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"content": "\u003cp>Democrats have traditionally been the ones to champion health care programs for low-income Californians. But this month, Republicans proposed a bill that would put $200 million dollars toward improving Denti-Cal, the state’s free dental care program for the poor.\u003c/p>\n\u003cp>“If you have a program that already exists that isn’t properly funded, and isn’t working properly, you should fix that first before spending money on new programs,” said Chad Mayes, an Assembly Republican leader who represents Yucca Valley.\u003c/p>\n\u003cp>About 13 million Californians are eligible for Denti-Cal, including 5 million children. But the program is widely viewed as “broken,” “bureaucratically rigid,” and “a disaster,” according to \u003ca href=\"http://www.lhc.ca.gov/studies/230/Report230.pdf\">a 2016 report\u003c/a> from the \u003ca href=\"http://www.lhc.ca.gov/index.html\" target=\"_blank\" rel=\"noopener\">Little Hoover Commission\u003c/a>, an independent state oversight agency.\u003c/p>\n\u003cp>Most people who have Denti-Cal never actually see the dentist, because they can’t find one who accepts their coverage. Eleven counties in California have no dentists who accept Denti-Cal or who are accepting new Denti-Cal patients, according to a 2014 \u003ca href=\"https://www.auditor.ca.gov/reports/summary/2013-125\">California State Auditor report\u003c/a>.\u003c/p>\n\u003cp>“And we just think that that’s wrong,” Mayes said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many dentists limit the number of Denti-Cal patients they see, or stop seeing them altogether because the pay is too low: California’s reimbursement rates are 35 percent of the national average.\u003c/p>\n\u003cp>The Republican bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB15\">AB 15\u003c/a>, would put all $200 million into paying dentists a better rate, in the hopes of attracting more dentists to participate in the program.\u003c/p>\n\u003cp>“We need to make it as efficient and effective as possible, so that millions of adults and kids in California that aren’t able to receive dental services are able to get them,” Mayes said.\u003c/p>\n\u003cp>But it’s not clear that giving dentists more money actually results in more patients getting care.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.lhc.ca.gov/studies/230/Report230.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Little Hoover Commission – a report Mayes and other Republicans cite frequently in defending their bill – includes 11 recommendations on how to fix Denti-Cal.\u003c/p>\n\u003cp>Not one of the recommendations involves increasing payments to dentists. In fact, the report calls across-the-board rate hikes a “costly” move that would result in attracting only “a few more Denti-Cal providers.”\u003c/p>\n\u003cp>Instead, the report recommends improving the Denti-Cal program by simplifying paperwork, focusing on less expensive prevention strategies (like having pediatricians teach patients about good oral hygiene), and establishing dental clinics inside schools or community centers in remote areas, so that patients can go to a centrally located place for care, rather than traveling 60 miles to a dentist’s office.\u003c/p>\n\u003cp>Senate Republican Leader Jean Fuller, who represents Kern County, acknowledged that the bill doesn’t address those recommendations.\u003c/p>\n\u003cp>“Yes, there are a lot of things that I would like to fix about the program. But I am not the majority party, unfortunately. I am not likely to get to adjust those,” she said. “There are 120,000 children in my district who are not getting the service. So my job is to fight for my children to get what I can.”\u003c/p>\n\u003cp>Paying dentists more money is really about making dentists happy, says Jessica Levinson, a professor at Loyola Law School in Los Angeles.\u003c/p>\n\u003cp>“It’s certainly a Republican goal to be business friendly,” she said. “This proposal is actually a business-friendly, a professional-friendly proposal to try and say to a dentist, ‘You will get higher reimbursement rates and you will be able to serve poor clients.’”\u003c/p>\n\u003cp>Levinson says there could also be something else at play here: campaign money. The \u003ca href=\"http://www.cda.org/\" target=\"_blank\" rel=\"noopener\">California Dental Association\u003c/a> gives more to Democrats in the state, but compared to other similar interest groups, like the California Medical Association, the dental group gives more generously to Republicans.\u003c/p>\n\u003cp>When it comes to Californian candidates running for federal office, in the most recent election cycle, the Dental Association gave exclusively to the Republican party, according to \u003ca href=\"https://www.opensecrets.org/pacs/lookup2.php?strID=C00005751&cycle=2016\">campaign contribution data\u003c/a> from Open Secrets. That’s a complete turnaround from 25 years ago, when the Association gave only to Democrats running at that level.\u003c/p>\n\u003cp>“It’s obvious to me that state office holders in California would be well aware of the fact that the California Dental Association is spending a lot of money for Republican candidates on the federal level,” Levinson said, “So they may be hoping that that money will soon come their way.”\u003c/p>\n\u003cp>Republicans and Democrats both are always on the lookout for new sources of campaign money. Asked if the Dental Association’s shift in giving influenced the Republican bill, Assemblyman Chad Mayes said he wasn’t aware of the shift.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Actually, I’m a bit offended by even asking the question, because we really, genuinely care about the people of California,” he said. “This is about fixing a broken governmental program.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Democrats have traditionally been the ones to champion health care programs for low-income Californians. But this month, Republicans proposed a bill that would put $200 million dollars toward improving Denti-Cal, the state’s free dental care program for the poor.\u003c/p>\n\u003cp>“If you have a program that already exists that isn’t properly funded, and isn’t working properly, you should fix that first before spending money on new programs,” said Chad Mayes, an Assembly Republican leader who represents Yucca Valley.\u003c/p>\n\u003cp>About 13 million Californians are eligible for Denti-Cal, including 5 million children. But the program is widely viewed as “broken,” “bureaucratically rigid,” and “a disaster,” according to \u003ca href=\"http://www.lhc.ca.gov/studies/230/Report230.pdf\">a 2016 report\u003c/a> from the \u003ca href=\"http://www.lhc.ca.gov/index.html\" target=\"_blank\" rel=\"noopener\">Little Hoover Commission\u003c/a>, an independent state oversight agency.\u003c/p>\n\u003cp>Most people who have Denti-Cal never actually see the dentist, because they can’t find one who accepts their coverage. Eleven counties in California have no dentists who accept Denti-Cal or who are accepting new Denti-Cal patients, according to a 2014 \u003ca href=\"https://www.auditor.ca.gov/reports/summary/2013-125\">California State Auditor report\u003c/a>.\u003c/p>\n\u003cp>“And we just think that that’s wrong,” Mayes said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many dentists limit the number of Denti-Cal patients they see, or stop seeing them altogether because the pay is too low: California’s reimbursement rates are 35 percent of the national average.\u003c/p>\n\u003cp>The Republican bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB15\">AB 15\u003c/a>, would put all $200 million into paying dentists a better rate, in the hopes of attracting more dentists to participate in the program.\u003c/p>\n\u003cp>“We need to make it as efficient and effective as possible, so that millions of adults and kids in California that aren’t able to receive dental services are able to get them,” Mayes said.\u003c/p>\n\u003cp>But it’s not clear that giving dentists more money actually results in more patients getting care.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.lhc.ca.gov/studies/230/Report230.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the Little Hoover Commission – a report Mayes and other Republicans cite frequently in defending their bill – includes 11 recommendations on how to fix Denti-Cal.\u003c/p>\n\u003cp>Not one of the recommendations involves increasing payments to dentists. In fact, the report calls across-the-board rate hikes a “costly” move that would result in attracting only “a few more Denti-Cal providers.”\u003c/p>\n\u003cp>Instead, the report recommends improving the Denti-Cal program by simplifying paperwork, focusing on less expensive prevention strategies (like having pediatricians teach patients about good oral hygiene), and establishing dental clinics inside schools or community centers in remote areas, so that patients can go to a centrally located place for care, rather than traveling 60 miles to a dentist’s office.\u003c/p>\n\u003cp>Senate Republican Leader Jean Fuller, who represents Kern County, acknowledged that the bill doesn’t address those recommendations.\u003c/p>\n\u003cp>“Yes, there are a lot of things that I would like to fix about the program. But I am not the majority party, unfortunately. I am not likely to get to adjust those,” she said. “There are 120,000 children in my district who are not getting the service. So my job is to fight for my children to get what I can.”\u003c/p>\n\u003cp>Paying dentists more money is really about making dentists happy, says Jessica Levinson, a professor at Loyola Law School in Los Angeles.\u003c/p>\n\u003cp>“It’s certainly a Republican goal to be business friendly,” she said. “This proposal is actually a business-friendly, a professional-friendly proposal to try and say to a dentist, ‘You will get higher reimbursement rates and you will be able to serve poor clients.’”\u003c/p>\n\u003cp>Levinson says there could also be something else at play here: campaign money. The \u003ca href=\"http://www.cda.org/\" target=\"_blank\" rel=\"noopener\">California Dental Association\u003c/a> gives more to Democrats in the state, but compared to other similar interest groups, like the California Medical Association, the dental group gives more generously to Republicans.\u003c/p>\n\u003cp>When it comes to Californian candidates running for federal office, in the most recent election cycle, the Dental Association gave exclusively to the Republican party, according to \u003ca href=\"https://www.opensecrets.org/pacs/lookup2.php?strID=C00005751&cycle=2016\">campaign contribution data\u003c/a> from Open Secrets. That’s a complete turnaround from 25 years ago, when the Association gave only to Democrats running at that level.\u003c/p>\n\u003cp>“It’s obvious to me that state office holders in California would be well aware of the fact that the California Dental Association is spending a lot of money for Republican candidates on the federal level,” Levinson said, “So they may be hoping that that money will soon come their way.”\u003c/p>\n\u003cp>Republicans and Democrats both are always on the lookout for new sources of campaign money. Asked if the Dental Association’s shift in giving influenced the Republican bill, Assemblyman Chad Mayes said he wasn’t aware of the shift.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Actually, I’m a bit offended by even asking the question, because we really, genuinely care about the people of California,” he said. “This is about fixing a broken governmental program.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>President-elect Donald Trump has vowed that he will repeal Obamacare and replace it with something “better.” Specifics are scarce, but one plan Trump has outlined is to change how the federal government funds Medicaid, health coverage for low-income people.\u003c/p>\n\u003cp>Under the Affordable Care Act, 32 states expanded Medicaid, so that more people would qualify for the benefits. Health policy experts say states that embraced it the most could feel the changes the worst.\u003c/p>\n\u003cp>“Winding back the clock would create all kinds of turbulence and disruption,” says Larry Levitt, senior vice president for special initiatives at the Kaiser Family Foundation.\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/292468414″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /]\u003c/p>\n\u003cp>Twenty million Americans now have health coverage because of Obamacare. A full quarter of them are in California. And most of them are covered by Medi-Cal, California’s Medicaid program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Right now, the federal government shares the cost of Medicaid with the states, no matter how many people are enrolled. But Trump wants to cap that funding, and just give states one fixed grant.\u003c/p>\n\u003cp>“A block grant would give California greater flexibility in running the Medi-Cal program, but it would also give the state less money,” Levitt says.\u003c/p>\n\u003cp>In California, 62 percent of new Medi-Cal enrollees are Latino, African-American or Asian-American.\u003c/p>\n\u003cp>“The effect is magnified in California in part because the state has been so successful in getting people signed up for coverage,” Levitt says.\u003c/p>\n\u003cp>Some states could pay doctors and hospitals less to save money. But in California, payment rates are already the second lowest in the country.\u003c/p>\n\u003cp>“California can’t really pay much less than it does to providers,” says Gerald Kominski, UCLA health policy professor. “These are going to be very, very difficult choices.”\u003c/p>\n\u003cp>Under one Republican plan, the amount of block grants would be based on Medi-Cal enrollment levels before the Affordable Care Act was implemented. Kominski says, in that scenario, the only choice California really would have is to reduce services or reduce the number of people who get Medi-Cal.\u003c/p>\n\u003cp>“That would have a devastating consequence on the Medicaid expansion population in California, and would basically put everyone who’s been newly enrolled in the program back off the program,” he says.\u003c/p>\n\u003cp>It’s unclear how soon a Trump administration would change Medicaid funding, so health advocates are encouraging people to continue signing up for Medicaid and other coverage during the current Obamacare open enrollment season.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California is not an island,” says Anthony Wright, executive director of Health Access, adding that the state “must engage fully in the coming national debate on the future of health reform — especially as an example of what has been achieved, and what we can’t give up.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President-elect Donald Trump has vowed that he will repeal Obamacare and replace it with something “better.” Specifics are scarce, but one plan Trump has outlined is to change how the federal government funds Medicaid, health coverage for low-income people.\u003c/p>\n\u003cp>Under the Affordable Care Act, 32 states expanded Medicaid, so that more people would qualify for the benefits. Health policy experts say states that embraced it the most could feel the changes the worst.\u003c/p>\n\u003cp>“Winding back the clock would create all kinds of turbulence and disruption,” says Larry Levitt, senior vice president for special initiatives at the Kaiser Family Foundation.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='”100%”' height='”166″'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=”https://api.soundcloud.com/tracks/292468414″&visual=true&”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false”'\n title='”https://api.soundcloud.com/tracks/292468414″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Twenty million Americans now have health coverage because of Obamacare. A full quarter of them are in California. And most of them are covered by Medi-Cal, California’s Medicaid program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Right now, the federal government shares the cost of Medicaid with the states, no matter how many people are enrolled. But Trump wants to cap that funding, and just give states one fixed grant.\u003c/p>\n\u003cp>“A block grant would give California greater flexibility in running the Medi-Cal program, but it would also give the state less money,” Levitt says.\u003c/p>\n\u003cp>In California, 62 percent of new Medi-Cal enrollees are Latino, African-American or Asian-American.\u003c/p>\n\u003cp>“The effect is magnified in California in part because the state has been so successful in getting people signed up for coverage,” Levitt says.\u003c/p>\n\u003cp>Some states could pay doctors and hospitals less to save money. But in California, payment rates are already the second lowest in the country.\u003c/p>\n\u003cp>“California can’t really pay much less than it does to providers,” says Gerald Kominski, UCLA health policy professor. “These are going to be very, very difficult choices.”\u003c/p>\n\u003cp>Under one Republican plan, the amount of block grants would be based on Medi-Cal enrollment levels before the Affordable Care Act was implemented. Kominski says, in that scenario, the only choice California really would have is to reduce services or reduce the number of people who get Medi-Cal.\u003c/p>\n\u003cp>“That would have a devastating consequence on the Medicaid expansion population in California, and would basically put everyone who’s been newly enrolled in the program back off the program,” he says.\u003c/p>\n\u003cp>It’s unclear how soon a Trump administration would change Medicaid funding, so health advocates are encouraging people to continue signing up for Medicaid and other coverage during the current Obamacare open enrollment season.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“California is not an island,” says Anthony Wright, executive director of Health Access, adding that the state “must engage fully in the coming national debate on the future of health reform — especially as an example of what has been achieved, and what we can’t give up.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The city of Oakland was the first to regulate and tax medical marijuana dispensaries. Now, some city leaders see the industry’s profits and are proposing to take a bigger piece of the action: The Oakland City Council is voting Tuesday night on a pot profit-taking plan.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shopharborside.com/\">Harborside Health Center\u003c/a> in Oakland is the largest medical marijuana dispensary in the nation.\u003c/p>\n\u003cp>Its executive director, Steve DeAngelo, says his dispensary brings in about $30 million in annual revenues.\u003c/p>\n\u003cp>“We’ve created over a 150 well-paying jobs and we’re the second largest retail taxpayer in the city,” he says.\u003c/p>\n\u003cp>DeAngelo says Harborside pays about $1.5 million in taxes every year.\u003c/p>\n\u003cfigure id=\"attachment_11155471\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-800x534.jpg\" alt=\"Steve DeAngelo (shown in 2014) is co-founder and executive director of Harborside Health Center in Oakland, the country's largest medical marijuana dispensary.\" width=\"800\" height=\"534\" class=\"size-medium wp-image-11155471\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1920x1281.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-960x641.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Steve DeAngelo (shown in 2014) is co-founder and executive director of Harborside Health Center in Oakland, the country’s largest medical marijuana dispensary. \u003ccite>(Robert Gauthier/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His operation is one of eight licensed dispensaries in Oakland. But there are scores of other pot businesses that operate semi-legally, meaning they pay taxes but they are not fully licensed. And now the city wants to license them, too, but at a price.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The exploding cannabis industry has the city rethinking how much the dispensaries should pay the city to operate and who gets those licenses. City Councilwoman Desley Brooks is leading that effort.\u003c/p>\n\u003cp>“When you look at this industry across the United States and in Oakland, the vast majority of people who are making money in this industry are white males,” she said during a recent city hearing.\u003c/p>\n\u003cp>Harborside’s DeAngelo says he’s sympathetic with effort to diversify the industry. But he has problems with Brooks’ other plan to charge dispensaries 25 percent of their profits.\u003c/p>\n\u003cp>“And the courts have really been very, very consistent in ruling that a government agency is not allowed to take private property in that fashion,” he says.\u003c/p>\n\u003cp>The debate over whether they city should demand medical marijuana profits comes as it is still grappling with how to promote diversity in the industry.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.npr.org/player/embed/500264056/500264057\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Last spring, the City Council voted to expand the industry by giving preferences for licenses to pot entrepreneurs who did jail time for marijuana offenses or for those who live in certain East Oakland neighborhoods — like Brooks’ district — that are predominantly black and Latino.\u003c/p>\n\u003cp>“We need to make sure that there is equity in this industry and we need to make sure that Oaklanders have an opportunity,” Brooks said.\u003c/p>\n\u003cp>For example, under current rules, drug felons applying for a cannabis license have to own at least 50 percent of their business.\u003c/p>\n\u003cp>Dale Geringer, director of the California chapter of National Organization for Reform of Marijuana Laws, or NORML, opposes the preference program.\u003c/p>\n\u003cfigure id=\"attachment_11155472\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-800x600.jpg\" alt=\"Super Skunk is one of the many different kinds of marijuana sold at Harborside Health Center.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11155472\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1920x1439.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1180x884.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Super Skunk is one of the many different kinds of marijuana sold at Harborside Health Center. \u003ccite>(Richard Gonzales/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These rules go well beyond what any other legal industry has to put up with and they are supposedly addressed at equity problems which are not even caused by this industry but rather by the laws that prohibited it,” Geringer says.\u003c/p>\n\u003cp>More than a few people around the city worry that the controversy over profits and preferences could drive away the medical marijuana industry from Oakland.\u003c/p>\n\u003cp>Terryn Buxton is among them. He’s an entrepreneur who sits on a commission that advises the city on how to deal with the marijuana business.\u003c/p>\n\u003cp>“I’m from Oakland and I’m born and raised here. I’d like my business to be here,” he says. “But I do not know if we’re going to have an environment our business can survive in.” \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">NPR.org\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The city of Oakland was the first to regulate and tax medical marijuana dispensaries. Now, some city leaders see the industry’s profits and are proposing to take a bigger piece of the action: The Oakland City Council is voting Tuesday night on a pot profit-taking plan.\u003c/p>\n\u003cp>\u003ca href=\"https://www.shopharborside.com/\">Harborside Health Center\u003c/a> in Oakland is the largest medical marijuana dispensary in the nation.\u003c/p>\n\u003cp>Its executive director, Steve DeAngelo, says his dispensary brings in about $30 million in annual revenues.\u003c/p>\n\u003cp>“We’ve created over a 150 well-paying jobs and we’re the second largest retail taxpayer in the city,” he says.\u003c/p>\n\u003cp>DeAngelo says Harborside pays about $1.5 million in taxes every year.\u003c/p>\n\u003cfigure id=\"attachment_11155471\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-800x534.jpg\" alt=\"Steve DeAngelo (shown in 2014) is co-founder and executive director of Harborside Health Center in Oakland, the country's largest medical marijuana dispensary.\" width=\"800\" height=\"534\" class=\"size-medium wp-image-11155471\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1920x1281.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-960x641.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gettyimages-567367357_cc_custom-fa9bde16e73ab45fde44f9f091230abb0d7881ad-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Steve DeAngelo (shown in 2014) is co-founder and executive director of Harborside Health Center in Oakland, the country’s largest medical marijuana dispensary. \u003ccite>(Robert Gauthier/Los Angeles Times via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His operation is one of eight licensed dispensaries in Oakland. But there are scores of other pot businesses that operate semi-legally, meaning they pay taxes but they are not fully licensed. And now the city wants to license them, too, but at a price.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The exploding cannabis industry has the city rethinking how much the dispensaries should pay the city to operate and who gets those licenses. City Councilwoman Desley Brooks is leading that effort.\u003c/p>\n\u003cp>“When you look at this industry across the United States and in Oakland, the vast majority of people who are making money in this industry are white males,” she said during a recent city hearing.\u003c/p>\n\u003cp>Harborside’s DeAngelo says he’s sympathetic with effort to diversify the industry. But he has problems with Brooks’ other plan to charge dispensaries 25 percent of their profits.\u003c/p>\n\u003cp>“And the courts have really been very, very consistent in ruling that a government agency is not allowed to take private property in that fashion,” he says.\u003c/p>\n\u003cp>The debate over whether they city should demand medical marijuana profits comes as it is still grappling with how to promote diversity in the industry.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.npr.org/player/embed/500264056/500264057\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Last spring, the City Council voted to expand the industry by giving preferences for licenses to pot entrepreneurs who did jail time for marijuana offenses or for those who live in certain East Oakland neighborhoods — like Brooks’ district — that are predominantly black and Latino.\u003c/p>\n\u003cp>“We need to make sure that there is equity in this industry and we need to make sure that Oaklanders have an opportunity,” Brooks said.\u003c/p>\n\u003cp>For example, under current rules, drug felons applying for a cannabis license have to own at least 50 percent of their business.\u003c/p>\n\u003cp>Dale Geringer, director of the California chapter of National Organization for Reform of Marijuana Laws, or NORML, opposes the preference program.\u003c/p>\n\u003cfigure id=\"attachment_11155472\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-800x600.jpg\" alt=\"Super Skunk is one of the many different kinds of marijuana sold at Harborside Health Center.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11155472\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1920x1439.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-1180x884.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae-520x390.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/11/gonzales_marijuana1_custom-47931b13e69cd2569236a4ed456605e25b744fae.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Super Skunk is one of the many different kinds of marijuana sold at Harborside Health Center. \u003ccite>(Richard Gonzales/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“These rules go well beyond what any other legal industry has to put up with and they are supposedly addressed at equity problems which are not even caused by this industry but rather by the laws that prohibited it,” Geringer says.\u003c/p>\n\u003cp>More than a few people around the city worry that the controversy over profits and preferences could drive away the medical marijuana industry from Oakland.\u003c/p>\n\u003cp>Terryn Buxton is among them. He’s an entrepreneur who sits on a commission that advises the city on how to deal with the marijuana business.\u003c/p>\n\u003cp>“I’m from Oakland and I’m born and raised here. I’d like my business to be here,” he says. “But I do not know if we’re going to have an environment our business can survive in.” \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>LOS ANGELES — When Mike Stabile first moved to Los Angeles in 2011, he was struck by a billboard he saw along the freeway. It showed a line of cocaine and a turned-over shot glass, with the caption: \u003cem>You know why. Free HIV test.\u003c/em>\u003c/p>\n\u003cp>“I literally pulled over the car and was like, what’s going on?” Stabile remembers. “I was having a panic attack.”\u003c/p>\n\u003cp>Another ad showed two men in bed, looking nervous, with the question: \u003cem>“Trust Him?”\u003c/em>\u003c/p>\n\u003cp>“As a gay man, you really have to fight against this idea that you’re constantly in danger,” says Stabile, who came of age during the height of the AIDS epidemic in the 1980s. “Fear and stigma actually works against people getting tested.”\u003c/p>\n\u003cfigure id=\"attachment_11148363\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11148363 size-medium\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-800x245.jpg\" alt=\"TrustHim_GayWhite_1094x335\" width=\"800\" height=\"245\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-800x245.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-160x49.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-1020x312.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-960x294.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-240x73.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-375x115.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-520x159.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335.jpg 1094w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">One of many ads sponsored by the AIDS Healthcare Foundation. \u003ccite>(Photo Courtesy of AIDS Healthcare Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stabile says he sees the same heavy-handed, moralistic attitude behind \u003ca href=\"http://elections.kqed.org/measures/2023/info/proposition-60\">Proposition 60\u003c/a>, the state ballot initiative that would require adult film performers to use condoms on porn sets. If they don’t, and state regulators fail to enforce the mandate in a timely manner, any Californian can sue the film producer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Its success depends on stigma around sex, stigma around porn,” says Stabile, who now works for the \u003ca href=\"http://dontharassca.com/\">No on 60 campaign\u003c/a>.\u003c/p>\n\u003cp>The man behind Proposition 60 — and all those billboards — is Michael Weinstein, president of the \u003ca href=\"https://www.aidshealth.org/#/\">AIDS Healthcare Foundation\u003c/a>, and a longtime maverick in gay activist circles.\u003c/p>\n\u003cp>The nonprofit runs pharmacies and provides HIV care in 13 states and 37 countries, and gave away 38.5 million condoms last year. It’s putting $4.5 million from its pharmacy sales into backing the Proposition 60 condom mandate. (It also put $14.7 million behind \u003ca href=\"http://elections.kqed.org/measure/2024/info/proposition-61\">Proposition 61\u003c/a>, Weinstein’s initiative aimed at lowering drug prices.)\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/290964734″ params=”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false” width=”100%” height=”166″ iframe=”true” /]\u003c/p>\n\u003cp>Weinstein says he’s steadfastly promoting condoms when other groups seem to have forgotten them.\u003c/p>\n\u003cp>“It’s unfashionable,” he says. “I was on a panel discussion and one of the guys said, ‘You’re acting like our mother telling us to wear galoshes.’ And my reaction was, ‘Yeah, somebody needs to do that!’ I mean, I’m not trying to win a popularity contest. Obviously.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I’m not trying to win a popularity contest. Obviously.’\u003cbr>\n\u003ccite>Michael Weinstein\u003c/cite>\u003c/aside>\n\u003cp>For Weinstein, Proposition 60 is primarily about protecting adult film workers against sexually transmitted diseases at a time when infection rates are at a 20-year high across California. But it’s also another large-scale condom campaign.\u003c/p>\n\u003cp>“A lot of people get their sex education through these films and I think it’s sending a bad message,” Weinstein says. “I don’t want young people to be educated that the only kind of sex that’s hot is unsafe sex.”\u003c/p>\n\u003cfigure id=\"attachment_11148455\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11148455 size-medium\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-800x600.jpg\" alt=\"Michael Weinstein, president of the AIDS Healthcare Foundation, in his office in Los Angeles. Behind him is a painting of Chris Brownlie, who worked with Weinstein to found the first AIDS hospice in LA.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Weinstein, president of the AIDS Healthcare Foundation, in his office in Los Angeles. Behind him is a painting of Chris Brownlie, who worked with Weinstein to found the first AIDS hospice in L.A. He is backing Propositions 60 and 61. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Controversial Figure\u003c/strong>\u003c/p>\n\u003cp>Weinstein has long taken controversial positions, but he’s often landed on the right side of history. In the 1980s, he fought lawmakers in California who wanted to quarantine AIDS patients. When nurses were afraid touch patients, leaving them languishing in the hallways of county hospitals, he helped set up one of the first AIDS hospices, where people could die with dignity and compassion. And when the AIDS cocktail came out, Weinstein risked bankruptcy to provide the drugs to uninsured patients.\u003c/p>\n\u003cp>“We decided we had a moral obligation to give them, and we paid for them and those people lived,” he says.\u003c/p>\n\u003cp>One of Weinstein’s more recent and most unpopular stances is on \u003ca href=\"https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/pre-exposure-prophylaxis/\">PrEP\u003c/a>, the daily HIV prevention pill. Many activists consider it a Gift from God. Weinstein calls it a party drug.\u003c/p>\n\u003cp>“It’s often taken in conjunction with crystal meth and other party drugs,” he says. “It’s really a get-out-of-jail-free card.”\u003c/p>\n\u003cp>Weinstein says it gives people a free pass to not use condoms and be reckless, driving a rise in other STDs, which\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\"> recent studies\u003c/a> bear out. But other public health groups say PrEP will reduce HIV transmission and save lives, which the studies also support.\u003c/p>\n\u003cp>“It’s not helpful to have one of the largest HIV organizations in the world trivializing it or downplaying its importance,” says Courtney Mulhern-Pearson, director of state and local affairs at the \u003ca href=\"http://www.sfaf.org/\">San Francisco AIDS Foundation.\u003c/a>\u003c/p>\n\u003cp>Her group, along with \u003ca href=\"https://aplahealth.org/\">AIDS Project LA\u003c/a>, is opposed to Proposition 60, in part because it ignores PrEP. Mulhern-Pearson says Weinstein’s singular focus on condoms is outdated and unrealistic.\u003c/p>\n\u003cp>“Condom fatigue is real,” she says. “And I think that all of us are probably not realistic and not forthcoming about our condom use.”\u003c/p>\n\u003cp>\u003cstrong>History and Opposition\u003c/strong>\u003c/p>\n\u003cp>Weinstein has been fighting to mandate condoms in adult films for years. While federal and state worker safety laws technically already require producers to protect performers against STDs with condoms, the law is largely ignored and poorly enforced. Weinstein has been pushing Cal/OSHA for years to refine and clarify regulations, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/02/17/california-porn-industry-protests-rules-mandating-condoms/\">without success\u003c/a>. He’s backed local measures in Los Angeles County to require condoms, which \u003ca href=\"https://ballotpedia.org/Los_Angeles_Porn_Actors_Required_to_Wear_Condoms_Act,_Measure_B_(November_2012)\">passed\u003c/a>, but enforcement has, again, been minimal.\u003c/p>\n\u003cp>At every turn, the adult film industry has fought hard against condom mandates. They say it will force them to make products that won’t sell, driving the business underground or out of state.\u003c/p>\n\u003cfigure id=\"attachment_11153923\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11153923\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/Prop60Protesters-800x567.jpg\" alt=\"Adult film performers rally against Proposition 60 outside Michael Weinstein’s office.\" width=\"800\" height=\"567\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-800x567.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-1020x723.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-1180x836.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-960x680.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-240x170.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-375x266.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-520x368.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adult film performers rally against Proposition 60 outside Michael Weinstein’s office. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In mid-October, more than 100 adult film performers rallied outside Weinstein’s office in Los Angeles to protest Proposition 60. They chanted slogans like “Our Bodies, Our Choice!” and carried signs that said “Where is Weinstein?”\u003c/p>\n\u003cp>They say they prefer to rely on the industry’s bimonthly testing protocol over condoms. Performer Ela Darling says condoms don’t work on porn sets — they’re uncomfortable and cause friction rashes.\u003c/p>\n\u003cp>“The sex you have on camera isn’t like the sex you have at home,” she says. “It’s like Olympic-level, athletic sex.”\u003c/p>\n\u003cp>She’s frustrated that Weinstein is ignoring their concerns.\u003c/p>\n\u003cp>“He will not hear us, he will not speak to us, but he’s happy speaking\u003cem> for\u003c/em> us,” she says. “And that’s the problem.”\u003c/p>\n\u003cp>Weinstein defends his refusal to meet with the adult film industry.\u003c/p>\n\u003cp>“I’m not going to put myself in a position of debating people where all they do is call me names,” he says.\u003c/p>\n\u003cp>It’s true. Weinstein’s critics have called him bombastic, a bully. They compare him to Donald Trump. They post tweets that refer to him as the Condom Nazi.\u003c/p>\n\u003cp>“In case they haven’t noticed, I’m Jewish and I’m gay, OK,” he says. “It makes my skin curl.”\u003c/p>\n\u003cp>Weinstein says he’s never liked the limelight. He’s had to develop a thick skin to stay in this business, to stand up for what he believes is the moral thing to do, for what he believes is his responsibility toward young generations.\u003c/p>\n\u003cp>But it’s clear that the criticism bothers him.\u003c/p>\n\u003cp>“He’s been hurt,” says Sharon Raphael, an old friend and fellow activist. “I know that it hurts him.”\u003c/p>\n\u003cp>But, she adds, everyone knows he’s a force to be reckoned with.\u003c/p>\n\u003cp>“When most people would be down and out, strike three, he’d get up again,” she says. “He never gives up. Ever.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://ww2.kqed.org/news/tag/cacounts/\">California Counts\u003c/a> is a collaboration of KPBS, KPCC, KQED and Capital Public Radio to report on the 2016 election. The coverage focuses on major issues and solicits diverse voices on what’s important to the future of California.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES — When Mike Stabile first moved to Los Angeles in 2011, he was struck by a billboard he saw along the freeway. It showed a line of cocaine and a turned-over shot glass, with the caption: \u003cem>You know why. Free HIV test.\u003c/em>\u003c/p>\n\u003cp>“I literally pulled over the car and was like, what’s going on?” Stabile remembers. “I was having a panic attack.”\u003c/p>\n\u003cp>Another ad showed two men in bed, looking nervous, with the question: \u003cem>“Trust Him?”\u003c/em>\u003c/p>\n\u003cp>“As a gay man, you really have to fight against this idea that you’re constantly in danger,” says Stabile, who came of age during the height of the AIDS epidemic in the 1980s. “Fear and stigma actually works against people getting tested.”\u003c/p>\n\u003cfigure id=\"attachment_11148363\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11148363 size-medium\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-800x245.jpg\" alt=\"TrustHim_GayWhite_1094x335\" width=\"800\" height=\"245\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-800x245.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-160x49.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-1020x312.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-960x294.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-240x73.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-375x115.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335-520x159.jpg 520w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/TrustHim_GayWhite_1094x335.jpg 1094w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">One of many ads sponsored by the AIDS Healthcare Foundation. \u003ccite>(Photo Courtesy of AIDS Healthcare Foundation)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Stabile says he sees the same heavy-handed, moralistic attitude behind \u003ca href=\"http://elections.kqed.org/measures/2023/info/proposition-60\">Proposition 60\u003c/a>, the state ballot initiative that would require adult film performers to use condoms on porn sets. If they don’t, and state regulators fail to enforce the mandate in a timely manner, any Californian can sue the film producer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Its success depends on stigma around sex, stigma around porn,” says Stabile, who now works for the \u003ca href=\"http://dontharassca.com/\">No on 60 campaign\u003c/a>.\u003c/p>\n\u003cp>The man behind Proposition 60 — and all those billboards — is Michael Weinstein, president of the \u003ca href=\"https://www.aidshealth.org/#/\">AIDS Healthcare Foundation\u003c/a>, and a longtime maverick in gay activist circles.\u003c/p>\n\u003cp>The nonprofit runs pharmacies and provides HIV care in 13 states and 37 countries, and gave away 38.5 million condoms last year. It’s putting $4.5 million from its pharmacy sales into backing the Proposition 60 condom mandate. (It also put $14.7 million behind \u003ca href=\"http://elections.kqed.org/measure/2024/info/proposition-61\">Proposition 61\u003c/a>, Weinstein’s initiative aimed at lowering drug prices.)\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='”100%”' height='”166″'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=”https://api.soundcloud.com/tracks/290964734″&visual=true&”color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false”'\n title='”https://api.soundcloud.com/tracks/290964734″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Weinstein says he’s steadfastly promoting condoms when other groups seem to have forgotten them.\u003c/p>\n\u003cp>“It’s unfashionable,” he says. “I was on a panel discussion and one of the guys said, ‘You’re acting like our mother telling us to wear galoshes.’ And my reaction was, ‘Yeah, somebody needs to do that!’ I mean, I’m not trying to win a popularity contest. Obviously.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I’m not trying to win a popularity contest. Obviously.’\u003cbr>\n\u003ccite>Michael Weinstein\u003c/cite>\u003c/aside>\n\u003cp>For Weinstein, Proposition 60 is primarily about protecting adult film workers against sexually transmitted diseases at a time when infection rates are at a 20-year high across California. But it’s also another large-scale condom campaign.\u003c/p>\n\u003cp>“A lot of people get their sex education through these films and I think it’s sending a bad message,” Weinstein says. “I don’t want young people to be educated that the only kind of sex that’s hot is unsafe sex.”\u003c/p>\n\u003cfigure id=\"attachment_11148455\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11148455 size-medium\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-800x600.jpg\" alt=\"Michael Weinstein, president of the AIDS Healthcare Foundation, in his office in Los Angeles. Behind him is a painting of Chris Brownlie, who worked with Weinstein to found the first AIDS hospice in LA.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Michael-Weinstein_1973-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Weinstein, president of the AIDS Healthcare Foundation, in his office in Los Angeles. Behind him is a painting of Chris Brownlie, who worked with Weinstein to found the first AIDS hospice in L.A. He is backing Propositions 60 and 61. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Controversial Figure\u003c/strong>\u003c/p>\n\u003cp>Weinstein has long taken controversial positions, but he’s often landed on the right side of history. In the 1980s, he fought lawmakers in California who wanted to quarantine AIDS patients. When nurses were afraid touch patients, leaving them languishing in the hallways of county hospitals, he helped set up one of the first AIDS hospices, where people could die with dignity and compassion. And when the AIDS cocktail came out, Weinstein risked bankruptcy to provide the drugs to uninsured patients.\u003c/p>\n\u003cp>“We decided we had a moral obligation to give them, and we paid for them and those people lived,” he says.\u003c/p>\n\u003cp>One of Weinstein’s more recent and most unpopular stances is on \u003ca href=\"https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/pre-exposure-prophylaxis/\">PrEP\u003c/a>, the daily HIV prevention pill. Many activists consider it a Gift from God. Weinstein calls it a party drug.\u003c/p>\n\u003cp>“It’s often taken in conjunction with crystal meth and other party drugs,” he says. “It’s really a get-out-of-jail-free card.”\u003c/p>\n\u003cp>Weinstein says it gives people a free pass to not use condoms and be reckless, driving a rise in other STDs, which\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\"> recent studies\u003c/a> bear out. But other public health groups say PrEP will reduce HIV transmission and save lives, which the studies also support.\u003c/p>\n\u003cp>“It’s not helpful to have one of the largest HIV organizations in the world trivializing it or downplaying its importance,” says Courtney Mulhern-Pearson, director of state and local affairs at the \u003ca href=\"http://www.sfaf.org/\">San Francisco AIDS Foundation.\u003c/a>\u003c/p>\n\u003cp>Her group, along with \u003ca href=\"https://aplahealth.org/\">AIDS Project LA\u003c/a>, is opposed to Proposition 60, in part because it ignores PrEP. Mulhern-Pearson says Weinstein’s singular focus on condoms is outdated and unrealistic.\u003c/p>\n\u003cp>“Condom fatigue is real,” she says. “And I think that all of us are probably not realistic and not forthcoming about our condom use.”\u003c/p>\n\u003cp>\u003cstrong>History and Opposition\u003c/strong>\u003c/p>\n\u003cp>Weinstein has been fighting to mandate condoms in adult films for years. While federal and state worker safety laws technically already require producers to protect performers against STDs with condoms, the law is largely ignored and poorly enforced. Weinstein has been pushing Cal/OSHA for years to refine and clarify regulations, \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/02/17/california-porn-industry-protests-rules-mandating-condoms/\">without success\u003c/a>. He’s backed local measures in Los Angeles County to require condoms, which \u003ca href=\"https://ballotpedia.org/Los_Angeles_Porn_Actors_Required_to_Wear_Condoms_Act,_Measure_B_(November_2012)\">passed\u003c/a>, but enforcement has, again, been minimal.\u003c/p>\n\u003cp>At every turn, the adult film industry has fought hard against condom mandates. They say it will force them to make products that won’t sell, driving the business underground or out of state.\u003c/p>\n\u003cfigure id=\"attachment_11153923\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11153923\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2016/10/Prop60Protesters-800x567.jpg\" alt=\"Adult film performers rally against Proposition 60 outside Michael Weinstein’s office.\" width=\"800\" height=\"567\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-800x567.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-160x113.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-1020x723.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-1180x836.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-960x680.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-240x170.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-375x266.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2016/10/Prop60Protesters-520x368.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Adult film performers rally against Proposition 60 outside Michael Weinstein’s office. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In mid-October, more than 100 adult film performers rallied outside Weinstein’s office in Los Angeles to protest Proposition 60. They chanted slogans like “Our Bodies, Our Choice!” and carried signs that said “Where is Weinstein?”\u003c/p>\n\u003cp>They say they prefer to rely on the industry’s bimonthly testing protocol over condoms. Performer Ela Darling says condoms don’t work on porn sets — they’re uncomfortable and cause friction rashes.\u003c/p>\n\u003cp>“The sex you have on camera isn’t like the sex you have at home,” she says. “It’s like Olympic-level, athletic sex.”\u003c/p>\n\u003cp>She’s frustrated that Weinstein is ignoring their concerns.\u003c/p>\n\u003cp>“He will not hear us, he will not speak to us, but he’s happy speaking\u003cem> for\u003c/em> us,” she says. “And that’s the problem.”\u003c/p>\n\u003cp>Weinstein defends his refusal to meet with the adult film industry.\u003c/p>\n\u003cp>“I’m not going to put myself in a position of debating people where all they do is call me names,” he says.\u003c/p>\n\u003cp>It’s true. Weinstein’s critics have called him bombastic, a bully. They compare him to Donald Trump. They post tweets that refer to him as the Condom Nazi.\u003c/p>\n\u003cp>“In case they haven’t noticed, I’m Jewish and I’m gay, OK,” he says. “It makes my skin curl.”\u003c/p>\n\u003cp>Weinstein says he’s never liked the limelight. He’s had to develop a thick skin to stay in this business, to stand up for what he believes is the moral thing to do, for what he believes is his responsibility toward young generations.\u003c/p>\n\u003cp>But it’s clear that the criticism bothers him.\u003c/p>\n\u003cp>“He’s been hurt,” says Sharon Raphael, an old friend and fellow activist. “I know that it hurts him.”\u003c/p>\n\u003cp>But, she adds, everyone knows he’s a force to be reckoned with.\u003c/p>\n\u003cp>“When most people would be down and out, strike three, he’d get up again,” she says. “He never gives up. Ever.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://ww2.kqed.org/news/tag/cacounts/\">California Counts\u003c/a> is a collaboration of KPBS, KPCC, KQED and Capital Public Radio to report on the 2016 election. The coverage focuses on major issues and solicits diverse voices on what’s important to the future of California.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "When Doctors Dump Insurance for Subscription Model, Who Benefits?",
"title": "When Doctors Dump Insurance for Subscription Model, Who Benefits?",
"headTitle": "KQED Future of You | KQED Science",
"content": "\u003cp>Dr. Lorraine Page, believe it or not, makes house calls.\u003c/p>\n\u003cp>One place she visits is the home of Ann Caponio, a one-bedroom apartment in Half Moon Bay, California. You can tell a knitter lives there: baskets of wool and hanks of yarn adorn the room, and in the corner sits a wooden spinning wheel.\u003c/p>\n\u003caside class=\"pullquote alignright\">A new model gains in popularity: no insurance but unlimited doctor visits are provided for a monthly fee.\u003c/aside>\n\u003cp>But arthritis has put an end to that hobby. And for a while, Caponio, 69, wasn't even getting out.\u003c/p>\n\u003cp>\"I kind of stopped going downtown,\" she says, in her Midland, Texas twang, a holdover from childhood. \"Omigod those stairs.\"\u003c/p>\n\u003cp>She's talking about a steep, 17-step staircase leading to her front door. Three hip replacements left negotiating them a dangerous proposition.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I tend to fall. And I fell on those damned stairs once.\"\u003c/p>\n\u003cp>And that's where Lorraine Page enters the picture.\u003c/p>\n\u003cp>Besides the house calls, Page provides a little more than Caponio might expect from a primary care doc available through Medicare. Page, for instance, has aided her patient with a number of safety issues, including helping her find someone to rig up a chairlift on those stairs. Now, she can sit on a seat at the top and glide to the bottom.\u003c/p>\n\u003cp>\"It opens up a whole new world for me,\" Caponio says.\u003c/p>\n\u003cp>\u003cstrong>A Different Model\u003c/strong>\u003c/p>\n\u003cp>A whole new world is what Dr. Page herself has been experiencing, ever since she left the traditional clinic setting to try something different. She does have a small office, but prefers to visit most of her patients in their homes.\u003c/p>\n\u003caside class=\"pullquote alignright\">When they learn they can get off the production line, 'Doctors will be in mass exodus.'\u003ccite>Dr. Pamela Wible\u003c/cite>\u003c/aside>\n\u003cp>She's one of a growing number of doctors who have cut loose from what she calls the \"assembly-line, volume approach\" that most of her colleagues have experienced. These breakaway docs are now using a health care delivery model called direct primary care. Page has cut back on the number of patients she sees, and spends more time with the ones she does. She doesn't take insurance and deals mostly in cash. Page charges each time she sees a patient, but most direct primary care doctors bill a monthly fee for unlimited visits.\u003c/p>\n\u003cp>In her previous practice, Page says, the pressure to see more patients in less time wore her down, as did the need for an army of support staff to process the copious paperwork required by insurance companies.\u003c/p>\n\u003cp>\"At our office, we had six full-time doctors. And we had seven full-time insurance people. So [that's] more than one full-time person trying to get reimbursement for patients I was seeing.\"\u003c/p>\n\u003cp>The benefits of leaving that bureaucratic load behind includes more time with patients but shorter days as her total load has been reduced. And she's doing the kind of family-care medicine for which she was trained.\u003c/p>\n\u003cp>\"And I enjoy it a lot more,\" Page says. \"Let's not minimize that.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"vPRJXQNXVX11c9sC2BeSG7GGPJpZybhw\"]\u003c/p>\n\u003cp>\u003cstrong>What Doctors Want\u003c/strong>\u003c/p>\n\u003cp>A 2012 \u003ca href=\"http://www.medscape.com/features/slideshow/compensation/2012/public\" target=\"_blank\">Medscape study\u003c/a> found that 46 percent of primary care physicians showed such dissatisfaction with their careers, they wouldn't pursue medicine if they could choose again. Another\u003ca href=\"http://www.physiciansfoundation.org/healthcare-research/a-survey-of-americas-physicians-practice-patterns-and-perspectives\" target=\"_blank\"> study\u003c/a>, from the Physicians Foundation, found 60 percent of primary care doctors would not recommend a career in medicine. Just six percent described the morale of their colleagues as positive.\u003c/p>\n\u003cp>Overall, says Wanda Filer, president of the American Academy of Family Physicians, primary care doctors feel overworked and ineffective. \"Most patients are just rushed out the door,\" she says. \"That's not what doctors want to do. This new model of care gets the physician and the patient out of that hamster-wheel model.\"\u003c/p>\n\u003cp>Filer says about three percent of the organization's 69,000 primary care doctors have made the move to direct primary care in the past couple of years, and that number is increasing rapidly as other physicians see it succeed.\u003c/p>\n\u003cp>In fact, Filer says, her organization has taken the unusual step of convening informational seminars for the large number of family doctors who have expressed interest in getting off the grid and starting a kinder, gentler practice.\u003c/p>\n\u003cp>\u003cb>Cash and Care\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_220077\" class=\"wp-caption alignright\" style=\"max-width: 357px\">\u003cimg class=\"wp-image-220077\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/08/emiliescott1-885x1180.jpg\" alt=\"Dr. Emilie Scott of Irvine, Calif.\" width=\"357\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Dr. Emilie Scott of Irvine, Calif., says the direct primary care model has put 'the heart back in medicine' for her. (David Gorn/KQED) \u003ccite>(David Gorn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While direct primary care has some similarities to \u003ca href=\"http://www.healthline.com/health-news/the-future-of-healthcare-could-be-in-concierge-medicine-063015\" target=\"_blank\">concierge medicine\u003c/a>, it differs in that direct primary care rejects insurance. And, because concierge medicine sprang from wealthy patients’ desire for greater access to their doctors, patients can \u003ca href=\"http://www.wsj.com/articles/SB10001424052702303471004579165470633112630\" target=\"_blank\">pay up to thousands of dollars a month\u003c/a> for same-day appointments, round-the-clock phone access, house calls and other services.\u003c/p>\n\u003cp>In contrast, direct primary care doctors charge a relatively small monthly fee. While that can be an extra cost for those who also need insurance to cover more serious medical problems, many patients have high-deductible plans, making the monthly expense of direct primary care a good deal, especially for those who go to the doctor a lot.\u003c/p>\n\u003cp>For doctors, the main idea behind direct primary care is to simplify -- scale down, deal mostly in cash and focus on taking better care of fewer patients. This includes a good deal of listening and analysis of how a patient's current environment or life situation may be affecting their health.\u003c/p>\n\u003cp>This type of service \u003ca href=\"http://www.kevinmd.com/blog/2011/07/direct-primary-care-reduces-primary-care-costs.html\" target=\"_blank\">took off as a movement\u003c/a> in 2011, and the model was first evaluated in a 2013 \u003ca href=\"http://www.chcf.org/publications/2013/04/retainer-direct-primary-care\" target=\"_blank\">study\u003c/a> by the California Health Care Foundation. It's gaining significant traction, says Laurence Baker, the chair of Stanford University's Department of Health Research and Policy.\u003c/p>\n\u003cp>\"Absolutely it's a growing segment of primary care,\" he says. \"The model we have is challenged in a lot of ways, the longer a patient waits to see a doctor, the shorter time spent with the doctor. So we have to think about what else we can do to change that.\u003c/p>\n\u003cp>\"I would be surprised if it took over the world,\" Baker added, \"But I certainly wouldn't be surprised if it grew substantially more in the next few years.\"\u003c/p>\n\u003cp>\u003cstrong>'Doctors Will Be in Mass Exodus'\u003c/strong>\u003c/p>\n\u003cp>The reason doctors need to see so many patients in rapid succession is because of huge overhead, says Pamela Wible, a physician in Eugene, Ore., who helps doctors set up their ideal practice using the direct primary care model. In fact, she says, most doctors see just a small fraction of gross earnings.\u003c/p>\n\u003cp>But the kind of streamlined operation found in direct primary care allows doctors to keep a greater share of the money coming in, she says, even if they make less overall than in a traditional practice.\u003c/p>\n\u003cp>\"My expenses are so low, they're now about 10 percent of my practice,\" Wible says. \"And it used to be 74 percent.\"\u003c/p>\n\u003cp>Wible says the direct primary care model has at its heart the relationship between doctor and patient. She says doctors \"will be in mass exodus\" once they learn they can run their practice differently and \"get off the production line.\"\u003c/p>\n\u003cp>Dr. Emilie Scott did just that, in March. She had worked in an academic medical setting for many years, then in a large group practice for another five before venturing out on her own.\u003c/p>\n\u003cp>There are no waiting room magazines in her tiny Irvine medical office, because there is no waiting room. And that's because there is no waiting.\u003c/p>\n\u003cp>She charges her patients $59 per month. Just five months in, she says, her practice is already breaking even.\u003c/p>\n\u003cp>\"For me, it puts the heart back in medicine,\" Scott says, grinning. In the past, \"I had to see patients in a rapid style, trying to get patients out the door. It wears on you.\"\u003c/p>\n\u003cp>She understands the fear some doctors have of taking the leap, in part because of the massive debt they've incurred from medical school. But, she says, \"The point here isn't to become a millionaire. You make a good living, and you can practice in line with your values.\"\u003c/p>\n\u003cp>Scott said some of her patients are surprised at how little her service costs.\u003c/p>\n\u003cp>\"I had one woman who said she couldn't afford it but said she'd listen, and then I explained it, and she was like, 'Are we on Candid Camera or something? What's the catch?'\"\u003c/p>\n\u003cp>\u003cstrong>Shrinking the Physician Pool?\u003c/strong>\u003c/p>\n\u003cp>Janet Coffman, a health policy professor at the University of California, San Francisco, says she doesn't expect direct primary care to explode on the medical scene. Rather, she believes it will make slow and steady inroads. She doesn't think insurance companies will fight the model, even though it cuts them out of the medical care delivery system.\u003c/p>\n\u003cp>But one major effect direct primary care could have, she said, is to further shrink the already inadequate pool of primary care physicians.\u003c/p>\n\u003cp>\"If I were an insurance company, I think I'd be more concerned about recruiting and keeping PCPs because of this,\" Coffman says.\u003c/p>\n\u003cp>Betsy Imholz, director of special projects for Consumers Union, agrees that could be a concern if direct primary care catches on.\u003c/p>\n\u003cp>“Primary care is one of the least lucrative areas for doctors to go into,” Imholz says, “and therefore sometimes difficult for insurers to get sufficient numbers of.”\u003c/p>\n\u003cp>Imholz sees some other potential problems with the model. While she understands why both doctors and patients are attracted to direct primary care — “the old \u003ca href=\"https://www.youtube.com/watch?v=Y10VEkyKd3w\" target=\"_blank\">Marcus Welby\u003c/a> model,” as she puts it — she thinks it’s a move in the opposite direction of the current push for an integrated health care system. Ideally, doctors would have access to patients’ electronic health records, and \u003ca href=\"http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf409988\" target=\"_blank\">all-payer claims databases\u003c/a>, at least \u003ca href=\"http://www.commondreams.org/newswire/2016/08/03/all-six-states-keep-consumers-dark-cost-medical-procedures\" target=\"_blank\">theoretically\u003c/a>, would allow purchasers of insurance to compare costs.\u003c/p>\n\u003cp>“It goes against this coordinated care model that the Affordable Care Act and the U.S. is coming to,” she says, “having things not fragmented but coordinated [in a way that] enables us to check, make quality assessments.”\u003c/p>\n\u003cp>Imholz is also concerned this type of practice could attract healthier people, who might see direct primary care as a substitute for insurance rather than an extra. And that could deprive the ACA \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2016/03/30/theyre-sicker-plus-aca-enrollees-cost-more-in-care-major-insurer-finds/\" target=\"_blank\">risk pool \u003c/a>of the very type of patients \u003ca href=\"http://www.newsweek.com/obamacare-premiums-rise-10-percent-2017-490268\" target=\"_blank\">needed to keep cost increases manageable\u003c/a>.\u003c/p>\n\u003cp>Consumers in California, Imholz said, should also keep in mind a little-known benefit of the plans offered on the state’s health care exchange, Covered California: those plans are required to offer three visits outside of the deductible, costing only a co-pay.\u003c/p>\n\u003cp>Ultimately, she says, if patients do want to go the route of direct primary care, they should create their own \u003ca href=\"https://www.healthit.gov/providers-professionals/faqs/what-personal-health-record\" target=\"_blank\">personal health record\u003c/a> for each visit, in case at some point they need to visit a specialist for a serious health problem.\u003c/p>\n\u003cp>As to whether direct primary care will positively impact patients' health, Laurence Baker says it's not clear whether or not the longer office and home visits end up providing better care.\u003c/p>\n\u003cp>\"I'm not sure we know if this makes you healthier at the end of the day,\" Baker says. \"It will make you happier, definitely, but the jury is still out about whether it improves outcomes.\"\u003c/p>\n\u003cp>\u003cstrong>'It's Lovely'\u003c/strong>\u003c/p>\n\u003cp>Back in Half Moon Bay, physician Lorraine Page says she doesn't need data. She tries to find the words for the improvement she has seen in her life and the lives of her patients.\u003c/p>\n\u003cp>\"It's … lovely,\" she says with a laugh. \"It's just lovely. The patients do better, I get to see the whole person, the whole family. It's true family practice. And it's very straightforward. I see the person, I get paid. It's simple.\"\u003c/p>\n\u003cp>This type of practice, she says, is what many young doctors-to-be have in mind when they first think about entering medicine.\u003c/p>\n\u003cp>It's an odd twist that Page's current work is considered the cutting- edge of primary care medicine, when it so closely resembles a kind of 1950s Norman Rockwell painting of what a general practitioner is.\u003c/p>\n\u003cp>Most doctors don't even think about what they want anymore, Page says. They get caught up in the system and don't realize there's another choice.\u003c/p>\n\u003cp>But leaving was surprisingly easy.\u003c/p>\n\u003cp>\"Look, your skills are in your mind,\" Page says. \"You can do that anywhere.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this report.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Many primary care physicians have had enough of the traditional health care system, so they've broken away to create their own practices, where they don't take insurance and charge a monthly fee. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Lorraine Page, believe it or not, makes house calls.\u003c/p>\n\u003cp>One place she visits is the home of Ann Caponio, a one-bedroom apartment in Half Moon Bay, California. You can tell a knitter lives there: baskets of wool and hanks of yarn adorn the room, and in the corner sits a wooden spinning wheel.\u003c/p>\n\u003caside class=\"pullquote alignright\">A new model gains in popularity: no insurance but unlimited doctor visits are provided for a monthly fee.\u003c/aside>\n\u003cp>But arthritis has put an end to that hobby. And for a while, Caponio, 69, wasn't even getting out.\u003c/p>\n\u003cp>\"I kind of stopped going downtown,\" she says, in her Midland, Texas twang, a holdover from childhood. \"Omigod those stairs.\"\u003c/p>\n\u003cp>She's talking about a steep, 17-step staircase leading to her front door. Three hip replacements left negotiating them a dangerous proposition.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I tend to fall. And I fell on those damned stairs once.\"\u003c/p>\n\u003cp>And that's where Lorraine Page enters the picture.\u003c/p>\n\u003cp>Besides the house calls, Page provides a little more than Caponio might expect from a primary care doc available through Medicare. Page, for instance, has aided her patient with a number of safety issues, including helping her find someone to rig up a chairlift on those stairs. Now, she can sit on a seat at the top and glide to the bottom.\u003c/p>\n\u003cp>\"It opens up a whole new world for me,\" Caponio says.\u003c/p>\n\u003cp>\u003cstrong>A Different Model\u003c/strong>\u003c/p>\n\u003cp>A whole new world is what Dr. Page herself has been experiencing, ever since she left the traditional clinic setting to try something different. She does have a small office, but prefers to visit most of her patients in their homes.\u003c/p>\n\u003caside class=\"pullquote alignright\">When they learn they can get off the production line, 'Doctors will be in mass exodus.'\u003ccite>Dr. Pamela Wible\u003c/cite>\u003c/aside>\n\u003cp>She's one of a growing number of doctors who have cut loose from what she calls the \"assembly-line, volume approach\" that most of her colleagues have experienced. These breakaway docs are now using a health care delivery model called direct primary care. Page has cut back on the number of patients she sees, and spends more time with the ones she does. She doesn't take insurance and deals mostly in cash. Page charges each time she sees a patient, but most direct primary care doctors bill a monthly fee for unlimited visits.\u003c/p>\n\u003cp>In her previous practice, Page says, the pressure to see more patients in less time wore her down, as did the need for an army of support staff to process the copious paperwork required by insurance companies.\u003c/p>\n\u003cp>\"At our office, we had six full-time doctors. And we had seven full-time insurance people. So [that's] more than one full-time person trying to get reimbursement for patients I was seeing.\"\u003c/p>\n\u003cp>The benefits of leaving that bureaucratic load behind includes more time with patients but shorter days as her total load has been reduced. And she's doing the kind of family-care medicine for which she was trained.\u003c/p>\n\u003cp>\"And I enjoy it a lot more,\" Page says. \"Let's not minimize that.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>What Doctors Want\u003c/strong>\u003c/p>\n\u003cp>A 2012 \u003ca href=\"http://www.medscape.com/features/slideshow/compensation/2012/public\" target=\"_blank\">Medscape study\u003c/a> found that 46 percent of primary care physicians showed such dissatisfaction with their careers, they wouldn't pursue medicine if they could choose again. Another\u003ca href=\"http://www.physiciansfoundation.org/healthcare-research/a-survey-of-americas-physicians-practice-patterns-and-perspectives\" target=\"_blank\"> study\u003c/a>, from the Physicians Foundation, found 60 percent of primary care doctors would not recommend a career in medicine. Just six percent described the morale of their colleagues as positive.\u003c/p>\n\u003cp>Overall, says Wanda Filer, president of the American Academy of Family Physicians, primary care doctors feel overworked and ineffective. \"Most patients are just rushed out the door,\" she says. \"That's not what doctors want to do. This new model of care gets the physician and the patient out of that hamster-wheel model.\"\u003c/p>\n\u003cp>Filer says about three percent of the organization's 69,000 primary care doctors have made the move to direct primary care in the past couple of years, and that number is increasing rapidly as other physicians see it succeed.\u003c/p>\n\u003cp>In fact, Filer says, her organization has taken the unusual step of convening informational seminars for the large number of family doctors who have expressed interest in getting off the grid and starting a kinder, gentler practice.\u003c/p>\n\u003cp>\u003cb>Cash and Care\u003c/b>\u003c/p>\n\u003cfigure id=\"attachment_220077\" class=\"wp-caption alignright\" style=\"max-width: 357px\">\u003cimg class=\"wp-image-220077\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/08/emiliescott1-885x1180.jpg\" alt=\"Dr. Emilie Scott of Irvine, Calif.\" width=\"357\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Dr. Emilie Scott of Irvine, Calif., says the direct primary care model has put 'the heart back in medicine' for her. (David Gorn/KQED) \u003ccite>(David Gorn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While direct primary care has some similarities to \u003ca href=\"http://www.healthline.com/health-news/the-future-of-healthcare-could-be-in-concierge-medicine-063015\" target=\"_blank\">concierge medicine\u003c/a>, it differs in that direct primary care rejects insurance. And, because concierge medicine sprang from wealthy patients’ desire for greater access to their doctors, patients can \u003ca href=\"http://www.wsj.com/articles/SB10001424052702303471004579165470633112630\" target=\"_blank\">pay up to thousands of dollars a month\u003c/a> for same-day appointments, round-the-clock phone access, house calls and other services.\u003c/p>\n\u003cp>In contrast, direct primary care doctors charge a relatively small monthly fee. While that can be an extra cost for those who also need insurance to cover more serious medical problems, many patients have high-deductible plans, making the monthly expense of direct primary care a good deal, especially for those who go to the doctor a lot.\u003c/p>\n\u003cp>For doctors, the main idea behind direct primary care is to simplify -- scale down, deal mostly in cash and focus on taking better care of fewer patients. This includes a good deal of listening and analysis of how a patient's current environment or life situation may be affecting their health.\u003c/p>\n\u003cp>This type of service \u003ca href=\"http://www.kevinmd.com/blog/2011/07/direct-primary-care-reduces-primary-care-costs.html\" target=\"_blank\">took off as a movement\u003c/a> in 2011, and the model was first evaluated in a 2013 \u003ca href=\"http://www.chcf.org/publications/2013/04/retainer-direct-primary-care\" target=\"_blank\">study\u003c/a> by the California Health Care Foundation. It's gaining significant traction, says Laurence Baker, the chair of Stanford University's Department of Health Research and Policy.\u003c/p>\n\u003cp>\"Absolutely it's a growing segment of primary care,\" he says. \"The model we have is challenged in a lot of ways, the longer a patient waits to see a doctor, the shorter time spent with the doctor. So we have to think about what else we can do to change that.\u003c/p>\n\u003cp>\"I would be surprised if it took over the world,\" Baker added, \"But I certainly wouldn't be surprised if it grew substantially more in the next few years.\"\u003c/p>\n\u003cp>\u003cstrong>'Doctors Will Be in Mass Exodus'\u003c/strong>\u003c/p>\n\u003cp>The reason doctors need to see so many patients in rapid succession is because of huge overhead, says Pamela Wible, a physician in Eugene, Ore., who helps doctors set up their ideal practice using the direct primary care model. In fact, she says, most doctors see just a small fraction of gross earnings.\u003c/p>\n\u003cp>But the kind of streamlined operation found in direct primary care allows doctors to keep a greater share of the money coming in, she says, even if they make less overall than in a traditional practice.\u003c/p>\n\u003cp>\"My expenses are so low, they're now about 10 percent of my practice,\" Wible says. \"And it used to be 74 percent.\"\u003c/p>\n\u003cp>Wible says the direct primary care model has at its heart the relationship between doctor and patient. She says doctors \"will be in mass exodus\" once they learn they can run their practice differently and \"get off the production line.\"\u003c/p>\n\u003cp>Dr. Emilie Scott did just that, in March. She had worked in an academic medical setting for many years, then in a large group practice for another five before venturing out on her own.\u003c/p>\n\u003cp>There are no waiting room magazines in her tiny Irvine medical office, because there is no waiting room. And that's because there is no waiting.\u003c/p>\n\u003cp>She charges her patients $59 per month. Just five months in, she says, her practice is already breaking even.\u003c/p>\n\u003cp>\"For me, it puts the heart back in medicine,\" Scott says, grinning. In the past, \"I had to see patients in a rapid style, trying to get patients out the door. It wears on you.\"\u003c/p>\n\u003cp>She understands the fear some doctors have of taking the leap, in part because of the massive debt they've incurred from medical school. But, she says, \"The point here isn't to become a millionaire. You make a good living, and you can practice in line with your values.\"\u003c/p>\n\u003cp>Scott said some of her patients are surprised at how little her service costs.\u003c/p>\n\u003cp>\"I had one woman who said she couldn't afford it but said she'd listen, and then I explained it, and she was like, 'Are we on Candid Camera or something? What's the catch?'\"\u003c/p>\n\u003cp>\u003cstrong>Shrinking the Physician Pool?\u003c/strong>\u003c/p>\n\u003cp>Janet Coffman, a health policy professor at the University of California, San Francisco, says she doesn't expect direct primary care to explode on the medical scene. Rather, she believes it will make slow and steady inroads. She doesn't think insurance companies will fight the model, even though it cuts them out of the medical care delivery system.\u003c/p>\n\u003cp>But one major effect direct primary care could have, she said, is to further shrink the already inadequate pool of primary care physicians.\u003c/p>\n\u003cp>\"If I were an insurance company, I think I'd be more concerned about recruiting and keeping PCPs because of this,\" Coffman says.\u003c/p>\n\u003cp>Betsy Imholz, director of special projects for Consumers Union, agrees that could be a concern if direct primary care catches on.\u003c/p>\n\u003cp>“Primary care is one of the least lucrative areas for doctors to go into,” Imholz says, “and therefore sometimes difficult for insurers to get sufficient numbers of.”\u003c/p>\n\u003cp>Imholz sees some other potential problems with the model. While she understands why both doctors and patients are attracted to direct primary care — “the old \u003ca href=\"https://www.youtube.com/watch?v=Y10VEkyKd3w\" target=\"_blank\">Marcus Welby\u003c/a> model,” as she puts it — she thinks it’s a move in the opposite direction of the current push for an integrated health care system. Ideally, doctors would have access to patients’ electronic health records, and \u003ca href=\"http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf409988\" target=\"_blank\">all-payer claims databases\u003c/a>, at least \u003ca href=\"http://www.commondreams.org/newswire/2016/08/03/all-six-states-keep-consumers-dark-cost-medical-procedures\" target=\"_blank\">theoretically\u003c/a>, would allow purchasers of insurance to compare costs.\u003c/p>\n\u003cp>“It goes against this coordinated care model that the Affordable Care Act and the U.S. is coming to,” she says, “having things not fragmented but coordinated [in a way that] enables us to check, make quality assessments.”\u003c/p>\n\u003cp>Imholz is also concerned this type of practice could attract healthier people, who might see direct primary care as a substitute for insurance rather than an extra. And that could deprive the ACA \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2016/03/30/theyre-sicker-plus-aca-enrollees-cost-more-in-care-major-insurer-finds/\" target=\"_blank\">risk pool \u003c/a>of the very type of patients \u003ca href=\"http://www.newsweek.com/obamacare-premiums-rise-10-percent-2017-490268\" target=\"_blank\">needed to keep cost increases manageable\u003c/a>.\u003c/p>\n\u003cp>Consumers in California, Imholz said, should also keep in mind a little-known benefit of the plans offered on the state’s health care exchange, Covered California: those plans are required to offer three visits outside of the deductible, costing only a co-pay.\u003c/p>\n\u003cp>Ultimately, she says, if patients do want to go the route of direct primary care, they should create their own \u003ca href=\"https://www.healthit.gov/providers-professionals/faqs/what-personal-health-record\" target=\"_blank\">personal health record\u003c/a> for each visit, in case at some point they need to visit a specialist for a serious health problem.\u003c/p>\n\u003cp>As to whether direct primary care will positively impact patients' health, Laurence Baker says it's not clear whether or not the longer office and home visits end up providing better care.\u003c/p>\n\u003cp>\"I'm not sure we know if this makes you healthier at the end of the day,\" Baker says. \"It will make you happier, definitely, but the jury is still out about whether it improves outcomes.\"\u003c/p>\n\u003cp>\u003cstrong>'It's Lovely'\u003c/strong>\u003c/p>\n\u003cp>Back in Half Moon Bay, physician Lorraine Page says she doesn't need data. She tries to find the words for the improvement she has seen in her life and the lives of her patients.\u003c/p>\n\u003cp>\"It's … lovely,\" she says with a laugh. \"It's just lovely. The patients do better, I get to see the whole person, the whole family. It's true family practice. And it's very straightforward. I see the person, I get paid. It's simple.\"\u003c/p>\n\u003cp>This type of practice, she says, is what many young doctors-to-be have in mind when they first think about entering medicine.\u003c/p>\n\u003cp>It's an odd twist that Page's current work is considered the cutting- edge of primary care medicine, when it so closely resembles a kind of 1950s Norman Rockwell painting of what a general practitioner is.\u003c/p>\n\u003cp>Most doctors don't even think about what they want anymore, Page says. They get caught up in the system and don't realize there's another choice.\u003c/p>\n\u003cp>But leaving was surprisingly easy.\u003c/p>\n\u003cp>\"Look, your skills are in your mind,\" Page says. \"You can do that anywhere.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Jon Brooks contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "SF, Oakland and Albany to Vote on Soda Taxes",
"headTitle": "SF, Oakland and Albany to Vote on Soda Taxes | KQED",
"content": "\u003cp>Voters in San Francisco, Oakland and Albany will decide in November whether or not to impose a one cent per ounce tax on distributors of soda and other sugary beverages. This is the second such tax that San Franciscans will vote on — the city rejected a two cent soda tax in 2014. Supporters of the taxes say they are an essential tool in the fight against rising diabetes and obesity rates. But opponents say the measures are actually a “grocery tax” that disproportionately targets low-income communities. We’ll speak with advocates from each side of the issue.\u003c/p>\n\u003cp>\u003cstrong>Related Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://ww2.kqed.org/news/series/election-2016/\">Election 2016\u003c/a> (KQED)\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Voters in San Francisco, Oakland and Albany will decide in November whether or not to impose a one cent per ounce tax on distributors of soda and other sugary beverages. This is the second such tax that San Franciscans will vote on -- the city rejected a two cent soda tax in 2014. Supporters of the taxes say they are an essential tool in the fight against rising diabetes and obesity rates. But opponents say the measures are actually a \"grocery tax\" that disproportionately targets low-income communities. We'll speak with advocates from each side of the issue.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Voters in San Francisco, Oakland and Albany will decide in November whether or not to impose a one cent per ounce tax on distributors of soda and other sugary beverages. This is the second such tax that San Franciscans will vote on — the city rejected a two cent soda tax in 2014. Supporters of the taxes say they are an essential tool in the fight against rising diabetes and obesity rates. But opponents say the measures are actually a “grocery tax” that disproportionately targets low-income communities. We’ll speak with advocates from each side of the issue.\u003c/p>\n\u003cp>\u003cstrong>Related Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://ww2.kqed.org/news/series/election-2016/\">Election 2016\u003c/a> (KQED)\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Would California’s Prop. 60 Expose Adult Film Workers to Lawsuits?",
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"content": "\u003cp>\u003cem>\u003ca href=\"http://www.politifact.com/california/\" target=\"_blank\" rel=\"noopener\">PolitiFact California\u003c/a> looks at claims made by elected officials, candidates and groups and rates them as: True, Mostly True, Half True, Mostly False, False and Pants On Fire.\u003c/em>\u003c/p>\n\u003cp>Opponents of California’s Proposition 60 — which requires adult film performers to wear condoms — say it’s not the protective measure it’s touted to be.\u003c/p>\n\u003cp>“This law pretends to protect workers in the adult film industry, but in fact it’s putting them at risk for lawsuits and harassment,” says a recent \u003ca href=\"https://www.youtube.com/watch?v=87YgpSOm3gk&feature=youtu.be\">advertisement on YouTube\u003c/a> by the No on 60 campaign.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=87YgpSOm3gk]\u003c/p>\n\u003cp>\u003cem>The claim at the center of this fact check is at the :40 minute mark.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That ad was paid for by Californians Against Worker Harassment, which was founded by the Free Speech Coalition, a trade association for the adult entertainment industry, to oppose Prop. 60.\u003c/p>\n\u003cp>We wondered: Does \u003ca href=\"http://oag.ca.gov/system/files/initiatives/pdfs/15-0004%20%28Safer%20Sex%29_8.pdf\">Proposition 60\u003c/a> — a measure intended to curb sexually transmitted diseases among porn workers — really expose those same people to legal action?\u003c/p>\n\u003cp>We decided to fact-check that provocative claim.\u003c/p>\n\u003cp>\u003cstrong>Our Research\u003c/strong>\u003c/p>\n\u003cp>California law has required condom use in adult films since 1992. Supporters of Prop. 60 say the initiative would strengthen the existing law, which they say is rarely enforced.\u003c/p>\n\u003cp>The measure is sponsored by the AIDS Healthcare Foundation, which has long pushed for greater safety standards in adult films.\u003c/p>\n\u003cp>In 2012, voters in Los Angeles County \u003ca href=\"http://www.nbclosangeles.com/news/local/Measure-B-Porn-Condoms-Los-Angeles-LA-Election-Results-Decision-2012-177573761.html\">approved a similar condom requirement\u003c/a> for adult films made in that county. It is considered a model for Prop. 60, which applies its condom mandate to scenes with anal and vaginal intercourse.\u003c/p>\n\u003cp>Prop. 60 would also require adult film companies to obtain a health license and pay for the costs of vaccinations and health tests for sexually transmitted diseases for their performers.\u003c/p>\n\u003cp>We asked the No on 60 campaign for evidence backing up its claim that performers would be open to lawsuits under the measure. A spokesman pointed to the initiative’s section 6720.6, on enforcement, whistleblowers and private rights of action.\u003c/p>\n\u003cp>It allows those who witness violations of the proposed law — including performers, prosecutors or anyone who is a California resident — to file a complaint with the California Division of Occupational Safety and Health. If the agency declines to pursue the case within 21 days, the witness could then file a civil lawsuit against anyone with a financial interest in the film, which could include some performers.\u003c/p>\n\u003cp>There’s no mention in the No on 60 advertisement, however, that only performers with a financial interest would be liable. Nor does the ad mention the complaint process that must precede a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>More Porn Workers With Financial Stake\u003c/strong>\u003c/p>\n\u003cp>Still, opponents of the measure say making performers liable is significant because many have a financial stake in the content.\u003c/p>\n\u003cp>“You see, in today’s adult film industry, the majority of performers are also producers,” Eric Paul Leue, executive director of the Free Speech Coalition, wrote in an \u003ca href=\"http://www.advocate.com/commentary/2016/8/17/suing-porn-stars-will-not-lead-less-hiv\">opinion piece\u003c/a> about Prop. 60 in the Advocate, a LGBT news publication, this month. “In addition to shooting for studios, most porn stars regularly create their own content — either for their own websites, on webcams, or in partnership with studios.”\u003c/p>\n\u003cp>Prop. 60 would apply to any commercial pornography produced in California, in traditional films and on the web.\u003c/p>\n\u003cp>[contextly_sidebar id=”LblQ7qhOToLrBBdBq1oDYwyswgaVFJnC”]\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/DrChauntelle\">Dr. Chauntelle Tibbals\u003c/a>, a sociologist who studies the adult film industry, said the percentage of workers who have a financial stake in adult content they contribute to “is certainly very high,” though she said there’s no accepted estimate. Advances in technology and distribution, she said, have allowed more workers to share in the financial success of their content.\u003c/p>\n\u003cp>“Everyone from webcam models to agents may have a financial stake in a single piece of content,” Tibbals added.\u003c/p>\n\u003cp>Supporters of Prop. 60, however, maintain the claim about workers being exposed to lawsuits is deceptive.\u003c/p>\n\u003cp>“The only people who can get sued (under Prop. 60) are producers,” said Rick Taylor, who manages the Yes on 60 campaign. “Some actors and actresses are producers. If they’re breaking the law, they’re going to potentially get sued.”\u003c/p>\n\u003cp>Taylor said the measure’s goal is to bolster worker protections and public health, and that it doesn’t matter what percentage of performers have a financial stake in the films.\u003c/p>\n\u003cp>\u003cstrong>Our Ruling\u003c/strong>\u003c/p>\n\u003cp>Opponents of California’s Prop. 60, which would require condom use in adult films, recently claimed it would put “workers in the adult film industry at risk for lawsuits and harassment.”\u003c/p>\n\u003cp>The statement is partially accurate: Some adult film workers, and perhaps a growing share, could face lawsuits if they have a financial interest in the content they work on. But Prop. 60 does not specify what constitutes a financial interest. Ultimately, it may be up to the courts to decide.\u003c/p>\n\u003cp>Importantly, the claim by the opponents makes no mention that only workers with a monetary stake in the films would be liable and only after a complaint process plays out. Those who are independent contractors would face no legal action.\u003c/p>\n\u003cp>The statement leaves out this key context and gives the impression that any or all workers could face lawsuits.\u003c/p>\n\u003cp>We rate the claim Half True.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003cstrong>HALF TRUE\u003c/strong> – The statement is partially accurate but leaves out important details or takes things out of context.\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"http://www.politifact.com/truth-o-meter/article/2011/feb/21/principles-truth-o-meter/\">Click here for more\u003c/a> on the six PolitiFact ratings and how we select facts to check.\u003c/p>\n\u003cp>For more fact-checks, go to \u003ca href=\"http://politifactcalifornia.com/\">PolitiFactCalifornia.com.\u003c/a>\u003c/p>\n\u003cp>\u003cem>This story is part of California Counts, a collaboration of KPBS, KPCC, KQED and Capital Public Radio to report on the 2016 election. The coverage focuses on major issues and solicits diverse voices on what’s important to the future of California.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/tag/cacounts\">Read more in this series\u003c/a> and let us know your thoughts on Twitter using the hashtag \u003ca href=\"https://twitter.com/search?q=%23iamsouthla&src=typd\">#\u003c/a>\u003ca href=\"https://twitter.com/search?q=%23CACounts&src=typd\">CACounts\u003c/a>.\u003c/p>\n\n",
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"excerpt": "Opponents of California’s Proposition 60, which requires adult film performers to wear condoms, say it’s not the protective measure it’s touted to be.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://www.politifact.com/california/\" target=\"_blank\" rel=\"noopener\">PolitiFact California\u003c/a> looks at claims made by elected officials, candidates and groups and rates them as: True, Mostly True, Half True, Mostly False, False and Pants On Fire.\u003c/em>\u003c/p>\n\u003cp>Opponents of California’s Proposition 60 — which requires adult film performers to wear condoms — say it’s not the protective measure it’s touted to be.\u003c/p>\n\u003cp>“This law pretends to protect workers in the adult film industry, but in fact it’s putting them at risk for lawsuits and harassment,” says a recent \u003ca href=\"https://www.youtube.com/watch?v=87YgpSOm3gk&feature=youtu.be\">advertisement on YouTube\u003c/a> by the No on 60 campaign.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/87YgpSOm3gk'\n title='//www.youtube.com/embed/87YgpSOm3gk'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cem>The claim at the center of this fact check is at the :40 minute mark.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That ad was paid for by Californians Against Worker Harassment, which was founded by the Free Speech Coalition, a trade association for the adult entertainment industry, to oppose Prop. 60.\u003c/p>\n\u003cp>We wondered: Does \u003ca href=\"http://oag.ca.gov/system/files/initiatives/pdfs/15-0004%20%28Safer%20Sex%29_8.pdf\">Proposition 60\u003c/a> — a measure intended to curb sexually transmitted diseases among porn workers — really expose those same people to legal action?\u003c/p>\n\u003cp>We decided to fact-check that provocative claim.\u003c/p>\n\u003cp>\u003cstrong>Our Research\u003c/strong>\u003c/p>\n\u003cp>California law has required condom use in adult films since 1992. Supporters of Prop. 60 say the initiative would strengthen the existing law, which they say is rarely enforced.\u003c/p>\n\u003cp>The measure is sponsored by the AIDS Healthcare Foundation, which has long pushed for greater safety standards in adult films.\u003c/p>\n\u003cp>In 2012, voters in Los Angeles County \u003ca href=\"http://www.nbclosangeles.com/news/local/Measure-B-Porn-Condoms-Los-Angeles-LA-Election-Results-Decision-2012-177573761.html\">approved a similar condom requirement\u003c/a> for adult films made in that county. It is considered a model for Prop. 60, which applies its condom mandate to scenes with anal and vaginal intercourse.\u003c/p>\n\u003cp>Prop. 60 would also require adult film companies to obtain a health license and pay for the costs of vaccinations and health tests for sexually transmitted diseases for their performers.\u003c/p>\n\u003cp>We asked the No on 60 campaign for evidence backing up its claim that performers would be open to lawsuits under the measure. A spokesman pointed to the initiative’s section 6720.6, on enforcement, whistleblowers and private rights of action.\u003c/p>\n\u003cp>It allows those who witness violations of the proposed law — including performers, prosecutors or anyone who is a California resident — to file a complaint with the California Division of Occupational Safety and Health. If the agency declines to pursue the case within 21 days, the witness could then file a civil lawsuit against anyone with a financial interest in the film, which could include some performers.\u003c/p>\n\u003cp>There’s no mention in the No on 60 advertisement, however, that only performers with a financial interest would be liable. Nor does the ad mention the complaint process that must precede a lawsuit.\u003c/p>\n\u003cp>\u003cstrong>More Porn Workers With Financial Stake\u003c/strong>\u003c/p>\n\u003cp>Still, opponents of the measure say making performers liable is significant because many have a financial stake in the content.\u003c/p>\n\u003cp>“You see, in today’s adult film industry, the majority of performers are also producers,” Eric Paul Leue, executive director of the Free Speech Coalition, wrote in an \u003ca href=\"http://www.advocate.com/commentary/2016/8/17/suing-porn-stars-will-not-lead-less-hiv\">opinion piece\u003c/a> about Prop. 60 in the Advocate, a LGBT news publication, this month. “In addition to shooting for studios, most porn stars regularly create their own content — either for their own websites, on webcams, or in partnership with studios.”\u003c/p>\n\u003cp>Prop. 60 would apply to any commercial pornography produced in California, in traditional films and on the web.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/DrChauntelle\">Dr. Chauntelle Tibbals\u003c/a>, a sociologist who studies the adult film industry, said the percentage of workers who have a financial stake in adult content they contribute to “is certainly very high,” though she said there’s no accepted estimate. Advances in technology and distribution, she said, have allowed more workers to share in the financial success of their content.\u003c/p>\n\u003cp>“Everyone from webcam models to agents may have a financial stake in a single piece of content,” Tibbals added.\u003c/p>\n\u003cp>Supporters of Prop. 60, however, maintain the claim about workers being exposed to lawsuits is deceptive.\u003c/p>\n\u003cp>“The only people who can get sued (under Prop. 60) are producers,” said Rick Taylor, who manages the Yes on 60 campaign. “Some actors and actresses are producers. If they’re breaking the law, they’re going to potentially get sued.”\u003c/p>\n\u003cp>Taylor said the measure’s goal is to bolster worker protections and public health, and that it doesn’t matter what percentage of performers have a financial stake in the films.\u003c/p>\n\u003cp>\u003cstrong>Our Ruling\u003c/strong>\u003c/p>\n\u003cp>Opponents of California’s Prop. 60, which would require condom use in adult films, recently claimed it would put “workers in the adult film industry at risk for lawsuits and harassment.”\u003c/p>\n\u003cp>The statement is partially accurate: Some adult film workers, and perhaps a growing share, could face lawsuits if they have a financial interest in the content they work on. But Prop. 60 does not specify what constitutes a financial interest. Ultimately, it may be up to the courts to decide.\u003c/p>\n\u003cp>Importantly, the claim by the opponents makes no mention that only workers with a monetary stake in the films would be liable and only after a complaint process plays out. Those who are independent contractors would face no legal action.\u003c/p>\n\u003cp>The statement leaves out this key context and gives the impression that any or all workers could face lawsuits.\u003c/p>\n\u003cp>We rate the claim Half True.\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003cstrong>HALF TRUE\u003c/strong> – The statement is partially accurate but leaves out important details or takes things out of context.\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"http://www.politifact.com/truth-o-meter/article/2011/feb/21/principles-truth-o-meter/\">Click here for more\u003c/a> on the six PolitiFact ratings and how we select facts to check.\u003c/p>\n\u003cp>For more fact-checks, go to \u003ca href=\"http://politifactcalifornia.com/\">PolitiFactCalifornia.com.\u003c/a>\u003c/p>\n\u003cp>\u003cem>This story is part of California Counts, a collaboration of KPBS, KPCC, KQED and Capital Public Radio to report on the 2016 election. The coverage focuses on major issues and solicits diverse voices on what’s important to the future of California.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/tag/cacounts\">Read more in this series\u003c/a> and let us know your thoughts on Twitter using the hashtag \u003ca href=\"https://twitter.com/search?q=%23iamsouthla&src=typd\">#\u003c/a>\u003ca href=\"https://twitter.com/search?q=%23CACounts&src=typd\">CACounts\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>This year, taxpayers will cover about 70 percent of what is spent on health care in California, according to \u003ca href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1547\" target=\"_blank\">a new analysis\u003c/a> released Wednesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>Many people assume that the U.S. health care system is primarily supported by private dollars, such as insurance premiums from employer-based coverage, said Gerald Kominski, director of the UCLA Center for Health Policy Research and the study’s lead author.\u003c/p>\n\u003cp>But that’s no longer the case, at least in California — mostly because of its massive expansion of Medi-Cal, the state’s version of Medicaid, he said.\u003c/p>\n\u003cp>“There’s this myth that we have a mostly privately funded health care system, but we’re approaching a point in which almost three quarters of this system is funded by public money,” Kominski said. “Now a question to ask ourselves is: when do we reach the tipping point and say ‘this is essentially a public system?’”\u003c/p>\n\u003cp>Of $367 billion estimated to be spent on health care in the state in 2016, $260 billion will be from taxpayer money, according to the research.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nationwide, public funds paid for about 45 percent of the country’s $3 trillion in health care expenditures in 2014 through public insurance programs such as Medicaid, Medicare and programs for low-income children, according to federal data. But that estimate may be too low — it’s probably closer to 65 percent as suggested in a \u003ca href=\"http://ajph.aphapublications.org/doi/full/10.2105/AJPH.2015.302997\" target=\"_blank\">separate national study\u003c/a>, according to Kominski.\u003c/p>\n\u003cp>In California, Medicare and Medi-Cal alone account for roughly 47 percent of health care expenditures.\u003c/p>\n\u003cp>“In California we’ve had a much larger Medi-Cal expansion than anyone expected,” he said, noting that almost one-third of the state’s population is covered by the health program for low-income people.\u003c/p>\n\u003cp>Researchers were surprised, however, to see how big a role was played by county health programs that often serve indigent populations — $10 billion, or nearly 3 percent of the state’s total health care spending.\u003c/p>\n\u003cp>The UCLA researchers counted a “hidden” public expenditure that other federal studies do not: tax subsidies for employer-based health insurance, Kominski added. That makes up another 12 percent of the state’s health care spending, the data shows.\u003c/p>\n\u003cp>Before the Affordable Care Act took effect, it was true that the health care system in California was mostly private, Kominski said.\u003c/p>\n\u003cp>Maribeth Shannon, a director at the California Health Care Foundation, agreed that the ACA greatly accelerated the shift. (California Healthline is an editorially independent publication of the California Health Care Foundation.)\u003c/p>\n\u003cp>It used to be that most Americans were covered by their employer. Today, far fewer are, Shannon said.\u003c/p>\n\u003cp>“It’s a combination of things,” she said. “After the ACA you now have more generous eligibility guidelines for public programs. You also have the factor of an aging population.”\u003c/p>\n\u003cp>A growing national population of people over 65 will mean higher health care costs.\u003c/p>\n\u003cp>People 65 and older are generally covered by Medicare.\u003c/p>\n\u003cp>Because of this new dominance of public spending in health care, the researchers concluded that a single-payer health care system is more feasible than previously believed.\u003c/p>\n\u003cp>“For a majority of Californians, a public-run system is already the reality,” said Andrea Sorensen, a graduate student at the UCLA Fielding School of Public Health, who co-authored the study.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>This year, taxpayers will cover about 70 percent of what is spent on health care in California, according to \u003ca href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1547\" target=\"_blank\">a new analysis\u003c/a> released Wednesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>Many people assume that the U.S. health care system is primarily supported by private dollars, such as insurance premiums from employer-based coverage, said Gerald Kominski, director of the UCLA Center for Health Policy Research and the study’s lead author.\u003c/p>\n\u003cp>But that’s no longer the case, at least in California — mostly because of its massive expansion of Medi-Cal, the state’s version of Medicaid, he said.\u003c/p>\n\u003cp>“There’s this myth that we have a mostly privately funded health care system, but we’re approaching a point in which almost three quarters of this system is funded by public money,” Kominski said. “Now a question to ask ourselves is: when do we reach the tipping point and say ‘this is essentially a public system?’”\u003c/p>\n\u003cp>Of $367 billion estimated to be spent on health care in the state in 2016, $260 billion will be from taxpayer money, according to the research.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nationwide, public funds paid for about 45 percent of the country’s $3 trillion in health care expenditures in 2014 through public insurance programs such as Medicaid, Medicare and programs for low-income children, according to federal data. But that estimate may be too low — it’s probably closer to 65 percent as suggested in a \u003ca href=\"http://ajph.aphapublications.org/doi/full/10.2105/AJPH.2015.302997\" target=\"_blank\">separate national study\u003c/a>, according to Kominski.\u003c/p>\n\u003cp>In California, Medicare and Medi-Cal alone account for roughly 47 percent of health care expenditures.\u003c/p>\n\u003cp>“In California we’ve had a much larger Medi-Cal expansion than anyone expected,” he said, noting that almost one-third of the state’s population is covered by the health program for low-income people.\u003c/p>\n\u003cp>Researchers were surprised, however, to see how big a role was played by county health programs that often serve indigent populations — $10 billion, or nearly 3 percent of the state’s total health care spending.\u003c/p>\n\u003cp>The UCLA researchers counted a “hidden” public expenditure that other federal studies do not: tax subsidies for employer-based health insurance, Kominski added. That makes up another 12 percent of the state’s health care spending, the data shows.\u003c/p>\n\u003cp>Before the Affordable Care Act took effect, it was true that the health care system in California was mostly private, Kominski said.\u003c/p>\n\u003cp>Maribeth Shannon, a director at the California Health Care Foundation, agreed that the ACA greatly accelerated the shift. (California Healthline is an editorially independent publication of the California Health Care Foundation.)\u003c/p>\n\u003cp>It used to be that most Americans were covered by their employer. Today, far fewer are, Shannon said.\u003c/p>\n\u003cp>“It’s a combination of things,” she said. “After the ACA you now have more generous eligibility guidelines for public programs. You also have the factor of an aging population.”\u003c/p>\n\u003cp>A growing national population of people over 65 will mean higher health care costs.\u003c/p>\n\u003cp>People 65 and older are generally covered by Medicare.\u003c/p>\n\u003cp>Because of this new dominance of public spending in health care, the researchers concluded that a single-payer health care system is more feasible than previously believed.\u003c/p>\n\u003cp>“For a majority of Californians, a public-run system is already the reality,” said Andrea Sorensen, a graduate student at the UCLA Fielding School of Public Health, who co-authored the study.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\" target=\"_blank\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Soaring prices for new diabetes medications and other lifesaving prescription drugs aren’t just straining consumers’ pocketbooks. They’re putting a dent in government budgets, too — including California’s public worker pension system, the nation’s largest.\u003c/p>\n\u003cp>The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years, according to a California Healthline review of data provided by the California Public Employees’ Retirement System (CalPERS).\u003c/p>\n\u003cp>CalPERS spent nearly $4.7 million more on the injectable vials of insulin in 2014 than it did in 2012, even though the overall number of prescriptions declined. The pension system paid about $564 per prescription in 2014. State retirees pay a small portion of those costs in copayments.\u003c/p>\n\u003cp>CalPERS may receive rebates from the drug’s maker through discounts negotiated with CalPERS’ pharmacy benefit manager, CVS Caremark. Those discounts are not reflected in the spending figures.\u003c/p>\n\u003cp>CVS recently told insurers that it would \u003ca href=\"http://www.reuters.com/article/us-sanofi-cvs-lantus-idUSKCN10E1IT\" target=\"_blank\" rel=\"noopener\">drop Lantus from its formulary\u003c/a> in favor of a cheaper substitute — although another company is taking over CalPERS pharmacy benefits next year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lantus is made by Sanofi, a French pharmaceutical company, which was unable to make someone immediately available to comment.\u003c/p>\n\u003cp>Paying a few million dollars more for a single diabetes drug may not seem like a lot compared with the $8 billion the pension system spends on health care each year. But CalPERS says the price of other medications it covers has also increased, and they add up.\u003c/p>\n\u003cp>“It is concerning,” said Dr. Richard Sun, one of CalPERS’ health plan administrators, speaking generally about drug price increases and not specifically about Lantus.\u003c/p>\n\u003cp>CalPERS manages health benefits for 1.4 million members, care that’s paid for through a mix of taxpayer dollars and member premium contributions.\u003c/p>\n\u003cp>Dr. Kasia Lipska, an endocrinologist and assistant professor of medicine at Yale University, says she’s not surprised by CalPERS’ spending increase on Lantus. It’s an issue for a whole class of insulin drugs.\u003c/p>\n\u003cp>“There’s a problem with very few manufacturers that control the market,” Lipska said.\u003c/p>\n\u003cp>Lipska said some of her diabetes patients have had trouble paying for these new insulin drugs and the cost has affected their ability to control the chronic disease.\u003c/p>\n\u003cp>“They might start skimping on insulin, not taking it, or taking less,” said Lipska. “This is an essential drug for a very common chronic condition … that in particular affects people of lower socioeconomic status. It’s crazy that it’s so unaffordable to so many people.”\u003c/p>\n\u003cp>Lipska said the newer diabetes drugs, several times more expensive than their predecessors, offer some benefits, such as reducing nighttime hypoglycemia or allowing more flexibility in eating schedules. But Lipska said price of diabetes drugs like Lantus is not worth it for some patients.\u003c/p>\n\u003cp>Pharmaceutical Research and Manufacturers of America (PhRMA), the industry’s lobbying group, says insulin products available now act more like human insulin, which help patients adhere to a medication regimen. That can lead to overall cost savings in the health care system, the group said in a statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition, according to the statement, lower-cost, generic insulin may soon be available.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Soaring prices for new diabetes medications and other lifesaving prescription drugs aren’t just straining consumers’ pocketbooks. They’re putting a dent in government budgets, too — including California’s public worker pension system, the nation’s largest.\u003c/p>\n\u003cp>The price for just one brand-name insulin drug called Lantus has risen by 50 percent over three years, according to a California Healthline review of data provided by the California Public Employees’ Retirement System (CalPERS).\u003c/p>\n\u003cp>CalPERS spent nearly $4.7 million more on the injectable vials of insulin in 2014 than it did in 2012, even though the overall number of prescriptions declined. The pension system paid about $564 per prescription in 2014. State retirees pay a small portion of those costs in copayments.\u003c/p>\n\u003cp>CalPERS may receive rebates from the drug’s maker through discounts negotiated with CalPERS’ pharmacy benefit manager, CVS Caremark. Those discounts are not reflected in the spending figures.\u003c/p>\n\u003cp>CVS recently told insurers that it would \u003ca href=\"http://www.reuters.com/article/us-sanofi-cvs-lantus-idUSKCN10E1IT\" target=\"_blank\" rel=\"noopener\">drop Lantus from its formulary\u003c/a> in favor of a cheaper substitute — although another company is taking over CalPERS pharmacy benefits next year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lantus is made by Sanofi, a French pharmaceutical company, which was unable to make someone immediately available to comment.\u003c/p>\n\u003cp>Paying a few million dollars more for a single diabetes drug may not seem like a lot compared with the $8 billion the pension system spends on health care each year. But CalPERS says the price of other medications it covers has also increased, and they add up.\u003c/p>\n\u003cp>“It is concerning,” said Dr. Richard Sun, one of CalPERS’ health plan administrators, speaking generally about drug price increases and not specifically about Lantus.\u003c/p>\n\u003cp>CalPERS manages health benefits for 1.4 million members, care that’s paid for through a mix of taxpayer dollars and member premium contributions.\u003c/p>\n\u003cp>Dr. Kasia Lipska, an endocrinologist and assistant professor of medicine at Yale University, says she’s not surprised by CalPERS’ spending increase on Lantus. It’s an issue for a whole class of insulin drugs.\u003c/p>\n\u003cp>“There’s a problem with very few manufacturers that control the market,” Lipska said.\u003c/p>\n\u003cp>Lipska said some of her diabetes patients have had trouble paying for these new insulin drugs and the cost has affected their ability to control the chronic disease.\u003c/p>\n\u003cp>“They might start skimping on insulin, not taking it, or taking less,” said Lipska. “This is an essential drug for a very common chronic condition … that in particular affects people of lower socioeconomic status. It’s crazy that it’s so unaffordable to so many people.”\u003c/p>\n\u003cp>Lipska said the newer diabetes drugs, several times more expensive than their predecessors, offer some benefits, such as reducing nighttime hypoglycemia or allowing more flexibility in eating schedules. But Lipska said price of diabetes drugs like Lantus is not worth it for some patients.\u003c/p>\n\u003cp>Pharmaceutical Research and Manufacturers of America (PhRMA), the industry’s lobbying group, says insulin products available now act more like human insulin, which help patients adhere to a medication regimen. That can lead to overall cost savings in the health care system, the group said in a statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition, according to the statement, lower-cost, generic insulin may soon be available.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "cdc-tells-pregnant-women-to-avoid-parts-of-miami-hit-by-zika",
"title": "CDC Tells Pregnant Women to Avoid Parts of Miami Hit by Zika",
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"content": "\u003cp>Government health officials warned pregnant women Monday to avoid a Zika-stricken part of Miami and told couples who have been there recently to put off having children for at least two months, after the number of people feared infected through mosquito bites in the U.S. climbed to 14.\u003c/p>\n\u003caside class=\"pullquote alignright\">The travel warning is highly unusual. Officials cannot remember another warning against travel within the U.S. in the CDC’s 70-year history.\u003c/aside>\n\u003cp>In its highly unusual and perhaps unprecedented \u003ca href=\"http://www.cdc.gov/zika/intheus/florida-update.html\" target=\"_blank\" rel=\"noopener\">travel warning\u003c/a>, the Centers for Disease Control and Prevention also said expectant mothers should get tested for the virus if they have visited the neighborhood since mid-June.\u003c/p>\n\u003cp>All 14 cases are thought to have occurred in Miami’s Wynwood arts district, a trendy, fast-gentrifying neighborhood of warehouses, art galleries, restaurants and boutiques.\u003c/p>\n\u003cp>Florida Gov. Rick Scott asked for a CDC emergency response team to help the state combat Zika, which after sweeping Latin America and the Caribbean, is beginning to spread in the U.S. The White House said a team will be sent quickly.\u003c/p>\n\u003cp>Health officials\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/07/29/4-zika-cases-in-florida-are-likely-from-mosquitoes/\" target=\"_blank\" rel=\"noopener\"> last Friday announced\u003c/a> that mosquitoes have apparently started spreading Zika on the U.S. mainland, citing four cases they strongly believe were caused by bites. Ten more cases were announced Monday, even though Florida authorities have yet to find any mosquitoes actually carrying the virus.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Zika infections in pregnant women can cause severe brain-related birth defects, including extremely small skulls. The global outbreak has led to more than 1,800 serious defects.\u003c/p>\n\u003cp>CDC officials said they could not remember another time in the 70-year history of the disease-fighting agency when it told members of the public not to travel someplace in the U.S.\u003c/p>\n\u003cp>The virus can linger in the blood and urine for weeks, and has been found in sperm for months. As a result, the CDC said men and women who have recently been in the affected area should wait at least eight weeks before trying to conceive a child.\u003c/p>\n\u003cp>The travel warning covers an area of about 1 square mile in Wynwood, to the east of Interstate 95 and south of I-195. It’s large enough, health officials said, to provide a buffer around the suspected hot zone. The tropical mosquito that spreads Zika travels less than 200 yards in its lifetime.\u003c/p>\n\u003cp>Yet some experts said that’s far too small a radius. Dr. Peter Hotez, a tropical medicine expert at the Baylor College of Medicine in Texas, said the CDC should be more cautious and expand the travel advisory to all of Miami-Dade County.\u003c/p>\n\u003cp>“If you’re pregnant or think you might be pregnant, avoid travel to Miami, and possible elsewhere in South Florida,” he said. “I’m guessing most women who are pregnant are doing that. I don’t think they’re sitting around for the CDC to split hairs and fine-tune it to a specific area.”\u003c/p>\n\u003cp>CDC Director Dr. Tom Frieden said the narrowly drawn warning was dictated by science and not by any concern for Florida’s crucial tourism industry. He said it was based on the nation’s ability to contain outbreaks of other diseases carried by the same mosquito.\u003c/p>\n\u003cp>“There wouldn’t be a technical or scientific basis to give a broader recommendation,” Frieden said.\u003c/p>\n\u003cp>U.S. health officials have said all along that while isolated clusters of Zika may occur in this country, they do not expect major outbreaks like those seen in Latin America, because of better sanitation and mosquito control and widespread use of air conditioners and window screens.\u003c/p>\n\u003cp>At the same time, health officials expressed concern that they continue to see “moderately high” numbers of the type of mosquito that carries Zika, despite aggressive use of insecticides.\u003c/p>\n\u003cp>“This is a very difficult mosquito to control,” Frieden said.\u003c/p>\n\u003cp>Florida health officials said they have tested more than 200 people in Miami-Dade and Broward Counties since early July. The CDC emergency team will help Florida officials investigate the outbreak, collect samples and control mosquitoes.\u003c/p>\n\u003cp>Of the 14 people infected, two are women and 12 are men. Eight patients showed symptoms of Zika, which can include fever, rash, joint pain and red eyes. The others had no symptoms. The disease is often so mild that most people don’t know they are infected.\u003c/p>\n\u003cp>“We will continue to keep our residents and visitors safe utilizing constant surveillance and aggressive strategies, such as increased mosquito spraying, that have allowed our state to fight similar viruses,” the governor said in a statement.\u003c/p>\n\u003cp>Rosemary LeBranch was doing laundry in Wynwood when health officials came to her house a few days ago and took urine samples from her, her daughter and her father. Her father, Gabriel Jean, tested positive, she said Monday.\u003c/p>\n\u003cp>He had already spoken with a doctor and was advised to wear long shirts and pants outdoors.\u003c/p>\n\u003cp>“He said nothing hurts, he doesn’t have any pain. He doesn’t feel anything,” she said.\u003c/p>\n\u003cp>Jordan Davison and Melissa Felix work for a cruise line and were enjoying their day off Monday looking at Wynwood’s spray-painted murals.\u003c/p>\n\u003cp>“It’s not like a big thing, right?” the 25-year-old Davidson said. “It’s kind of freaky — there’s so much going on we didn’t know, didn’t really think about it. … I might wear bug spray going forward.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>More than 1,650 cases of Zika have been reported in U.S. states, nearly all the result of travel to a Zika-stricken country or sex with someone who was infected abroad.\u003c/p>\n\n",
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"excerpt": "The travel warning is unprecedented. Officials cannot remember another warning against travel within the U.S. in the CDC's 70-year history.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Government health officials warned pregnant women Monday to avoid a Zika-stricken part of Miami and told couples who have been there recently to put off having children for at least two months, after the number of people feared infected through mosquito bites in the U.S. climbed to 14.\u003c/p>\n\u003caside class=\"pullquote alignright\">The travel warning is highly unusual. Officials cannot remember another warning against travel within the U.S. in the CDC’s 70-year history.\u003c/aside>\n\u003cp>In its highly unusual and perhaps unprecedented \u003ca href=\"http://www.cdc.gov/zika/intheus/florida-update.html\" target=\"_blank\" rel=\"noopener\">travel warning\u003c/a>, the Centers for Disease Control and Prevention also said expectant mothers should get tested for the virus if they have visited the neighborhood since mid-June.\u003c/p>\n\u003cp>All 14 cases are thought to have occurred in Miami’s Wynwood arts district, a trendy, fast-gentrifying neighborhood of warehouses, art galleries, restaurants and boutiques.\u003c/p>\n\u003cp>Florida Gov. Rick Scott asked for a CDC emergency response team to help the state combat Zika, which after sweeping Latin America and the Caribbean, is beginning to spread in the U.S. The White House said a team will be sent quickly.\u003c/p>\n\u003cp>Health officials\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/07/29/4-zika-cases-in-florida-are-likely-from-mosquitoes/\" target=\"_blank\" rel=\"noopener\"> last Friday announced\u003c/a> that mosquitoes have apparently started spreading Zika on the U.S. mainland, citing four cases they strongly believe were caused by bites. Ten more cases were announced Monday, even though Florida authorities have yet to find any mosquitoes actually carrying the virus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zika infections in pregnant women can cause severe brain-related birth defects, including extremely small skulls. The global outbreak has led to more than 1,800 serious defects.\u003c/p>\n\u003cp>CDC officials said they could not remember another time in the 70-year history of the disease-fighting agency when it told members of the public not to travel someplace in the U.S.\u003c/p>\n\u003cp>The virus can linger in the blood and urine for weeks, and has been found in sperm for months. As a result, the CDC said men and women who have recently been in the affected area should wait at least eight weeks before trying to conceive a child.\u003c/p>\n\u003cp>The travel warning covers an area of about 1 square mile in Wynwood, to the east of Interstate 95 and south of I-195. It’s large enough, health officials said, to provide a buffer around the suspected hot zone. The tropical mosquito that spreads Zika travels less than 200 yards in its lifetime.\u003c/p>\n\u003cp>Yet some experts said that’s far too small a radius. Dr. Peter Hotez, a tropical medicine expert at the Baylor College of Medicine in Texas, said the CDC should be more cautious and expand the travel advisory to all of Miami-Dade County.\u003c/p>\n\u003cp>“If you’re pregnant or think you might be pregnant, avoid travel to Miami, and possible elsewhere in South Florida,” he said. “I’m guessing most women who are pregnant are doing that. I don’t think they’re sitting around for the CDC to split hairs and fine-tune it to a specific area.”\u003c/p>\n\u003cp>CDC Director Dr. Tom Frieden said the narrowly drawn warning was dictated by science and not by any concern for Florida’s crucial tourism industry. He said it was based on the nation’s ability to contain outbreaks of other diseases carried by the same mosquito.\u003c/p>\n\u003cp>“There wouldn’t be a technical or scientific basis to give a broader recommendation,” Frieden said.\u003c/p>\n\u003cp>U.S. health officials have said all along that while isolated clusters of Zika may occur in this country, they do not expect major outbreaks like those seen in Latin America, because of better sanitation and mosquito control and widespread use of air conditioners and window screens.\u003c/p>\n\u003cp>At the same time, health officials expressed concern that they continue to see “moderately high” numbers of the type of mosquito that carries Zika, despite aggressive use of insecticides.\u003c/p>\n\u003cp>“This is a very difficult mosquito to control,” Frieden said.\u003c/p>\n\u003cp>Florida health officials said they have tested more than 200 people in Miami-Dade and Broward Counties since early July. The CDC emergency team will help Florida officials investigate the outbreak, collect samples and control mosquitoes.\u003c/p>\n\u003cp>Of the 14 people infected, two are women and 12 are men. Eight patients showed symptoms of Zika, which can include fever, rash, joint pain and red eyes. The others had no symptoms. The disease is often so mild that most people don’t know they are infected.\u003c/p>\n\u003cp>“We will continue to keep our residents and visitors safe utilizing constant surveillance and aggressive strategies, such as increased mosquito spraying, that have allowed our state to fight similar viruses,” the governor said in a statement.\u003c/p>\n\u003cp>Rosemary LeBranch was doing laundry in Wynwood when health officials came to her house a few days ago and took urine samples from her, her daughter and her father. Her father, Gabriel Jean, tested positive, she said Monday.\u003c/p>\n\u003cp>He had already spoken with a doctor and was advised to wear long shirts and pants outdoors.\u003c/p>\n\u003cp>“He said nothing hurts, he doesn’t have any pain. He doesn’t feel anything,” she said.\u003c/p>\n\u003cp>Jordan Davison and Melissa Felix work for a cruise line and were enjoying their day off Monday looking at Wynwood’s spray-painted murals.\u003c/p>\n\u003cp>“It’s not like a big thing, right?” the 25-year-old Davidson said. “It’s kind of freaky — there’s so much going on we didn’t know, didn’t really think about it. … I might wear bug spray going forward.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>More than 1,650 cases of Zika have been reported in U.S. states, nearly all the result of travel to a Zika-stricken country or sex with someone who was infected abroad.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "MAP: Here's Where Zika Mosquitoes Are Likely Found in California",
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"content": "\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"100%\" height=\"520\" frameborder=\"0\" src=\"https://kqednews.cartodb.com/viz/a482a6ba-39a1-11e6-8dd6-0e674067d321/embed_map\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The first thing to know about the mosquito that can carry Zika is that it is not widespread in California. Most of California’s 58 counties do not have — and have never had — any infestation of the Aedes aegypti mosquito, the most worrisome carrier when it comes to Zika.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention has \u003ca href=\"http://jme.oxfordjournals.org/content/early/2016/06/07/jme.tjw072\" target=\"_blank\" rel=\"noopener\">crunched data \u003c/a>from across the country and \u003ca href=\"http://www.npr.org/sections/health-shots/2016/06/13/481606093/heres-really-where-zika-mosquitoes-are-likely-in-the-u-s\" target=\"_blank\" rel=\"noopener\">created a national map \u003c/a>showing where the Aedes aegypti mosquito has been found any time over the past two decades. We asked CDC for the county-specific data in California. Click on the map above to see how your county fares.\u003c/p>\n\u003cp>If your county has a faint neutral color, then Aedes aegypti has not been found there since 1995. Counties colored red mean the Aedes aegypti has been found in three or more years since 1995, orange means two years and yellow means one. Hover your mouse over the county and see all the years the mosquito has been found. In some cases, the mosquito has not been found there for several years.\u003c/p>\n\u003cp>Even if the mosquito is present in your county, that doesn’t mean it’s widespread in your county. For example, the mosquito has been found in Alameda County — but only in the city of Hayward.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Prof. Thomas Scott, a UC Davis entomologist, says that distribution of the mosquito “tends to be patchy.” Even in places where it’s very common, like Thailand, he said, “distribution will fluctuate, even through the course of a season.”\u003c/p>\n\u003cp>The Aedes aegypti mosquito was introduced to the Americas from Africa, likely on slave ships, perhaps as early as the 16th century, Georgetown historian \u003ca href=\"http://www.cnn.com/2016/02/15/health/mosquitoes-that-changed-history/\" target=\"_blank\" rel=\"noopener\">Prof. John McNeill told CNN\u003c/a>. Along with it came yellow fever, dengue, chikungunya and now Zika virus.\u003c/p>\n\u003cp>While the spread of the virus has been very rapid across much of South and Central America, Scott says it is less likely to spread as swiftly in the U.S. primarily because “our lifestyle is different than places where [many] people are infected.”\u003c/p>\n\u003cp>In the U.S. window screens or air conditioning are common, so mosquitoes are less likely to be in people’s homes. In Central and South America, people’s homes are more open, the “mosquitoes move frequently [in homes] and bite frequently,” Scott noted.\u003c/p>\n\u003cp>Case in point: the Aedes aegypti mosquito has been present across southern Arizona “for a long time,” Scott says, but the risk of dengue fever in Arizona is low. Meanwhile, just across the border in Mexico, the risk of dengue to people is much higher.\u003c/p>\n\u003cp>Zika spreads when a mosquito bites a person who is infected. Then the mosquito becomes infected itself. But Scott says it cannot spread Zika to another person right away. The virus must replicate within the mosquito first. Then the virus must travel to the insect’s salivary glands and replicate there. Only then has the mosquito moved from being infected to being infective, Scott said, and that takes awhile.\u003c/p>\n\u003cp>“That period of time is about the average life span of the mosquito, 10-14 days, for them to become infective,” Scott says. In other words, it’s possible the mosquito could die before it’s able to infect another person.\u003c/p>\n\u003cp>Zika can also be sexually transmitted and a pregnant women can transmit the virus to her fetus during pregnancy, \u003ca href=\"http://www.cdc.gov/zika/pdfs/fs-zika-basics.pdf\" target=\"_blank\" rel=\"noopener\">according to the CDC.\u003c/a>\u003c/p>\n\u003cp>The California Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/HealthInfo/discond/Documents/AedesDistributionMap.pdf\" target=\"_blank\" rel=\"noopener\">lists the cities\u003c/a> where Aedes aegypti has been found. It did not get back to us by deadline to tell us when the mosquito was found in these places.\u003c/p>\n\u003cp>\u003cstrong>Alameda: \u003c/strong>Hayward\u003c/p>\n\u003cp>\u003cstrong>Fresno: \u003c/strong>Clovis, Fowler, Fresno, Kerman, Mendota, Sanger\u003c/p>\n\u003cp>\u003cstrong>Imperial:\u003c/strong> Andrade, Brawley, Calexico, El Centro, Heber, Holtville, Imperial, Seeley\u003c/p>\n\u003cp>\u003cstrong>Kern\u003c/strong> Arvin\u003c/p>\n\u003cp>\u003cstrong>Los Angeles: \u003c/strong>Commerce, East Los Angeles, Florence, La Mirada,Los Angeles, Maywood, Montebello, Pico Rivera, South Gate\u003c/p>\n\u003cp>\u003cstrong>Madera: \u003c/strong>Madera, Madera Ranchos, Parkwood\u003c/p>\n\u003cp>\u003cstrong>Orange\u003c/strong> Anaheim, Costa Mesa, Garden Grove, Lake Forest, Mission Viejo, Orange, Santa Ana\u003c/p>\n\u003cp>\u003cstrong>Riverside\u003c/strong> Coachella, Riverside, San Jacinto\u003c/p>\n\u003cp>\u003cstrong>San Bernardino: \u003c/strong>Colton, Montclair\u003c/p>\n\u003cp>\u003cstrong>San Diego:\u003c/strong> Bonita, Chula Vista, El Cajon, Escondido, Imperial Beach, Oceanside, San Diego, Spring Valley, Tecate, Vista\u003c/p>\n\u003cp>\u003cstrong>San Mateo:\u003c/strong> Atherton, Menlo Park\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Tulare:\u003c/strong> Exeter\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" width=\"100%\" height=\"520\" frameborder=\"0\" src=\"https://kqednews.cartodb.com/viz/a482a6ba-39a1-11e6-8dd6-0e674067d321/embed_map\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The first thing to know about the mosquito that can carry Zika is that it is not widespread in California. Most of California’s 58 counties do not have — and have never had — any infestation of the Aedes aegypti mosquito, the most worrisome carrier when it comes to Zika.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention has \u003ca href=\"http://jme.oxfordjournals.org/content/early/2016/06/07/jme.tjw072\" target=\"_blank\" rel=\"noopener\">crunched data \u003c/a>from across the country and \u003ca href=\"http://www.npr.org/sections/health-shots/2016/06/13/481606093/heres-really-where-zika-mosquitoes-are-likely-in-the-u-s\" target=\"_blank\" rel=\"noopener\">created a national map \u003c/a>showing where the Aedes aegypti mosquito has been found any time over the past two decades. We asked CDC for the county-specific data in California. Click on the map above to see how your county fares.\u003c/p>\n\u003cp>If your county has a faint neutral color, then Aedes aegypti has not been found there since 1995. Counties colored red mean the Aedes aegypti has been found in three or more years since 1995, orange means two years and yellow means one. Hover your mouse over the county and see all the years the mosquito has been found. In some cases, the mosquito has not been found there for several years.\u003c/p>\n\u003cp>Even if the mosquito is present in your county, that doesn’t mean it’s widespread in your county. For example, the mosquito has been found in Alameda County — but only in the city of Hayward.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Prof. Thomas Scott, a UC Davis entomologist, says that distribution of the mosquito “tends to be patchy.” Even in places where it’s very common, like Thailand, he said, “distribution will fluctuate, even through the course of a season.”\u003c/p>\n\u003cp>The Aedes aegypti mosquito was introduced to the Americas from Africa, likely on slave ships, perhaps as early as the 16th century, Georgetown historian \u003ca href=\"http://www.cnn.com/2016/02/15/health/mosquitoes-that-changed-history/\" target=\"_blank\" rel=\"noopener\">Prof. John McNeill told CNN\u003c/a>. Along with it came yellow fever, dengue, chikungunya and now Zika virus.\u003c/p>\n\u003cp>While the spread of the virus has been very rapid across much of South and Central America, Scott says it is less likely to spread as swiftly in the U.S. primarily because “our lifestyle is different than places where [many] people are infected.”\u003c/p>\n\u003cp>In the U.S. window screens or air conditioning are common, so mosquitoes are less likely to be in people’s homes. In Central and South America, people’s homes are more open, the “mosquitoes move frequently [in homes] and bite frequently,” Scott noted.\u003c/p>\n\u003cp>Case in point: the Aedes aegypti mosquito has been present across southern Arizona “for a long time,” Scott says, but the risk of dengue fever in Arizona is low. Meanwhile, just across the border in Mexico, the risk of dengue to people is much higher.\u003c/p>\n\u003cp>Zika spreads when a mosquito bites a person who is infected. Then the mosquito becomes infected itself. But Scott says it cannot spread Zika to another person right away. The virus must replicate within the mosquito first. Then the virus must travel to the insect’s salivary glands and replicate there. Only then has the mosquito moved from being infected to being infective, Scott said, and that takes awhile.\u003c/p>\n\u003cp>“That period of time is about the average life span of the mosquito, 10-14 days, for them to become infective,” Scott says. In other words, it’s possible the mosquito could die before it’s able to infect another person.\u003c/p>\n\u003cp>Zika can also be sexually transmitted and a pregnant women can transmit the virus to her fetus during pregnancy, \u003ca href=\"http://www.cdc.gov/zika/pdfs/fs-zika-basics.pdf\" target=\"_blank\" rel=\"noopener\">according to the CDC.\u003c/a>\u003c/p>\n\u003cp>The California Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/HealthInfo/discond/Documents/AedesDistributionMap.pdf\" target=\"_blank\" rel=\"noopener\">lists the cities\u003c/a> where Aedes aegypti has been found. It did not get back to us by deadline to tell us when the mosquito was found in these places.\u003c/p>\n\u003cp>\u003cstrong>Alameda: \u003c/strong>Hayward\u003c/p>\n\u003cp>\u003cstrong>Fresno: \u003c/strong>Clovis, Fowler, Fresno, Kerman, Mendota, Sanger\u003c/p>\n\u003cp>\u003cstrong>Imperial:\u003c/strong> Andrade, Brawley, Calexico, El Centro, Heber, Holtville, Imperial, Seeley\u003c/p>\n\u003cp>\u003cstrong>Kern\u003c/strong> Arvin\u003c/p>\n\u003cp>\u003cstrong>Los Angeles: \u003c/strong>Commerce, East Los Angeles, Florence, La Mirada,Los Angeles, Maywood, Montebello, Pico Rivera, South Gate\u003c/p>\n\u003cp>\u003cstrong>Madera: \u003c/strong>Madera, Madera Ranchos, Parkwood\u003c/p>\n\u003cp>\u003cstrong>Orange\u003c/strong> Anaheim, Costa Mesa, Garden Grove, Lake Forest, Mission Viejo, Orange, Santa Ana\u003c/p>\n\u003cp>\u003cstrong>Riverside\u003c/strong> Coachella, Riverside, San Jacinto\u003c/p>\n\u003cp>\u003cstrong>San Bernardino: \u003c/strong>Colton, Montclair\u003c/p>\n\u003cp>\u003cstrong>San Diego:\u003c/strong> Bonita, Chula Vista, El Cajon, Escondido, Imperial Beach, Oceanside, San Diego, Spring Valley, Tecate, Vista\u003c/p>\n\u003cp>\u003cstrong>San Mateo:\u003c/strong> Atherton, Menlo Park\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Tulare:\u003c/strong> Exeter\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>After someone has a health crisis and gets emergency medical care, the patient is sent home to recover. But what if that person has no home? The homeless can’t get well when they go back to the street, and they end up cycling back into expensive hospitals and emergency rooms.\u003c/p>\n\u003cp>Now one program in Southern California has tackled that dilemma by giving people just out of the hospital a place to heal – by turning cheap motels into triage and recovery wards.\u003c/p>\n\u003cp>Just up the freeway from Disneyland, in the city of Buena Park in Orange County, Paul Leon stands outside the beat-up remnant of a seedy motel. Above him, a faded pink sign advertises the Coral Motel – whose rooms back in its prime cost 35 bucks a night.\u003c/p>\n\u003cp>“This particular motel was going to be taken back by the city of Buena Park,” Leon says, “because of the drugs, alcohol, prostitution at the motel.”\u003c/p>\n\u003cfigure id=\"attachment_204668\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204668\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-10-e1467050104697.jpg\" alt=\"The Coral Motel in Buena Park, Calif., used by the Illumination Foundation Recuperative Care, serves as a respite for people needing a place to recover after being discharged from the hospital. \" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">The Coral Motel in Buena Park, Calif., used by the Illumination Foundation Recuperative Care, serves as a respite for people needing a place to recover after being discharged from the hospital. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Leon had another idea. As a public health nurse in Orange County, he proposed turning the motel lobby into a triage center and converting the rooms into clean recovery facilities for homeless people recently released from local hospitals.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Usually recuperative care centers are pricey to set up — but this, Leon says, was just the opposite.\u003c/p>\n\u003cp>“The beauty of this, it’s the poor man’s recuperative,” Leon says. “They’re not the Hyatt or the Hilton, but they do serve a purpose for us. The costs to run it are much less.”\u003c/p>\n\u003cp>The motel recovery room costs about half as much as a hospital would, that’s about $2,000 less per person for each day. In some ways, it’s better than being at home, because it has a nurse on staff to help supervise care and handle complications.\u003c/p>\n\u003cp>Elvin Quiñones is one of the patients staying at the Coral Motel. He walks me across the motel parking lot so he can show off his previous home -– a small white Datsun B210 sedan.\u003c/p>\n\u003cp>“I’ll show you my house,” he says, “it’s not very big.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_204670\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204670\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-13-e1467050409396.jpg\" alt=\"After Elvin Quiñones had gallbladder surgery, he didn’t have anywhere to recover. He ended up at the motel used by the Illumination Foundation Recuperative Care.\" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">After Elvin Quiñones had gallbladder surgery, he didn’t have anywhere to recover. He ended up at the motel used by the Illumination Foundation Recuperative Care. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Quiñones is a solid guy, and it’s hard to picture him crammed in the car along with his two dogs. In the days right after his gall bladder operation, he had a bunch of medical gear, too.\u003c/p>\n\u003cp>“I’ll be honest, I was sleeping in front of Walmart, the 24-hour Walmart, because they had a bathroom,” Quiñones says. “I still had a tube stuck inside me that was draining, so I needed someplace where I could empty out the drain.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem> \u003c/em>\u003c/strong>Being homeless and helpless, he says, is “surreal.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem> \u003c/em>\u003c/strong>“You think you’re going to wake up, and it’ll all be a nightmare. And you wake up and it’s not,” he says. “It’s just the next day.”\u003c/p>\n\u003cp>A week after his medical release, the hospital called and helped place him in the motel. Ginny Ripslinger is a nurse administrator at St. Joseph’s Hospital in the city of Orange.\u003c/p>\n\u003cp>“This is a new model of care for Orange County,” she says.\u003c/p>\n\u003cp>Over and above any state payments from Medi-Cal, California’s health care program for the poor, hospitals and health insurers are happy to pony up some cash, she says. They save money by stabilizing these patients.\u003c/p>\n\u003cp>More than that, Ripslinger says, it’s just the right thing to do.\u003c/p>\n\u003cp>“We don’t want to discharge them to the street,” she says. “And there’s an obligation on the hospitals to provide continuity of care and safe discharges.”\u003c/p>\n\u003cp>While those homeless patients are recovering in the motel room over two or three weeks, there’s a hidden benefit, Ripslinger says.\u003c/p>\n\u003cp>“You might say they’re a captured audience. We can then provide the social services and the linkages to the community for stable housing and get them in a protected environment,” she says.\u003c/p>\n\u003cfigure id=\"attachment_204664\" class=\"wp-caption aligncenter\" style=\"max-width: 1921px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204664\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-2-e1467049303242.jpg\" alt=\"Victor Ramirez, 61, uses his ventilator at the men’s dorm at the Illumination Foundation Recuperative Care in Santa Fe Springs, Calif.\" width=\"1921\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Victor Ramirez, 61, uses his ventilator at the men’s dorm at the Illumination Foundation Recuperative Care in Santa Fe Springs, Calif. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Leon launched the homeless services nonprofit called the Illumination Foundation to help provide those community links and health services.\u003c/p>\n\u003cp>The foundation now has expanded the motel model of care to six sites in four counties –- Orange, Los Angeles, Riverside, San Bernardino — and Leon says he has been working with dozens of cities across the country to establish similar models elsewhere.\u003c/p>\n\u003cp>“If you’re just starting and you don’t have a recuperative care program,” Leon says, “one easy quick method is to use motels. They could basically start within days to house some of the patients that are the most vulnerable.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Every city has a homeless problem, he adds, and every city has its own version of the beat-up Coral Motel. It’s a rare opportunity, Leon says, to turn two big problems into one solution.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After someone has a health crisis and gets emergency medical care, the patient is sent home to recover. But what if that person has no home? The homeless can’t get well when they go back to the street, and they end up cycling back into expensive hospitals and emergency rooms.\u003c/p>\n\u003cp>Now one program in Southern California has tackled that dilemma by giving people just out of the hospital a place to heal – by turning cheap motels into triage and recovery wards.\u003c/p>\n\u003cp>Just up the freeway from Disneyland, in the city of Buena Park in Orange County, Paul Leon stands outside the beat-up remnant of a seedy motel. Above him, a faded pink sign advertises the Coral Motel – whose rooms back in its prime cost 35 bucks a night.\u003c/p>\n\u003cp>“This particular motel was going to be taken back by the city of Buena Park,” Leon says, “because of the drugs, alcohol, prostitution at the motel.”\u003c/p>\n\u003cfigure id=\"attachment_204668\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204668\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-10-e1467050104697.jpg\" alt=\"The Coral Motel in Buena Park, Calif., used by the Illumination Foundation Recuperative Care, serves as a respite for people needing a place to recover after being discharged from the hospital. \" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">The Coral Motel in Buena Park, Calif., used by the Illumination Foundation Recuperative Care, serves as a respite for people needing a place to recover after being discharged from the hospital. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Leon had another idea. As a public health nurse in Orange County, he proposed turning the motel lobby into a triage center and converting the rooms into clean recovery facilities for homeless people recently released from local hospitals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Usually recuperative care centers are pricey to set up — but this, Leon says, was just the opposite.\u003c/p>\n\u003cp>“The beauty of this, it’s the poor man’s recuperative,” Leon says. “They’re not the Hyatt or the Hilton, but they do serve a purpose for us. The costs to run it are much less.”\u003c/p>\n\u003cp>The motel recovery room costs about half as much as a hospital would, that’s about $2,000 less per person for each day. In some ways, it’s better than being at home, because it has a nurse on staff to help supervise care and handle complications.\u003c/p>\n\u003cp>Elvin Quiñones is one of the patients staying at the Coral Motel. He walks me across the motel parking lot so he can show off his previous home -– a small white Datsun B210 sedan.\u003c/p>\n\u003cp>“I’ll show you my house,” he says, “it’s not very big.”\u003cstrong> \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_204670\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204670\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-13-e1467050409396.jpg\" alt=\"After Elvin Quiñones had gallbladder surgery, he didn’t have anywhere to recover. He ended up at the motel used by the Illumination Foundation Recuperative Care.\" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">After Elvin Quiñones had gallbladder surgery, he didn’t have anywhere to recover. He ended up at the motel used by the Illumination Foundation Recuperative Care. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Quiñones is a solid guy, and it’s hard to picture him crammed in the car along with his two dogs. In the days right after his gall bladder operation, he had a bunch of medical gear, too.\u003c/p>\n\u003cp>“I’ll be honest, I was sleeping in front of Walmart, the 24-hour Walmart, because they had a bathroom,” Quiñones says. “I still had a tube stuck inside me that was draining, so I needed someplace where I could empty out the drain.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem> \u003c/em>\u003c/strong>Being homeless and helpless, he says, is “surreal.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem> \u003c/em>\u003c/strong>“You think you’re going to wake up, and it’ll all be a nightmare. And you wake up and it’s not,” he says. “It’s just the next day.”\u003c/p>\n\u003cp>A week after his medical release, the hospital called and helped place him in the motel. Ginny Ripslinger is a nurse administrator at St. Joseph’s Hospital in the city of Orange.\u003c/p>\n\u003cp>“This is a new model of care for Orange County,” she says.\u003c/p>\n\u003cp>Over and above any state payments from Medi-Cal, California’s health care program for the poor, hospitals and health insurers are happy to pony up some cash, she says. They save money by stabilizing these patients.\u003c/p>\n\u003cp>More than that, Ripslinger says, it’s just the right thing to do.\u003c/p>\n\u003cp>“We don’t want to discharge them to the street,” she says. “And there’s an obligation on the hospitals to provide continuity of care and safe discharges.”\u003c/p>\n\u003cp>While those homeless patients are recovering in the motel room over two or three weeks, there’s a hidden benefit, Ripslinger says.\u003c/p>\n\u003cp>“You might say they’re a captured audience. We can then provide the social services and the linkages to the community for stable housing and get them in a protected environment,” she says.\u003c/p>\n\u003cfigure id=\"attachment_204664\" class=\"wp-caption aligncenter\" style=\"max-width: 1921px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-204664\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/homeless-hotel-2-e1467049303242.jpg\" alt=\"Victor Ramirez, 61, uses his ventilator at the men’s dorm at the Illumination Foundation Recuperative Care in Santa Fe Springs, Calif.\" width=\"1921\" height=\"1282\">\u003cfigcaption class=\"wp-caption-text\">Victor Ramirez, 61, uses his ventilator at the men’s dorm at the Illumination Foundation Recuperative Care in Santa Fe Springs, Calif. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Leon launched the homeless services nonprofit called the Illumination Foundation to help provide those community links and health services.\u003c/p>\n\u003cp>The foundation now has expanded the motel model of care to six sites in four counties –- Orange, Los Angeles, Riverside, San Bernardino — and Leon says he has been working with dozens of cities across the country to establish similar models elsewhere.\u003c/p>\n\u003cp>“If you’re just starting and you don’t have a recuperative care program,” Leon says, “one easy quick method is to use motels. 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"order": 1
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
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"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"meta": {
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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}
