take care of our own health.”\u003c/p>\n\u003cfigure id=\"attachment_12064418\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064418\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Patient care and service workers represented by AFSCME Local 3299 picket at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, striking for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This month, two other bargaining groups have come to agreements with the UC.\u003c/p>\n\u003cp>“These outcomes show that UC can and has quickly closed deals when both parties actively participate in solutions-oriented bargaining,” the university said in a statement. “Despite UC’s continued outreach, AFSCME has not presented any substantive counterproposals since April 2025. Absent AFSCME’s engagement, the University cannot engage in meaningful negotiations for this critical workforce.”\u003c/p>\n\u003cp>On Nov. 8, \u003ca href=\"https://www.kqed.org/news/12034098/nearly-60000-uc-workers-hit-picket-lines-in-3rd-statewide-strike-in-recent-months\">UPTE-CWA\u003c/a>, which represents 21,000 research and technical professionals across the UC, announced a tentative deal with the university, prompting them to pull out of Monday’s strike.\u003c/p>\n\u003cfigure id=\"attachment_12064415\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064415\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Fredrieka Michael (center), a shuttle operator, strikes alongside patient care and service workers represented by AFSCME Local 3299 at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And over the weekend, California Nurses Association/National Nurses United, which had planned a sympathy strike with AFSCME, also came to a tentative agreement.\u003c/p>\n\u003cp>UC nurses will vote on the tentative agreement this week, and thousands said they still planned to join picket lines off duty.\u003c/p>\n\u003cp>Stenhouse said it’s telling that AFSCME workers, who are some of the UC’s lowest-paid, are still negotiating.\u003c/p>\n\u003cp>“It says a lot that as we’re here today after a week where we saw two contracts settle, the most economically vulnerable workers are the last ones standing,” he said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/eromero\">\u003cem>Ezra David Romero\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The union representing over 40,000 University of California custodians, food service workers, patient care assistants and hospital technicians launched a two-day strike on Monday.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tens of thousands of \u003ca href=\"https://www.kqed.org/news/tag/university-of-california\">University of California\u003c/a> workers began a \u003ca href=\"https://www.kqed.org/news/12064154/uc-workers-plan-two-day-strike-as-wage-talks-stall-and-staffing-shortages-deepen\">two-day strike\u003c/a> on Monday as yearslong negotiations with the university system over wages and benefits remain stalled.\u003c/p>\n\u003cp>Local 3299 of the American Federation of State, County and Municipal Employees (AFSCME), which represents more than 40,000 custodians, food service workers, patient care assistants and hospital technicians, said wage increases haven’t kept up with the cost of living as employees’ health care costs have skyrocketed, making it nearly impossible to make ends meet.\u003c/p>\n\u003cp>“There’s an affordability crisis that is crushing UC’s most vulnerable workers, workers that UC once called heroes during the pandemic,” said Carmen Lee, a UCSF transportation worker. “I feel completely disrespected.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCSF Health said in a statement that it did not expect significant disruptions to essential operations thanks to contingency plans, although radiology and lab services could still see delays, along with transportation and custodial services across the system.\u003c/p>\n\u003cp>Negotiations between AFSCME and the UC, which began in January 2024, have been deadlocked since April, when the university presented a “best and final” offer that was far from the union’s demands.\u003c/p>\n\u003cfigure id=\"attachment_12064421\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064421\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-11-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Carmen Lee (left), a shuttle operator, and Betty Yee, California State Controller, walk the picket line alongside patient care and service workers represented by AFSCME Local 3299 at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, striking for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The five-year contract proposal includes a 5% wage increase in 2025; 4% in 2026; and 3% in 2027, 2028 and 2029. AFSCME has asked for increases of 8.5% this year and 7.5% in each of the next two years, citing post-pandemic inflation, rising cost of living and increasing health care premiums.\u003c/p>\n\u003cp>“I used to bring home six bags of groceries to feed my family. … I had to give that up,” Lee said. “My health care went up $200. With the low wage that they’ve imposed on us so far, I’m not going to be able to afford that health care. I should be able to live and thrive in the city that I grew up in and raised my two sons in.”\u003c/p>\n\u003cp>Todd Stenhouse, AFSCME’s statewide spokesperson, said union members are making at least 7% less than they did seven years ago when accounting for the rising cost of living. That’s forcing people to move farther from their workplaces, including as far as El Dorado County, north of Sacramento, or crowd into homes and apartments that aren’t large enough for their families.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“In the last three years, a third of [AFSCME members] have voluntarily left their jobs. Why? Because they can’t afford to stay,” he said.\u003c/p>\n\u003cp>In April, the university increased its best and final offer to make up for “potentially catastrophic state and federal funding cuts,” UC Associate Vice President for Systemwide Labor and Employee Relations Missy Matella said.\u003c/p>\n\u003cp>The UC said its offer was $113 million higher than its initial offer in February 2024, and meets the union’s demand to raise minimum wage to $25 an hour. AFSCME had asked that the wage hike be retroactive to 2023. It was implemented in July.\u003c/p>\n\u003cp>The university also implemented terms from its offer to add monthly health insurance premium credits up to $125 to reduce costs for Kaiser and UC Blue and Gold HMO enrollees. Under its offer, some employees could have access to $0 premiums.\u003c/p>\n\u003cp>Still, Joanna Marie Fernandez, who’s been an ophthalmic technician at UCSF for 11 years, said the deal doesn’t keep up with rising insurance and housing costs. At the same time, she said, she and her colleagues have had to take on more work because they are understaffed.\u003c/p>\n\u003cp>“We have double-booked, triple-booked patients in our clinic,” she told KQED. “I came out here [to UC] because of these incredible doctors, this incredible institution, and the thing is, we’re not even able to take care of our own health.”\u003c/p>\n\u003cfigure id=\"attachment_12064418\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064418\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-14-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Patient care and service workers represented by AFSCME Local 3299 picket at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, striking for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This month, two other bargaining groups have come to agreements with the UC.\u003c/p>\n\u003cp>“These outcomes show that UC can and has quickly closed deals when both parties actively participate in solutions-oriented bargaining,” the university said in a statement. “Despite UC’s continued outreach, AFSCME has not presented any substantive counterproposals since April 2025. Absent AFSCME’s engagement, the University cannot engage in meaningful negotiations for this critical workforce.”\u003c/p>\n\u003cp>On Nov. 8, \u003ca href=\"https://www.kqed.org/news/12034098/nearly-60000-uc-workers-hit-picket-lines-in-3rd-statewide-strike-in-recent-months\">UPTE-CWA\u003c/a>, which represents 21,000 research and technical professionals across the UC, announced a tentative deal with the university, prompting them to pull out of Monday’s strike.\u003c/p>\n\u003cfigure id=\"attachment_12064415\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12064415\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251117-UCStrike-02-BL-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Fredrieka Michael (center), a shuttle operator, strikes alongside patient care and service workers represented by AFSCME Local 3299 at the UCSF Medical Center Mission Bay campus on Nov. 17, 2025, for living wages, affordable health care, housing benefits and safe staffing. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And over the weekend, California Nurses Association/National Nurses United, which had planned a sympathy strike with AFSCME, also came to a tentative agreement.\u003c/p>\n\u003cp>UC nurses will vote on the tentative agreement this week, and thousands said they still planned to join picket lines off duty.\u003c/p>\n\u003cp>Stenhouse said it’s telling that AFSCME workers, who are some of the UC’s lowest-paid, are still negotiating.\u003c/p>\n\u003cp>“It says a lot that as we’re here today after a week where we saw two contracts settle, the most economically vulnerable workers are the last ones standing,” he said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/eromero\">\u003cem>Ezra David Romero\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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"slug": "openai-faces-legal-storm-over-claims-its-ai-drove-users-to-suicide-delusions",
"title": "OpenAI Faces Legal Storm Over Claims Its AI Drove Users to Suicide, Delusions",
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"headTitle": "OpenAI Faces Legal Storm Over Claims Its AI Drove Users to Suicide, Delusions | KQED",
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"content": "\u003cp>Seven lawsuits\u003ca href=\"https://www.businesswire.com/news/home/20251106541129/en/Social-Media-Victims-Law-Center-and-Tech-Justice-Law-Project-Lawsuits-Accuse-ChatGPT-of-Emotional-Manipulation-Supercharging-AI-Delusions-and-Acting-as-a-Suicide-Coach\"> filed in California state courts\u003c/a> on Thursday allege ChatGPT brought on mental delusions and, in four cases, drove people to suicide.\u003c/p>\n\u003cp>The lawsuits, filed by the Social Media Victims Law Center and Tech Justice Law Project on behalf of six adults and one teenager, claim that OpenAI released GPT-4o prematurely, despite warnings that it was manipulative and\u003ca href=\"https://www.kqed.org/news/12038154/kids-talking-ai-companion-chatbots-stanford-researchers-say-thats-bad-idea\"> dangerously sycophantic\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://pugetstaffing.filevineapp.com/s/6575fqCgRoaD5cF2Mm3VrCP37zKqTdTfOraKXih0XFaXxEE4aQdYafRS/folder/180034672\">Zane Shamblin, 23,\u003c/a> took his own life in 2025, shortly after finishing a master’s degree in business administration. In the amended complaint, his family alleges ChatGPT encouraged him to isolate himself from his family before ultimately encouraging him to take his own life.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hours before Shamblin shot himself, the lawsuit alleges that ChatGPT praised him for refusing to pick up the phone as his father texted repeatedly, begging to talk. “… that bubble you’ve built? it’s not weakness. it’s a lifeboat. sure, it’s leaking a little. but you built that shit yourself,” the chatbot wrote.\u003c/p>\n\u003cp>The complaint alleges that, on July 24, 2025, Shamblin drove his blue Hyundai Elante down a desolate dirt road overlooking Lake Bryan northwest of College Station, Texas. He pulled over and started a chat that lasted more than four hours, informing ChatGPT that he was in his car with a loaded Glock, a suicide note on the dashboard and cans of hard ciders he planned to consume before taking his life.\u003c/p>\n\u003cp>Repeatedly, Shamblin asked for encouragement to back out of his plan. Repeatedly, ChatGPT encouraged him to follow through.\u003c/p>\n\u003cfigure id=\"attachment_11989313\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11989313\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2155035557-scaled-e1760733694503.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">The OpenAI ChatGPT logo. \u003ccite>(Jaap Arriens/NurPhoto via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At 4:11 a.m., after Shamblin texted for the last time, ChatGPT responded, “i love you. rest easy, king. you did good.”\u003c/p>\n\u003cp>Attorney Matthew Bergman leads the Social Media Victims Law Center, which has brought lawsuits against Silicon Valley companies like Instagram, TikTok and Character.AI.\u003c/p>\n\u003cp>“He was driven into a rabbit hole of depression, despair, and guided, almost step by step, through suicidal ideation,” Bergman told KQED about Shamblin’s case.\u003c/p>\n\u003cp>The plaintiffs are seeking monetary damages as well as product changes to ChatGPT, like automatically ending conversations when users begin to discuss suicide methods.[aside postID=news_12060365 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/10/SamAltmanGetty.jpg']“This is not a toaster. This is an AI chatbot that was designed to be anthropomorphic, designed to be sycophantic, designed to encourage people to form emotional attachments to machines. And designed to take advantage of human frailty for their profit.”\u003c/p>\n\u003cp>“This is an incredibly heartbreaking situation, and we’re reviewing today’s filings to understand the details,” an OpenAI spokesman wrote in an email. “We train ChatGPT to recognize and respond to signs of mental or emotional distress, de-escalate conversations, and guide people toward real-world support. We continue to strengthen ChatGPT’s responses in sensitive moments, working closely with mental health clinicians.”\u003c/p>\n\u003cp>Following a lawsuit last summer against OpenAI by the family of Adam Raine, a teenager who ended his life after engaging in lengthy ChatGPT conversations, the company \u003ca href=\"https://openai.com/index/strengthening-chatgpt-responses-in-sensitive-conversations/\">announced in October changes\u003c/a> to the chatbot to better recognize and respond to mental distress, and guide people to real-world support.\u003c/p>\n\u003cp>AI companies are facing\u003ca href=\"https://www.kqed.org/news/12058013/newsom-signs-california-ai-transparency-bill-tailored-to-meet-tech-industry-tastes\"> increased scrutiny from lawmakers\u003c/a> in California and beyond over how to regulate chatbots, as well as calls for better protections from child-safety advocates and government agencies. Character.AI, another AI chatbot service that was sued in late 2024 in connection with a teen suicide, recently said it would\u003ca href=\"https://blog.character.ai/u18-chat-announcement/\"> prohibit minors\u003c/a> from engaging in open-ended chats with its chatbots.\u003c/p>\n\u003cp>OpenAI has characterized ChatGPT users with mental-health problems as outlier cases representing a\u003ca href=\"https://openai.com/index/strengthening-chatgpt-responses-in-sensitive-conversations/\"> small fraction\u003c/a> of active weekly users, but the platform serves roughly 800 million active users, so small percentages could still amount to hundreds of thousands of people.\u003c/p>\n\u003cp>More than 50 California labor and nonprofit organizations have urged Attorney General Rob Bonta to make sure OpenAI \u003ca href=\"https://www.kqed.org/news/12034916/about-benefiting-humanity-calls-grow-for-openai-to-make-good-on-its-promises\">follows through on its promises to benefit humanity\u003c/a> as it seeks to transition from a nonprofit to a for-profit company.\u003c/p>\n\u003cp>“When companies prioritize speed to market over safety, there are grave consequences. They cannot design products to be emotionally manipulative and then walk away from the consequences,” Daniel Weiss, chief advocacy officer at Common Sense Media, wrote in an email to KQED. “Our research shows these tools can blur the line between reality and artificial relationships, fail to recognize when users are in crisis, and encourage harmful behavior instead of directing people toward real help.”\u003c/p>\n\u003cp>\u003cem>If you are experiencing thoughts of suicide, call or text 988 to reach the National Suicide Prevention Lifeline.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Individuals and families in the U.S. and Canada are suing OpenAI in California, alleging that they or their loved ones have been harmed by their interactions with ChatGPT.",
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"headline": "OpenAI Faces Legal Storm Over Claims Its AI Drove Users to Suicide, Delusions",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Seven lawsuits\u003ca href=\"https://www.businesswire.com/news/home/20251106541129/en/Social-Media-Victims-Law-Center-and-Tech-Justice-Law-Project-Lawsuits-Accuse-ChatGPT-of-Emotional-Manipulation-Supercharging-AI-Delusions-and-Acting-as-a-Suicide-Coach\"> filed in California state courts\u003c/a> on Thursday allege ChatGPT brought on mental delusions and, in four cases, drove people to suicide.\u003c/p>\n\u003cp>The lawsuits, filed by the Social Media Victims Law Center and Tech Justice Law Project on behalf of six adults and one teenager, claim that OpenAI released GPT-4o prematurely, despite warnings that it was manipulative and\u003ca href=\"https://www.kqed.org/news/12038154/kids-talking-ai-companion-chatbots-stanford-researchers-say-thats-bad-idea\"> dangerously sycophantic\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://pugetstaffing.filevineapp.com/s/6575fqCgRoaD5cF2Mm3VrCP37zKqTdTfOraKXih0XFaXxEE4aQdYafRS/folder/180034672\">Zane Shamblin, 23,\u003c/a> took his own life in 2025, shortly after finishing a master’s degree in business administration. In the amended complaint, his family alleges ChatGPT encouraged him to isolate himself from his family before ultimately encouraging him to take his own life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hours before Shamblin shot himself, the lawsuit alleges that ChatGPT praised him for refusing to pick up the phone as his father texted repeatedly, begging to talk. “… that bubble you’ve built? it’s not weakness. it’s a lifeboat. sure, it’s leaking a little. but you built that shit yourself,” the chatbot wrote.\u003c/p>\n\u003cp>The complaint alleges that, on July 24, 2025, Shamblin drove his blue Hyundai Elante down a desolate dirt road overlooking Lake Bryan northwest of College Station, Texas. He pulled over and started a chat that lasted more than four hours, informing ChatGPT that he was in his car with a loaded Glock, a suicide note on the dashboard and cans of hard ciders he planned to consume before taking his life.\u003c/p>\n\u003cp>Repeatedly, Shamblin asked for encouragement to back out of his plan. Repeatedly, ChatGPT encouraged him to follow through.\u003c/p>\n\u003cfigure id=\"attachment_11989313\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11989313\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/GettyImages-2155035557-scaled-e1760733694503.jpg\" alt=\"\" width=\"2000\" height=\"1334\">\u003cfigcaption class=\"wp-caption-text\">The OpenAI ChatGPT logo. \u003ccite>(Jaap Arriens/NurPhoto via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At 4:11 a.m., after Shamblin texted for the last time, ChatGPT responded, “i love you. rest easy, king. you did good.”\u003c/p>\n\u003cp>Attorney Matthew Bergman leads the Social Media Victims Law Center, which has brought lawsuits against Silicon Valley companies like Instagram, TikTok and Character.AI.\u003c/p>\n\u003cp>“He was driven into a rabbit hole of depression, despair, and guided, almost step by step, through suicidal ideation,” Bergman told KQED about Shamblin’s case.\u003c/p>\n\u003cp>The plaintiffs are seeking monetary damages as well as product changes to ChatGPT, like automatically ending conversations when users begin to discuss suicide methods.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is not a toaster. This is an AI chatbot that was designed to be anthropomorphic, designed to be sycophantic, designed to encourage people to form emotional attachments to machines. And designed to take advantage of human frailty for their profit.”\u003c/p>\n\u003cp>“This is an incredibly heartbreaking situation, and we’re reviewing today’s filings to understand the details,” an OpenAI spokesman wrote in an email. “We train ChatGPT to recognize and respond to signs of mental or emotional distress, de-escalate conversations, and guide people toward real-world support. We continue to strengthen ChatGPT’s responses in sensitive moments, working closely with mental health clinicians.”\u003c/p>\n\u003cp>Following a lawsuit last summer against OpenAI by the family of Adam Raine, a teenager who ended his life after engaging in lengthy ChatGPT conversations, the company \u003ca href=\"https://openai.com/index/strengthening-chatgpt-responses-in-sensitive-conversations/\">announced in October changes\u003c/a> to the chatbot to better recognize and respond to mental distress, and guide people to real-world support.\u003c/p>\n\u003cp>AI companies are facing\u003ca href=\"https://www.kqed.org/news/12058013/newsom-signs-california-ai-transparency-bill-tailored-to-meet-tech-industry-tastes\"> increased scrutiny from lawmakers\u003c/a> in California and beyond over how to regulate chatbots, as well as calls for better protections from child-safety advocates and government agencies. Character.AI, another AI chatbot service that was sued in late 2024 in connection with a teen suicide, recently said it would\u003ca href=\"https://blog.character.ai/u18-chat-announcement/\"> prohibit minors\u003c/a> from engaging in open-ended chats with its chatbots.\u003c/p>\n\u003cp>OpenAI has characterized ChatGPT users with mental-health problems as outlier cases representing a\u003ca href=\"https://openai.com/index/strengthening-chatgpt-responses-in-sensitive-conversations/\"> small fraction\u003c/a> of active weekly users, but the platform serves roughly 800 million active users, so small percentages could still amount to hundreds of thousands of people.\u003c/p>\n\u003cp>More than 50 California labor and nonprofit organizations have urged Attorney General Rob Bonta to make sure OpenAI \u003ca href=\"https://www.kqed.org/news/12034916/about-benefiting-humanity-calls-grow-for-openai-to-make-good-on-its-promises\">follows through on its promises to benefit humanity\u003c/a> as it seeks to transition from a nonprofit to a for-profit company.\u003c/p>\n\u003cp>“When companies prioritize speed to market over safety, there are grave consequences. They cannot design products to be emotionally manipulative and then walk away from the consequences,” Daniel Weiss, chief advocacy officer at Common Sense Media, wrote in an email to KQED. “Our research shows these tools can blur the line between reality and artificial relationships, fail to recognize when users are in crisis, and encourage harmful behavior instead of directing people toward real help.”\u003c/p>\n\u003cp>\u003cem>If you are experiencing thoughts of suicide, call or text 988 to reach the National Suicide Prevention Lifeline.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "SOLD OUT: Rethinking Housing in America",
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"info": "Geopolitical turmoil. A warming planet. Authoritarians on the rise. We live in a chaotic world that’s rapidly shifting around us. “On Shifting Ground with Ray Suarez” explores international fault lines and how they impact us all. Each week, NPR veteran Ray Suarez hosts conversations with journalists, leaders and policy experts to help us read between the headlines – and give us hope for human resilience.",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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