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"content": "\u003cfigure id=\"attachment_15322\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 7pm: \u003c/strong>Covered California\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\"> extended the deadline\u003c/a> to sign up for a health insurance plan -- with some caveats.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>Covered California is seeing \"truly unprecedented enrollment,\" says executive director Peter Lee. Sunday was the busiest day ever -- that includes the days before the last big deadline in December. Just over 500,000 people enrolled in a Covered California plan by Dec 31, 2013. Covered California had reached the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/13/20000-people-starting-covered-california-applications-daily/\" target=\"_blank\">1 million mark\u003c/a> earlier in March. More than 1.2 million people had signed up for a plan as of 2am Monday morning. Nearly 400,000 people started applications in the last week.\u003c/p>\n\u003cp>To help keep the website running in the face of the surging traffic, Covered California is taking parts of it that don't have to do specifically with enrollment offline. The \"preview plans\" function is being disabled, although people can still use \"shop and compare.\"\u003c/p>\n\u003cp>If traffic gets very high, individuals might find themselves logged out once they have started their application -- but before they have picked a health insurance plan. \"We know that's not ideal, but we want to make sure the people that want to enroll can get in the system,\" Lee says.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lee says an onscreen message will state that the customer still needs to pick a plan, but has two weeks to do so. \"We say very clearly that given the high demand, we cannot help you complete the application right now.\"\u003c/p>\n\u003cp>In addition to enrolling online, people can also sign up at an enrollment event -- a handful of counties have them in the afternoon and evening on Monday. (Note that depending on your browser, you might need to scroll down to find your county when you check \u003ca href=\"https://www.coveredca.com/events/\" target=\"_blank\">this site\u003c/a>.)\u003c/p>\n\u003cp>People can also sign up with a \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">certified insurance agent\u003c/a> -- a licensed insurance broker. This is at no cost to consumers; health insurance plan's pay brokers' premiums.\u003c/p>\n\u003cp>Here's a quick rundown of numbers as of Monday, 2AM:\u003c/p>\n\u003cul>\n\u003cli>1.2 million enrolled on Covered California\u003c/li>\n\u003cli>1.5 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>1.1 million \u003cspan>signed up through the Covered California website \"\u003c/span>\u003ca style=\"font-size: 14px\" href=\"http://news.coveredca.com/2014/03/covered-california-updates-enrollment.html\" target=\"_blank\">determined likely eligible\u003c/a>\u003cspan>\" for Medi-Cal\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>Lee said Covered California cannot say definitively how many of these nearly 4 million people were previously uninsured. \"It's something we should look at during a statewide survey so we can get a very clear picture,\" he said.\u003c/p>\n\u003cp>He said that 87 percent of people enrolled on Covered California qualify for a subsidy and it's likely many of them were previously uninsured. \"Of the many people who signed up with Medi-Cal, the expectation is the vast majority were previously uninsured,\" Lee said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"wfJlfpj4FA8pFh4wDHV3iY7xKIVpOB5E\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15322\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 7pm: \u003c/strong>Covered California\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\"> extended the deadline\u003c/a> to sign up for a health insurance plan -- with some caveats.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>Covered California is seeing \"truly unprecedented enrollment,\" says executive director Peter Lee. Sunday was the busiest day ever -- that includes the days before the last big deadline in December. Just over 500,000 people enrolled in a Covered California plan by Dec 31, 2013. Covered California had reached the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/13/20000-people-starting-covered-california-applications-daily/\" target=\"_blank\">1 million mark\u003c/a> earlier in March. More than 1.2 million people had signed up for a plan as of 2am Monday morning. Nearly 400,000 people started applications in the last week.\u003c/p>\n\u003cp>To help keep the website running in the face of the surging traffic, Covered California is taking parts of it that don't have to do specifically with enrollment offline. The \"preview plans\" function is being disabled, although people can still use \"shop and compare.\"\u003c/p>\n\u003cp>If traffic gets very high, individuals might find themselves logged out once they have started their application -- but before they have picked a health insurance plan. \"We know that's not ideal, but we want to make sure the people that want to enroll can get in the system,\" Lee says.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lee says an onscreen message will state that the customer still needs to pick a plan, but has two weeks to do so. \"We say very clearly that given the high demand, we cannot help you complete the application right now.\"\u003c/p>\n\u003cp>In addition to enrolling online, people can also sign up at an enrollment event -- a handful of counties have them in the afternoon and evening on Monday. (Note that depending on your browser, you might need to scroll down to find your county when you check \u003ca href=\"https://www.coveredca.com/events/\" target=\"_blank\">this site\u003c/a>.)\u003c/p>\n\u003cp>People can also sign up with a \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">certified insurance agent\u003c/a> -- a licensed insurance broker. This is at no cost to consumers; health insurance plan's pay brokers' premiums.\u003c/p>\n\u003cp>Here's a quick rundown of numbers as of Monday, 2AM:\u003c/p>\n\u003cul>\n\u003cli>1.2 million enrolled on Covered California\u003c/li>\n\u003cli>1.5 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>1.1 million \u003cspan>signed up through the Covered California website \"\u003c/span>\u003ca style=\"font-size: 14px\" href=\"http://news.coveredca.com/2014/03/covered-california-updates-enrollment.html\" target=\"_blank\">determined likely eligible\u003c/a>\u003cspan>\" for Medi-Cal\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>Lee said Covered California cannot say definitively how many of these nearly 4 million people were previously uninsured. \"It's something we should look at during a statewide survey so we can get a very clear picture,\" he said.\u003c/p>\n\u003cp>He said that 87 percent of people enrolled on Covered California qualify for a subsidy and it's likely many of them were previously uninsured. \"Of the many people who signed up with Medi-Cal, the expectation is the vast majority were previously uninsured,\" Lee said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"wfJlfpj4FA8pFh4wDHV3iY7xKIVpOB5E\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv class=\"single-video\"> \u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"//www.youtube.com/embed/TdyEX-c19oI\" frameborder=\"0\" allowfullscreen>\u003c/iframe> \u003c/div>\n\u003cp>Today marks the end of UC San Francisco Chancellor \u003ca href=\"http://profiles.ucsf.edu/susan.desmond-hellmann\" target=\"_blank\" rel=\"noopener\">Susan Desmond-Hellmann\u003c/a>’s five-year tenure. In December, it was \u003ca href=\"http://www.gatesfoundation.org/Media-Center/Press-Releases/2013/12/Susan-Desmond-Hellmann-Named-Chief-Executive-Officer-of-the-Bill-and-Melinda-Gates-Foundation\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> that she would step down from her current position to become CEO of the Bill and Melinda Gates Foundation.\u003c/p>\n\u003cp>Desmond-Hellmann took over at UCSF in 2009, at a time of system-wide budget cuts, tuition increases and layoffs. As tuition continued to rise, she became the target of harsh criticism over high salaries for administrators and faculty.\u003c/p>\n\u003cp>“A 23,000 person, $4 billion university does not run on its own gas. It needs leadership,” she told KQED’s Scott Shafer recently. “The ability to hire people and pay them what they are worth is good for the state, good for the university, and shouldn’t be the subject of pandering.”\u003c/p>\n\u003cp>When she was appointed, Desmond-Hellmann became the first female Chancellor in UCSF’s 150-year history. Prior to joining the university, she directed the development of new drugs at biotech company Genentech, a background she said was more controversial than her gender.\u003c/p>\n\u003cp>“[I] felt no pressure as the first woman Chancellor. I did feel some pressure that individuals looked to me as a drug company lady,” Desmond-Hellmann told Shafer, adding that some in the university were originally “suspicious of my motives, suspicious that I would value private industry over our public mission.”\u003c/p>\n\u003caside class=\"pullquote alignleft\"> ‘A 23,000 person, $4 billion university does not run on its own gas. It needs leadership.’\u003cbr>\n\u003ccite>— Susan Desmond-Hellmann, UCSF Chancellor\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Despite initial skepticism and continuing budgetary struggles, Desmond-Hellmann helped UCSF become one of the top publicly funded medical schools in the country, boasting prestigious dentistry, medicine, nursing and pharmacy programs. In addition to robust research and clinical operations, Desmond-Hellmann points to the establishment of precision medicine as a distinguishing contribution to the University.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Genomics, electronic health records, self-monitoring. The ability to use algorithms to seek information in data, in what some people call ‘Big Data,’” she explained. “Massive amounts of information about you being pooled with other information in a network of knowledge that can … help care for you.”\u003c/p>\n\u003cp>Desmond-Hellmann points to UCSF’s location “in the heart of high tech” as a reason the school is perfectly positioned at the forefront of this new medical field.\u003c/p>\n\u003cp>University of California President Janet Napolitano praised Desmond-Hellmann’s contributions, saying despite “one of the worst fiscal crises in UC’s history,” she is leaving UCSF “a better, more vibrant institution than when she arrived.”\u003c/p>\n\u003cp>At the Gates Foundation, Desmond-Hellmann will focus on alleviating worldwide poverty, improving healthcare in developing countries and strengthening America’s educational system. In a memo to the UCSF community, she said she hopes “that my leadership can contribute to creating a more equitable world.”\u003c/p>\n\u003cp>UCSF is currently conducting a national search for a new chancellor to lead the university. In the meantime, Napolitano has appointed UCSF School of Medicine Dean Sam Hawgood as interim chancellor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Another version of\u003c/em> \u003cem>this story aired on “KQED Newsroom,” which is a weekly news magazine program on television, radio and online. Watch Fridays at 8 p.m. on KQED Public Television 9, listen on Sundays at 6 p.m. on KQED Public Radio 88.5 FM and watch on demand \u003ca href=\"http://www.kqed.org/tv/programs/newsroom/\" target=\"_blank\" rel=\"noopener\">here\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv class=\"single-video\"> \u003ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"//www.youtube.com/embed/TdyEX-c19oI\" frameborder=\"0\" allowfullscreen>\u003c/iframe> \u003c/div>\n\u003cp>Today marks the end of UC San Francisco Chancellor \u003ca href=\"http://profiles.ucsf.edu/susan.desmond-hellmann\" target=\"_blank\" rel=\"noopener\">Susan Desmond-Hellmann\u003c/a>’s five-year tenure. In December, it was \u003ca href=\"http://www.gatesfoundation.org/Media-Center/Press-Releases/2013/12/Susan-Desmond-Hellmann-Named-Chief-Executive-Officer-of-the-Bill-and-Melinda-Gates-Foundation\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> that she would step down from her current position to become CEO of the Bill and Melinda Gates Foundation.\u003c/p>\n\u003cp>Desmond-Hellmann took over at UCSF in 2009, at a time of system-wide budget cuts, tuition increases and layoffs. As tuition continued to rise, she became the target of harsh criticism over high salaries for administrators and faculty.\u003c/p>\n\u003cp>“A 23,000 person, $4 billion university does not run on its own gas. It needs leadership,” she told KQED’s Scott Shafer recently. “The ability to hire people and pay them what they are worth is good for the state, good for the university, and shouldn’t be the subject of pandering.”\u003c/p>\n\u003cp>When she was appointed, Desmond-Hellmann became the first female Chancellor in UCSF’s 150-year history. Prior to joining the university, she directed the development of new drugs at biotech company Genentech, a background she said was more controversial than her gender.\u003c/p>\n\u003cp>“[I] felt no pressure as the first woman Chancellor. I did feel some pressure that individuals looked to me as a drug company lady,” Desmond-Hellmann told Shafer, adding that some in the university were originally “suspicious of my motives, suspicious that I would value private industry over our public mission.”\u003c/p>\n\u003caside class=\"pullquote alignleft\"> ‘A 23,000 person, $4 billion university does not run on its own gas. It needs leadership.’\u003cbr>\n\u003ccite>— Susan Desmond-Hellmann, UCSF Chancellor\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Despite initial skepticism and continuing budgetary struggles, Desmond-Hellmann helped UCSF become one of the top publicly funded medical schools in the country, boasting prestigious dentistry, medicine, nursing and pharmacy programs. In addition to robust research and clinical operations, Desmond-Hellmann points to the establishment of precision medicine as a distinguishing contribution to the University.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>http://www.kqed.org/.stream/anon/radio/tcrmag/2014/03/20140328btcrmag.mp3\u003c/p>\n\u003cp>Procrastinators take note: Monday is the last day to get health insurance without facing a possible penalty under the Affordable Care Act, or Obamacare.\u003c/p>\n\u003cp>Covered California, the state’s online health insurance marketplace, says more than a million Californians have already bought insurance. But some people are waiting until the very last minute.\u003c/p>\n\u003cp>At a clinic in San Francisco’s Chinatown this week, a crush of people came in for help with their new coverage. “We have actually been very busy since the pre-enrollment started back in October. And our appointments are pretty much booked weeks in advance in terms of enrollment,” says Christina Ng.\u003c/p>\n\u003cp>She oversees Obamacare sign-ups for a group of nonprofit clinics serving the San Francisco Bay Area’s Asian community. Ng says most of the clients here don’t speak English — and most come from working families. “We actually have many, many patients who are eager to apply, who are eager to enroll, because before they didn’t have – they weren’t able to afford insurance. They didn’t have the opportunity,” she says. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Ng tells me all that has changed with the Affordable Care Act. Now, people who qualify for subsidies get help paying for private insurance — and more low-income Californians are eligible for Medi-Cal.\u003c/p>\n\u003cp>“They do try to, if they’re able to get coverage, just get the coverage and have coverage, and even (though) they may be paying $80 a month or $100 a month, it’s still better than having no coverage and paying the whole thing themselves,” she says.\u003c/p>\n\u003cp>So far, California has fallen far short of getting uninsured Latinos to sign up for insurance on the health care exchange. But Asian-Americans are a different story. They represent nearly 23 percent of new enrollees, far more than their portion of the eligible pool.\u003c/p>\n\u003cp>In a room off the main waiting room, clinic worker Judy Leung is helping Ivy Hong, a mother of three children, sign up for private insurance. “This is her family’s concern. In the United States, everyone has to have insurance. Otherwise, in case you don’t have insurance, when you’re sick then you have no access to care and this is very important to have medical insurance,” Hong explains.\u003c/p>\n\u003cp>Another big motivator, says Leung: Avoiding that tax penalty. People who don’t sign up for insurance by March 31 could have to pay a fine of up to 1 percent of their household income. \u003c/p>\n\u003cp>There is a little wiggle room, however. The state now says that as long as people begin the application process by midnight Monday, they’ll help them finish in time to avoid that penalty. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide for Californians\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Procrastinators take note: Monday is the last day to get health insurance without facing a possible penalty under the Affordable Care Act, or Obamacare.\u003c/p>\n\u003cp>Covered California, the state’s online health insurance marketplace, says more than a million Californians have already bought insurance. But some people are waiting until the very last minute.\u003c/p>\n\u003cp>At a clinic in San Francisco’s Chinatown this week, a crush of people came in for help with their new coverage. “We have actually been very busy since the pre-enrollment started back in October. And our appointments are pretty much booked weeks in advance in terms of enrollment,” says Christina Ng.\u003c/p>\n\u003cp>She oversees Obamacare sign-ups for a group of nonprofit clinics serving the San Francisco Bay Area’s Asian community. Ng says most of the clients here don’t speak English — and most come from working families. “We actually have many, many patients who are eager to apply, who are eager to enroll, because before they didn’t have – they weren’t able to afford insurance. They didn’t have the opportunity,” she says. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Ng tells me all that has changed with the Affordable Care Act. Now, people who qualify for subsidies get help paying for private insurance — and more low-income Californians are eligible for Medi-Cal.\u003c/p>\n\u003cp>“They do try to, if they’re able to get coverage, just get the coverage and have coverage, and even (though) they may be paying $80 a month or $100 a month, it’s still better than having no coverage and paying the whole thing themselves,” she says.\u003c/p>\n\u003cp>So far, California has fallen far short of getting uninsured Latinos to sign up for insurance on the health care exchange. But Asian-Americans are a different story. They represent nearly 23 percent of new enrollees, far more than their portion of the eligible pool.\u003c/p>\n\u003cp>In a room off the main waiting room, clinic worker Judy Leung is helping Ivy Hong, a mother of three children, sign up for private insurance. “This is her family’s concern. In the United States, everyone has to have insurance. Otherwise, in case you don’t have insurance, when you’re sick then you have no access to care and this is very important to have medical insurance,” Hong explains.\u003c/p>\n\u003cp>Another big motivator, says Leung: Avoiding that tax penalty. People who don’t sign up for insurance by March 31 could have to pay a fine of up to 1 percent of their household income. \u003c/p>\n\u003cp>There is a little wiggle room, however. The state now says that as long as people begin the application process by midnight Monday, they’ll help them finish in time to avoid that penalty. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide for Californians\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18321\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/179075797-e1395791377566.jpg\">\u003cimg class=\"size-large wp-image-18321\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/179075797-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California -- and 44 other states -- received failing grades in a new analysis on transparency of health care prices.\u003ca href=\"http://www.catalyzepaymentreform.org/images/documents/2014Report.pdf\" target=\"_blank\"> The report \u003c/a>comes from Berkeley-based Catalyst for Payment Reform (CPR), and it shows that consumers remain pretty much in the dark if they want to figure out, in advance, what a treatment or procedure will cost.\u003c/p>\n\u003cp>\"Very few states have done anything meaningful to help consumers understand what their health care costs were going to be,\" said Suzanne Delbanco, executive director of the organization.\u003c/p>\n\u003cp>CPR looked primarily at laws and regulations around price transparency, as well as whether a state had a consumer-facing website where people could easily look up price information.\u003c/p>\n\u003cp>While California has taken \"important symbolic steps\" by passing price transparency laws, Delbanco said, \"what hasn't happened is turning that information into something that's useful to consumers.\"\u003c!--more-->\u003c/p>\n\u003cp>The state's \u003ca href=\"http://oshpd.ca.gov\" target=\"_blank\">Office of Statewide Planning and Development\u003c/a> does compile information -- but it's based on the amount charged, as opposed to the amount that's actually paid by insurance companies or a consumer. In health care, there's almost always a discount off the \"charge\" price, so that original amount is virtually meaningless to consumers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many -- but not all -- insurance companies provide tools to their members to help them determine how much a specific procedure might cost. Some large employers might have these tools, too. But CPR believes a statewide \"all payer claims database\" -- a repository of data from all insurance companies, Medi-Cal, Medicare, even dental and prescription drug plans -- would be a \"superior source of price information for consumers because they contain data on what was actually paid for all services and procedures from a broad group of payers.\"\u003c/p>\n\u003cp>Maribeth Shannon is with the California Healthcare Foundation and was not affiliated with the report. She said she thought CPR's grading was \"a little harsh,\" -- she thought that the OSHPD charge data was of some use. But it was \"nowhere near where we need it to be.\"\u003c/p>\n\u003cp>\"California does not have legislation requiring health plans submit (actual price paid) data anywhere, so it's impossible to build a website,\" she said.\u003c/p>\n\u003cp>Providers and insurance companies often keep these negotiated prices sealed, but Shannon argues that \"consumers have a right to know what things are going to cost them.\"\u003c/p>\n\u003cp>Especially in an era of increasing use of higher deductible health plans, including in plans under the Affordable Care Act, more tools for consumers to calculate costs can lead to a more competitive pricing environment, Shannon said.\u003c/p>\n\u003cp>\"There's a clear direction to put more financial responsibility on individual patients, and if you're giving them that responsibility, you really need to give them tools to make those decisions.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"AyUnhvNXKkUu2Jt6OHn5irLhdREhBBdZ\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18321\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/179075797-e1395791377566.jpg\">\u003cimg class=\"size-large wp-image-18321\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/179075797-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California -- and 44 other states -- received failing grades in a new analysis on transparency of health care prices.\u003ca href=\"http://www.catalyzepaymentreform.org/images/documents/2014Report.pdf\" target=\"_blank\"> The report \u003c/a>comes from Berkeley-based Catalyst for Payment Reform (CPR), and it shows that consumers remain pretty much in the dark if they want to figure out, in advance, what a treatment or procedure will cost.\u003c/p>\n\u003cp>\"Very few states have done anything meaningful to help consumers understand what their health care costs were going to be,\" said Suzanne Delbanco, executive director of the organization.\u003c/p>\n\u003cp>CPR looked primarily at laws and regulations around price transparency, as well as whether a state had a consumer-facing website where people could easily look up price information.\u003c/p>\n\u003cp>While California has taken \"important symbolic steps\" by passing price transparency laws, Delbanco said, \"what hasn't happened is turning that information into something that's useful to consumers.\"\u003c!--more-->\u003c/p>\n\u003cp>The state's \u003ca href=\"http://oshpd.ca.gov\" target=\"_blank\">Office of Statewide Planning and Development\u003c/a> does compile information -- but it's based on the amount charged, as opposed to the amount that's actually paid by insurance companies or a consumer. In health care, there's almost always a discount off the \"charge\" price, so that original amount is virtually meaningless to consumers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many -- but not all -- insurance companies provide tools to their members to help them determine how much a specific procedure might cost. Some large employers might have these tools, too. But CPR believes a statewide \"all payer claims database\" -- a repository of data from all insurance companies, Medi-Cal, Medicare, even dental and prescription drug plans -- would be a \"superior source of price information for consumers because they contain data on what was actually paid for all services and procedures from a broad group of payers.\"\u003c/p>\n\u003cp>Maribeth Shannon is with the California Healthcare Foundation and was not affiliated with the report. She said she thought CPR's grading was \"a little harsh,\" -- she thought that the OSHPD charge data was of some use. But it was \"nowhere near where we need it to be.\"\u003c/p>\n\u003cp>\"California does not have legislation requiring health plans submit (actual price paid) data anywhere, so it's impossible to build a website,\" she said.\u003c/p>\n\u003cp>Providers and insurance companies often keep these negotiated prices sealed, but Shannon argues that \"consumers have a right to know what things are going to cost them.\"\u003c/p>\n\u003cp>Especially in an era of increasing use of higher deductible health plans, including in plans under the Affordable Care Act, more tools for consumers to calculate costs can lead to a more competitive pricing environment, Shannon said.\u003c/p>\n\u003cp>\"There's a clear direction to put more financial responsibility on individual patients, and if you're giving them that responsibility, you really need to give them tools to make those decisions.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"AyUnhvNXKkUu2Jt6OHn5irLhdREhBBdZ\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Tax Preparers Are Encouraging Obamacare Sign Ups",
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"content": "\u003cfigure id=\"attachment_18296\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/SusanPau-copy-e1395635903471.jpg\">\u003cimg class=\"size-large wp-image-18296\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/SusanPau-copy-640x480.jpg\" alt=\"Susan Pau is a tax advisor at the San Mateo office of Jackson Hewitt Tax Service. (April Dembosky/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Susan Veamatahau Pau is a tax advisor at the San Mateo office of Jackson Hewitt Tax Service. She's says some of her customers are not pleased when they learn how high their tax penalty might be if they do not sign up for health insurance. (April Dembosky/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It's one week to the final deadline to enroll in a health plan, but it's also tax season. Millions of people are visiting their tax preparers -- often so they can get the biggest refund possible. But this year, many of them are also getting advice about health insurance. That's because next year, under the Affordable Care Act, people will have to pay what could be a hefty tax penalty if they are uninsured for more than three months.\u003c/p>\n\u003cp>Susana Veamatahau Pau is a tax preparer with Jackson Hewitt Tax Services, which has 6,400 locations nationwide. Like other tax advisers, she sees it as her responsibility to make sure her clients know what's coming.\u003c/p>\n\u003cp>\"The government is not the first person they’re going to interact with when they get the penalty,\" she says from her office in San Mateo. \"It’s really us.\"\u003c!--more-->\u003c/p>\n\u003cp>Pau sees a lot of plumbers and pest control technicians who say they plan to just pay the penalty instead of buying insurance. But she says that's because there's a misunderstanding about how much the penalty is. The fine is either $95 or roughly 1 percent of household income -- whichever figure is greater. For people who make $60,000 a year, the fine could be more than $500. Pau's customers freeze with sticker shock when they hear that.\u003c/p>\n\u003cp>\"They are not pleased,\" she says. \"Some are just barely getting refunds. One got a refund that’s like $300. Their penalty is going to pretty much eat that up.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Penalty Doubles Next Year\u003c/strong>\u003c/p>\n\u003cp>Next year will be even more harsh. People will find out the penalty is doubling to 2 percent of income.\u003c/p>\n\u003cp>Brian Haile is the vice president for health policy at Jackson Hewitt. He says the higher penalty isn't even the worst of it. For people who find out during their tax appointment this year that they will have to pay a fine, there's a way out. They have until March 31 to enroll in a health plan. But next year, they could be stuck. The deadline to enroll in health insurance is February 15th.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/141206988&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\"Say that they come in on February 17th,\" Haile says. \"We tell them that you have to pay 1 percent of income over the filing threshold for last year -- and you're going to have to pay double that this year for being uninsured.\"\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"dccf6nt7NfSrbi8lHO73mZbGppeukiOt\"]\u003c/p>\n\u003cp>And, for that person who comes in after the deadline to sign up for a plan, there's no way out. They will be too late to enroll.\u003c/p>\n\u003cp>\"That's not going to sit well,\" Haile says. \"So there's going to be a lot of public anger about this because the open enrollment periods won't perfectly align with the tax season.\"\u003c/p>\n\u003cp>That's why his tax advisors are trying to persuade people to sign up for health insurance now.\u003c/p>\n\u003cp style=\"text-align: center\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">[Related: Obamacare Explained -- Just for Californians]\u003c/a>\u003c/p>\n\u003cp>That nudge was helpful to Michael Patterson. His wife has been uninsured for four years. Plans were just too expensive. At their tax appointment they found out she qualified for financial assistance.\u003c/p>\n\u003cp>\"We were very excited that we might be able to get insurance for her,\" Patterson says.\u003c/p>\n\u003cp>For freelance musician Rob Shelton help came in the reverse order. He got tax advice not from a tax preparer -- but from his health insurance broker. His income puts him right on the border of qualifying for Medi-Cal, the state’s free health insurance coverage for people who are low income. Or, he could get a federal subsidy to help him buy a private health insurance plan on the Covered California marketplace. His broker suggested some strategic tax moves.\u003c/p>\n\u003cp>First he wondered if he should skip some deductions, effectively giving him a high enough income to move from Medi-Cal to a subsidized plan through Covered California. \"Or should I take all my deductions and get into Medi-Cal, which is what I ended up doing,\" he says.\u003c/p>\n\u003cp>H & R Block is also wading into health insurance this year. They set up a new website and a dedicated toll-free number with information on health plans. But the marketing campaign is a bit of a misfire.\u003c/p>\n\u003cp>Tax advisor Guillermo Amoretty pulled up the website at his San Francisco office, showing in a soft green font, 'helpth is here.' 'Helpth' is a combination of the words help and health, Amoretty says. \"And it’s not a typo.\"\u003c/p>\n\u003cp>Amoretty may be providing tax advice to others, but It’s unclear if he will take it for himself. He’s 29 and uninsured -- and still deciding whether to get coverage or pay the penalty.\u003c/p>\n\u003cp>\"It will depend on how much my income will be by the end of the year,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He has one more week to figure it out.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18296\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/SusanPau-copy-e1395635903471.jpg\">\u003cimg class=\"size-large wp-image-18296\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/SusanPau-copy-640x480.jpg\" alt=\"Susan Pau is a tax advisor at the San Mateo office of Jackson Hewitt Tax Service. (April Dembosky/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Susan Veamatahau Pau is a tax advisor at the San Mateo office of Jackson Hewitt Tax Service. She's says some of her customers are not pleased when they learn how high their tax penalty might be if they do not sign up for health insurance. (April Dembosky/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>It's one week to the final deadline to enroll in a health plan, but it's also tax season. Millions of people are visiting their tax preparers -- often so they can get the biggest refund possible. But this year, many of them are also getting advice about health insurance. That's because next year, under the Affordable Care Act, people will have to pay what could be a hefty tax penalty if they are uninsured for more than three months.\u003c/p>\n\u003cp>Susana Veamatahau Pau is a tax preparer with Jackson Hewitt Tax Services, which has 6,400 locations nationwide. Like other tax advisers, she sees it as her responsibility to make sure her clients know what's coming.\u003c/p>\n\u003cp>\"The government is not the first person they’re going to interact with when they get the penalty,\" she says from her office in San Mateo. \"It’s really us.\"\u003c!--more-->\u003c/p>\n\u003cp>Pau sees a lot of plumbers and pest control technicians who say they plan to just pay the penalty instead of buying insurance. But she says that's because there's a misunderstanding about how much the penalty is. The fine is either $95 or roughly 1 percent of household income -- whichever figure is greater. For people who make $60,000 a year, the fine could be more than $500. Pau's customers freeze with sticker shock when they hear that.\u003c/p>\n\u003cp>\"They are not pleased,\" she says. \"Some are just barely getting refunds. One got a refund that’s like $300. Their penalty is going to pretty much eat that up.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Penalty Doubles Next Year\u003c/strong>\u003c/p>\n\u003cp>Next year will be even more harsh. People will find out the penalty is doubling to 2 percent of income.\u003c/p>\n\u003cp>Brian Haile is the vice president for health policy at Jackson Hewitt. He says the higher penalty isn't even the worst of it. For people who find out during their tax appointment this year that they will have to pay a fine, there's a way out. They have until March 31 to enroll in a health plan. But next year, they could be stuck. The deadline to enroll in health insurance is February 15th.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/141206988&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\"Say that they come in on February 17th,\" Haile says. \"We tell them that you have to pay 1 percent of income over the filing threshold for last year -- and you're going to have to pay double that this year for being uninsured.\"\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"dccf6nt7NfSrbi8lHO73mZbGppeukiOt\"]\u003c/p>\n\u003cp>And, for that person who comes in after the deadline to sign up for a plan, there's no way out. They will be too late to enroll.\u003c/p>\n\u003cp>\"That's not going to sit well,\" Haile says. \"So there's going to be a lot of public anger about this because the open enrollment periods won't perfectly align with the tax season.\"\u003c/p>\n\u003cp>That's why his tax advisors are trying to persuade people to sign up for health insurance now.\u003c/p>\n\u003cp style=\"text-align: center\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">[Related: Obamacare Explained -- Just for Californians]\u003c/a>\u003c/p>\n\u003cp>That nudge was helpful to Michael Patterson. His wife has been uninsured for four years. Plans were just too expensive. At their tax appointment they found out she qualified for financial assistance.\u003c/p>\n\u003cp>\"We were very excited that we might be able to get insurance for her,\" Patterson says.\u003c/p>\n\u003cp>For freelance musician Rob Shelton help came in the reverse order. He got tax advice not from a tax preparer -- but from his health insurance broker. His income puts him right on the border of qualifying for Medi-Cal, the state’s free health insurance coverage for people who are low income. Or, he could get a federal subsidy to help him buy a private health insurance plan on the Covered California marketplace. His broker suggested some strategic tax moves.\u003c/p>\n\u003cp>First he wondered if he should skip some deductions, effectively giving him a high enough income to move from Medi-Cal to a subsidized plan through Covered California. \"Or should I take all my deductions and get into Medi-Cal, which is what I ended up doing,\" he says.\u003c/p>\n\u003cp>H & R Block is also wading into health insurance this year. They set up a new website and a dedicated toll-free number with information on health plans. But the marketing campaign is a bit of a misfire.\u003c/p>\n\u003cp>Tax advisor Guillermo Amoretty pulled up the website at his San Francisco office, showing in a soft green font, 'helpth is here.' 'Helpth' is a combination of the words help and health, Amoretty says. \"And it’s not a typo.\"\u003c/p>\n\u003cp>Amoretty may be providing tax advice to others, but It’s unclear if he will take it for himself. He’s 29 and uninsured -- and still deciding whether to get coverage or pay the penalty.\u003c/p>\n\u003cp>\"It will depend on how much my income will be by the end of the year,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He has one more week to figure it out.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Insurance Agents Drive High Asian Enrollment on Covered California",
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"content": "\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_15537\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15537\" src=\"http://ww2.kqed.org/science/wp-content/uploads/sites/35/2014/03/5647867669_916b214f92_b-e1395333551140.jpg\" alt=\"By studying sea lions suffering from epilepsy, we may learn more about seizures in humans. (lowjumpingfrog/Flickr)\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">By studying sea lions suffering from epilepsy, scientists may learn more about seizures in humans. (\u003ca href=\"http://www.flickr.com/photos/jenorton/5647867669/\">lowjumpingfrog/Flickr\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>Some sea lions suffer from a form of epilepsy that bears a striking resemblance to epilepsy in humans. That insight could help scientists develop treatments and eventually find a cure for \u003ca href=\"http://www.epilepsyfoundation.org/aboutepilepsy/syndromes/temporallobeepilepsy.cfm\">temporal lobe epilepsy\u003c/a>, one of the most common forms that people get.\u003c/p>\n\u003cp>California sea lions can get seizures and eventually develop epilepsy when they’re exposed to \u003ca href=\"http://www.marinemammalcenter.org/science/top-research-projects/domoic-acid-toxicity.html\">domoic acid\u003c/a>, a toxin produced by some algae blooms. The Marine Mammal Center in Marin County treats sea lions suffering from seizures, but in some cases has to euthanize them.\u003c/p>\n\u003cp>I talked with Dr. Paul Buckmaster, a neurologist at Stanford University who’s studying the sea lions at the Marine Mammal Center. This is an edited version of our conversation.\u003c/p>\n\u003cp>\u003cstrong>Why is this comparison with people important? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘We’re still trying to understand what causes seizures in people with temporal lobe epilepsy.’\u003c/aside>\n\u003cp>It’s important for the sea lions because it gives us a better understanding of what’s causing their epilepsy as well as the behavioral problems they show after being exposed to the toxin. Those problems are so severe that those animals will suffer if they’re released—they will starve to death. Now, they’re being euthanized—in a way, to prevent their suffering. It’s a really serious problem for them.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s important for people because we’re still trying to understand what causes seizures in people with temporal lobe epilepsy. One of the main ways we study that is by studying mice and rats, but the brain damage in mice and rats is not as similar to people as the brain damage in sea lions. So we might be able to learn more about human temporal lobe epilepsy by studying the sea lions.\u003c/p>\n\u003cp>\u003cstrong>What are the next steps in your research?\u003c/strong>\u003c/p>\n\u003cp>One of the areas that we’re working on now is to widen our view. Instead of just focusing on one part of the brain—the part that’s most damaged in sea lions and in humans—we’re looking at other parts of the brain as well. We might get some clues because we can get better images of the brains of sea lions than we can of people anatomically. We’re able to preserve the tissue better. We can also use additional stains and look at more areas of the brain than we can in people with temporal lobe epilepsy.\u003c/p>\n\u003cp>If we find some parts that might be damaged in sea lions that haven’t been recognized in people yet, we can direct the clinicians towards those areas, and say, “Look in these spots as well. See if you can find anything using non-invasive imaging techniques.” We might find some additional areas that are damaged that might be important and contribute to the seizures that people have.\u003c/p>\n\u003cp>\u003cstrong>Are there any connections between domoic acid and epilepsy in humans?\u003c/strong>\u003c/p>\n\u003cp>In humans, there was an outbreak in the late ’80s when a bunch of people ate this toxin because it was in the shellfish they were eating. This was in the Montreal area, and the mussels came from Prince Edward Island where they were cultivated. A lot of people became sick. They had gastrointestinal symptoms. Some of the more severe cases also had seizures and memory loss. In some cases, that memory loss was permanent. They couldn’t make new memories after that. One of those patients who had the severe symptoms later developed epilepsy. So it’s possible for people to develop epilepsy if they eat this poison. But now seafood that’s available in restaurants and seafood stores is screened.\u003c/p>\n\u003cp>\u003cstrong>Is there a possible treatment for the sea lions?\u003c/strong>\u003c/p>\n\u003cp>No, there’s not. That’s what’s really frustrating about this. In people, if they had developed epilepsy after eating the toxin, you would prescribe them anticonvulsant drugs. Then, they could take those on a daily basis to help control their seizures. We can’t do that with sea lions. The sea lions are wild animals. They are only at the Marine Mammal Center for treatment and rehabilitation, and then they must be released. There’s no way for them to continue treatment.\u003c/p>\n\u003cp>\u003cstrong>How are different populations of sea lions and other animals affected?\u003c/strong>\u003c/p>\n\u003cp>Algae has population explosions called algal blooms. There are general trends, but they’re harder to predict on a finer timescale. They occur in focal areas along the coast, and if a sea lion is in the wrong place at the wrong time, they can be exposed and become intoxicated from the algae-made domoic acid. Other species are affected as well, not just sea lions. This was reported to cause a bunch of birds to die. Early on that was reported in the Santa Cruz area, there were brown pelicans and cormorants that were affected from the toxin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s also suspected — and there are some anecdotal reports — of it killing dolphins and possibly whales. In those cases and others as well, if the animal is affected but it just dies and sinks to the bottom of the ocean, no one might recognize it. With the sea lions, in many cases, they’re able to get to the shore where they’re found having seizures. Part of the reason it might seem more common in sea lions, it’s just recognized more frequently in sea lions because they’re abundant and they tend to end up in places where people will find them.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15537\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-15537\" src=\"http://ww2.kqed.org/science/wp-content/uploads/sites/35/2014/03/5647867669_916b214f92_b-e1395333551140.jpg\" alt=\"By studying sea lions suffering from epilepsy, we may learn more about seizures in humans. (lowjumpingfrog/Flickr)\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">By studying sea lions suffering from epilepsy, scientists may learn more about seizures in humans. (\u003ca href=\"http://www.flickr.com/photos/jenorton/5647867669/\">lowjumpingfrog/Flickr\u003c/a>)\u003c/figcaption>\u003c/figure>\n\u003cp>Some sea lions suffer from a form of epilepsy that bears a striking resemblance to epilepsy in humans. That insight could help scientists develop treatments and eventually find a cure for \u003ca href=\"http://www.epilepsyfoundation.org/aboutepilepsy/syndromes/temporallobeepilepsy.cfm\">temporal lobe epilepsy\u003c/a>, one of the most common forms that people get.\u003c/p>\n\u003cp>California sea lions can get seizures and eventually develop epilepsy when they’re exposed to \u003ca href=\"http://www.marinemammalcenter.org/science/top-research-projects/domoic-acid-toxicity.html\">domoic acid\u003c/a>, a toxin produced by some algae blooms. The Marine Mammal Center in Marin County treats sea lions suffering from seizures, but in some cases has to euthanize them.\u003c/p>\n\u003cp>I talked with Dr. Paul Buckmaster, a neurologist at Stanford University who’s studying the sea lions at the Marine Mammal Center. This is an edited version of our conversation.\u003c/p>\n\u003cp>\u003cstrong>Why is this comparison with people important? \u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘We’re still trying to understand what causes seizures in people with temporal lobe epilepsy.’\u003c/aside>\n\u003cp>It’s important for the sea lions because it gives us a better understanding of what’s causing their epilepsy as well as the behavioral problems they show after being exposed to the toxin. Those problems are so severe that those animals will suffer if they’re released—they will starve to death. Now, they’re being euthanized—in a way, to prevent their suffering. It’s a really serious problem for them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s important for people because we’re still trying to understand what causes seizures in people with temporal lobe epilepsy. One of the main ways we study that is by studying mice and rats, but the brain damage in mice and rats is not as similar to people as the brain damage in sea lions. So we might be able to learn more about human temporal lobe epilepsy by studying the sea lions.\u003c/p>\n\u003cp>\u003cstrong>What are the next steps in your research?\u003c/strong>\u003c/p>\n\u003cp>One of the areas that we’re working on now is to widen our view. Instead of just focusing on one part of the brain—the part that’s most damaged in sea lions and in humans—we’re looking at other parts of the brain as well. We might get some clues because we can get better images of the brains of sea lions than we can of people anatomically. We’re able to preserve the tissue better. We can also use additional stains and look at more areas of the brain than we can in people with temporal lobe epilepsy.\u003c/p>\n\u003cp>If we find some parts that might be damaged in sea lions that haven’t been recognized in people yet, we can direct the clinicians towards those areas, and say, “Look in these spots as well. See if you can find anything using non-invasive imaging techniques.” We might find some additional areas that are damaged that might be important and contribute to the seizures that people have.\u003c/p>\n\u003cp>\u003cstrong>Are there any connections between domoic acid and epilepsy in humans?\u003c/strong>\u003c/p>\n\u003cp>In humans, there was an outbreak in the late ’80s when a bunch of people ate this toxin because it was in the shellfish they were eating. This was in the Montreal area, and the mussels came from Prince Edward Island where they were cultivated. A lot of people became sick. They had gastrointestinal symptoms. Some of the more severe cases also had seizures and memory loss. In some cases, that memory loss was permanent. They couldn’t make new memories after that. One of those patients who had the severe symptoms later developed epilepsy. So it’s possible for people to develop epilepsy if they eat this poison. But now seafood that’s available in restaurants and seafood stores is screened.\u003c/p>\n\u003cp>\u003cstrong>Is there a possible treatment for the sea lions?\u003c/strong>\u003c/p>\n\u003cp>No, there’s not. That’s what’s really frustrating about this. In people, if they had developed epilepsy after eating the toxin, you would prescribe them anticonvulsant drugs. Then, they could take those on a daily basis to help control their seizures. We can’t do that with sea lions. The sea lions are wild animals. They are only at the Marine Mammal Center for treatment and rehabilitation, and then they must be released. There’s no way for them to continue treatment.\u003c/p>\n\u003cp>\u003cstrong>How are different populations of sea lions and other animals affected?\u003c/strong>\u003c/p>\n\u003cp>Algae has population explosions called algal blooms. There are general trends, but they’re harder to predict on a finer timescale. They occur in focal areas along the coast, and if a sea lion is in the wrong place at the wrong time, they can be exposed and become intoxicated from the algae-made domoic acid. Other species are affected as well, not just sea lions. This was reported to cause a bunch of birds to die. Early on that was reported in the Santa Cruz area, there were brown pelicans and cormorants that were affected from the toxin.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It’s also suspected — and there are some anecdotal reports — of it killing dolphins and possibly whales. In those cases and others as well, if the animal is affected but it just dies and sinks to the bottom of the ocean, no one might recognize it. With the sea lions, in many cases, they’re able to get to the shore where they’re found having seizures. Part of the reason it might seem more common in sea lions, it’s just recognized more frequently in sea lions because they’re abundant and they tend to end up in places where people will find them.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By Mina Kim and Lisa Pickoff-White\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_128675\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/RS9066_470756133-lpr.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-128675\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/RS9066_470756133-lpr-640x426.jpg\" alt=\"Julia Boyle enjoys an electronic cigarette at the Vapor Shark store. (Joe Raedle/Getty Images))\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Julia Boyle enjoys an electronic cigarette at the Vapor Shark store. (Joe Raedle/Getty Images))\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update March 19:\u003c/strong> The San Francisco Board of Supervisors unanimously voted on Tuesday to treat electronic cigarettes as regular cigarettes, effectively banning them at bars, restaurants and businesses. Sellers will also have to secure a special permit, and e-cigarettes can’t be sold at pharmacies and other businesses where tobacco sales are banned.\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong> A committee of the San Francisco Board of Supervisors debated on Thursday afternoon (March 7) whether to restrict the use of electronic cigarettes to areas where smoking tobacco is allowed. Supporters and opponents packed the room.\u003c/p>\n\u003cp>“The VA Medical Center recommended I try e-cigarettes to stop smoking,” Michael Barger said during public comments. “Within three weeks I stopped, and now this is my vaporizer.”\u003c/p>\n\u003cp>Several other cities around the country already have restricted e-cigarettes, the battery-powered devices that heat up liquid nicotine so that the vapor can be inhaled. On Tuesday, Los Angeles City Council members placed “vaping” in the same category as tobacco smoking. Long Beach then passed a stricter ordinance, also banning shops and “vaping” lounges. Richmond passed a ban in December. Some states also are considering regulations, and a U.S. Senate bill introduced last month would curb electronic cigarette marketing while the fast-growing industry awaits regulation by the Food and Drug Administration.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Thursday’s hearing coincided with the release of a \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1840772\" target=\"_blank\" rel=\"noopener\">UC San Francisco study\u003c/a> that found teens who try e-cigarettes are more likely to try cigarettes as well.\u003c/p>\n\u003cp>“We found that e-cigarettes were associated with more, not less, cigarette smoking among adolescents,” said lead author Lauren Dutra, a postdoctoral fellow at the UCSF \u003ca href=\"http://tobacco.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Center for Tobacco Control Research and Education\u003c/a>. “E-cigarettes are likely to be gateway devices for nicotine addiction among youth, opening up a whole new market for tobacco.”\u003c/p>\n\u003cp>The study analyzed responses from U.S. middle and high school students to the 2011 and 2012 National Youth Tobacco Survey. The study didn’t examine whether youths initiated smoking with conventional cigarettes or e-cigarettes. But the authors noted that about 20 percent of middle school students and about 7 percent of high school students who had ever used e-cigarettes had never smoked regular cigarettes, which indicates that some kids are introduced to the addictive drug nicotine through e-cigarettes, the authors said.\u003c/p>\n\u003cp>“I can’t tell you, for example, that e-cigarettes cause smoking among adolescents,” Dutra said. “But what we saw is among e-cig users, they were more likely to be cigarette smokers. Those who use e-cigs and conventional tobacco cigs were less likely to quit smoking, even though they reported being more likely to be planning to quit in the next year. They were also more likely to be heavier smokers.”\u003c/p>\n\u003cp>The legislation could be considered by the full board on Tuesday.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/138312815&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press also contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim and Lisa Pickoff-White\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_128675\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/RS9066_470756133-lpr.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-128675\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/RS9066_470756133-lpr-640x426.jpg\" alt=\"Julia Boyle enjoys an electronic cigarette at the Vapor Shark store. (Joe Raedle/Getty Images))\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Julia Boyle enjoys an electronic cigarette at the Vapor Shark store. (Joe Raedle/Getty Images))\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update March 19:\u003c/strong> The San Francisco Board of Supervisors unanimously voted on Tuesday to treat electronic cigarettes as regular cigarettes, effectively banning them at bars, restaurants and businesses. Sellers will also have to secure a special permit, and e-cigarettes can’t be sold at pharmacies and other businesses where tobacco sales are banned.\u003c/p>\n\u003cp>\u003cstrong>Original story:\u003c/strong> A committee of the San Francisco Board of Supervisors debated on Thursday afternoon (March 7) whether to restrict the use of electronic cigarettes to areas where smoking tobacco is allowed. Supporters and opponents packed the room.\u003c/p>\n\u003cp>“The VA Medical Center recommended I try e-cigarettes to stop smoking,” Michael Barger said during public comments. “Within three weeks I stopped, and now this is my vaporizer.”\u003c/p>\n\u003cp>Several other cities around the country already have restricted e-cigarettes, the battery-powered devices that heat up liquid nicotine so that the vapor can be inhaled. On Tuesday, Los Angeles City Council members placed “vaping” in the same category as tobacco smoking. Long Beach then passed a stricter ordinance, also banning shops and “vaping” lounges. Richmond passed a ban in December. Some states also are considering regulations, and a U.S. Senate bill introduced last month would curb electronic cigarette marketing while the fast-growing industry awaits regulation by the Food and Drug Administration.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thursday’s hearing coincided with the release of a \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=1840772\" target=\"_blank\" rel=\"noopener\">UC San Francisco study\u003c/a> that found teens who try e-cigarettes are more likely to try cigarettes as well.\u003c/p>\n\u003cp>“We found that e-cigarettes were associated with more, not less, cigarette smoking among adolescents,” said lead author Lauren Dutra, a postdoctoral fellow at the UCSF \u003ca href=\"http://tobacco.ucsf.edu/\" target=\"_blank\" rel=\"noopener\">Center for Tobacco Control Research and Education\u003c/a>. “E-cigarettes are likely to be gateway devices for nicotine addiction among youth, opening up a whole new market for tobacco.”\u003c/p>\n\u003cp>The study analyzed responses from U.S. middle and high school students to the 2011 and 2012 National Youth Tobacco Survey. The study didn’t examine whether youths initiated smoking with conventional cigarettes or e-cigarettes. But the authors noted that about 20 percent of middle school students and about 7 percent of high school students who had ever used e-cigarettes had never smoked regular cigarettes, which indicates that some kids are introduced to the addictive drug nicotine through e-cigarettes, the authors said.\u003c/p>\n\u003cp>“I can’t tell you, for example, that e-cigarettes cause smoking among adolescents,” Dutra said. “But what we saw is among e-cig users, they were more likely to be cigarette smokers. Those who use e-cigs and conventional tobacco cigs were less likely to quit smoking, even though they reported being more likely to be planning to quit in the next year. They were also more likely to be heavier smokers.”\u003c/p>\n\u003cp>The legislation could be considered by the full board on Tuesday.\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/138312815&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press also contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_129803\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-129803\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/ObamacareSignup.jpg\" alt=\"ACA enrollment fair signup\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">A health care reform specialist helps people select insurance plans at an Affordable Care Act (ACA) enrollment fair. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Bay City News Service\u003c/strong>\u003c/p>\n\u003cp>With the deadline to sign up for health insurance through Medi-Cal or Covered California approaching rapidly, Bay Area residents are being offered some face-to-face assistance in getting enrolled.\u003c/p>\n\u003cp>The Service Employees International Union-United Healthcare Workers West, a health care workers union with 150,000 members, is offering five free health care enrollment fairs in the Bay Area this week, starting with events in San Francisco and Hayward this afternoon.\u003cbr>\nThe fairs offer information and face-to-face help in signing up for free or low-cost health insurance, according to union spokesman Sean Wherley. Those who currently lack insurance are required to either sign up for Medi-Cal, for those who are eligible, or purchase insurance through the state’s health care exchange, Covered California.\u003c/p>\n\u003cp>Wherley said the union has been holding the fairs since October, but attendance is expected to go up as the March 31 deadline for enrollment approaches.\u003c/p>\n\u003cp>“We’re seeing numbers go up with each passing week, and we think there will be quite a spike before the deadline,” Wherley said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Those who fail to enroll by the deadline and who do not already have health insurance will be charged a fine of $95 or 1 percent of their income, whichever is higher, Wherley said. Only those who make too little to pay income taxes will escape the fine.\u003c/p>\n\u003cp>In addition, those who miss the deadline will not be able to enroll until the next open enrollment period starts on Nov. 15.\u003c/p>\n\u003cp>Covered California officials announced on Monday that more than 1 million people statewide had signed up for health care coverage through the state exchange.\u003c/p>\n\u003cp>“It speaks to the immense need for the Affordable Care Act and the millions of people who have been waiting for affordable coverage,” said Covered California Executive Director Peter Lee in a statement issued Monday.\u003c/p>\n\u003cp>Covered California officials urged consumers to sign up quickly, saying that a rush of last-minute applications could make the online enrollment process slow.\u003c/p>\n\u003cp>Those looking for more information and access to online enrollment can go to www.CoveredCA.com.\u003c/p>\n\u003cp>Today’s SEIU health care enrollment fairs will take place from 3 to 7 p.m. at 1338 Mission St. in San Francisco, and from 4 to 8 p.m. at 27689 Tyrrell Ave. in Hayward.\u003c/p>\n\u003cp>Additional events are planned on Wednesday in Napa and on Saturday in San Francisco and Concord.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For more information on the health care fairs, go to www.seiu-uhw.org/fairs.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_129803\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-129803\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/ObamacareSignup.jpg\" alt=\"ACA enrollment fair signup\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">A health care reform specialist helps people select insurance plans at an Affordable Care Act (ACA) enrollment fair. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Bay City News Service\u003c/strong>\u003c/p>\n\u003cp>With the deadline to sign up for health insurance through Medi-Cal or Covered California approaching rapidly, Bay Area residents are being offered some face-to-face assistance in getting enrolled.\u003c/p>\n\u003cp>The Service Employees International Union-United Healthcare Workers West, a health care workers union with 150,000 members, is offering five free health care enrollment fairs in the Bay Area this week, starting with events in San Francisco and Hayward this afternoon.\u003cbr>\nThe fairs offer information and face-to-face help in signing up for free or low-cost health insurance, according to union spokesman Sean Wherley. Those who currently lack insurance are required to either sign up for Medi-Cal, for those who are eligible, or purchase insurance through the state’s health care exchange, Covered California.\u003c/p>\n\u003cp>Wherley said the union has been holding the fairs since October, but attendance is expected to go up as the March 31 deadline for enrollment approaches.\u003c/p>\n\u003cp>“We’re seeing numbers go up with each passing week, and we think there will be quite a spike before the deadline,” Wherley said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Those who fail to enroll by the deadline and who do not already have health insurance will be charged a fine of $95 or 1 percent of their income, whichever is higher, Wherley said. Only those who make too little to pay income taxes will escape the fine.\u003c/p>\n\u003cp>In addition, those who miss the deadline will not be able to enroll until the next open enrollment period starts on Nov. 15.\u003c/p>\n\u003cp>Covered California officials announced on Monday that more than 1 million people statewide had signed up for health care coverage through the state exchange.\u003c/p>\n\u003cp>“It speaks to the immense need for the Affordable Care Act and the millions of people who have been waiting for affordable coverage,” said Covered California Executive Director Peter Lee in a statement issued Monday.\u003c/p>\n\u003cp>Covered California officials urged consumers to sign up quickly, saying that a rush of last-minute applications could make the online enrollment process slow.\u003c/p>\n\u003cp>Those looking for more information and access to online enrollment can go to www.CoveredCA.com.\u003c/p>\n\u003cp>Today’s SEIU health care enrollment fairs will take place from 3 to 7 p.m. at 1338 Mission St. in San Francisco, and from 4 to 8 p.m. at 27689 Tyrrell Ave. in Hayward.\u003c/p>\n\u003cp>Additional events are planned on Wednesday in Napa and on Saturday in San Francisco and Concord.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For more information on the health care fairs, go to www.seiu-uhw.org/fairs.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It's still early days. The first open enrollment of the Obamacare marketplaces is ongoing. But the Covered California marketplace is more competitive than the 2012 individual market, according to a \u003ca href=\"http://kff.org/health-reform/issue-brief/sizing-up-exchange-market-competition/\" target=\"_blank\">new analysis\u003c/a> from the Kaiser Family Foundation. Entirely by coincidence, the study, released Monday, coincided with the news that Covered California \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-reaches-1-million.html\" target=\"_blank\">had passed the million mark\u003c/a> in enrollment.\u003c/p>\n\u003cp>Analysts looked at exchange data from seven states, including California. Enrollment for people buying outside exchanges, on the individual market, will not be available until later this year or early 2015, Cynthia Cox, one of the foundation's analysts noted.\u003c/p>\n\u003cp>\"California had a highly concentrated market before the ACA,\" Cox said. But the Covered California marketplace has both more companies with greater than 5 percent market share and the percentage marketshare of the largest company has declined, as shown in this graph from the study:\u003c/p>\n\u003cfigure id=\"attachment_18161\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-e1395084542155.png\">\u003cimg class=\"size-large wp-image-18161\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-640x517.png\" alt=\"(Kaiser Family Foundation)\" width=\"640\" height=\"517\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Anthem Blue Cross had nearly half (47 percent) of the individual market in 2012, but 30 percent of the Covered California market, as of Jan. 31. Health Net, conversely, has seen its marketshare increase substantially.\u003c/p>\n\u003cp>\"Very much so,\" Cox said. \"It was only a tiny fraction before [3 percent] and now it controls over a fifth, and it's largely because they priced relatively low in Southern California.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Health Net now \u003ca href=\"https://www.coveredca.com/news/PDFs/JanRegionalEnrollmentTables.pdf\" target=\"_blank\">leads enrollment\u003c/a> in San Diego and part of Los Angeles county. In other parts of southern California, Health Net is second in enrollment. Cox said that Covered California is the only state exchange, so far, to release regional data. It is at the local level where \"competition among insurers truly takes place,\" the analysts noted in their report. The information from Covered California \"helps us to understand the details of pricing dynamics in California,\" Cox said.\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem Blue Cross, did not seem overly worried. In an email, he pointed out that the analysis was done with two months still to go in open enrollment and did not look at either the non-exchange market or enrollment in grandfathered plans. \"It's premature to draw any conclusions,\" he wrote. \"Market share has changed substantially as more have enrolled via Covered California, and it's reasonable to expect that this will continue as open enrollment concludes.\"\u003c/p>\n\u003cp>Cox said that even with the additional data about the non-exchange market by early next year, it still won't tell us the whole story. \"It will probably be at least two to three years before we're really able to know how much the ACA is changing insurance market competition,\" she said.\u003c/p>\n\u003cp>Time will also show whether those insurers that offered plans at lower premiums can maintain those prices -- or if they will have to raise prices once they start paying claims, Cox said.\u003c/p>\n\u003cp>Jenn Moore, a vice president at Health Net who oversees exchange business, is confident the company will stay the course. “The intention was that we would bid a sustainable price over the long term,” she said and cited Health Net's partnership with \"a very strong provider network\" as well as educational efforts to help consumers efficiently use the system in its efforts to keep premiums low going forward.\u003c/p>\n\u003cp>While this early analysis shows California -- and New York -- are seeing a more competitive environment, other states are not faring as well. In Connecticut, Wellpoint, the parent company of Anthem Blue Cross, has increased its market share from 45 percent to 60 percent.\u003c/p>\n\u003cp>\u003cstrong>Th\u003c/strong>\u003cstrong>is post has been updated to include comments from Health Net.\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Cq1qPApycsTF7WYdQyTgGQjR6d3BDpsA\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's still early days. The first open enrollment of the Obamacare marketplaces is ongoing. But the Covered California marketplace is more competitive than the 2012 individual market, according to a \u003ca href=\"http://kff.org/health-reform/issue-brief/sizing-up-exchange-market-competition/\" target=\"_blank\">new analysis\u003c/a> from the Kaiser Family Foundation. Entirely by coincidence, the study, released Monday, coincided with the news that Covered California \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-reaches-1-million.html\" target=\"_blank\">had passed the million mark\u003c/a> in enrollment.\u003c/p>\n\u003cp>Analysts looked at exchange data from seven states, including California. Enrollment for people buying outside exchanges, on the individual market, will not be available until later this year or early 2015, Cynthia Cox, one of the foundation's analysts noted.\u003c/p>\n\u003cp>\"California had a highly concentrated market before the ACA,\" Cox said. But the Covered California marketplace has both more companies with greater than 5 percent market share and the percentage marketshare of the largest company has declined, as shown in this graph from the study:\u003c/p>\n\u003cfigure id=\"attachment_18161\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-e1395084542155.png\">\u003cimg class=\"size-large wp-image-18161\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-640x517.png\" alt=\"(Kaiser Family Foundation)\" width=\"640\" height=\"517\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Anthem Blue Cross had nearly half (47 percent) of the individual market in 2012, but 30 percent of the Covered California market, as of Jan. 31. Health Net, conversely, has seen its marketshare increase substantially.\u003c/p>\n\u003cp>\"Very much so,\" Cox said. \"It was only a tiny fraction before [3 percent] and now it controls over a fifth, and it's largely because they priced relatively low in Southern California.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Health Net now \u003ca href=\"https://www.coveredca.com/news/PDFs/JanRegionalEnrollmentTables.pdf\" target=\"_blank\">leads enrollment\u003c/a> in San Diego and part of Los Angeles county. In other parts of southern California, Health Net is second in enrollment. Cox said that Covered California is the only state exchange, so far, to release regional data. It is at the local level where \"competition among insurers truly takes place,\" the analysts noted in their report. The information from Covered California \"helps us to understand the details of pricing dynamics in California,\" Cox said.\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem Blue Cross, did not seem overly worried. In an email, he pointed out that the analysis was done with two months still to go in open enrollment and did not look at either the non-exchange market or enrollment in grandfathered plans. \"It's premature to draw any conclusions,\" he wrote. \"Market share has changed substantially as more have enrolled via Covered California, and it's reasonable to expect that this will continue as open enrollment concludes.\"\u003c/p>\n\u003cp>Cox said that even with the additional data about the non-exchange market by early next year, it still won't tell us the whole story. \"It will probably be at least two to three years before we're really able to know how much the ACA is changing insurance market competition,\" she said.\u003c/p>\n\u003cp>Time will also show whether those insurers that offered plans at lower premiums can maintain those prices -- or if they will have to raise prices once they start paying claims, Cox said.\u003c/p>\n\u003cp>Jenn Moore, a vice president at Health Net who oversees exchange business, is confident the company will stay the course. “The intention was that we would bid a sustainable price over the long term,” she said and cited Health Net's partnership with \"a very strong provider network\" as well as educational efforts to help consumers efficiently use the system in its efforts to keep premiums low going forward.\u003c/p>\n\u003cp>While this early analysis shows California -- and New York -- are seeing a more competitive environment, other states are not faring as well. In Connecticut, Wellpoint, the parent company of Anthem Blue Cross, has increased its market share from 45 percent to 60 percent.\u003c/p>\n\u003cp>\u003cstrong>Th\u003c/strong>\u003cstrong>is post has been updated to include comments from Health Net.\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Cq1qPApycsTF7WYdQyTgGQjR6d3BDpsA\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Lance Knobel\u003cbr>\n\u003ca href=\"http://www.berkeleyside.com/2014/03/14/berkeley-likes-taxing-soda-but-support-for-parks-pools-lags/\" target=\"_blank\" rel=\"noopener\">Berkeleyside\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_129641\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/Big-Soda-council.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-129641\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/Big-Soda-council-640x374.jpg\" alt=\"Proponents of a soda tax were out in force when Berkeley City Council first considered the measure last month. (Lance Knobel/Berkeleyside)\" width=\"640\" height=\"374\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proponents of a soda tax were out in force when Berkeley City Council first considered the measure last month. (Lance Knobel/Berkeleyside)\u003c/figcaption>\u003c/figure>\n\u003cp>Berkeleyans seem eager to enact a new tax on sugar-sweetened drinks, but less likely to support other potential ballot measures being considered by the City Council.\u003c/p>\n\u003cp>A community survey of just over 500 voters taken last week showed healthy majorities for the so-called soda tax, whether it was for a new general tax or a special tax. In contrast, measures to increase the business license tax for landlords, establish a commercial vacancy tax, increase the parks parcel tax, and issue a pools bond failed to reach majorities or just crossed 50 percent support. City Council members said that support for measures often declines from levels indicated in community surveys.\u003c/p>\n\u003cp>“The sugar tax hit the sweet spot,” said Councilman Laurie Capitelli, who is on the community committee pushing for the tax. “For me, it’s disappointing that the parks question in particular fared so poorly.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">Sixty-six percent of survey respondents approve of a tax with money directed toward the general fund.\u003c/aside>\n\u003cp>Four of the questions on the survey focused on the sugar-sweetened drinks tax, which is expected to face a well-funded opposition from the beverages industry. When respondents were asked whether they would support a tax of 1 cent per ounce going to the general fund, 66 percent said yes. Asked about a special tax, with revenues dedicated to health and nutrition programs, 64 percent said yes. A general tax requires a simple majority vote, while a special tax requires two-thirds support.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Raising the tax to 2 cents per ounce reduced support to 55 percent for the general tax and 59 percent for the special tax. Reading respondents arguments for and against, before posing the question, produced very little change in the results.\u003c/p>\n\u003cp>A similar ballot measure is likely in San Francisco this November. San Francisco supporters are planning to focus on a special tax, despite the two-thirds hurdle. The measures on both sides of the bay are likely to attract a particular barrage of opposition from the beverage industry.\u003c/p>\n\u003cp>“Both of us having it on the ballot will work against us,” admitted Capitelli. He said the well-funded opponents will buy regional media.\u003c/p>\n\u003cp>In contrast, raising the parks parcel tax by 10 percent ($29 per year for an average 1,900 square foot house) attracted only 54 percent support. A parcel tax measure requires two-thirds support to pass. A proposal for a $25 million bond issue for pools and parks, including reopening Willard Pool, was supported by only 52 percent. For the measure to pass, it would need two-thirds majority in favor.\u003c/p>\n\u003cp>Survey respondents were also asked some general questions about Berkeley. Sixty-three percent said “things in the city of Berkeley are going in the right direction.” Only 13 percent said “things are on the wrong track” (24 percent responded “don’t know”).\u003c/p>\n\u003cp>When asked to rate the job Berkeley is doing providing city services, 14 percent responded excellent, 55 percent responded good. Slightly less than a quarter, 23 percent, said fair and 5 percent said poor.\u003c/p>\n\u003cp>When asked about areas where Berkeley might need to invest, 31 percent said providing affordable housing was extremely important, and 31 percent rated improving children’s health as extremely important. Only 7 percent said renovating swimming pools or improving parks and playgrounds was extremely important.\u003c/p>\n\u003cp>Forty-six percent of the respondents were men and 54 percent were women; 67 percent of respondents were white and 10 percent were black; 39 percent were over 60 and 20 percent were under 30. All respondents were required to be likely voters in the November 2014 election.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED News Associate \u003ca href=\"http://www.berkeleyside.com/\" target=\"_blank\" rel=\"noopener\">Berkeleyside\u003c/a> is an independently owned news website based in Berkeley, Calif. \u003ca href=\"http://eepurl.com/lh_3b\" target=\"_blank\" rel=\"noopener\">Click here\u003c/a> if you would you like to receive the latest Berkeley news in your inbox once a day for free with Berkeleyside’s Daily Briefing email.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Lance Knobel\u003cbr>\n\u003ca href=\"http://www.berkeleyside.com/2014/03/14/berkeley-likes-taxing-soda-but-support-for-parks-pools-lags/\" target=\"_blank\" rel=\"noopener\">Berkeleyside\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_129641\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/Big-Soda-council.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-129641\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/Big-Soda-council-640x374.jpg\" alt=\"Proponents of a soda tax were out in force when Berkeley City Council first considered the measure last month. (Lance Knobel/Berkeleyside)\" width=\"640\" height=\"374\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proponents of a soda tax were out in force when Berkeley City Council first considered the measure last month. (Lance Knobel/Berkeleyside)\u003c/figcaption>\u003c/figure>\n\u003cp>Berkeleyans seem eager to enact a new tax on sugar-sweetened drinks, but less likely to support other potential ballot measures being considered by the City Council.\u003c/p>\n\u003cp>A community survey of just over 500 voters taken last week showed healthy majorities for the so-called soda tax, whether it was for a new general tax or a special tax. In contrast, measures to increase the business license tax for landlords, establish a commercial vacancy tax, increase the parks parcel tax, and issue a pools bond failed to reach majorities or just crossed 50 percent support. City Council members said that support for measures often declines from levels indicated in community surveys.\u003c/p>\n\u003cp>“The sugar tax hit the sweet spot,” said Councilman Laurie Capitelli, who is on the community committee pushing for the tax. “For me, it’s disappointing that the parks question in particular fared so poorly.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">Sixty-six percent of survey respondents approve of a tax with money directed toward the general fund.\u003c/aside>\n\u003cp>Four of the questions on the survey focused on the sugar-sweetened drinks tax, which is expected to face a well-funded opposition from the beverages industry. When respondents were asked whether they would support a tax of 1 cent per ounce going to the general fund, 66 percent said yes. Asked about a special tax, with revenues dedicated to health and nutrition programs, 64 percent said yes. A general tax requires a simple majority vote, while a special tax requires two-thirds support.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Raising the tax to 2 cents per ounce reduced support to 55 percent for the general tax and 59 percent for the special tax. Reading respondents arguments for and against, before posing the question, produced very little change in the results.\u003c/p>\n\u003cp>A similar ballot measure is likely in San Francisco this November. San Francisco supporters are planning to focus on a special tax, despite the two-thirds hurdle. The measures on both sides of the bay are likely to attract a particular barrage of opposition from the beverage industry.\u003c/p>\n\u003cp>“Both of us having it on the ballot will work against us,” admitted Capitelli. He said the well-funded opponents will buy regional media.\u003c/p>\n\u003cp>In contrast, raising the parks parcel tax by 10 percent ($29 per year for an average 1,900 square foot house) attracted only 54 percent support. A parcel tax measure requires two-thirds support to pass. A proposal for a $25 million bond issue for pools and parks, including reopening Willard Pool, was supported by only 52 percent. For the measure to pass, it would need two-thirds majority in favor.\u003c/p>\n\u003cp>Survey respondents were also asked some general questions about Berkeley. Sixty-three percent said “things in the city of Berkeley are going in the right direction.” Only 13 percent said “things are on the wrong track” (24 percent responded “don’t know”).\u003c/p>\n\u003cp>When asked to rate the job Berkeley is doing providing city services, 14 percent responded excellent, 55 percent responded good. Slightly less than a quarter, 23 percent, said fair and 5 percent said poor.\u003c/p>\n\u003cp>When asked about areas where Berkeley might need to invest, 31 percent said providing affordable housing was extremely important, and 31 percent rated improving children’s health as extremely important. Only 7 percent said renovating swimming pools or improving parks and playgrounds was extremely important.\u003c/p>\n\u003cp>Forty-six percent of the respondents were men and 54 percent were women; 67 percent of respondents were white and 10 percent were black; 39 percent were over 60 and 20 percent were under 30. All respondents were required to be likely voters in the November 2014 election.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED News Associate \u003ca href=\"http://www.berkeleyside.com/\" target=\"_blank\" rel=\"noopener\">Berkeleyside\u003c/a> is an independently owned news website based in Berkeley, Calif. \u003ca href=\"http://eepurl.com/lh_3b\" target=\"_blank\" rel=\"noopener\">Click here\u003c/a> if you would you like to receive the latest Berkeley news in your inbox once a day for free with Berkeleyside’s Daily Briefing email.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Study: Estrogen Therapy May Help Some Older Women at Risk for Alzheimer's Disease",
"title": "Study: Estrogen Therapy May Help Some Older Women at Risk for Alzheimer's Disease",
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"content": "\u003cfigure id=\"attachment_18086\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-e1394646803472.jpg\">\u003cimg class=\"size-large wp-image-18086\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-640x341.jpg\" alt=\"Estrogen replacement patches. (Ian Waldie/Getty Images)\" width=\"640\" height=\"341\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Estrogen replacement patches. (Ian Waldie/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Postmenopausal women have heard just about everything when it comes to hormone therapy. In the 1990s, doctors routinely recommended it, believing that it helped women avoid heart attacks, thinning bones and other problems of aging. Then along came the Women's Health Initiative study, which first found hormone therapy (HT) created more risks than benefits -- \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1745676\" target=\"_blank\">then found that over time \u003c/a>some of those risks subsided, at least somewhat.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It's a very provocative finding, without a doubt.\" \u003c/aside>\n\u003cp>But one main criticism of the Women's Health Initiative study was that women were recruited to start on hormone therapy long after they had gone through menopause. The women were ages 65 or older.\u003c/p>\n\u003cp>Today, \u003ca href=\"http://www.menopause.org/for-women/menopauseflashes/news-you-can-use-about-hormone-therapy\" target=\"_blank\">many doctors believe\u003c/a> that HT started at the time of menopause -- or soon after -- can help women with hot flashes, vaginal dryness and other symptoms.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Now a small study at Stanford has looked at another area of interest with HT -- the possible effects of estrogen on the brain. Conflicting evidence has indicated that HT can help women fight dementia.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In this study, instead of starting women on hormones, as the Women's Health Initiative study did, the Stanford researchers recruited women already taking them and then randomized them into two groups -- some would continue taking hormones, some would stop.\u003c/p>\n\u003cp>\"They start women on hormones, and we stopped women on hormones. Biologically it's a very different phenomenon,\" said Dr. Natalie Rasgon, director of the Stanford Center for Neuroscience in Women's Health, lead author of the study.\u003c/p>\n\u003cp>Rasgon and her team also recruited significantly younger women, ages 50-65. The researchers measured metabolic activity in specific brain regions associated with memory and executive function, using sophisticated PET scans. Rasgon said that studies have shown that these areas can show a decline before a person would notice symptoms of Alzheimer's disease.\u003c/p>\n\u003cp>\u003cstrong>One Type of Estrogen Helps, Another Doesn't\u003c/strong>\u003c/p>\n\u003cp>They found that women taking a type of synthetic estrogen called estradiol saw that their brain function was better preserved. But here's the rub: Another kind of estrogen, conjugated equine estrogen, often known by the brand name Premarin, did not confer the same benefit. The study found that women who took Premarin saw a decline in the key brain regions studied. Results were published in \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0089095\">Plos One.\u003c/a>\u003c/p>\n\u003cp>Many women who take hormone therapy take both synthetic estrogen and progesterone, in part because estrogen therapy alone increases a woman's risk of uterine cancer. In women in the study who took both hormones, the synthetic progesterone wiped out any benefits provided by estradiol and increased the brain decline seen in women taking Premarin.\u003c/p>\n\u003cp>\"It's a very provocative finding, without a doubt,\" Rasgon said.\u003c/p>\n\u003cp>Estradiol is a \"synthetic molecule which exactly mimics the estrogen produced by the ovary,\" Rasgon said. Pfizer, which manufactures Premarin,\u003ca href=\"http://labeling.pfizer.com/showlabeling.aspx?id=131\" target=\"_blank\"> describes it\u003c/a> as \"a mixture of conjugated estrogens obtained exclusively from natural sources.\"\u003c/p>\n\u003cp>Before you rush out to take estradiol to help ward off Alzheimer's disease, Rasgon was careful to issue clear caveats. First, this is a small study, just 45 women, \"and it's a very specific population,\" she said. \"It's a population that is at risk for Azheimer's disease.\"\u003c/p>\n\u003cp>In order to be included in the study, women were required to be at increased risk for dementia, as indicated by having a first-degree relative with Alzheimer's disease, or that they were known to carry a specific variant of the \u003ca href=\"http://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-genetics-fact-sheet\" target=\"_blank\">ApoE gene\u003c/a>, which is associated with increased risk of Alzheimer's. Women who had a personal history of major depression were also eligible.\u003c/p>\n\u003cp>In the PET scans, researchers were looking only at changes in metabolic activity in the brain -- a marker for brain preservation -- and not at direct cognition among the women. \"Metabolic changes in these brain regions presage overt symptoms of cognitive decline, sometimes by decades,\" Rasgon said. \"We're finding significant changes in women who are still cognitively intact.\"\u003c/p>\n\u003cp>\"This is a wonderful study,\" said Dr. David Rubinow, former head of the division of behavioral endocrinology at the National Institute of Mental Health and now at the University of North Carolina-Chapel Hill. He was not involved in the study. \"Dr. Rasgon was able to demonstrate that there were marked differences between conjugated equine estrogen and estradiol, and both of those observations had been suggested but were untested.\"\u003c/p>\n\u003cp>Rubinow said that more study is needed. \"Is this a study that suggests that we need to redouble our efforts to determine the effects of estradiol administered during perimenopause on cognitive function? The answer is yes.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Randomization Raises Questions\u003c/strong>\u003c/p>\n\u003cp>Dr. Rita Redberg, director of Women's Cardiovascular Services at UC San Francisco, was more skeptical. While changes in metabolic activity in the brain are a marker for disease, \"a marker is a long way from dementia,\" she noted. While people who now have Alzheimer's disease may well have started off with these changes years ago, it's likely that many people will experience these metabolic changes but never go on to develop dementia.\u003c/p>\n\u003cp>Redberg also was concerned that women came into the study already taking hormones. The study required that women already be taking them for at least one year, so this means the women were not randomly assigned estradiol or Premarin. \"There were likely differences among women who chose to take estradiol and women who chose to take (Premarin), so it wasn't randomized.\"\u003c/p>\n\u003cp>Women can slow or prevent memory loss by eating a healthy diet and getting regular exercise, Redberg said. Also, estrogen therapy increases a woman's risk for breast cancer.\u003c/p>\n\u003cp>Rasgon agreed that diet and exercise can help people reduce their risk of dementia, but she also stressed that women should assess risks and benefits of hormone therapy individually. \"Those risks and benefits have to be accounted for now for the type of hormone preparation they are taking and presence or absence of progestin,\" she said. \"Not every women taking progestin may need it. … Those factors were not part of the equation in the past and now they should be -- at least for those who are at risk for Alzheimer's disease.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"48k9vaFKqfQgzEla6UEXSIUUWAXWPjmR\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18086\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-e1394646803472.jpg\">\u003cimg class=\"size-large wp-image-18086\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/2380867-640x341.jpg\" alt=\"Estrogen replacement patches. (Ian Waldie/Getty Images)\" width=\"640\" height=\"341\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Estrogen replacement patches. (Ian Waldie/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Postmenopausal women have heard just about everything when it comes to hormone therapy. In the 1990s, doctors routinely recommended it, believing that it helped women avoid heart attacks, thinning bones and other problems of aging. Then along came the Women's Health Initiative study, which first found hormone therapy (HT) created more risks than benefits -- \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1745676\" target=\"_blank\">then found that over time \u003c/a>some of those risks subsided, at least somewhat.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It's a very provocative finding, without a doubt.\" \u003c/aside>\n\u003cp>But one main criticism of the Women's Health Initiative study was that women were recruited to start on hormone therapy long after they had gone through menopause. The women were ages 65 or older.\u003c/p>\n\u003cp>Today, \u003ca href=\"http://www.menopause.org/for-women/menopauseflashes/news-you-can-use-about-hormone-therapy\" target=\"_blank\">many doctors believe\u003c/a> that HT started at the time of menopause -- or soon after -- can help women with hot flashes, vaginal dryness and other symptoms.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Now a small study at Stanford has looked at another area of interest with HT -- the possible effects of estrogen on the brain. Conflicting evidence has indicated that HT can help women fight dementia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In this study, instead of starting women on hormones, as the Women's Health Initiative study did, the Stanford researchers recruited women already taking them and then randomized them into two groups -- some would continue taking hormones, some would stop.\u003c/p>\n\u003cp>\"They start women on hormones, and we stopped women on hormones. Biologically it's a very different phenomenon,\" said Dr. Natalie Rasgon, director of the Stanford Center for Neuroscience in Women's Health, lead author of the study.\u003c/p>\n\u003cp>Rasgon and her team also recruited significantly younger women, ages 50-65. The researchers measured metabolic activity in specific brain regions associated with memory and executive function, using sophisticated PET scans. Rasgon said that studies have shown that these areas can show a decline before a person would notice symptoms of Alzheimer's disease.\u003c/p>\n\u003cp>\u003cstrong>One Type of Estrogen Helps, Another Doesn't\u003c/strong>\u003c/p>\n\u003cp>They found that women taking a type of synthetic estrogen called estradiol saw that their brain function was better preserved. But here's the rub: Another kind of estrogen, conjugated equine estrogen, often known by the brand name Premarin, did not confer the same benefit. The study found that women who took Premarin saw a decline in the key brain regions studied. Results were published in \u003ca href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0089095\">Plos One.\u003c/a>\u003c/p>\n\u003cp>Many women who take hormone therapy take both synthetic estrogen and progesterone, in part because estrogen therapy alone increases a woman's risk of uterine cancer. In women in the study who took both hormones, the synthetic progesterone wiped out any benefits provided by estradiol and increased the brain decline seen in women taking Premarin.\u003c/p>\n\u003cp>\"It's a very provocative finding, without a doubt,\" Rasgon said.\u003c/p>\n\u003cp>Estradiol is a \"synthetic molecule which exactly mimics the estrogen produced by the ovary,\" Rasgon said. Pfizer, which manufactures Premarin,\u003ca href=\"http://labeling.pfizer.com/showlabeling.aspx?id=131\" target=\"_blank\"> describes it\u003c/a> as \"a mixture of conjugated estrogens obtained exclusively from natural sources.\"\u003c/p>\n\u003cp>Before you rush out to take estradiol to help ward off Alzheimer's disease, Rasgon was careful to issue clear caveats. First, this is a small study, just 45 women, \"and it's a very specific population,\" she said. \"It's a population that is at risk for Azheimer's disease.\"\u003c/p>\n\u003cp>In order to be included in the study, women were required to be at increased risk for dementia, as indicated by having a first-degree relative with Alzheimer's disease, or that they were known to carry a specific variant of the \u003ca href=\"http://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-genetics-fact-sheet\" target=\"_blank\">ApoE gene\u003c/a>, which is associated with increased risk of Alzheimer's. Women who had a personal history of major depression were also eligible.\u003c/p>\n\u003cp>In the PET scans, researchers were looking only at changes in metabolic activity in the brain -- a marker for brain preservation -- and not at direct cognition among the women. \"Metabolic changes in these brain regions presage overt symptoms of cognitive decline, sometimes by decades,\" Rasgon said. \"We're finding significant changes in women who are still cognitively intact.\"\u003c/p>\n\u003cp>\"This is a wonderful study,\" said Dr. David Rubinow, former head of the division of behavioral endocrinology at the National Institute of Mental Health and now at the University of North Carolina-Chapel Hill. He was not involved in the study. \"Dr. Rasgon was able to demonstrate that there were marked differences between conjugated equine estrogen and estradiol, and both of those observations had been suggested but were untested.\"\u003c/p>\n\u003cp>Rubinow said that more study is needed. \"Is this a study that suggests that we need to redouble our efforts to determine the effects of estradiol administered during perimenopause on cognitive function? The answer is yes.\"\u003c/p>\n\u003cp>\u003cstrong>Lack of Randomization Raises Questions\u003c/strong>\u003c/p>\n\u003cp>Dr. Rita Redberg, director of Women's Cardiovascular Services at UC San Francisco, was more skeptical. While changes in metabolic activity in the brain are a marker for disease, \"a marker is a long way from dementia,\" she noted. While people who now have Alzheimer's disease may well have started off with these changes years ago, it's likely that many people will experience these metabolic changes but never go on to develop dementia.\u003c/p>\n\u003cp>Redberg also was concerned that women came into the study already taking hormones. The study required that women already be taking them for at least one year, so this means the women were not randomly assigned estradiol or Premarin. \"There were likely differences among women who chose to take estradiol and women who chose to take (Premarin), so it wasn't randomized.\"\u003c/p>\n\u003cp>Women can slow or prevent memory loss by eating a healthy diet and getting regular exercise, Redberg said. Also, estrogen therapy increases a woman's risk for breast cancer.\u003c/p>\n\u003cp>Rasgon agreed that diet and exercise can help people reduce their risk of dementia, but she also stressed that women should assess risks and benefits of hormone therapy individually. \"Those risks and benefits have to be accounted for now for the type of hormone preparation they are taking and presence or absence of progestin,\" she said. \"Not every women taking progestin may need it. … Those factors were not part of the equation in the past and now they should be -- at least for those who are at risk for Alzheimer's disease.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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},
"rightnowish": {
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"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
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