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Energy Horizontal Gas Drilling Rig exploring the Marcellus Shale outside the town of Waynesburg, PA on April 13, 2012.\u003c/figcaption>\u003c/figure>\n\u003cp>Groundwater contamination and air pollution are among the environmental impacts some groups worry will come from hydraulic fracturing, or fracking.\u003c/p>\n\u003cp>Fracking is a process that involves shooting water, sand and chemicals at high speed into rock to release the oil and gas within. Drillers have been eyeing the Monterey Shale in the Central Valley.\u003c/p>\n\u003cp>A bill on Governor Jerry Brown’s desk \u003ca href=\"http://ww2.kqed.org/news/2013/09/11/110875/fracking-bill-caifornia-senate-vote\" target=\"_blank\" rel=\"noopener\">would put new rules\u003c/a> on fracking.\u003c/p>\n\u003cp>KQED’s Mina Kim spoke with Sacramento Bureau Chief Scott Detrow, who has covered the practice for three years, and has been closely monitoring the legislation.\u003c/p>\n\u003cdiv>\n\u003cdiv class=\"embedly\">\u003ciframe loading=\"lazy\" src=\"https://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F110128975&show_artwork=true&maxwidth=900\" frameborder=\"no\" scrolling=\"no\" width=\"640\" height=\"166\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly?src=anywhere\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"//static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">\u003cspan>via \u003c/span>\u003ca class=\"media-attribution-link\" href=\"http://soundcloud.com\" target=\"_blank\" rel=\"noopener\">SoundCloud\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c!--more-->\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>\u003cstrong>What would the bill do?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The biggest thing this bill does is provide information about what’s going on. Drillers have been fracking in one way or another for years in California, but the state just doesn’t have the information on where it’s happening, how much water is being used, and what sorts of chemicals are being used. Beginning in 2015, drillers will be providing that information to the state before they drill when they apply for a special fracking permit, and then after the process is complete. That information would be posted to a public website.\u003c/p>\n\u003cp>If you live near a fracking site, under this legislation, you will receive notice before drillers begin fracking near your property. You’ll be able to request a baseline water test, which essentially means that you’ll get a reading on what your water quality is like before the drilling take place, so that if there’s any problems after the fact you can say: “Look here’s how things were before, here’s how things are since drilling started, and I think drilling’s to blame here.” In a lot of other places where fracking is taking place that data simply wasn’t available, so it was hard for people to prove that it was the drilling that screwed up the water quality.\u003c/p>\n\u003cp>The bill would be enforced through fines. Drillers can face up to a $25,000 fine for each specific violation they put in place, per day.\u003c/p>\n\u003cp>\u003cstrong>Why are some environmental groups upset about the bill?\u003c/strong>\u003c/p>\n\u003cp>Environmental groups in the state were pushing for a complete moratorium on fracking.\u003c/p>\n\u003cp>\u003cstrong>Why is the energy industry upset about the bill?\u003c/strong>\u003c/p>\n\u003cp>The Monterey Shale is difficult to drill in. It’s broken up, and it’s segmented due to all the seismic activity that happens in California. So drillers have found that the best way to get to this oil may not be fracking, but instead sending acid underground, essentially using it to melt down the rock so they can get to the oil. So, when the bill expanded to not just cover fracking, but to cover acidizing as well, drillers really pushed back. In their mind acidizing is just part of the drilling process that they’ve been going through for years.\u003c/p>\n\u003cp>\u003cstrong>What’s next?\u003c/strong>\u003c/p>\n\u003cp>A spokesman for Governor Brown has said that Brown intends to sign the measure.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Note: Activists with Californians Against Fracking are planning on holding a protest in San Francisco Friday afternoon outside of Gov. Jerry Brown’s meeting with Chinese officials, where a memorandum of understanding is being signed on an agreement to address climate change.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cfigure id=\"attachment_110878\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/09/09/san-francisco-homeless-showers/rs718_homeless-20120221-scr/\" rel=\"attachment wp-att-110878\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110878\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/RS718_homeless-20120221-scr-300x225.jpg\" alt=\"A homeless man outside the 16th Street Mission BART station in San Francisco. LavaMae.org is trying to create mobile showering facilities for people who have nowhere to bathe. (Keith Menconi/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A homeless man outside the 16th Street Mission BART station in San Francisco. LavaMae.org is trying to create mobile showering facilities for people who have nowhere to bathe.(Keith Menconi/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Chances are you took a shower this morning, or could have if you had wanted to. For most of us, leaving the house for work or school without cleaning up would be pretty much unthinkable. That simple notion — the quiet dignity of feeling clean — is behind a new effort to help the homeless in San Francisco. It’s called \u003ca href=\"http://www.lavamae.org\">Lava Mae\u003c/a>, a play on the Spanish word for “wash me”.\u003c/p>\n\u003cp>The idea is to convert donated city buses into portable bathrooms, with showers, toilets and changing areas. I met Lava Mae’s founder, Doniece Sandoval, inside an old Muni bus like the ones that will soon deliver dignity, one shower at a time. Sandoval is about a third of the way to her fundraising goal of $75,000 through the crowdfunding site Indiegogo. The Lava Mae \u003ca href=\"http://www.indiegogo.com/projects/lava-mae-mobile-showers-for-the-homeless\">campaign \u003c/a>has less than a month to go.\u003c/p>\n\u003cp>Here’s part of my conversation with Doniece Sandoval:\u003c/p>\n\u003cp>[soundcloud url=”http://api.soundcloud.com/tracks/109942832″ params=”” width=”100%” height=”166″ iframe=”true” /]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_110878\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/09/09/san-francisco-homeless-showers/rs718_homeless-20120221-scr/\" rel=\"attachment wp-att-110878\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110878\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/RS718_homeless-20120221-scr-300x225.jpg\" alt=\"A homeless man outside the 16th Street Mission BART station in San Francisco. LavaMae.org is trying to create mobile showering facilities for people who have nowhere to bathe. (Keith Menconi/KQED)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A homeless man outside the 16th Street Mission BART station in San Francisco. LavaMae.org is trying to create mobile showering facilities for people who have nowhere to bathe.(Keith Menconi/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Chances are you took a shower this morning, or could have if you had wanted to. For most of us, leaving the house for work or school without cleaning up would be pretty much unthinkable. That simple notion — the quiet dignity of feeling clean — is behind a new effort to help the homeless in San Francisco. It’s called \u003ca href=\"http://www.lavamae.org\">Lava Mae\u003c/a>, a play on the Spanish word for “wash me”.\u003c/p>\n\u003cp>The idea is to convert donated city buses into portable bathrooms, with showers, toilets and changing areas. I met Lava Mae’s founder, Doniece Sandoval, inside an old Muni bus like the ones that will soon deliver dignity, one shower at a time. Sandoval is about a third of the way to her fundraising goal of $75,000 through the crowdfunding site Indiegogo. The Lava Mae \u003ca href=\"http://www.indiegogo.com/projects/lava-mae-mobile-showers-for-the-homeless\">campaign \u003c/a>has less than a month to go.\u003c/p>\n\u003cp>Here’s part of my conversation with Doniece Sandoval:\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=”http://api.soundcloud.com/tracks/109942832″&visual=true&””'\n title='”http://api.soundcloud.com/tracks/109942832″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_110521\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-110521\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\" alt=\"Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Elsie Fossum’s nieces and nephews say she was the aunt you wanted to have. “She gave us our first car!” said Janet Flynn, Fossum’s niece.\u003c/p>\n\u003cp>“A ’59 Ford Galaxy with massive fins on it,” Fossum’s nephew, Jim Fossum, recalled. “It was two-tone paint — pink or coral, whatever you want to call it — and white with gold hubcaps and stuff. It was just something else.”\u003c/p>\n\u003cp>Sitting in the sun-dappled backroom of a lakeside home in Walker, Minn., the Fossums remembered their aunt. Elsie Fossum was a teacher who never married or had kids. After moving to Southern California in the 1940s, she worked mostly as a librarian.\u003c/p>\n\u003cfigure id=\"attachment_110505\" class=\"wp-caption alignright\" style=\"max-width: 228px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110505 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum-228x300.jpg\" alt=\"Elsie Fossum travelled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\" width=\"228\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum traveled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\u003c/figcaption>\u003c/figure>\n\u003cp>“She would come for the summer with this tiny Samsonite suitcase,” Flynn said. “She would be impeccably dressed, mixing and matching, and her hair was always done. She always looked wonderful.”\u003c/p>\n\u003cp>On the morning of July 3, 2006, Elsie Fossum lay in a pool of blood on her bedroom floor at Claremont Place, a Los Angeles-area assisted living facility where the 95-year-old woman had lived for two years. Her eyes were bruising black, her lip and upper palate were badly cut, and her right arm was broken.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She was alive.\u003c/p>\n\u003cp>“She looked like she went four or five rounds with Muhammad Ali,” Beverlee McPherson recalled when Fossum returned from the hospital. McPherson, a registered nurse, supervised the nurse assistants at Claremont Place.\u003c!--more-->\u003c/p>\n\u003cp>Nurse assistants provide intimate care. They bathe, feed and dress the elderly, ill or disabled. The lone caregiver on Fossum’s floor that night reported Fossum fell, but McPherson and other Claremont Place staff suspected abuse.\u003c/p>\n\u003cp>Less than three weeks later, Fossum died. Her 109-pound frame succumbed to her wounds and to dehydration. Fossum was unable to take much food or water through her swollen mouth. A Los Angeles County coroner could not rule out assault and called the manner of Fossum’s death undetermined. McPherson is resolute.\u003c/p>\n\u003cp>“I’m 100 percent convinced she didn’t fall out of bed, 100 percent. If you saw this woman’s face, I mean her entire face was beaten to a pulp.”\u003c/p>\n\u003cp>Emergency room nurses who treated Fossum at the hospital also suspected abuse, according to official records. The hospital quickly notified the California Department of Public Health, the agency responsible for de-certifying nurse assistants and home health aides who violate standards of care.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-110511\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction-258x300.png\" alt=\"Public Health - noaction\" width=\"258\" height=\"300\">\u003c/a>Internal documents obtained by the Center for Investigative Reporting show department investigators shelved Fossum’s case for 6½ years. In February of this year, department investigators closed the case and determined no action was warranted against Fossum’s caregiver.\u003c/p>\n\u003cp>After her aunt’s funeral, Janet Flynn said Claremont Place staff alerted the family that Elsie Fossum may have been a victim of elder abuse. Seven years later, the family is no closer to understanding what happened to their aunt. Their calls and emails to state agencies and local police turned up little information. They have never heard from California’s Department of Public Health.\u003c/p>\n\u003cp>“I would think that this would be very chilling to anyone who has loved ones in a facility, especially if they’re not immediately local like we weren’t,” Flynn said. “And you think safeguards are in place and you think that staff are qualified and that this is being regulated, and this I find chilling.”\u003c/p>\n\u003cp>The Los Angeles County Sheriff’s Department has decided Fossum’s case warrants further review. A detective there said they opened a homicide investigation into her death this year. Fossum’s caregiver is the sole person of interest.\u003c/p>\n\u003cp>\u003cstrong>A sprawling backlog of cases\u003c/strong>\u003c/p>\n\u003cp>Fossum’s case is not the only one where department investigators were slow to act after allegations of physical or sexual abuse.\u003c/p>\n\u003cp>In October 2007, nurse assistant Ricky Diocampo molested a 59-year-old female patient at Del Rio Sanitarium in Los Angeles County. This was not the first time Diocampo had assaulted this woman, court records would later show. In 2009, Diocampo pled guilty to patient abuse.\u003c/p>\n\u003cp>It was not until two years after his conviction that officials with California’s Department of Public Health revoked Diocampo’s certification as a nurse assistant. Diocampo did not respond to phone calls, notes or visits to his Long Beach home. It is unknown whether Diocampo worked at other care facilities in the years before state regulators acted against him.\u003c/p>\n\u003cfigure id=\"attachment_110510\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110510 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02-300x168.jpg\" alt=\"Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the Attorney General's office. (Adithya Sambamurthy/The Center)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, head of the California Department of Public Health, says he doesn’t understand the reason for the decline in case referrals to the attorney general’s office. (Adithya Sambamurthy/The Center)\u003c/figcaption>\u003c/figure>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,” said Brian Woods, who oversaw the department’s Southern California investigations office in 2006. “They are overworked. They can’t get in there. Your case might get looked at 10 years later.”\u003c/p>\n\u003cp>Woods said cases languished during his tenure because of a sprawling backlog of hundreds of complaints. He said his investigators lacked the training to handle complex cases, and he had too few investigators to begin with. Woods left his position in 2008.\u003c/p>\n\u003cp>From 2004 to 2008, public health regulators piled up more than 900 cases in Southern California — cases that involved severe injuries and suspicious deaths.\u003c/p>\n\u003cp>“There were a number of reasons for that backlog, including poor management decisions during that time in terms of how to use the resources that were available,” said Ron Chapman, who heads California’s Department of Public Health. “A backlog for investigating complaints is inexcusable; it should not have occurred.”\u003c/p>\n\u003cp>Chapman said a plan was implemented in 2009 to address the backlog.\u003c/p>\n\u003cp>“In the two years that I’ve been in the job, there’s now new management from top to bottom,” he said. “We’re staying on top of all the complaints as they come in.”\u003c/p>\n\u003cp>But since Chapman’s been on the job, the number of nurse assistants who have lost their certifications has dropped dramatically. In fiscal year 2008, the department revoked or denied certifications in 27 percent of cases. In fiscal years 2011 and 2012, that number dropped to 9 percent.\u003c/p>\n\u003cp>Chapman said he sees no evidence that addressing the backlog has undermined the quality of the department’s investigations. But Marc Parker, who led the investigations section for nine years, said he was forced to cut corners.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-110513\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog-238x300.png\" alt=\"Public Health - vanishingbacklog\" width=\"238\" height=\"300\">\u003c/a>“Hundreds of cases were closed, hundreds, with nothing but a phone call,” Parker said. “The directions were to reduce this backlog, get these cases done. Staff was prohibited from traveling, restricted to sitting at their desk … except only in the most dire cases.”\u003c/p>\n\u003cp>Parker said without facility visits, investigators are unable to see the layout of a room, conduct impromptu interviews, or assess a person’s body language.\u003c/p>\n\u003cp>“You lose all the basic cues, all the ‘tells’ that people have,” he said. “Their facial expression, eye movements, their body posture, their legs are crossed, they’re turning away from you, they look you in the eye, they don’t. If you’re doing it on the telephone, all of that is gone.”\u003c/p>\n\u003cp>According the Parker, the practice of shortchanging investigations continues today. “I get emails; I get phone calls from folks who tell me what’s going on.”\u003c/p>\n\u003cp>Parker, who retired in December of 2011, said he left earlier than planned. “I could not protect the public any longer,” Parker said. “There was just a failure to protect the most vulnerable people in our state from abuse and neglect.”\u003c/p>\n\u003cp>\u003cstrong>Fewer cases sent to prosecutors\u003c/strong>\u003c/p>\n\u003cp>Public health regulators are legally bound to report all suspected criminal wrongdoing to the state attorney general’s office. Over the three years before the department addressed the backlog, it referred 88 deaths for criminal prosecution. But that number has plummeted. In 2011, the department referred two deaths.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-110512\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths-243x300.png\" alt=\"Public Health - patientdeaths\" width=\"243\" height=\"300\">\u003c/a>Paul Greenwood, who has been prosecuting elder abuse cases for nearly two decades as head of the San Diego district attorney’s elder abuse unit, finds that baffling.\u003c/p>\n\u003cp>“I don’t know how many nursing homes there are in California or how many deaths a year there are in the facilities, but the number is going to be huge,” Greenwood said. “And to think there are only two suspicious deaths? No, I just frankly cannot believe that.”\u003c/p>\n\u003cp>Chapman said his staff is drafting agreements with the attorney general’s office to improve communication and work better with them as a partner.\u003c/p>\n\u003cp>“We don’t understand that decline in numbers,” he said. “It’s very concerning to me and we are looking into it.”\u003c/p>\n\u003cp>Chapman said while he’s confident no complaints have been mishandled, he is open to the possibility of reviewing closed cases, including the death of Elsie Fossum.\u003c/p>\n\u003cp>“It sounds absolutely horrible,” Chapman said. “We should be doing investigations on all complaints. If that’s not happening that’s a problem and we need to address it, and I’ll be looking into that case.”\u003c/p>\n\u003cp>\u003cem>This story was co-reported with Ryan Gabrielson of the Center for Investigative Reporting. \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">Read his story, \u003c/a>\u003c/em>\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">Quick dismissal of caregiver abuse cases puts California patients at risk.\u003c/a>\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"https://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F105786096%3Fsecret_token%3Ds-lRcYE\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"http://embed.verite.co/timeline/?source=0Ai_7jS90j6v-dF95M2NCUXFJZmVrNXZyQnJ5OVNaZGc&font=Bevan-PotanoSans&maptype=toner&lang=en&height=650\" frameborder=\"0\" width=\"100%\" height=\"650\">\u003c/iframe>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_110521\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-110521\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/6633_transform.jpg\" alt=\"Elsie Fossum's nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum’s nieces and nephews look at family photos of their aunt, on the seventh anniversary of her death. (Mina Kim/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Elsie Fossum’s nieces and nephews say she was the aunt you wanted to have. “She gave us our first car!” said Janet Flynn, Fossum’s niece.\u003c/p>\n\u003cp>“A ’59 Ford Galaxy with massive fins on it,” Fossum’s nephew, Jim Fossum, recalled. “It was two-tone paint — pink or coral, whatever you want to call it — and white with gold hubcaps and stuff. It was just something else.”\u003c/p>\n\u003cp>Sitting in the sun-dappled backroom of a lakeside home in Walker, Minn., the Fossums remembered their aunt. Elsie Fossum was a teacher who never married or had kids. After moving to Southern California in the 1940s, she worked mostly as a librarian.\u003c/p>\n\u003cfigure id=\"attachment_110505\" class=\"wp-caption alignright\" style=\"max-width: 228px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110505 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Elsie-Fossum-228x300.jpg\" alt=\"Elsie Fossum travelled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\" width=\"228\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elsie Fossum traveled widely, say her family members, and New Zealand was one of her favorite countries. (Photo courtesy of the Fossum family)\u003c/figcaption>\u003c/figure>\n\u003cp>“She would come for the summer with this tiny Samsonite suitcase,” Flynn said. “She would be impeccably dressed, mixing and matching, and her hair was always done. She always looked wonderful.”\u003c/p>\n\u003cp>On the morning of July 3, 2006, Elsie Fossum lay in a pool of blood on her bedroom floor at Claremont Place, a Los Angeles-area assisted living facility where the 95-year-old woman had lived for two years. Her eyes were bruising black, her lip and upper palate were badly cut, and her right arm was broken.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She was alive.\u003c/p>\n\u003cp>“She looked like she went four or five rounds with Muhammad Ali,” Beverlee McPherson recalled when Fossum returned from the hospital. McPherson, a registered nurse, supervised the nurse assistants at Claremont Place.\u003c!--more-->\u003c/p>\n\u003cp>Nurse assistants provide intimate care. They bathe, feed and dress the elderly, ill or disabled. The lone caregiver on Fossum’s floor that night reported Fossum fell, but McPherson and other Claremont Place staff suspected abuse.\u003c/p>\n\u003cp>Less than three weeks later, Fossum died. Her 109-pound frame succumbed to her wounds and to dehydration. Fossum was unable to take much food or water through her swollen mouth. A Los Angeles County coroner could not rule out assault and called the manner of Fossum’s death undetermined. McPherson is resolute.\u003c/p>\n\u003cp>“I’m 100 percent convinced she didn’t fall out of bed, 100 percent. If you saw this woman’s face, I mean her entire face was beaten to a pulp.”\u003c/p>\n\u003cp>Emergency room nurses who treated Fossum at the hospital also suspected abuse, according to official records. The hospital quickly notified the California Department of Public Health, the agency responsible for de-certifying nurse assistants and home health aides who violate standards of care.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-110511\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-noaction-258x300.png\" alt=\"Public Health - noaction\" width=\"258\" height=\"300\">\u003c/a>Internal documents obtained by the Center for Investigative Reporting show department investigators shelved Fossum’s case for 6½ years. In February of this year, department investigators closed the case and determined no action was warranted against Fossum’s caregiver.\u003c/p>\n\u003cp>After her aunt’s funeral, Janet Flynn said Claremont Place staff alerted the family that Elsie Fossum may have been a victim of elder abuse. Seven years later, the family is no closer to understanding what happened to their aunt. Their calls and emails to state agencies and local police turned up little information. They have never heard from California’s Department of Public Health.\u003c/p>\n\u003cp>“I would think that this would be very chilling to anyone who has loved ones in a facility, especially if they’re not immediately local like we weren’t,” Flynn said. “And you think safeguards are in place and you think that staff are qualified and that this is being regulated, and this I find chilling.”\u003c/p>\n\u003cp>The Los Angeles County Sheriff’s Department has decided Fossum’s case warrants further review. A detective there said they opened a homicide investigation into her death this year. Fossum’s caregiver is the sole person of interest.\u003c/p>\n\u003cp>\u003cstrong>A sprawling backlog of cases\u003c/strong>\u003c/p>\n\u003cp>Fossum’s case is not the only one where department investigators were slow to act after allegations of physical or sexual abuse.\u003c/p>\n\u003cp>In October 2007, nurse assistant Ricky Diocampo molested a 59-year-old female patient at Del Rio Sanitarium in Los Angeles County. This was not the first time Diocampo had assaulted this woman, court records would later show. In 2009, Diocampo pled guilty to patient abuse.\u003c/p>\n\u003cp>It was not until two years after his conviction that officials with California’s Department of Public Health revoked Diocampo’s certification as a nurse assistant. Diocampo did not respond to phone calls, notes or visits to his Long Beach home. It is unknown whether Diocampo worked at other care facilities in the years before state regulators acted against him.\u003c/p>\n\u003cfigure id=\"attachment_110510\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-110510 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Ron-Chapman-02-300x168.jpg\" alt=\"Ron Chapman, head of the California Department of Public Health, says he doesn't understand the reason for the decline in case referrals to the Attorney General's office. (Adithya Sambamurthy/The Center)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ron Chapman, head of the California Department of Public Health, says he doesn’t understand the reason for the decline in case referrals to the attorney general’s office. (Adithya Sambamurthy/The Center)\u003c/figcaption>\u003c/figure>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,” said Brian Woods, who oversaw the department’s Southern California investigations office in 2006. “They are overworked. They can’t get in there. Your case might get looked at 10 years later.”\u003c/p>\n\u003cp>Woods said cases languished during his tenure because of a sprawling backlog of hundreds of complaints. He said his investigators lacked the training to handle complex cases, and he had too few investigators to begin with. Woods left his position in 2008.\u003c/p>\n\u003cp>From 2004 to 2008, public health regulators piled up more than 900 cases in Southern California — cases that involved severe injuries and suspicious deaths.\u003c/p>\n\u003cp>“There were a number of reasons for that backlog, including poor management decisions during that time in terms of how to use the resources that were available,” said Ron Chapman, who heads California’s Department of Public Health. “A backlog for investigating complaints is inexcusable; it should not have occurred.”\u003c/p>\n\u003cp>Chapman said a plan was implemented in 2009 to address the backlog.\u003c/p>\n\u003cp>“In the two years that I’ve been in the job, there’s now new management from top to bottom,” he said. “We’re staying on top of all the complaints as they come in.”\u003c/p>\n\u003cp>But since Chapman’s been on the job, the number of nurse assistants who have lost their certifications has dropped dramatically. In fiscal year 2008, the department revoked or denied certifications in 27 percent of cases. In fiscal years 2011 and 2012, that number dropped to 9 percent.\u003c/p>\n\u003cp>Chapman said he sees no evidence that addressing the backlog has undermined the quality of the department’s investigations. But Marc Parker, who led the investigations section for nine years, said he was forced to cut corners.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-110513\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-vanishingbacklog-238x300.png\" alt=\"Public Health - vanishingbacklog\" width=\"238\" height=\"300\">\u003c/a>“Hundreds of cases were closed, hundreds, with nothing but a phone call,” Parker said. “The directions were to reduce this backlog, get these cases done. Staff was prohibited from traveling, restricted to sitting at their desk … except only in the most dire cases.”\u003c/p>\n\u003cp>Parker said without facility visits, investigators are unable to see the layout of a room, conduct impromptu interviews, or assess a person’s body language.\u003c/p>\n\u003cp>“You lose all the basic cues, all the ‘tells’ that people have,” he said. “Their facial expression, eye movements, their body posture, their legs are crossed, they’re turning away from you, they look you in the eye, they don’t. If you’re doing it on the telephone, all of that is gone.”\u003c/p>\n\u003cp>According the Parker, the practice of shortchanging investigations continues today. “I get emails; I get phone calls from folks who tell me what’s going on.”\u003c/p>\n\u003cp>Parker, who retired in December of 2011, said he left earlier than planned. “I could not protect the public any longer,” Parker said. “There was just a failure to protect the most vulnerable people in our state from abuse and neglect.”\u003c/p>\n\u003cp>\u003cstrong>Fewer cases sent to prosecutors\u003c/strong>\u003c/p>\n\u003cp>Public health regulators are legally bound to report all suspected criminal wrongdoing to the state attorney general’s office. Over the three years before the department addressed the backlog, it referred 88 deaths for criminal prosecution. But that number has plummeted. In 2011, the department referred two deaths.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-110512\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/09/Public-Health-patientdeaths-243x300.png\" alt=\"Public Health - patientdeaths\" width=\"243\" height=\"300\">\u003c/a>Paul Greenwood, who has been prosecuting elder abuse cases for nearly two decades as head of the San Diego district attorney’s elder abuse unit, finds that baffling.\u003c/p>\n\u003cp>“I don’t know how many nursing homes there are in California or how many deaths a year there are in the facilities, but the number is going to be huge,” Greenwood said. “And to think there are only two suspicious deaths? No, I just frankly cannot believe that.”\u003c/p>\n\u003cp>Chapman said his staff is drafting agreements with the attorney general’s office to improve communication and work better with them as a partner.\u003c/p>\n\u003cp>“We don’t understand that decline in numbers,” he said. “It’s very concerning to me and we are looking into it.”\u003c/p>\n\u003cp>Chapman said while he’s confident no complaints have been mishandled, he is open to the possibility of reviewing closed cases, including the death of Elsie Fossum.\u003c/p>\n\u003cp>“It sounds absolutely horrible,” Chapman said. “We should be doing investigations on all complaints. If that’s not happening that’s a problem and we need to address it, and I’ll be looking into that case.”\u003c/p>\n\u003cp>\u003cem>This story was co-reported with Ryan Gabrielson of the Center for Investigative Reporting. \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">Read his story, \u003c/a>\u003c/em>\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\" rel=\"noopener\">Quick dismissal of caregiver abuse cases puts California patients at risk.\u003c/a>\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"https://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F105786096%3Fsecret_token%3Ds-lRcYE\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Bay Area Hunger Games: In Solidarity, Eat A Little Less This Coming Week",
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"content": "\u003cfigure id=\"attachment_48288\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/2011/11/23/san-francisco-food-bank-25000-volunteers-participate-in-distribution-of-millions-of-pounds-of-food/foodbank5/\" rel=\"attachment wp-att-48288\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-48288\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/11/foodbank5-e1378507868372.jpg\" alt=\"Fresh oranges at the Food Bank. (Kelly Wilkinson / KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh oranges at the Food Bank (Kelly Wilkinson / KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next week is \u003ca href=\"http://www.sffoodbank.org/hunger-challenge-2013\">Hunger Challenge 2013\u003c/a>, a combined effort by the \u003ca href=\"http://www.sffoodbank.org/\">San Francisco and Marin Food Banks\u003c/a> to raise awareness of the struggles faced by low-income residents in our cities. From Monday, Sept. 9, to Friday, Sept. 13, the campaign involves two parts: a grocery list designed to simulate the experience of food pantry clientele and a food-stamp budget of $4.50 a day.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.sffoodbank.org/pantry-grocery-list\">grocery list\u003c/a> includes fruit and vegetables, eggs and rice. (That $4.50 a day doesn’t go far to supplement your meals.) Local celebrity participants include Food Network chef and Wayfare Tavern owner \u003ca href=\"http://www.tylerflorence.com/\">Tyler Florence\u003c/a> and Central Kitchen chef de cuisine \u003ca href=\"http://about.me/ryanpollnow\">Ryan Pollnow\u003c/a>.\u003c/p>\n\u003cp>The Agriculture Department released \u003ca href=\"http://www.ers.usda.gov/publications/err-economic-research-report/err155.aspx#.UipiXcash8E\">data \u003c/a>on Wednesday that found nearly 50 million people live in “food insecure” households in the U.S. More than 16 million children are at risk of going hungry.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_48288\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/2011/11/23/san-francisco-food-bank-25000-volunteers-participate-in-distribution-of-millions-of-pounds-of-food/foodbank5/\" rel=\"attachment wp-att-48288\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-48288\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/11/foodbank5-e1378507868372.jpg\" alt=\"Fresh oranges at the Food Bank. (Kelly Wilkinson / KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fresh oranges at the Food Bank (Kelly Wilkinson / KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Next week is \u003ca href=\"http://www.sffoodbank.org/hunger-challenge-2013\">Hunger Challenge 2013\u003c/a>, a combined effort by the \u003ca href=\"http://www.sffoodbank.org/\">San Francisco and Marin Food Banks\u003c/a> to raise awareness of the struggles faced by low-income residents in our cities. From Monday, Sept. 9, to Friday, Sept. 13, the campaign involves two parts: a grocery list designed to simulate the experience of food pantry clientele and a food-stamp budget of $4.50 a day.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.sffoodbank.org/pantry-grocery-list\">grocery list\u003c/a> includes fruit and vegetables, eggs and rice. (That $4.50 a day doesn’t go far to supplement your meals.) Local celebrity participants include Food Network chef and Wayfare Tavern owner \u003ca href=\"http://www.tylerflorence.com/\">Tyler Florence\u003c/a> and Central Kitchen chef de cuisine \u003ca href=\"http://about.me/ryanpollnow\">Ryan Pollnow\u003c/a>.\u003c/p>\n\u003cp>The Agriculture Department released \u003ca href=\"http://www.ers.usda.gov/publications/err-economic-research-report/err155.aspx#.UipiXcash8E\">data \u003c/a>on Wednesday that found nearly 50 million people live in “food insecure” households in the U.S. More than 16 million children are at risk of going hungry.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "despite-the-science-marin-vaccination-opt-outs-increase",
"title": "Marin Vaccination Opt-Outs Increase, Despite the Science",
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"content": "\u003cp>\u003cem>by Amy Standen and Jon Brooks\u003c/em>\u003c/p>\n\u003cp>Many Bay Area children are heading back to school this week, and in some of those schools kids are in more danger than ever of contracting preventable diseases because of parents who decline to vaccinate their children.\u003c/p>\n\u003cfigure id=\"attachment_77228\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-77228\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/10/vaccination.jpg\" alt=\"Jeff J Mitchell/Getty Image\" width=\"300\" height=\"192\">\u003cfigcaption class=\"wp-caption-text\">Jeff J. Mitchell/Getty Image\u003c/figcaption>\u003c/figure>\n\u003cp>Last year, 7.8 percent of Marin County parents – a 1 percent increase from the previous year — opted for “personal belief exemptions,” which allow them to send their kids to school unvaccinated against diseases like measles, chicken pox and whooping cough.\u003c/p>\n\u003cp>Marin has the highest opt-out rate in the Bay Area, and one of the highest in the state.\u003c/p>\n\u003cp>In Santa Cruz, 9.6 percent of parents chose personal belief exemptions, compared with 2.8 percent statewide.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>County officials say these opt-out rates bring some towns below the “herd immunity” threshold, at which a community can broadly be considered safe against a particular communicable disease.\u003c/p>\n\u003cp>“Between 85 and 95 percent of a community should be vaccinated against disease for us to consider ourselves safe as a community from an outbreak,” said Matt Willis, public health officer for Marin County. \u003c!--more-->\u003c/p>\n\u003cp>In 2012-13, at Sausalito’s New Village School, only 26 percent of incoming kindergarteners arrived vaccinated – five out of 19 students.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>A Marin pediatrics office says it will no longer treat children who have not been vaccinated with the MMR vaccine by age 2\u003c/strong>.\u003c/aside>\n\u003cp>“We now feel a concern that if there were a disease such as measles entering into that classroom, it would have an opportunity to spread and create an outbreak,” said Willis.\u003c/p>\n\u003cp>Willis said measles in particular is highly communicable and often carried back to a community by someone who has been traveling overseas.\u003c/p>\n\u003cp>Some pediatricians are pushing back.\u003c/p>\n\u003cp>Last year, Tamalpais Pediatrics, which cares for about 8,000 patients out of its Greenbrae and Novato clinics, \u003ca href=\"http://survivorpediatrics.wordpress.com/2012/04/27/why-our-office-requires-mmr-vaccine/\" target=\"_blank\" rel=\"noopener\">told its patients\u003c/a> that it would no longer treat children who have not been vaccinated with the measles/mumps/rubella vaccine by age 2.\u003c/p>\n\u003cp>“We decided this was a tinderbox,” said Tamalpais Pediatrics’ Dr. Nelson Branco. “We didn’t want measles transmitted in our waiting room.”\u003c/p>\n\u003cp>Branco said about 25 families decided to take their kids elsewhere.\u003c/p>\n\u003cp>Starting in January, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\" rel=\"noopener\">a new state law\u003c/a> will require that parents who decline vaccinations must first come in for a consultation with a medical professional.\u003c/p>\n\u003cp>In 2010, more Californians came down with whooping cough than in any year since 1947. Ten babies died.\u003c/p>\n\u003cp>\u003cstrong>What the research says\u003c/strong>\u003c/p>\n\u003cp>Many parents have opted out of vaccinations due to a belief that they are linked to autism, despite a strong scientific consensus that it is not the case. The phenomenon of opting out of vaccines gained momentum after a 1998 study implicating the measles mumps and rubella vaccine appeared in The Lancet medical journal. The journal \u003ca href=\"http://www.nytimes.com/2010/02/03/health/research/03lancet.html\" target=\"_blank\" rel=\"noopener\">retracted the paper\u003c/a> in 2010 after its author, Andrew Wakefield, was found to have had significant financial conflicts of interest and to have committed ethical violations while conducting his research. In 2010, after he lost his medical license in Britain, he said, “I never made the claim at the time, nor do I still make the claim that MMR is a cause of autism.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\" rel=\"noopener\">Find vaccination rates for kindergarten students in each California school\u003c/a>\u003c/aside>\n\u003cp>No other studies have found a link between vaccines and autism. In 2012, a study published in Nature found that the more advanced age of men who have children \u003ca href=\"http://www.nytimes.com/2012/08/23/health/fathers-age-is-linked-to-risk-of-autism-and-schizophrenia.html\" target=\"_blank\" rel=\"noopener\">may be contributing to the surging rates of autism\u003c/a>.\u003c/p>\n\u003cp>Some parents who have opted out have focused on an alleged connection between \u003ca href=\"http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/UCM096228\">thimerosal\u003c/a>, a preservative that has been used in vaccines, and autism. Multiple studies have debunked the link, however, and the substance has been eliminated from most vaccines in the U.S. for more than 10 years.\u003c/p>\n\u003cp>The issue of vaccinations has again made news recently after actress Jenny McCarthy, an \u003ca href=\"http://www.newyorker.com/online/blogs/elements/2013/07/jenny-mccarthys-dangerous-views.html\" target=\"_blank\" rel=\"noopener\">outspoken proponent of the belief that they are linked to autism and an active campaigner against vaccines\u003c/a>, was named a co-host on “The View.”\u003c/p>\n\u003cp>Or watch Mnookin discuss the \u003ca href=\"http://www.youtube.com/watch?v=ImF9BDC30lY\" target=\"_blank\" rel=\"noopener\">link between more affluent communities and vaccine opt-outs\u003c/a> here…\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"//www.youtube.com/embed/ImF9BDC30lY\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>If you still have questions, read \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\" rel=\"noopener\">5 Things You Should Know About Vaccines\u003c/a> on KQED’s State of Health blog.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And here’s KQED Public Radio’s Forum show \u003ca href=\"http://www.kqed.org/a/forum/R201308220900\" target=\"_blank\" rel=\"noopener\">segment\u003c/a> on new efforts putting pressure on parents to vaccinate their children …\u003c/p>\n\n",
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"title": "Marin Vaccination Opt-Outs Increase, Despite the Science | KQED",
"description": "by Amy Standen and Jon Brooks Many Bay Area children are heading back to school this week, and in some of those schools kids are in more danger than ever of contracting preventable diseases because of parents who decline to vaccinate their children. Last year, 7.8 percent of Marin County parents – a 1 percent increase from the previous year -- opted for “personal belief exemptions,” which allow them to send their kids to school unvaccinated against diseases like measles, chicken pox and whooping cough. Marin has the highest opt-out rate in the Bay Area, and one of the highest",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>by Amy Standen and Jon Brooks\u003c/em>\u003c/p>\n\u003cp>Many Bay Area children are heading back to school this week, and in some of those schools kids are in more danger than ever of contracting preventable diseases because of parents who decline to vaccinate their children.\u003c/p>\n\u003cfigure id=\"attachment_77228\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-77228\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/10/vaccination.jpg\" alt=\"Jeff J Mitchell/Getty Image\" width=\"300\" height=\"192\">\u003cfigcaption class=\"wp-caption-text\">Jeff J. Mitchell/Getty Image\u003c/figcaption>\u003c/figure>\n\u003cp>Last year, 7.8 percent of Marin County parents – a 1 percent increase from the previous year — opted for “personal belief exemptions,” which allow them to send their kids to school unvaccinated against diseases like measles, chicken pox and whooping cough.\u003c/p>\n\u003cp>Marin has the highest opt-out rate in the Bay Area, and one of the highest in the state.\u003c/p>\n\u003cp>In Santa Cruz, 9.6 percent of parents chose personal belief exemptions, compared with 2.8 percent statewide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>County officials say these opt-out rates bring some towns below the “herd immunity” threshold, at which a community can broadly be considered safe against a particular communicable disease.\u003c/p>\n\u003cp>“Between 85 and 95 percent of a community should be vaccinated against disease for us to consider ourselves safe as a community from an outbreak,” said Matt Willis, public health officer for Marin County. \u003c!--more-->\u003c/p>\n\u003cp>In 2012-13, at Sausalito’s New Village School, only 26 percent of incoming kindergarteners arrived vaccinated – five out of 19 students.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>A Marin pediatrics office says it will no longer treat children who have not been vaccinated with the MMR vaccine by age 2\u003c/strong>.\u003c/aside>\n\u003cp>“We now feel a concern that if there were a disease such as measles entering into that classroom, it would have an opportunity to spread and create an outbreak,” said Willis.\u003c/p>\n\u003cp>Willis said measles in particular is highly communicable and often carried back to a community by someone who has been traveling overseas.\u003c/p>\n\u003cp>Some pediatricians are pushing back.\u003c/p>\n\u003cp>Last year, Tamalpais Pediatrics, which cares for about 8,000 patients out of its Greenbrae and Novato clinics, \u003ca href=\"http://survivorpediatrics.wordpress.com/2012/04/27/why-our-office-requires-mmr-vaccine/\" target=\"_blank\" rel=\"noopener\">told its patients\u003c/a> that it would no longer treat children who have not been vaccinated with the measles/mumps/rubella vaccine by age 2.\u003c/p>\n\u003cp>“We decided this was a tinderbox,” said Tamalpais Pediatrics’ Dr. Nelson Branco. “We didn’t want measles transmitted in our waiting room.”\u003c/p>\n\u003cp>Branco said about 25 families decided to take their kids elsewhere.\u003c/p>\n\u003cp>Starting in January, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\" rel=\"noopener\">a new state law\u003c/a> will require that parents who decline vaccinations must first come in for a consultation with a medical professional.\u003c/p>\n\u003cp>In 2010, more Californians came down with whooping cough than in any year since 1947. Ten babies died.\u003c/p>\n\u003cp>\u003cstrong>What the research says\u003c/strong>\u003c/p>\n\u003cp>Many parents have opted out of vaccinations due to a belief that they are linked to autism, despite a strong scientific consensus that it is not the case. The phenomenon of opting out of vaccines gained momentum after a 1998 study implicating the measles mumps and rubella vaccine appeared in The Lancet medical journal. The journal \u003ca href=\"http://www.nytimes.com/2010/02/03/health/research/03lancet.html\" target=\"_blank\" rel=\"noopener\">retracted the paper\u003c/a> in 2010 after its author, Andrew Wakefield, was found to have had significant financial conflicts of interest and to have committed ethical violations while conducting his research. In 2010, after he lost his medical license in Britain, he said, “I never made the claim at the time, nor do I still make the claim that MMR is a cause of autism.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\" rel=\"noopener\">Find vaccination rates for kindergarten students in each California school\u003c/a>\u003c/aside>\n\u003cp>No other studies have found a link between vaccines and autism. In 2012, a study published in Nature found that the more advanced age of men who have children \u003ca href=\"http://www.nytimes.com/2012/08/23/health/fathers-age-is-linked-to-risk-of-autism-and-schizophrenia.html\" target=\"_blank\" rel=\"noopener\">may be contributing to the surging rates of autism\u003c/a>.\u003c/p>\n\u003cp>Some parents who have opted out have focused on an alleged connection between \u003ca href=\"http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/UCM096228\">thimerosal\u003c/a>, a preservative that has been used in vaccines, and autism. Multiple studies have debunked the link, however, and the substance has been eliminated from most vaccines in the U.S. for more than 10 years.\u003c/p>\n\u003cp>The issue of vaccinations has again made news recently after actress Jenny McCarthy, an \u003ca href=\"http://www.newyorker.com/online/blogs/elements/2013/07/jenny-mccarthys-dangerous-views.html\" target=\"_blank\" rel=\"noopener\">outspoken proponent of the belief that they are linked to autism and an active campaigner against vaccines\u003c/a>, was named a co-host on “The View.”\u003c/p>\n\u003cp>Or watch Mnookin discuss the \u003ca href=\"http://www.youtube.com/watch?v=ImF9BDC30lY\" target=\"_blank\" rel=\"noopener\">link between more affluent communities and vaccine opt-outs\u003c/a> here…\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"//www.youtube.com/embed/ImF9BDC30lY\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>If you still have questions, read \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\" rel=\"noopener\">5 Things You Should Know About Vaccines\u003c/a> on KQED’s State of Health blog.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And here’s KQED Public Radio’s Forum show \u003ca href=\"http://www.kqed.org/a/forum/R201308220900\" target=\"_blank\" rel=\"noopener\">segment\u003c/a> on new efforts putting pressure on parents to vaccinate their children …\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "news-pix-berkeley-spark-brings-art-downtown-and-san-francisco-bike-sharing-program-gears-up",
"title": "News Pix: Berkeley Spark Brings Art Downtown and San Francisco Bike-Sharing Program Gears Up",
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"headTitle": "News Pix: Berkeley Spark Brings Art Downtown and San Francisco Bike-Sharing Program Gears Up | KQED",
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"content": "\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107231\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816spark.jpg\" alt=\"PhotoWeek130816spark\" width=\"640\" height=\"450\">\u003cbr>\nHundreds of people flocked to central Berkeley on Saturday to take part in \u003ca href=\"http://www.berkeleyside.com/2013/08/12/berkeley-spark-ignites-downtown/\">Berkeley Spark\u003c/a>, a one-day festival that was billed as bringing the spirit of the popular Burning Man Festival to the East Bay. The centerpiece of the festival was the sculpture “Arc of Reflection” by Amy Stabler. Here a young girl looks at multiple reflections of herself and the park. (\u003ca href=\"http://www.flickr.com/photos/quinnanya/\">Quinn Dombrowski\u003c/a> / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107232\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816fox.jpg\" alt=\"PhotoWeek130816fox\" width=\"640\" height=\"450\">\u003cbr>\nA mangy \u003ca href=\"http://www.berkeleyside.com/2013/08/12/sick-red-fox-seen-in-berkeley-hills-near-tilden/\">red fox has been seen in the Berkeley Hills\u003c/a> near Tilden in the past few weeks, spurring varied responses by neighbors on how to deal with injured and sick wildlife, especially given the fact that the red fox is not native to California and has caused rampant ecological damage across the state. The fox has been seen in the areas around Fairlawn Drive and Queens Drive. (Phyllis Steiber / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107233\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bike-share.jpg\" alt=\"bike share\" width=\"640\" height=\"450\">\u003cbr>\nA much anticipated \u003ca href=\"http://ww2.kqed.org/news/2013/08/12/bay-area-bike-share-set-to-launch-august-29th/\">bike-share program will launch \u003c/a>on Aug. 29, Bay Area air quality officials announced this week, with a fleet of 700 bicycles at 70 kiosks in San Francisco, San Jose, Palo Alto, Redwood City and Mountain View. (Bryan Goebel / KQED)\u003c!--more-->\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107234\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/health-care-language.jpg\" alt=\"health care language\" width=\"640\" height=\"450\">\u003cbr>\nAssemblyman Phil Ting held a community meeting on language access and the Affordable Care Act. A woman named Un Un Che spoke in Cantonese, telling the story of her daughter’s visit to the hospital after breaking bones at school. Their 10-year-old daughter had to translate everything and couldn’t understand it all. They were told they were too late in the day for an interpreter. (Deborah Svoboda / KQED)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107235\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/community-college.jpg\" alt=\"community college\" width=\"640\" height=\"449\">\u003cbr>\nTodd Brewer, a second-year student at City College of San Francisco, waits to take a math placement test. He says the pressure is on to finish his classes with the \u003ca href=\"http://ww2.kqed.org/news/2013/08/13/106731/city-college-ccsf-accreditation\">school’s accreditation on shaky ground\u003c/a>. (Charla Bear / KQED)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107236\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816mural.jpg\" alt=\"PhotoWeek130816mural\" width=\"640\" height=\"450\">\u003cbr>\nCommunity members who live near the corner of Sacramento Street and Ashby Avenue have taken beautification into their own hands by creating a large mural to celebrate two neighborhood civil rights leaders. It covers the front of a property that has been vacant for decades. The Sacramento Street mural honors two local civil rights heroes, Burl Toler Sr. and William Byron Rumford. (Sofia Zander / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107237\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bmx-bikes.jpg\" alt=\"bmx bikes\" width=\"639\" height=\"450\">\u003c/p>\n\u003cp>About 100 kids from Fresno County earned free BMX bikes this week after successfully completing pro racer Tony Hoffman’s summer bike camp. But the camp is not just about taking bikes out on rough terrain. It’s also about character development and staying off drugs – lessons Hoffman teaches straight out of his past. (Alice Daniel / KQED)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107238\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bike-death.jpg\" alt=\"bike death\" width=\"640\" height=\"449\">\u003cbr>\nThe Marin County bicyclist who \u003ca href=\"http://ww2.kqed.org/news/2013/08/15/107079/Chris-Bucchere-Sutchi-Hui-bicyclist-pedestrian\">fatally struck a pedestrian crossing the street\u003c/a> in San Francisco’s Castro neighborhood was sentenced Thursday to three years of probation and 1,000 hours of community service. Terry Hui, son of the victim, 71-year-old Sutchi Hui, read a statement in court. “Please don’t squander the second chance you have to become a good and compassionate person,” Hui said to Chris Bucchere. (Bryan Goebel / KQED)\u003c/p>\n\n",
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"title": "News Pix: Berkeley Spark Brings Art Downtown and San Francisco Bike-Sharing Program Gears Up | KQED",
"description": "Hundreds of people flocked to central Berkeley on Saturday to take part in Berkeley Spark, a one-day festival that was billed as bringing the spirit of the popular Burning Man Festival to the East Bay. The centerpiece of the festival was the sculpture "Arc of Reflection" by Amy Stabler. Here a young girl looks at multiple reflections of herself and the park. (Quinn Dombrowski / Berkeleyside) A mangy red fox has been seen in the Berkeley Hills near Tilden in the past few weeks, spurring varied responses by neighbors on how to deal with injured and sick wildlife, especially given",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107231\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816spark.jpg\" alt=\"PhotoWeek130816spark\" width=\"640\" height=\"450\">\u003cbr>\nHundreds of people flocked to central Berkeley on Saturday to take part in \u003ca href=\"http://www.berkeleyside.com/2013/08/12/berkeley-spark-ignites-downtown/\">Berkeley Spark\u003c/a>, a one-day festival that was billed as bringing the spirit of the popular Burning Man Festival to the East Bay. The centerpiece of the festival was the sculpture “Arc of Reflection” by Amy Stabler. Here a young girl looks at multiple reflections of herself and the park. (\u003ca href=\"http://www.flickr.com/photos/quinnanya/\">Quinn Dombrowski\u003c/a> / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107232\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816fox.jpg\" alt=\"PhotoWeek130816fox\" width=\"640\" height=\"450\">\u003cbr>\nA mangy \u003ca href=\"http://www.berkeleyside.com/2013/08/12/sick-red-fox-seen-in-berkeley-hills-near-tilden/\">red fox has been seen in the Berkeley Hills\u003c/a> near Tilden in the past few weeks, spurring varied responses by neighbors on how to deal with injured and sick wildlife, especially given the fact that the red fox is not native to California and has caused rampant ecological damage across the state. The fox has been seen in the areas around Fairlawn Drive and Queens Drive. (Phyllis Steiber / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107233\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bike-share.jpg\" alt=\"bike share\" width=\"640\" height=\"450\">\u003cbr>\nA much anticipated \u003ca href=\"http://ww2.kqed.org/news/2013/08/12/bay-area-bike-share-set-to-launch-august-29th/\">bike-share program will launch \u003c/a>on Aug. 29, Bay Area air quality officials announced this week, with a fleet of 700 bicycles at 70 kiosks in San Francisco, San Jose, Palo Alto, Redwood City and Mountain View. (Bryan Goebel / KQED)\u003c!--more-->\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107234\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/health-care-language.jpg\" alt=\"health care language\" width=\"640\" height=\"450\">\u003cbr>\nAssemblyman Phil Ting held a community meeting on language access and the Affordable Care Act. A woman named Un Un Che spoke in Cantonese, telling the story of her daughter’s visit to the hospital after breaking bones at school. Their 10-year-old daughter had to translate everything and couldn’t understand it all. They were told they were too late in the day for an interpreter. (Deborah Svoboda / KQED)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107235\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/community-college.jpg\" alt=\"community college\" width=\"640\" height=\"449\">\u003cbr>\nTodd Brewer, a second-year student at City College of San Francisco, waits to take a math placement test. He says the pressure is on to finish his classes with the \u003ca href=\"http://ww2.kqed.org/news/2013/08/13/106731/city-college-ccsf-accreditation\">school’s accreditation on shaky ground\u003c/a>. (Charla Bear / KQED)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107236\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/PhotoWeek130816mural.jpg\" alt=\"PhotoWeek130816mural\" width=\"640\" height=\"450\">\u003cbr>\nCommunity members who live near the corner of Sacramento Street and Ashby Avenue have taken beautification into their own hands by creating a large mural to celebrate two neighborhood civil rights leaders. It covers the front of a property that has been vacant for decades. The Sacramento Street mural honors two local civil rights heroes, Burl Toler Sr. and William Byron Rumford. (Sofia Zander / \u003ca href=\"http://www.berkeleyside.com/\">Berkeleyside\u003c/a>)\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107237\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bmx-bikes.jpg\" alt=\"bmx bikes\" width=\"639\" height=\"450\">\u003c/p>\n\u003cp>About 100 kids from Fresno County earned free BMX bikes this week after successfully completing pro racer Tony Hoffman’s summer bike camp. But the camp is not just about taking bikes out on rough terrain. It’s also about character development and staying off drugs – lessons Hoffman teaches straight out of his past. (Alice Daniel / KQED)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-107238\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/bike-death.jpg\" alt=\"bike death\" width=\"640\" height=\"449\">\u003cbr>\nThe Marin County bicyclist who \u003ca href=\"http://ww2.kqed.org/news/2013/08/15/107079/Chris-Bucchere-Sutchi-Hui-bicyclist-pedestrian\">fatally struck a pedestrian crossing the street\u003c/a> in San Francisco’s Castro neighborhood was sentenced Thursday to three years of probation and 1,000 hours of community service. Terry Hui, son of the victim, 71-year-old Sutchi Hui, read a statement in court. “Please don’t squander the second chance you have to become a good and compassionate person,” Hui said to Chris Bucchere. (Bryan Goebel / KQED)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_105160\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/31/goodwill-bedbugs/bedbugs300/\" rel=\"attachment wp-att-105160\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-105160\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/BedBugs300.jpg\" alt=\"bed bugs\" width=\"300\" height=\"324\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A glass vial containing live bedbugs (Stan Honda/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>(BCN) A bedbug scare has forced Goodwill Industries to shut down two Bay Area warehouses and dispose of loads of donated goods, a spokesman said Tuesday.\u003c/p>\n\u003cp>The infestation, which was confirmed in Goodwill’s San Francisco warehouse by bug-sniffing dogs on Monday, was confined to an isolated area of the 30,000-square-foot storage facility at 11th and Mission streets, said Tim Murray, director of brand and marketing for Goodwill in San Francisco, San Mateo and Marin counties.\u003c/p>\n\u003cp>Exterminators will tent and treat the affected area, which is approximately 20 square feet, in the coming days, he said.\u003c/p>\n\u003cp>On Wednesday, bug experts will be inspecting the Burlingame warehouse at 1215 California Drive, where bedbugs were reportedly spotted over the weekend.\u003c/p>\n\u003cp>In the meantime, Goodwill has disposed of loads of donated goods that were stored near the infested areas, and steam-cleaned hundreds of pounds of garments, textiles and fabrics that were kept in the same facilities, Murray said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re going way beyond what we have to for the health and safety of our team members and customers,” Murray said. “This is a really unfortunate occurrence that has befallen us.”\u003c/p>\n\u003cp>Murray said 15 boxes containing 40 cubic yards of donated goods — enough to fill a tractor-trailer — were removed from the Burlingame facility and thrown out. \u003c!--more-->\u003c/p>\n\u003cp>“We’re taking no risks,” he said, adding that the outbreak could cost Goodwill hundreds of thousands of dollars in lost inventory and other expenses.\u003c/p>\n\u003cp>“This is an enormous financial hit for us,” he said.\u003c/p>\n\u003cp>So far, no bedbugs have been detected in any of Goodwill’s 21 retail stores throughout San Francisco, Marin and San Mateo counties, all of which remain open for business. Retail sales account for more than 80 percent of Goodwill’s operations, Murray said.\u003c/p>\n\u003cp>However, the outbreak has interrupted Goodwill’s nonprofit job training services and could force the organization to dispose of tons of donated goods, depending on how much of the Burlingame warehouse — if any — is found to be infested, he said.\u003c/p>\n\u003cp>Regardless, the organization will do whatever is necessary to protect the public, Murray said.\u003c/p>\n\u003cp>“The bug stops here,” he said. “We’ll do whatever it takes to isolate the outbreak.”\u003c/p>\n\u003cp>Murray said that people who are considering donating goods should never do so if they suspect their property is infested.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Anyone wishing to support Goodwill financially can donate online at \u003ca href=\"http://sfgoodwill.org/\" target=\"_blank\" rel=\"noopener\">sfgoodwill.org\u003c/a>.\u003c/p>\n\n",
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"description": "(BCN) A bedbug scare has forced Goodwill Industries to shut down two Bay Area warehouses and dispose of loads of donated goods, a spokesman said Tuesday. The infestation, which was confirmed in Goodwill's San Francisco warehouse by bug-sniffing dogs on Monday, was confined to an isolated area of the 30,000-square-foot storage facility at 11th and Mission streets, said Tim Murray, director of brand and marketing for Goodwill in San Francisco, San Mateo and Marin counties. Exterminators will tent and treat the affected area, which is approximately 20 square feet, in the coming days, he said. On Wednesday, bug experts will",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_105160\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/31/goodwill-bedbugs/bedbugs300/\" rel=\"attachment wp-att-105160\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-105160\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/BedBugs300.jpg\" alt=\"bed bugs\" width=\"300\" height=\"324\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A glass vial containing live bedbugs (Stan Honda/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>(BCN) A bedbug scare has forced Goodwill Industries to shut down two Bay Area warehouses and dispose of loads of donated goods, a spokesman said Tuesday.\u003c/p>\n\u003cp>The infestation, which was confirmed in Goodwill’s San Francisco warehouse by bug-sniffing dogs on Monday, was confined to an isolated area of the 30,000-square-foot storage facility at 11th and Mission streets, said Tim Murray, director of brand and marketing for Goodwill in San Francisco, San Mateo and Marin counties.\u003c/p>\n\u003cp>Exterminators will tent and treat the affected area, which is approximately 20 square feet, in the coming days, he said.\u003c/p>\n\u003cp>On Wednesday, bug experts will be inspecting the Burlingame warehouse at 1215 California Drive, where bedbugs were reportedly spotted over the weekend.\u003c/p>\n\u003cp>In the meantime, Goodwill has disposed of loads of donated goods that were stored near the infested areas, and steam-cleaned hundreds of pounds of garments, textiles and fabrics that were kept in the same facilities, Murray said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re going way beyond what we have to for the health and safety of our team members and customers,” Murray said. “This is a really unfortunate occurrence that has befallen us.”\u003c/p>\n\u003cp>Murray said 15 boxes containing 40 cubic yards of donated goods — enough to fill a tractor-trailer — were removed from the Burlingame facility and thrown out. \u003c!--more-->\u003c/p>\n\u003cp>“We’re taking no risks,” he said, adding that the outbreak could cost Goodwill hundreds of thousands of dollars in lost inventory and other expenses.\u003c/p>\n\u003cp>“This is an enormous financial hit for us,” he said.\u003c/p>\n\u003cp>So far, no bedbugs have been detected in any of Goodwill’s 21 retail stores throughout San Francisco, Marin and San Mateo counties, all of which remain open for business. Retail sales account for more than 80 percent of Goodwill’s operations, Murray said.\u003c/p>\n\u003cp>However, the outbreak has interrupted Goodwill’s nonprofit job training services and could force the organization to dispose of tons of donated goods, depending on how much of the Burlingame warehouse — if any — is found to be infested, he said.\u003c/p>\n\u003cp>Regardless, the organization will do whatever is necessary to protect the public, Murray said.\u003c/p>\n\u003cp>“The bug stops here,” he said. “We’ll do whatever it takes to isolate the outbreak.”\u003c/p>\n\u003cp>Murray said that people who are considering donating goods should never do so if they suspect their property is infested.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Anyone wishing to support Goodwill financially can donate online at \u003ca href=\"http://sfgoodwill.org/\" target=\"_blank\" rel=\"noopener\">sfgoodwill.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "san-francisco-has-skinniest-men-and-marin-the-longest-living-women-in-the-u-s",
"title": "San Francisco Has Skinniest Men and Marin the Longest-Living Women in the U.S.",
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"headTitle": "San Francisco Has Skinniest Men and Marin the Longest-Living Women in the U.S. | KQED",
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"content": "\u003cfigure id=\"attachment_104551\" class=\"wp-caption alignleft\" style=\"max-width: 268px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-104551 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/runnerssanfran-268x300.jpg\" alt=\"Runners in the San Francisco Marathon helped make San Francisco one of the most active and skinny counties in the country. Photo: edwardopilopilous/ Flickr\" width=\"268\" height=\"300\">\u003cfigcaption class=\"wp-caption-text\">Runners in the San Francisco Marathon helped make San Francisco one of the most active and skinny counties in the country. Photo: edwardopilopilous/ \u003ca href=\"http://www.flickr.com/photos/26525043@N00/4829092770/in/photolist-8mJn3b-4PRp7h-9xHLDD-8noNK3-7K8gHA-8qiykP-3BskS7-3DwAb-8noNgU-7mPvBz-3Bo6uc-8QjLEt-L9knv-eS3iUY-8noPCQ-8mXRBr-8n2mAs-8mY9w4-8mYsaP-8n27zQ-8n2iqS-8mYaNr-8mYCwa-8mYFci-8mYJKB-8n2Qqd-8n1U1q-8mXTHn-8mYajZ-8mYsyD-8mYvvz-8n2RUf-8n2d5y-8mY8sn-8n2yyL-8n1U8W-8mXKrB-8mXNAx-8mXUVF-8mYyuP-8mYB3B-8mXV4V-8mYGGB-8n2BGJ-8mXJaz-8mYi6z-8mYwH8-8n2zJ9-8mYHgk-8n2R7S-8n2fxC\" target=\"_blank\" rel=\"noopener\">Flickr\u003c/a>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by Kelly O’Mara and Olivia Hubert-Allen\u003c/strong>\u003c/p>\n\u003cp>It turns out it’s not just your imagination that the Bay Area is full of skinny, active people.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.healthmetricsandevaluation.org/news-events/news-release/obesity-continues-rise-nearly-all-counties-americans-becoming\" target=\"_blank\" rel=\"noopener\">study\u003c/a> released on July 10 from Institute for Health Metrics and Evaluation (IHME) at the University of Washington measured the rates of activity, obesity, and longevity county-by-county across the country. The Bay Area found itself at the top of the list, particularly the men of San Francisco and the women of Marin County.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" target=\"_blank\" rel=\"noopener\">data\u003c/a>, San Francisco had the fewest number of obese men among its population at just 18.3% — well ahead of runner-up New York at 19.1%. But, San Francisco women were just the seventh-skinniest in the country, with 20.9% of the population showing up as obese. Marin County women also cracked the top 10, with 21.1% obesity rate. But both counties’ women fell behind the female population of Falls Church City, VA at 17.6%.\u003c/p>\n\u003cp>(Use the \u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" target=\"_blank\" rel=\"noopener\">study’s data visualization tool\u003c/a> to see how obesity, activity, life expectancy and hypertension rates have changed from 2001 to 2011, the last year with data. Prepared to be overwhelmed.)\u003c/p>\n\u003cfigure id=\"attachment_104548\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" rel=\"attachment wp-att-104548\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-104548 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/obesity-maps.jpg\" alt=\"From: Institute for Health Metrics and Evaluation (IHME) at the University of Washington\" width=\"640\" height=\"197\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From: Institute for Health Metrics and Evaluation (IHME) at the University of Washington\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Marin women also claimed the Bay Area’s second national title: the longest- living women in the U.S. The women in the North Bay county can expect to live 85.02 years — five years longer than the national average and over a decade longer than the county with the shortest female life span in the U.S., Perry, Ky. at just 72.65 years. While Marin women might live a fraction of a year longer than their East or South Bay peers, Bay Area women across the board can count on long (and, evidently, active) lives. Santa Clara County was fourth nationwide at 84.54 years, San Francisco was sixth at 84.38 years, and San Mateo County was ninth at 84.3 years.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>San Francisco had the fewest number of obese men among its population.\u003c/strong>\u003c/aside>\n\u003cp>The men don’t live quite as long, with only Marin and Santa Clara counties making the top ten at fifth and ninth with 81.44 years and 80.98 years, respectively.\u003c/p>\n\u003cp>The Bay Area appears to be bucking the trend nationally. From the study:\u003c/p>\n\u003cblockquote>\u003cp>More people are running, biking, and exercising in other ways in hundreds of US counties ….\u003c/p>\n\u003cp>The rise in physical activity levels will have a positive health impact on Americans by reducing death and chronic disability from cardiovascular diseases and diabetes. But the trend has had little impact so far on stopping the rising tide of obesity. As physical activity increased between 2001 and 2009, so did the percentage of the population considered obese. Obesity and risk factors from poor diets, smoking, and high blood pressure all are causing a drag on US life expectancies, which increased slowly compared to the country’s economic peers between 1985 and 2010.\u003c/p>\u003c/blockquote>\n\u003cp>So why exactly is the Bay Area — and, more specifically, certain counties in the Bay Area — doing so well in this regard?\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.mercurynews.com/science/ci_23717125/bay-area-residents-live-longer-heres-why\" target=\"_blank\" rel=\"noopener\">the \u003cem>Mercury News\u003c/em>\u003c/a>, it has to do with rates of activity– the Bay Area ranks among the highest in the country. Also helping: access to resources, fresh vegetables, and preventive medical care — all of which an more affluent counties can afford.\u003c/p>\n\u003cblockquote>\u003cp>“The main drivers for premature death and disease are preventable,” [Bill Heisel, spokesman for IHME] said, through proper diet and exercise. “And the Bay Area is doing far better than the state and national averages” at staving off physical decline.\u003c/p>\n\u003cp>A glimpse of the national map shows a confluence of affluence and health. Like the Bay Area, regions of the U.S. with strong economies — such as the suburbs of New York City, Washington, D.C., and Seattle — tend to have high access to health care, open space, fresh fruits and vegetables and educational campaigns to reduce smoking, drinking and obesity.\u003c/p>\u003c/blockquote>\n\u003cp>Really want to dive into the differences between counties? Use \u003ca href=\"http://www.countyhealthrankings.org/app/california/2013/rankings/outcomes/overall/by-rank\" target=\"_blank\" rel=\"noopener\">the county rankings tool\u003c/a> from the\u003ca href=\"http://www.rwjf.org/\"> Robert Wood Johnson Foundation\u003c/a> and the \u003ca href=\"http://uwphi.pophealth.wisc.edu/\">University of Wisconsin Population Health Institute\u003c/a> to compare STD and drinking rates, among other fun qualities.\u003c/p>\n\u003cp>Here’s the life expectancy data from the University of Washington study:\u003c/p>\n\u003cp> \u003c/p>\n\u003ctable id=\"tfhover\" class=\"tftable\" border=\"1\">\n\u003ctbody>\n\u003ctr>\n\u003cth>County\u003c/th>\n\u003cth>Life expectancy estimates, men, 2010\u003c/th>\n\u003cth>Life expectancy estimates, women, 2010\u003c/th>\n\u003cth>Percentage of population that is obese, men, 2011\u003c/th>\n\u003cth>Percentage of population that is obese, women, 2011\u003c/th>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Alameda\u003c/td>\n\u003ctd>79.2\u003c/td>\n\u003ctd>83.1\u003c/td>\n\u003ctd>24.1%\u003c/td>\n\u003ctd>30.6%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Contra Costa\u003c/td>\n\u003ctd>79.0\u003c/td>\n\u003ctd>82.9\u003c/td>\n\u003ctd>31.8%\u003c/td>\n\u003ctd>30.8%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Marin\u003c/td>\n\u003ctd>81.4\u003c/td>\n\u003ctd>85.0\u003c/td>\n\u003ctd>22.9%\u003c/td>\n\u003ctd>21.1%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Napa\u003c/td>\n\u003ctd>78.1\u003c/td>\n\u003ctd>82.5\u003c/td>\n\u003ctd>31.5%\u003c/td>\n\u003ctd>32.9%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>San Francisco\u003c/td>\n\u003ctd>78.8\u003c/td>\n\u003ctd>84.4\u003c/td>\n\u003ctd>18.3%\u003c/td>\n\u003ctd>20.9%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>San Mateo\u003c/td>\n\u003ctd>80.3\u003c/td>\n\u003ctd>84.3\u003c/td>\n\u003ctd>22.8%\u003c/td>\n\u003ctd>25.5%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Santa Clara\u003c/td>\n\u003ctd>81\u003c/td>\n\u003ctd>84.5\u003c/td>\n\u003ctd>22.8%\u003c/td>\n\u003ctd>28.0%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Solano\u003c/td>\n\u003ctd>77.0\u003c/td>\n\u003ctd>80.9\u003c/td>\n\u003ctd>32.6%\u003c/td>\n\u003ctd>37.0%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Sonoma\u003c/td>\n\u003ctd>78.5\u003c/td>\n\u003ctd>82.0\u003c/td>\n\u003ctd>29.3%\u003c/td>\n\u003ctd>30.5%\u003c/td>\n\u003c/tr>\n\u003c/tbody>\n\u003c/table>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED radio’s Forum program will discuss this report Thursday at 10 a.m.\u003c/em>\u003c/p>\n\n",
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"title": "San Francisco Has Skinniest Men and Marin the Longest-Living Women in the U.S. | KQED",
"description": "by Kelly O'Mara and Olivia Hubert-Allen It turns out it's not just your imagination that the Bay Area is full of skinny, active people. A study released on July 10 from Institute for Health Metrics and Evaluation (IHME) at the University of Washington measured the rates of activity, obesity, and longevity county-by-county across the country. The Bay Area found itself at the top of the list, particularly the men of San Francisco and the women of Marin County. According to the data, San Francisco had the fewest number of obese men among its population at just 18.3% -- well ahead of",
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"headline": "San Francisco Has Skinniest Men and Marin the Longest-Living Women in the U.S.",
"datePublished": "2013-07-24T15:51:57-07:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_104551\" class=\"wp-caption alignleft\" style=\"max-width: 268px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-104551 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/runnerssanfran-268x300.jpg\" alt=\"Runners in the San Francisco Marathon helped make San Francisco one of the most active and skinny counties in the country. Photo: edwardopilopilous/ Flickr\" width=\"268\" height=\"300\">\u003cfigcaption class=\"wp-caption-text\">Runners in the San Francisco Marathon helped make San Francisco one of the most active and skinny counties in the country. Photo: edwardopilopilous/ \u003ca href=\"http://www.flickr.com/photos/26525043@N00/4829092770/in/photolist-8mJn3b-4PRp7h-9xHLDD-8noNK3-7K8gHA-8qiykP-3BskS7-3DwAb-8noNgU-7mPvBz-3Bo6uc-8QjLEt-L9knv-eS3iUY-8noPCQ-8mXRBr-8n2mAs-8mY9w4-8mYsaP-8n27zQ-8n2iqS-8mYaNr-8mYCwa-8mYFci-8mYJKB-8n2Qqd-8n1U1q-8mXTHn-8mYajZ-8mYsyD-8mYvvz-8n2RUf-8n2d5y-8mY8sn-8n2yyL-8n1U8W-8mXKrB-8mXNAx-8mXUVF-8mYyuP-8mYB3B-8mXV4V-8mYGGB-8n2BGJ-8mXJaz-8mYi6z-8mYwH8-8n2zJ9-8mYHgk-8n2R7S-8n2fxC\" target=\"_blank\" rel=\"noopener\">Flickr\u003c/a>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>by Kelly O’Mara and Olivia Hubert-Allen\u003c/strong>\u003c/p>\n\u003cp>It turns out it’s not just your imagination that the Bay Area is full of skinny, active people.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.healthmetricsandevaluation.org/news-events/news-release/obesity-continues-rise-nearly-all-counties-americans-becoming\" target=\"_blank\" rel=\"noopener\">study\u003c/a> released on July 10 from Institute for Health Metrics and Evaluation (IHME) at the University of Washington measured the rates of activity, obesity, and longevity county-by-county across the country. The Bay Area found itself at the top of the list, particularly the men of San Francisco and the women of Marin County.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" target=\"_blank\" rel=\"noopener\">data\u003c/a>, San Francisco had the fewest number of obese men among its population at just 18.3% — well ahead of runner-up New York at 19.1%. But, San Francisco women were just the seventh-skinniest in the country, with 20.9% of the population showing up as obese. Marin County women also cracked the top 10, with 21.1% obesity rate. But both counties’ women fell behind the female population of Falls Church City, VA at 17.6%.\u003c/p>\n\u003cp>(Use the \u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" target=\"_blank\" rel=\"noopener\">study’s data visualization tool\u003c/a> to see how obesity, activity, life expectancy and hypertension rates have changed from 2001 to 2011, the last year with data. Prepared to be overwhelmed.)\u003c/p>\n\u003cfigure id=\"attachment_104548\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.healthmetricsandevaluation.org/tools/data-visualization/us-health-map\" rel=\"attachment wp-att-104548\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-104548 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/obesity-maps.jpg\" alt=\"From: Institute for Health Metrics and Evaluation (IHME) at the University of Washington\" width=\"640\" height=\"197\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From: Institute for Health Metrics and Evaluation (IHME) at the University of Washington\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Marin women also claimed the Bay Area’s second national title: the longest- living women in the U.S. The women in the North Bay county can expect to live 85.02 years — five years longer than the national average and over a decade longer than the county with the shortest female life span in the U.S., Perry, Ky. at just 72.65 years. While Marin women might live a fraction of a year longer than their East or South Bay peers, Bay Area women across the board can count on long (and, evidently, active) lives. Santa Clara County was fourth nationwide at 84.54 years, San Francisco was sixth at 84.38 years, and San Mateo County was ninth at 84.3 years.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>San Francisco had the fewest number of obese men among its population.\u003c/strong>\u003c/aside>\n\u003cp>The men don’t live quite as long, with only Marin and Santa Clara counties making the top ten at fifth and ninth with 81.44 years and 80.98 years, respectively.\u003c/p>\n\u003cp>The Bay Area appears to be bucking the trend nationally. From the study:\u003c/p>\n\u003cblockquote>\u003cp>More people are running, biking, and exercising in other ways in hundreds of US counties ….\u003c/p>\n\u003cp>The rise in physical activity levels will have a positive health impact on Americans by reducing death and chronic disability from cardiovascular diseases and diabetes. But the trend has had little impact so far on stopping the rising tide of obesity. As physical activity increased between 2001 and 2009, so did the percentage of the population considered obese. Obesity and risk factors from poor diets, smoking, and high blood pressure all are causing a drag on US life expectancies, which increased slowly compared to the country’s economic peers between 1985 and 2010.\u003c/p>\u003c/blockquote>\n\u003cp>So why exactly is the Bay Area — and, more specifically, certain counties in the Bay Area — doing so well in this regard?\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.mercurynews.com/science/ci_23717125/bay-area-residents-live-longer-heres-why\" target=\"_blank\" rel=\"noopener\">the \u003cem>Mercury News\u003c/em>\u003c/a>, it has to do with rates of activity– the Bay Area ranks among the highest in the country. Also helping: access to resources, fresh vegetables, and preventive medical care — all of which an more affluent counties can afford.\u003c/p>\n\u003cblockquote>\u003cp>“The main drivers for premature death and disease are preventable,” [Bill Heisel, spokesman for IHME] said, through proper diet and exercise. “And the Bay Area is doing far better than the state and national averages” at staving off physical decline.\u003c/p>\n\u003cp>A glimpse of the national map shows a confluence of affluence and health. Like the Bay Area, regions of the U.S. with strong economies — such as the suburbs of New York City, Washington, D.C., and Seattle — tend to have high access to health care, open space, fresh fruits and vegetables and educational campaigns to reduce smoking, drinking and obesity.\u003c/p>\u003c/blockquote>\n\u003cp>Really want to dive into the differences between counties? Use \u003ca href=\"http://www.countyhealthrankings.org/app/california/2013/rankings/outcomes/overall/by-rank\" target=\"_blank\" rel=\"noopener\">the county rankings tool\u003c/a> from the\u003ca href=\"http://www.rwjf.org/\"> Robert Wood Johnson Foundation\u003c/a> and the \u003ca href=\"http://uwphi.pophealth.wisc.edu/\">University of Wisconsin Population Health Institute\u003c/a> to compare STD and drinking rates, among other fun qualities.\u003c/p>\n\u003cp>Here’s the life expectancy data from the University of Washington study:\u003c/p>\n\u003cp> \u003c/p>\n\u003ctable id=\"tfhover\" class=\"tftable\" border=\"1\">\n\u003ctbody>\n\u003ctr>\n\u003cth>County\u003c/th>\n\u003cth>Life expectancy estimates, men, 2010\u003c/th>\n\u003cth>Life expectancy estimates, women, 2010\u003c/th>\n\u003cth>Percentage of population that is obese, men, 2011\u003c/th>\n\u003cth>Percentage of population that is obese, women, 2011\u003c/th>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Alameda\u003c/td>\n\u003ctd>79.2\u003c/td>\n\u003ctd>83.1\u003c/td>\n\u003ctd>24.1%\u003c/td>\n\u003ctd>30.6%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Contra Costa\u003c/td>\n\u003ctd>79.0\u003c/td>\n\u003ctd>82.9\u003c/td>\n\u003ctd>31.8%\u003c/td>\n\u003ctd>30.8%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Marin\u003c/td>\n\u003ctd>81.4\u003c/td>\n\u003ctd>85.0\u003c/td>\n\u003ctd>22.9%\u003c/td>\n\u003ctd>21.1%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Napa\u003c/td>\n\u003ctd>78.1\u003c/td>\n\u003ctd>82.5\u003c/td>\n\u003ctd>31.5%\u003c/td>\n\u003ctd>32.9%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>San Francisco\u003c/td>\n\u003ctd>78.8\u003c/td>\n\u003ctd>84.4\u003c/td>\n\u003ctd>18.3%\u003c/td>\n\u003ctd>20.9%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>San Mateo\u003c/td>\n\u003ctd>80.3\u003c/td>\n\u003ctd>84.3\u003c/td>\n\u003ctd>22.8%\u003c/td>\n\u003ctd>25.5%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Santa Clara\u003c/td>\n\u003ctd>81\u003c/td>\n\u003ctd>84.5\u003c/td>\n\u003ctd>22.8%\u003c/td>\n\u003ctd>28.0%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Solano\u003c/td>\n\u003ctd>77.0\u003c/td>\n\u003ctd>80.9\u003c/td>\n\u003ctd>32.6%\u003c/td>\n\u003ctd>37.0%\u003c/td>\n\u003c/tr>\n\u003ctr>\n\u003ctd>Sonoma\u003c/td>\n\u003ctd>78.5\u003c/td>\n\u003ctd>82.0\u003c/td>\n\u003ctd>29.3%\u003c/td>\n\u003ctd>30.5%\u003c/td>\n\u003c/tr>\n\u003c/tbody>\n\u003c/table>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED radio’s Forum program will discuss this report Thursday at 10 a.m.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "lawmakers-call-for-probe-of-sterilization-of-female-inmates",
"title": "Lawmakers Call for Probe of Sterilization of Female Inmates",
"publishDate": 1373576159,
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"headTitle": "Lawmakers Call for Probe of Sterilization of Female Inmates | KQED",
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"content": "\u003cfigure id=\"attachment_102895\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/califprison/\" rel=\"attachment wp-att-102895\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-102895 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison-300x199.jpg\" alt=\" Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison's infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison’s infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Corey G. Johnson, \u003ca href=\"//cironline.org/%22%20target=%22_blank%22>Center%20For%20Investigative%20Reporting</a></strong>\">The Center for Investigative Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>State lawmakers called today for an investigation of the physicians involved in the sterilization of women inmates and raised questions about a federal prison overseer’s role in handling the matter.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.documentcloud.org/documents/725563-07-10-13-lieu-to-sharon-levine.html\">letter\u003c/a> to the Medical Board of California, state Sen. Ted Lieu, D-Redondo Beach, said that \u003ca href=\"http://cironline.org/reports/female-inmates-sterilized-california-prisons-without-approval-4917\">The Center for Investigative Reporting’s investigation\u003c/a> raised “troubling allegations that doctors violated State law, disregarded ethical guidelines, and fell well below the Standard of care.” Lieu is chairman of the Business, Professions and Economic Development Committee, which oversees the medical board.\u003c/p>\n\u003cp>“We’ve been assured that this practice hasn’t occurred since (2010), but the question of course is why was this occurring?” state Sen. Hannah-Beth Jackson, D-Santa Barbara, who also signed Lieu’s letter, told CIR. “We want to make absolutely sure – whether we have to do legislation or what – this procedure never becomes the practice it had in the past.”\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/\">CIR\u003c/a> found that 148 women received tubal ligations without required state approvals from 2006 to 2010. Former inmates say doctors pressured women into getting sterilized and targeted those deemed likely to commit future crimes.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If Lieu’s request is accepted, the doctors reviewed could include those inside the prison who made referrals for the surgeries as well as outside contractors at nearby hospitals who performed the procedure in violation of state rules.\u003c/p>\n\u003cp>Lieu also called for the medical board to recommend ways for the Legislature to ensure unauthorized surgeries don’t occur in the future and to consider whether doctors involved in unauthorized tubal ligations should be disciplined. The federal prison receivership has said it put a stop to all tubal ligations in 2010.\u003c/p>\n\u003cp>“A physician’s sole and only concern should be that of the patient,” Lieu wrote. “Whether a surgical procedure would have any hypothetical effect on welfare rolls should never, ever play a part in a doctor’s decision.”\u003c/p>\n\u003cp>Chris Valine, public information analyst for the medical board, said the office did receive Lieu’s letter but could not comment further, citing confidentiality requirements.\u003c/p>\n\u003cfigure id=\"attachment_102889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/california-institution-for-women-3-664px/\" rel=\"attachment wp-att-102889\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-102889 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px-300x153.jpg\" alt=\" The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\" width=\"300\" height=\"153\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. James Heinrich, a prison OB-GYN who referred women prisoners for the surgery, told CIR the money spent sterilizing inmates was minimal “compared to what you save in welfare paying for these unwanted children – as they procreated more.”\u003c/p>\n\u003cp>A former top medical official at Valley State Prison for Women, one of two prisons that sterilized female inmates, acknowledged seeking ways around the state’s 1984 ban on tubal ligations. That ban allowed the procedure only in life-threatening situations and with high-level state review.\u003c/p>\n\u003cp>Daun Martin said she and Heinrich believed the restriction was “unfair.”\u003c/p>\n\u003cp>Martin said she did not allow the procedures once she knew they were banned. But state records show at least 60 occurred under her watch without those approvals.\u003c/p>\n\u003cp>Joyce Hayhoe, speaking for the receivership, said officials there also were outraged over comments made by doctors in the CIR story.\u003c/p>\n\u003cp>“This was clearly a practice that started in the prison system prior to the receivership – that we inherited,” Hayhoe said.\u003c/p>\n\u003cp>Gov. Jerry Brown’s office referred requests for comment to the California Department of Corrections and Rehabilitation. As of publication, the state prison office had not commented.\u003c/p>\n\u003cp>In a separate \u003ca href=\"https://www.documentcloud.org/documents/725401-california-senators-asks-federal-receiver-for.html\">letter\u003c/a>, Jackson – vice chairwoman of the California Legislative Women’s Caucus – along with top leaders of the Senate and Assembly, told the receivership she would ask the California State Auditor to probe allegations that physicians under the federal receivership have coerced female inmates into sterilization procedures, including during labor.\u003c/p>\n\u003cp>The letter sharply criticized the office of the federal receiver, which has controlled prison health care since 2006. It asks the receiver to provide answers within two weeks concerning how women ended up sterilized while under federal control.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/05/28/in-california-incarcerated-students-fall-through-gaps-in-special-education-laws/cir-logo-2/\" rel=\"attachment wp-att-98222\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-98222 alignright\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/05/CIR-logo-300x72.png\" alt=\"CIR logo\" width=\"300\" height=\"72\">\u003c/a>\u003c/p>\n\u003cp>Documents obtained by CIR show the receiver’s office knew in 2008 that sterilizations were occurring. The office didn’t move to stop the procedures until 2010, after a prisoner advocacy group, Justice Now, filed a public records request and complained to state Sen. Carol Liu, D-Glendale. Liu was the chairwoman of the Select Committee on Women and Children in the Criminal Justice System.\u003c/p>\n\u003cp>“As the federal Receiver, you were appointed by the three-judge panel to implement a lawful standard of medical care in California prisons. These instances of unauthorized tubal ligations under your watch violate California state laws,” the letter Tuesday to the receiver states.\u003c/p>\n\u003cp>“Pressuring a vulnerable population – including at least one documented instance of a patient under sedation, to undergo these extreme procedures erodes the ban on eugenics. In our view, such practice violates Constitutional protections against cruel and unusual punishment; protections that you were appointed to enforce.”\u003c/p>\n\u003cp>Former Valley State inmate Kimberly Jeffrey told CIR she was asked repeatedly to get sterilized, including while sedated and strapped to a surgical table for a C-section in 2010. Her hospital medical records indicate she declined the procedure.\u003c/p>\n\u003cp>“He said, ‘So we’re going to be doing this tubal ligation, right?’ ” Jeffrey said. “I’m like, ‘Tubal ligation? What are you talking about? I don’t want any procedure. I just want to have my baby.’ I went into a straight panic.”\u003c/p>\n\u003cp>Jackson told CIR such allegations were “totally unacceptable and very alarming.” She said she wanted the public to know that she and her lawmaker colleagues are working hard to ensure that the unauthorized\u003cstrong> \u003c/strong>sterilizations never happen again\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>Hayhoe, with the receivership, said it and members of the California Legislative Women’s Caucus discussed the letter during a meeting today. She said it would be no problem to answer any additional questions.\u003c/p>\n\u003cp>\u003cem>This story was edited by Amy Pyle. It was copy edited by Christine Lee.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"title": "Lawmakers Call for Probe of Sterilization of Female Inmates | KQED",
"description": "By Corey G. Johnson, The Center for Investigative Reporting State lawmakers called today for an investigation of the physicians involved in the sterilization of women inmates and raised questions about a federal prison overseer’s role in handling the matter. In a letter to the Medical Board of California, state Sen. Ted Lieu, D-Redondo Beach, said that The Center for Investigative Reporting’s investigation raised “troubling allegations that doctors violated State law, disregarded ethical guidelines, and fell well below the Standard of care.” Lieu is chairman of the Business, Professions and Economic Development Committee, which oversees the medical board. “We’ve been assured",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_102895\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/califprison/\" rel=\"attachment wp-att-102895\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-102895 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison-300x199.jpg\" alt=\" Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison's infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison’s infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Corey G. Johnson, \u003ca href=\"//cironline.org/%22%20target=%22_blank%22>Center%20For%20Investigative%20Reporting</a></strong>\">The Center for Investigative Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>State lawmakers called today for an investigation of the physicians involved in the sterilization of women inmates and raised questions about a federal prison overseer’s role in handling the matter.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.documentcloud.org/documents/725563-07-10-13-lieu-to-sharon-levine.html\">letter\u003c/a> to the Medical Board of California, state Sen. Ted Lieu, D-Redondo Beach, said that \u003ca href=\"http://cironline.org/reports/female-inmates-sterilized-california-prisons-without-approval-4917\">The Center for Investigative Reporting’s investigation\u003c/a> raised “troubling allegations that doctors violated State law, disregarded ethical guidelines, and fell well below the Standard of care.” Lieu is chairman of the Business, Professions and Economic Development Committee, which oversees the medical board.\u003c/p>\n\u003cp>“We’ve been assured that this practice hasn’t occurred since (2010), but the question of course is why was this occurring?” state Sen. Hannah-Beth Jackson, D-Santa Barbara, who also signed Lieu’s letter, told CIR. “We want to make absolutely sure – whether we have to do legislation or what – this procedure never becomes the practice it had in the past.”\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/\">CIR\u003c/a> found that 148 women received tubal ligations without required state approvals from 2006 to 2010. Former inmates say doctors pressured women into getting sterilized and targeted those deemed likely to commit future crimes.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If Lieu’s request is accepted, the doctors reviewed could include those inside the prison who made referrals for the surgeries as well as outside contractors at nearby hospitals who performed the procedure in violation of state rules.\u003c/p>\n\u003cp>Lieu also called for the medical board to recommend ways for the Legislature to ensure unauthorized surgeries don’t occur in the future and to consider whether doctors involved in unauthorized tubal ligations should be disciplined. The federal prison receivership has said it put a stop to all tubal ligations in 2010.\u003c/p>\n\u003cp>“A physician’s sole and only concern should be that of the patient,” Lieu wrote. “Whether a surgical procedure would have any hypothetical effect on welfare rolls should never, ever play a part in a doctor’s decision.”\u003c/p>\n\u003cp>Chris Valine, public information analyst for the medical board, said the office did receive Lieu’s letter but could not comment further, citing confidentiality requirements.\u003c/p>\n\u003cfigure id=\"attachment_102889\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/07/08/female-inmates-sterilized/california-institution-for-women-3-664px/\" rel=\"attachment wp-att-102889\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-102889 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px-300x153.jpg\" alt=\" The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\" width=\"300\" height=\"153\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. James Heinrich, a prison OB-GYN who referred women prisoners for the surgery, told CIR the money spent sterilizing inmates was minimal “compared to what you save in welfare paying for these unwanted children – as they procreated more.”\u003c/p>\n\u003cp>A former top medical official at Valley State Prison for Women, one of two prisons that sterilized female inmates, acknowledged seeking ways around the state’s 1984 ban on tubal ligations. That ban allowed the procedure only in life-threatening situations and with high-level state review.\u003c/p>\n\u003cp>Daun Martin said she and Heinrich believed the restriction was “unfair.”\u003c/p>\n\u003cp>Martin said she did not allow the procedures once she knew they were banned. But state records show at least 60 occurred under her watch without those approvals.\u003c/p>\n\u003cp>Joyce Hayhoe, speaking for the receivership, said officials there also were outraged over comments made by doctors in the CIR story.\u003c/p>\n\u003cp>“This was clearly a practice that started in the prison system prior to the receivership – that we inherited,” Hayhoe said.\u003c/p>\n\u003cp>Gov. Jerry Brown’s office referred requests for comment to the California Department of Corrections and Rehabilitation. As of publication, the state prison office had not commented.\u003c/p>\n\u003cp>In a separate \u003ca href=\"https://www.documentcloud.org/documents/725401-california-senators-asks-federal-receiver-for.html\">letter\u003c/a>, Jackson – vice chairwoman of the California Legislative Women’s Caucus – along with top leaders of the Senate and Assembly, told the receivership she would ask the California State Auditor to probe allegations that physicians under the federal receivership have coerced female inmates into sterilization procedures, including during labor.\u003c/p>\n\u003cp>The letter sharply criticized the office of the federal receiver, which has controlled prison health care since 2006. It asks the receiver to provide answers within two weeks concerning how women ended up sterilized while under federal control.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/05/28/in-california-incarcerated-students-fall-through-gaps-in-special-education-laws/cir-logo-2/\" rel=\"attachment wp-att-98222\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-98222 alignright\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/05/CIR-logo-300x72.png\" alt=\"CIR logo\" width=\"300\" height=\"72\">\u003c/a>\u003c/p>\n\u003cp>Documents obtained by CIR show the receiver’s office knew in 2008 that sterilizations were occurring. The office didn’t move to stop the procedures until 2010, after a prisoner advocacy group, Justice Now, filed a public records request and complained to state Sen. Carol Liu, D-Glendale. Liu was the chairwoman of the Select Committee on Women and Children in the Criminal Justice System.\u003c/p>\n\u003cp>“As the federal Receiver, you were appointed by the three-judge panel to implement a lawful standard of medical care in California prisons. These instances of unauthorized tubal ligations under your watch violate California state laws,” the letter Tuesday to the receiver states.\u003c/p>\n\u003cp>“Pressuring a vulnerable population – including at least one documented instance of a patient under sedation, to undergo these extreme procedures erodes the ban on eugenics. In our view, such practice violates Constitutional protections against cruel and unusual punishment; protections that you were appointed to enforce.”\u003c/p>\n\u003cp>Former Valley State inmate Kimberly Jeffrey told CIR she was asked repeatedly to get sterilized, including while sedated and strapped to a surgical table for a C-section in 2010. Her hospital medical records indicate she declined the procedure.\u003c/p>\n\u003cp>“He said, ‘So we’re going to be doing this tubal ligation, right?’ ” Jeffrey said. “I’m like, ‘Tubal ligation? What are you talking about? I don’t want any procedure. I just want to have my baby.’ I went into a straight panic.”\u003c/p>\n\u003cp>Jackson told CIR such allegations were “totally unacceptable and very alarming.” She said she wanted the public to know that she and her lawmaker colleagues are working hard to ensure that the unauthorized\u003cstrong> \u003c/strong>sterilizations never happen again\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>Hayhoe, with the receivership, said it and members of the California Legislative Women’s Caucus discussed the letter during a meeting today. She said it would be no problem to answer any additional questions.\u003c/p>\n\u003cp>\u003cem>This story was edited by Amy Pyle. It was copy edited by Christine Lee.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-female-inmates-sterilized-without-approval",
"title": "California Female Inmates Sterilized Without State Approval",
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"headTitle": "California Female Inmates Sterilized Without State Approval | KQED",
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"content": "\u003cp>\u003cstrong>by Corey G. Johnson, \u003ca href=\"http://cironline.org/\" target=\"_blank\" rel=\"noopener\">Center For Investigative Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_102889\" class=\"wp-caption aligncenter\" style=\"max-width: 595px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-102889\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px.jpg\" alt=\" The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation) \" width=\"595\" height=\"315\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>Doctors under contract with the California Department of Corrections and Rehabilitation sterilized nearly 150 female inmates from 2006 to 2010 without required state approvals, the Center for Investigative Reporting has found.\u003c/p>\n\u003cp>At least 148 women received tubal ligations in violation of prison rules during those five years – and there are perhaps 100 more dating back to the late 1990s, according to state documents and interviews.\u003c/p>\n\u003cp>From 1997 to 2010, the state paid doctors $147,460 to perform the procedure, according to a database of contracted medical services for state prisoners.\u003c/p>\n\u003cp>The women were signed up for the surgery while they were pregnant and housed at either the California Institution for Women in Corona or Valley State Prison for Women in Chowchilla, which is now a men’s prison.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Former inmates and prisoner advocates maintain that prison medical staff coerced the women, targeting those deemed likely to return to prison in the future.\u003c/p>\n\u003cp>Crystal Nguyen, a former Valley State Prison inmate who worked in the prison’s infirmary during 2007, said she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized.\u003c/p>\n\u003cp>“I was like, ‘Oh my God, that’s not right,’ ” Nguyen, 28, said. “Do they think they’re animals, and they don’t want them to breed anymore?” \u003c!--more-->\u003c/p>\n\u003cp>One former Valley State inmate who gave birth to a son in October 2006 said the institution’s OB/GYN, Dr. James Heinrich, repeatedly pressured her to agree to a tubal ligation.\u003c/p>\n\u003cfigure id=\"attachment_102895\" class=\"wp-caption alignright\" style=\"max-width: 328px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-102895\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison.jpg\" alt=\" Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison's infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting) \" width=\"328\" height=\"218\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison’s infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>“As soon as he found out that I had five kids, he suggested that I look into getting it done. The closer I got to my due date, the more he talked about it,” said Christina Cordero, 34, who spent two years in prison for auto theft. “He made me feel like a bad mother if I didn’t do it.”\u003c/p>\n\u003cp>Cordero, released in 2008 and now living in Upland (San Bernardino County) agreed, but she says, “Today, I wish I would have never had it done.”\u003c/p>\n\u003cp>The allegations echo those made nearly a half-century ago, when forced sterilizations of prisoners, the mentally ill and the poor were commonplace in California. State lawmakers officially banned such practices in 1979.\u003c/p>\n\u003cp>During an interview with CIR, Heinrich said he provided an important service to poor women who faced health risks in future pregnancies because of past cesarean sections. The 69-year-old Bay Area physician denied pressuring anyone and expressed surprise that local contract doctors had charged for the surgeries. He described the $147,460 total as minimal.\u003c/p>\n\u003cp>“Over a 10-year period, that isn’t a huge amount of money,” Heinrich said, “compared to what you save in welfare paying for these unwanted children – as they procreated more.”\u003c/p>\n\u003cp>The top medical manager at Valley State Prison from 2005 to 2008 characterized the surgeries as an empowerment issue for female inmates, providing them the same options as women on the outside. Daun Martin, a licensed psychologist, also claimed that some pregnant women, particularly those on drugs or who were homeless, would commit crimes so they could return to prison for better health care.\u003c/p>\n\u003cp>“Do I criticize those women for manipulating the system because they’re pregnant? Absolutely not,” Martin, 73, said. “But I don’t think it should happen. And I’d like to find ways to decrease that.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>Former inmates and prisoner advocates say prison medical staff coerced women into getting sterilized, targeting those deemed likely to return to prison in the future.\u003c/strong>\u003c/aside>\n\u003cp>Martin denied approving the surgeries, but at least 60 tubal ligations were done at Valley State while Martin was in charge, according to the state contracts database.\u003c/p>\n\u003cp>Martin’s counterpart at the California Institution for Women, Dr. Jacqueline Long, declined to discuss why inmates received unauthorized tubal ligations under her watch. But the Corona prison’s former compliance officer, William Kelsey, said there was disagreement among staff members over the procedure.\u003c/p>\n\u003cp>During one meeting in late 2005, a few correctional officers differed with Long’s medical team over adding tubal ligations to a local hospital’s contract, Kelsey, 57, said. The officers viewed the surgeries as nonessential medical care and questioned whether the state should pay.\u003c/p>\n\u003cp>“They were just fed up,” Kelsey said. “They didn’t think criminals and inmates had a right to the care we were providing them, and they let their personal opinions be heard.”\u003c/p>\n\u003cp>The service was included, however, and Kelsey said the grumbling subsided.\u003c/p>\n\u003cp>Federal and state \u003ca href=\"https://www.documentcloud.org/documents/724320-federal-and-state-law-on-sterilization-using.html\" target=\"_blank\" rel=\"noopener\">laws\u003c/a> ban inmate sterilizations if federal funds are used, reflecting concerns that prisoners might feel pressured to comply. California used state funds instead, but since 1994 the procedure has \u003ca href=\"https://www.documentcloud.org/documents/724499-cdcr-excluded-medical-services-amp-other.html\" target=\"_blank\" rel=\"noopener\">required approval\u003c/a> from top medical officials in Sacramento on a case-by-case basis.\u003c/p>\n\u003cp>Yet no tubal ligation requests have come before the health care committee responsible for approving such restricted surgeries, said Dr. Ricki Barnett, who tracks medical services and costs for the California Prison Health Care Receivership Corp. Barnett, 65, has led the Health Care Review Committee since joining the prison receiver’s office in 2008.\u003c/p>\n\u003cp>“When we heard about the tubal ligations, it made us all feel slightly queasy,” Barnett said. “It wasn’t so much that people were conspiratorial or coercive or sloppy. It concerns me that people never took a step back to project what they would feel if they were in the inmate’s shoes and what the inmate’s future might hold should they do this.”\u003c/p>\n\u003cp>Jeffrey Callison, spokesman for the state corrections department, said the department couldn’t comment because it no longer has access to inmate medical files.\u003c/p>\n\u003cp>“All medical care for inmates, and all medical files, past and present, are under the control of the Receiver’s Office,” Callison wrote in an email.\u003c/p>\n\u003cp>The receiver has overseen medical care in all 33 of the state’s prisons since 2006, when U.S. District Judge Thelton Henderson of the Northern District of California ruled that the system’s health care was so poor that it violated the constitutional ban on cruel and unusual punishment.\u003c/p>\n\u003cp>The receiver’s office was aware that sterilizations were happening, records show.\u003c/p>\n\u003cp>In September 2008, the prisoner rights group Justice Now received a written response to questions about the treatment of pregnant inmates from Tim Rougeux, then the receiver’s chief operating officer. \u003ca href=\"https://www.documentcloud.org/documents/724322-receiver-response-to-justice-now-on-tubal.html\" target=\"_blank\" rel=\"noopener\">The letter \u003c/a>acknowledged that the two prisons offered sterilization surgery to women.\u003c/p>\n\u003cp>But nothing changed until 2010, after the Oakland-based organization filed a public records request and complained to the office of state Sen. Carol Liu, D-Glendale. Liu was the chairwoman of the Select Committee on Women and Children in the Criminal Justice System.\u003c/p>\n\u003cp>Prompted by a phone call from Liu’s staff, Barnett said the receiver’s top medical officer asked her to research the matter. After analyzing medical and cost records, Barnett met in 2010 with officials at both women’s prisons and contract health professionals affiliated with nearby hospitals.\u003c/p>\n\u003cp>During those meetings, Barnett told them to halt inmate sterilizations. In response, she said, she got an earful.\u003c/p>\n\u003cp>The 16-year-old restriction on tubal ligations seemed to be news to prison health administrators, doctors, nurses and the contracting physicians, Barnett recalled. And, she said, none of the doctors thought they needed permission to perform the surgery on inmates.\u003c/p>\n\u003cp>“Everybody was operating on the fact that this was a perfectly reasonable thing to do,” she said.\u003c/p>\n\u003cp>\u003cstrong>Risk factors\u003c/strong>\u003c/p>\n\u003cp>Martin, the Valley State Prison medical manager, said she and her staff had discovered the procedure was restricted five years earlier. Someone had complained about the sterilization of an inmate who had at least six children, Martin recalled. That prompted Martin to research the prison’s medical rules.\u003c/p>\n\u003cp>After learning of the restrictions, Martin told CIR that she and Heinrich began to look for ways around them. Both believed the rules were unfair to women, she said.\u003c/p>\n\u003cp>“I’m sure that on a couple of occasions, (Heinrich) brought an issue to me saying, ‘Mary Smith is having a medical emergency’ kind of thing, and we ought to have a tubal ligation. She’s got six kids. Can we do it?’ ” Martin said. “And I said, ‘Well, if you document it as a medical emergency, perhaps.’ ”\u003c/p>\n\u003cp>Heinrich said he offered tubal ligations only to pregnant inmates with a history of at least three C-sections. Additional pregnancies would be dangerous for these women, Heinrich said, because scar tissue inside the uterus could tear, resulting in massive blood loss and possible death.\u003c/p>\n\u003cp>“It was a medical problem that we had to make them aware of,” Heinrich said. “It’s up to the doctor who’s delivering (your baby) … to make you aware of what’s going on. We’re at risk for not telling them.”\u003c/p>\n\u003cp>Former inmates tell a different story.\u003c/p>\n\u003cp>Michelle Anderson, who gave birth in December 2006 while at Valley State, said she’d had one prior C-section. Anderson, 44, repeatedly was asked to agree to be sterilized, she said, and was not told what risk factors led to the requests. She refused.\u003c/p>\n\u003cp>Nikki Montano also had had one C-section before she landed at Valley State in 2008, pregnant and battling drug addiction.\u003c/p>\n\u003cp>Montano, 42, was serving time after pleading guilty to burglary, forgery and receiving stolen property. The mother of seven children, she said neither Heinrich nor the medical staff told her why she needed a tubal ligation.\u003c/p>\n\u003cp>“I figured that’s just what happens in prison – that that’s the best kind of doctor you’re going to get,” Montano said. “He never told me nothing about nothing.”\u003c/p>\n\u003cp>Montano eagerly agreed to the surgery and said she still considers it a positive in her life.\u003c/p>\n\u003cp>Dr. Carolyn Sufrin, an OB-GYN at San Francisco General Hospital who teaches at UC San Francisco, said it is not common practice to offer tubal ligations to women who’ve had one C-section. She confirmed that having multiple C-sections increases the risk of complications, but even then, she said, it’s more appropriate to offer women reversible means of birth control, like intrauterine devices or implants.\u003c/p>\n\u003cp>“Every C-section, every situation is different,” Sufrin said. “Some people with more prior C-sections have absolutely no problems and no risks.”\u003c/p>\n\u003cp>\u003cstrong>History in eugenics\u003c/strong>\u003c/p>\n\u003cp>To be sure, tubal ligations represented a small portion of the medical care provided to pregnant inmates. Statistics and a report from the prison receiver’s office show that from 2000 to 2010, 2,423 women gave birth while imprisoned in California, costing the state $2.7 million. Fewer than one in 10 were surgically sterilized.\u003c/p>\n\u003cp>But the numbers don’t tell the full story. California still grapples with an ugly past: Under compulsory sterilization laws here and in 31 other states, minority groups, the poor, the disabled, the mentally ill and criminals were singled out as inferior and sterilized to prevent them from spreading their genes.\u003c/p>\n\u003cp>It was known as eugenics.\u003c/p>\n\u003cp>Between 1909 and 1964, about 20,000 women and men in California were stripped of the ability to reproduce – making the state the nation’s most prolific sterilizer. Historians say Nazi Germany sought the advice of the state’s eugenics leaders in the 1930s.\u003c/p>\n\u003cp>In 2003, the state Senate held two hearings to expose this history, featuring testimony from researchers, academics and state officials. In response, then-Attorney General Bill Lockyer and Gov. Gray Davis issued \u003ca href=\"https://www.documentcloud.org/documents/724326-eugenic-apologies-from-gov-gray-davis-and-ag.html\" target=\"_blank\" rel=\"noopener\">formal apologies.\u003c/a>\u003c/p>\n\u003cp>“Our hearts are heavy for the pain caused by eugenics. It was a sad and regrettable chapter in the state’s history, and it is one that must never be repeated again,” Davis said in a statement.\u003c/p>\n\u003cp>Missing from the hearings was the perspective of state prison officials. Then-Corrections Director Edward Alameida Jr. had informed the Senate committee that the prison system lacked records about sterilizations.\u003c/p>\n\u003cp>“While obviously this was a dark chapter in our State’s history, the CDC (California Department of Corrections and Rehabilitation) played a minuscule role,” Alameida wrote in a \u003ca href=\"https://www.documentcloud.org/documents/724327-state-corrections-director-snubs-eugenics.html\" target=\"_blank\" rel=\"noopener\">June 2003 letter\u003c/a>. “Thus our participation in your hearing would provide no substantial information on that role and I do not believe our presence would contribute in any way toward your objectives.”\u003c/p>\n\u003cp>However, Alexandra Minna Stern, a professor at the University of Michigan and leading expert on California sterilization, cited state prison activity among the lingering questions from that era. \u003ca href=\"https://www.documentcloud.org/documents/724329-dr-alexandra-minna-stern-testimony-on-ca.html\" target=\"_blank\" rel=\"noopener\">Stern testified\u003c/a> during the hearings that she found in private hands and university archives evidence of 600 sterilizations at San Quentin State Prison prior to 1941 that were not included in official numbers.\u003c/p>\n\u003cp>California sterilizers, Stern told the committee, consistently viewed their work as humane and cost saving.\u003c/p>\n\u003cp>“One of the goals … and this is critical to understanding the history of eugenics in California – was to save money: how to limit welfare and relief,” Stern told them, according to a transcript of her presentation. “And sterilization is very much tied up in this.”\u003c/p>\n\u003cp>\u003cstrong>Seeking patient consent\u003c/strong>\u003c/p>\n\u003cp>Lawsuits, a U.S. Supreme Court ruling and public outrage over eugenics and similar sterilization abuses in Alabama and New York spawned new requirements in the 1970s for doctors to fully inform patients.\u003c/p>\n\u003cp>Since then, it’s been illegal to pressure anyone to be sterilized or ask for consent during labor or childbirth.\u003c/p>\n\u003cp>Yet, Kimberly Jeffrey says she was pressured by a doctor while sedated and strapped to a surgical table for a C-section in 2010, during a stint at Valley State for a parole violation. Jeffrey, 43, was horrified, she said, and resisted.\u003c/p>\n\u003cp>“He said, ‘So we’re going to be doing this tubal ligation, right?’ ” Jeffrey said. “I’m like, ‘Tubal ligation? What are you talking about? I don’t want any procedure. I just want to have my baby.’ I went into a straight panic.”\u003c/p>\n\u003cp>Jeffrey provided copies of her official prison and hospital medical files to CIR. Those records show Jeffrey rejected a tubal ligation offer during a December 2009 prenatal checkup at Heinrich’s office. \u003ca href=\"https://www.documentcloud.org/documents/724494-kimberly-jeffrey-declines-tubal-ligation.html\" target=\"_blank\" rel=\"noopener\">A medical report\u003c/a> from Jeffrey’s C-section a month later noted that she again refused a tubal ligation request made after she arrived at Madera Community Hospital.\u003c/p>\n\u003cp>At no time did anyone explain to her any medical justifications for tubal ligation, Jeffrey said.\u003c/p>\n\u003cp>That experience still haunts Jeffrey, who lives in San Francisco with her 3-year-old son, Noel. She speaks to groups seeking to improve conditions for female prisoners and has lobbied legislators in Sacramento. Jeffrey recently completed her ACT college-entrance test and hopes to pursue a degree at San Francisco State University.\u003c/p>\n\u003cp>“Being treated like I was less than human produced in me a despair,” she said.\u003c/p>\n\u003cp>State prison officials “are the real repeat offenders,” Jeffrey added. “They repeatedly offended me by denying me my right to dignity and humanity.”\u003c/p>\n\u003cp>Dorothy Roberts, a University of Pennsylvania law professor and expert on sterilization, said courts have concluded that soliciting approval for sterilization during labor is coercive because pain and discomfort can impair a woman’s ability to weigh the decision.\u003c/p>\n\u003cp>“If this was happening in a federal prison, it would be illegal,” Roberts said. “There are specific situations where you cannot say it’s informed consent, and one of them is during childbirth or labor. No woman should give consent on the operating table.”\u003c/p>\n\u003cp>Heinrich considers the questions raised about his medical care unfair and said he is suspicious about the women’s motives. Heinrich insists he worked hard to give inmates high-quality medical treatment, adding that hundreds of appreciative prisoners could vouch for that.\u003c/p>\n\u003cp>“They all wanted it done,” he said of the sterilizations. “If they come a year or two later saying, ‘Somebody forced me to have this done,’ that’s a lie. That’s somebody looking for the state to give them a handout.\u003c/p>\n\u003cp>“My guess is that the only reason you do that is not because you feel wronged, but that you want to stay on the state’s dole somehow.”\u003c/p>\n\u003cp>Barnett declined to say whether Heinrich’s practices had been reviewed by the receiver’s office, citing employee confidentially laws. Initially, she said she believed Heinrich had left the prison system. However, shortly after retiring in 2011, Heinrich returned in another role. He’s currently listed as one of the prison’s contract physicians.\u003c/p>\n\u003cp>Barnett stressed thaft she sought only to end prison sterilizations, not to investigate officials or interview inmates to discover whether abuses occurred.\u003c/p>\n\u003cp>“Did Dr. Heinrich say improper things? I can’t say,” she added. “Is our process sufficiently draconian enough to weed out bad actors? We have a lot of civil service processes. Is it 100 percent effective? Is it the best process we can come up with? No, of course not.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was edited by Amy Pyle. It was copy edited by Nikki Frick and Christine Lee.\u003c/em>\u003c/p>\n\n",
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"title": "California Female Inmates Sterilized Without State Approval | KQED",
"description": "by Corey G. Johnson, Center For Investigative Reporting Doctors under contract with the California Department of Corrections and Rehabilitation sterilized nearly 150 female inmates from 2006 to 2010 without required state approvals, the Center for Investigative Reporting has found. At least 148 women received tubal ligations in violation of prison rules during those five years – and there are perhaps 100 more dating back to the late 1990s, according to state documents and interviews. From 1997 to 2010, the state paid doctors $147,460 to perform the procedure, according to a database of contracted medical services for state prisoners. The women",
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"headline": "California Female Inmates Sterilized Without State Approval",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>by Corey G. Johnson, \u003ca href=\"http://cironline.org/\" target=\"_blank\" rel=\"noopener\">Center For Investigative Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_102889\" class=\"wp-caption aligncenter\" style=\"max-width: 595px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-102889\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/california-institution-for-women-3-664px.jpg\" alt=\" The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation) \" width=\"595\" height=\"315\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The California Institution for Women in Corona was one of two state prisons where female inmates were sterilized without required state approvals. At least 148 women received tubal ligations in violation of prison rules from 2006 to 2010. (Courtesy California Department of Corrections and Rehabilitation)\u003c/figcaption>\u003c/figure>\n\u003cp>Doctors under contract with the California Department of Corrections and Rehabilitation sterilized nearly 150 female inmates from 2006 to 2010 without required state approvals, the Center for Investigative Reporting has found.\u003c/p>\n\u003cp>At least 148 women received tubal ligations in violation of prison rules during those five years – and there are perhaps 100 more dating back to the late 1990s, according to state documents and interviews.\u003c/p>\n\u003cp>From 1997 to 2010, the state paid doctors $147,460 to perform the procedure, according to a database of contracted medical services for state prisoners.\u003c/p>\n\u003cp>The women were signed up for the surgery while they were pregnant and housed at either the California Institution for Women in Corona or Valley State Prison for Women in Chowchilla, which is now a men’s prison.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Former inmates and prisoner advocates maintain that prison medical staff coerced the women, targeting those deemed likely to return to prison in the future.\u003c/p>\n\u003cp>Crystal Nguyen, a former Valley State Prison inmate who worked in the prison’s infirmary during 2007, said she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized.\u003c/p>\n\u003cp>“I was like, ‘Oh my God, that’s not right,’ ” Nguyen, 28, said. “Do they think they’re animals, and they don’t want them to breed anymore?” \u003c!--more-->\u003c/p>\n\u003cp>One former Valley State inmate who gave birth to a son in October 2006 said the institution’s OB/GYN, Dr. James Heinrich, repeatedly pressured her to agree to a tubal ligation.\u003c/p>\n\u003cfigure id=\"attachment_102895\" class=\"wp-caption alignright\" style=\"max-width: 328px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-102895\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/07/califprison.jpg\" alt=\" Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison's infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting) \" width=\"328\" height=\"218\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Crystal Nguyen, with her 6-year-old son, Neiko, in Pittsburg, Calif., is a former Valley State Prison for Women inmate. She worked in the prison’s infirmary in 2007 and says she often overheard medical staff asking inmates who had served multiple prison terms to agree to be sterilized. (Noah Berger for The Center for Investigative Reporting)\u003c/figcaption>\u003c/figure>\n\u003cp>“As soon as he found out that I had five kids, he suggested that I look into getting it done. The closer I got to my due date, the more he talked about it,” said Christina Cordero, 34, who spent two years in prison for auto theft. “He made me feel like a bad mother if I didn’t do it.”\u003c/p>\n\u003cp>Cordero, released in 2008 and now living in Upland (San Bernardino County) agreed, but she says, “Today, I wish I would have never had it done.”\u003c/p>\n\u003cp>The allegations echo those made nearly a half-century ago, when forced sterilizations of prisoners, the mentally ill and the poor were commonplace in California. State lawmakers officially banned such practices in 1979.\u003c/p>\n\u003cp>During an interview with CIR, Heinrich said he provided an important service to poor women who faced health risks in future pregnancies because of past cesarean sections. The 69-year-old Bay Area physician denied pressuring anyone and expressed surprise that local contract doctors had charged for the surgeries. He described the $147,460 total as minimal.\u003c/p>\n\u003cp>“Over a 10-year period, that isn’t a huge amount of money,” Heinrich said, “compared to what you save in welfare paying for these unwanted children – as they procreated more.”\u003c/p>\n\u003cp>The top medical manager at Valley State Prison from 2005 to 2008 characterized the surgeries as an empowerment issue for female inmates, providing them the same options as women on the outside. Daun Martin, a licensed psychologist, also claimed that some pregnant women, particularly those on drugs or who were homeless, would commit crimes so they could return to prison for better health care.\u003c/p>\n\u003cp>“Do I criticize those women for manipulating the system because they’re pregnant? Absolutely not,” Martin, 73, said. “But I don’t think it should happen. And I’d like to find ways to decrease that.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>Former inmates and prisoner advocates say prison medical staff coerced women into getting sterilized, targeting those deemed likely to return to prison in the future.\u003c/strong>\u003c/aside>\n\u003cp>Martin denied approving the surgeries, but at least 60 tubal ligations were done at Valley State while Martin was in charge, according to the state contracts database.\u003c/p>\n\u003cp>Martin’s counterpart at the California Institution for Women, Dr. Jacqueline Long, declined to discuss why inmates received unauthorized tubal ligations under her watch. But the Corona prison’s former compliance officer, William Kelsey, said there was disagreement among staff members over the procedure.\u003c/p>\n\u003cp>During one meeting in late 2005, a few correctional officers differed with Long’s medical team over adding tubal ligations to a local hospital’s contract, Kelsey, 57, said. The officers viewed the surgeries as nonessential medical care and questioned whether the state should pay.\u003c/p>\n\u003cp>“They were just fed up,” Kelsey said. “They didn’t think criminals and inmates had a right to the care we were providing them, and they let their personal opinions be heard.”\u003c/p>\n\u003cp>The service was included, however, and Kelsey said the grumbling subsided.\u003c/p>\n\u003cp>Federal and state \u003ca href=\"https://www.documentcloud.org/documents/724320-federal-and-state-law-on-sterilization-using.html\" target=\"_blank\" rel=\"noopener\">laws\u003c/a> ban inmate sterilizations if federal funds are used, reflecting concerns that prisoners might feel pressured to comply. California used state funds instead, but since 1994 the procedure has \u003ca href=\"https://www.documentcloud.org/documents/724499-cdcr-excluded-medical-services-amp-other.html\" target=\"_blank\" rel=\"noopener\">required approval\u003c/a> from top medical officials in Sacramento on a case-by-case basis.\u003c/p>\n\u003cp>Yet no tubal ligation requests have come before the health care committee responsible for approving such restricted surgeries, said Dr. Ricki Barnett, who tracks medical services and costs for the California Prison Health Care Receivership Corp. Barnett, 65, has led the Health Care Review Committee since joining the prison receiver’s office in 2008.\u003c/p>\n\u003cp>“When we heard about the tubal ligations, it made us all feel slightly queasy,” Barnett said. “It wasn’t so much that people were conspiratorial or coercive or sloppy. It concerns me that people never took a step back to project what they would feel if they were in the inmate’s shoes and what the inmate’s future might hold should they do this.”\u003c/p>\n\u003cp>Jeffrey Callison, spokesman for the state corrections department, said the department couldn’t comment because it no longer has access to inmate medical files.\u003c/p>\n\u003cp>“All medical care for inmates, and all medical files, past and present, are under the control of the Receiver’s Office,” Callison wrote in an email.\u003c/p>\n\u003cp>The receiver has overseen medical care in all 33 of the state’s prisons since 2006, when U.S. District Judge Thelton Henderson of the Northern District of California ruled that the system’s health care was so poor that it violated the constitutional ban on cruel and unusual punishment.\u003c/p>\n\u003cp>The receiver’s office was aware that sterilizations were happening, records show.\u003c/p>\n\u003cp>In September 2008, the prisoner rights group Justice Now received a written response to questions about the treatment of pregnant inmates from Tim Rougeux, then the receiver’s chief operating officer. \u003ca href=\"https://www.documentcloud.org/documents/724322-receiver-response-to-justice-now-on-tubal.html\" target=\"_blank\" rel=\"noopener\">The letter \u003c/a>acknowledged that the two prisons offered sterilization surgery to women.\u003c/p>\n\u003cp>But nothing changed until 2010, after the Oakland-based organization filed a public records request and complained to the office of state Sen. Carol Liu, D-Glendale. Liu was the chairwoman of the Select Committee on Women and Children in the Criminal Justice System.\u003c/p>\n\u003cp>Prompted by a phone call from Liu’s staff, Barnett said the receiver’s top medical officer asked her to research the matter. After analyzing medical and cost records, Barnett met in 2010 with officials at both women’s prisons and contract health professionals affiliated with nearby hospitals.\u003c/p>\n\u003cp>During those meetings, Barnett told them to halt inmate sterilizations. In response, she said, she got an earful.\u003c/p>\n\u003cp>The 16-year-old restriction on tubal ligations seemed to be news to prison health administrators, doctors, nurses and the contracting physicians, Barnett recalled. And, she said, none of the doctors thought they needed permission to perform the surgery on inmates.\u003c/p>\n\u003cp>“Everybody was operating on the fact that this was a perfectly reasonable thing to do,” she said.\u003c/p>\n\u003cp>\u003cstrong>Risk factors\u003c/strong>\u003c/p>\n\u003cp>Martin, the Valley State Prison medical manager, said she and her staff had discovered the procedure was restricted five years earlier. Someone had complained about the sterilization of an inmate who had at least six children, Martin recalled. That prompted Martin to research the prison’s medical rules.\u003c/p>\n\u003cp>After learning of the restrictions, Martin told CIR that she and Heinrich began to look for ways around them. Both believed the rules were unfair to women, she said.\u003c/p>\n\u003cp>“I’m sure that on a couple of occasions, (Heinrich) brought an issue to me saying, ‘Mary Smith is having a medical emergency’ kind of thing, and we ought to have a tubal ligation. She’s got six kids. Can we do it?’ ” Martin said. “And I said, ‘Well, if you document it as a medical emergency, perhaps.’ ”\u003c/p>\n\u003cp>Heinrich said he offered tubal ligations only to pregnant inmates with a history of at least three C-sections. Additional pregnancies would be dangerous for these women, Heinrich said, because scar tissue inside the uterus could tear, resulting in massive blood loss and possible death.\u003c/p>\n\u003cp>“It was a medical problem that we had to make them aware of,” Heinrich said. “It’s up to the doctor who’s delivering (your baby) … to make you aware of what’s going on. We’re at risk for not telling them.”\u003c/p>\n\u003cp>Former inmates tell a different story.\u003c/p>\n\u003cp>Michelle Anderson, who gave birth in December 2006 while at Valley State, said she’d had one prior C-section. Anderson, 44, repeatedly was asked to agree to be sterilized, she said, and was not told what risk factors led to the requests. She refused.\u003c/p>\n\u003cp>Nikki Montano also had had one C-section before she landed at Valley State in 2008, pregnant and battling drug addiction.\u003c/p>\n\u003cp>Montano, 42, was serving time after pleading guilty to burglary, forgery and receiving stolen property. The mother of seven children, she said neither Heinrich nor the medical staff told her why she needed a tubal ligation.\u003c/p>\n\u003cp>“I figured that’s just what happens in prison – that that’s the best kind of doctor you’re going to get,” Montano said. “He never told me nothing about nothing.”\u003c/p>\n\u003cp>Montano eagerly agreed to the surgery and said she still considers it a positive in her life.\u003c/p>\n\u003cp>Dr. Carolyn Sufrin, an OB-GYN at San Francisco General Hospital who teaches at UC San Francisco, said it is not common practice to offer tubal ligations to women who’ve had one C-section. She confirmed that having multiple C-sections increases the risk of complications, but even then, she said, it’s more appropriate to offer women reversible means of birth control, like intrauterine devices or implants.\u003c/p>\n\u003cp>“Every C-section, every situation is different,” Sufrin said. “Some people with more prior C-sections have absolutely no problems and no risks.”\u003c/p>\n\u003cp>\u003cstrong>History in eugenics\u003c/strong>\u003c/p>\n\u003cp>To be sure, tubal ligations represented a small portion of the medical care provided to pregnant inmates. Statistics and a report from the prison receiver’s office show that from 2000 to 2010, 2,423 women gave birth while imprisoned in California, costing the state $2.7 million. Fewer than one in 10 were surgically sterilized.\u003c/p>\n\u003cp>But the numbers don’t tell the full story. California still grapples with an ugly past: Under compulsory sterilization laws here and in 31 other states, minority groups, the poor, the disabled, the mentally ill and criminals were singled out as inferior and sterilized to prevent them from spreading their genes.\u003c/p>\n\u003cp>It was known as eugenics.\u003c/p>\n\u003cp>Between 1909 and 1964, about 20,000 women and men in California were stripped of the ability to reproduce – making the state the nation’s most prolific sterilizer. Historians say Nazi Germany sought the advice of the state’s eugenics leaders in the 1930s.\u003c/p>\n\u003cp>In 2003, the state Senate held two hearings to expose this history, featuring testimony from researchers, academics and state officials. In response, then-Attorney General Bill Lockyer and Gov. Gray Davis issued \u003ca href=\"https://www.documentcloud.org/documents/724326-eugenic-apologies-from-gov-gray-davis-and-ag.html\" target=\"_blank\" rel=\"noopener\">formal apologies.\u003c/a>\u003c/p>\n\u003cp>“Our hearts are heavy for the pain caused by eugenics. It was a sad and regrettable chapter in the state’s history, and it is one that must never be repeated again,” Davis said in a statement.\u003c/p>\n\u003cp>Missing from the hearings was the perspective of state prison officials. Then-Corrections Director Edward Alameida Jr. had informed the Senate committee that the prison system lacked records about sterilizations.\u003c/p>\n\u003cp>“While obviously this was a dark chapter in our State’s history, the CDC (California Department of Corrections and Rehabilitation) played a minuscule role,” Alameida wrote in a \u003ca href=\"https://www.documentcloud.org/documents/724327-state-corrections-director-snubs-eugenics.html\" target=\"_blank\" rel=\"noopener\">June 2003 letter\u003c/a>. “Thus our participation in your hearing would provide no substantial information on that role and I do not believe our presence would contribute in any way toward your objectives.”\u003c/p>\n\u003cp>However, Alexandra Minna Stern, a professor at the University of Michigan and leading expert on California sterilization, cited state prison activity among the lingering questions from that era. \u003ca href=\"https://www.documentcloud.org/documents/724329-dr-alexandra-minna-stern-testimony-on-ca.html\" target=\"_blank\" rel=\"noopener\">Stern testified\u003c/a> during the hearings that she found in private hands and university archives evidence of 600 sterilizations at San Quentin State Prison prior to 1941 that were not included in official numbers.\u003c/p>\n\u003cp>California sterilizers, Stern told the committee, consistently viewed their work as humane and cost saving.\u003c/p>\n\u003cp>“One of the goals … and this is critical to understanding the history of eugenics in California – was to save money: how to limit welfare and relief,” Stern told them, according to a transcript of her presentation. “And sterilization is very much tied up in this.”\u003c/p>\n\u003cp>\u003cstrong>Seeking patient consent\u003c/strong>\u003c/p>\n\u003cp>Lawsuits, a U.S. Supreme Court ruling and public outrage over eugenics and similar sterilization abuses in Alabama and New York spawned new requirements in the 1970s for doctors to fully inform patients.\u003c/p>\n\u003cp>Since then, it’s been illegal to pressure anyone to be sterilized or ask for consent during labor or childbirth.\u003c/p>\n\u003cp>Yet, Kimberly Jeffrey says she was pressured by a doctor while sedated and strapped to a surgical table for a C-section in 2010, during a stint at Valley State for a parole violation. Jeffrey, 43, was horrified, she said, and resisted.\u003c/p>\n\u003cp>“He said, ‘So we’re going to be doing this tubal ligation, right?’ ” Jeffrey said. “I’m like, ‘Tubal ligation? What are you talking about? I don’t want any procedure. I just want to have my baby.’ I went into a straight panic.”\u003c/p>\n\u003cp>Jeffrey provided copies of her official prison and hospital medical files to CIR. Those records show Jeffrey rejected a tubal ligation offer during a December 2009 prenatal checkup at Heinrich’s office. \u003ca href=\"https://www.documentcloud.org/documents/724494-kimberly-jeffrey-declines-tubal-ligation.html\" target=\"_blank\" rel=\"noopener\">A medical report\u003c/a> from Jeffrey’s C-section a month later noted that she again refused a tubal ligation request made after she arrived at Madera Community Hospital.\u003c/p>\n\u003cp>At no time did anyone explain to her any medical justifications for tubal ligation, Jeffrey said.\u003c/p>\n\u003cp>That experience still haunts Jeffrey, who lives in San Francisco with her 3-year-old son, Noel. She speaks to groups seeking to improve conditions for female prisoners and has lobbied legislators in Sacramento. Jeffrey recently completed her ACT college-entrance test and hopes to pursue a degree at San Francisco State University.\u003c/p>\n\u003cp>“Being treated like I was less than human produced in me a despair,” she said.\u003c/p>\n\u003cp>State prison officials “are the real repeat offenders,” Jeffrey added. “They repeatedly offended me by denying me my right to dignity and humanity.”\u003c/p>\n\u003cp>Dorothy Roberts, a University of Pennsylvania law professor and expert on sterilization, said courts have concluded that soliciting approval for sterilization during labor is coercive because pain and discomfort can impair a woman’s ability to weigh the decision.\u003c/p>\n\u003cp>“If this was happening in a federal prison, it would be illegal,” Roberts said. “There are specific situations where you cannot say it’s informed consent, and one of them is during childbirth or labor. No woman should give consent on the operating table.”\u003c/p>\n\u003cp>Heinrich considers the questions raised about his medical care unfair and said he is suspicious about the women’s motives. Heinrich insists he worked hard to give inmates high-quality medical treatment, adding that hundreds of appreciative prisoners could vouch for that.\u003c/p>\n\u003cp>“They all wanted it done,” he said of the sterilizations. “If they come a year or two later saying, ‘Somebody forced me to have this done,’ that’s a lie. That’s somebody looking for the state to give them a handout.\u003c/p>\n\u003cp>“My guess is that the only reason you do that is not because you feel wronged, but that you want to stay on the state’s dole somehow.”\u003c/p>\n\u003cp>Barnett declined to say whether Heinrich’s practices had been reviewed by the receiver’s office, citing employee confidentially laws. Initially, she said she believed Heinrich had left the prison system. However, shortly after retiring in 2011, Heinrich returned in another role. He’s currently listed as one of the prison’s contract physicians.\u003c/p>\n\u003cp>Barnett stressed thaft she sought only to end prison sterilizations, not to investigate officials or interview inmates to discover whether abuses occurred.\u003c/p>\n\u003cp>“Did Dr. Heinrich say improper things? I can’t say,” she added. “Is our process sufficiently draconian enough to weed out bad actors? We have a lot of civil service processes. Is it 100 percent effective? Is it the best process we can come up with? No, of course not.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_80300\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2012/11/14/lao-california-budget-situation-has-improved-sharply/schwarzenegger-holds-press-conference-on-passing-of-california-budget/\" rel=\"attachment wp-att-80300\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-80300 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/11/saccapitoldome090911-300x200.jpg\" alt=\"State Capitol. (Justin Sullivan/Getty)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State Capitol. (Justin Sullivan/Getty)\u003c/figcaption>\u003c/figure>\n\u003cp>The 9th U.S. Circuit Court of Appeals has ruled that a California law eliminating coverage of some healthcare services for the poor is invalid.\u003c/p>\n\u003cp>During a budget crisis in 2009, California lawmakers limited adult dental, podiatry, optometry and chiropractic care under the federal Medicaid program.\u003c/p>\n\u003cp>Medicaid benefits are jointly funded by the federal and state governments.\u003c/p>\n\u003cp>An association of health clinics sued to block the cuts imposed by the 2009 state law, but a lower court ruled that the limits were not in conflict with Medicaid. That decision was unanimously reversed by a three-judge panel of the 9th Circuit Court on Friday.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"description": "The 9th U.S. Circuit Court of Appeals has ruled that a California law eliminating coverage of some healthcare services for the poor is invalid. During a budget crisis in 2009, California lawmakers limited adult dental, podiatry, optometry and chiropractic care under the federal Medicaid program. Medicaid benefits are jointly funded by the federal and state governments. An association of health clinics sued to block the cuts imposed by the 2009 state law, but a lower court ruled that the limits were not in conflict with Medicaid. That decision was unanimously reversed by a three-judge panel of the 9th Circuit Court",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_80300\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2012/11/14/lao-california-budget-situation-has-improved-sharply/schwarzenegger-holds-press-conference-on-passing-of-california-budget/\" rel=\"attachment wp-att-80300\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-80300 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/11/saccapitoldome090911-300x200.jpg\" alt=\"State Capitol. (Justin Sullivan/Getty)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State Capitol. (Justin Sullivan/Getty)\u003c/figcaption>\u003c/figure>\n\u003cp>The 9th U.S. Circuit Court of Appeals has ruled that a California law eliminating coverage of some healthcare services for the poor is invalid.\u003c/p>\n\u003cp>During a budget crisis in 2009, California lawmakers limited adult dental, podiatry, optometry and chiropractic care under the federal Medicaid program.\u003c/p>\n\u003cp>Medicaid benefits are jointly funded by the federal and state governments.\u003c/p>\n\u003cp>An association of health clinics sued to block the cuts imposed by the 2009 state law, but a lower court ruled that the limits were not in conflict with Medicaid. That decision was unanimously reversed by a three-judge panel of the 9th Circuit Court on Friday.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "bryan-stow",
"title": "Bryan Stow Situation Shows Limits of Long-term Rehab Care",
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"content": "\u003cfigure id=\"attachment_44935\" class=\"wp-caption alignright\" style=\"max-width: 162px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-44935\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow1.jpg\" alt=\"Bryan Stow family photo\" width=\"162\" height=\"241\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bryan Stow family photo\u003c/figcaption>\u003c/figure>\n\u003cp>The Bryan Stow incident is one of those things that whenever it comes up, even years later, has you sort of \u003ca href=\"http://ww2.kqed.org/news/2011/04/06/the-incredible-attack-on-giants-fan-bryan-stow/\" target=\"_blank\" rel=\"noopener\">shaking your head\u003c/a> and muttering to yourself about the abject tribalism that often governs human relations.\u003c/p>\n\u003cp>Guy goes to opening day, probably basking like everyone else in the shopworn connotations of renewal and hope, and winds up severely beaten with brain damage. All because he rooted for the wrong team. The two men who have been accused of attacking Stow, Louie Sanchez and Marvin Norwood, are still awaiting trial, and the Stow family has sued the Dodgers, claiming the organization’s negligence in stadium security contributed to the attack. That trial is set to begin on Aug. 27.\u003c/p>\n\u003cp>Stow, 43, has made remarkable progress since he emerged from a coma two years ago. But two weeks ago, in an update on its \u003ca href=\"http://support4bryanstow.com/\" target=\"_blank\" rel=\"noopener\">Support4BryanStow\u003c/a> website, his family said that he had been forced to return home from the live-in facility where he had been rehabbing because Stow’s insurance company would no longer pay for that level of care. The family said Stow’s condition has declined somewhat since then.\u003c/p>\n\u003cp>Last week, I talked to Bryan’s sister, Bonnie, about this latest development. Stow has been living at his parents’ home in Capitola for about seven weeks now. His two children, who used to live with him part time, now live exclusively with their mother. \u003c!--more-->\u003c/p>\n\u003cp>Edited transcript …\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: What sort of care is the insurance company still paying for?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Outpatient therapy, but it’s been cut to 30 hours of physical therapy, speech therapy and occupational therapy each for the entire calendar year.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Can you tell me who the insurance company is?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Well, we got a lot of responses from people who were not happy with the insurance company and we don’t want to make the situation worse by people contacting them directly.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Are you in negotiations?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: We haven’t gotten to that point yet. We’ve never dealt with this, so we don’t know what avenue we should take.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: What was the reason you were given for the company no longer paying for the facility?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: We were told insurance companies will only continue to pay as long as there are signs of improvement and progress. And the second a patient starts to plateau, they’ll stop paying. But now he’s gotten to the point where he’s taken a big step back.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: How has he declined?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Even transferring from his wheelchair to his bed is painful. His body stiffens up if he’s not continually moved, which is why we’re trying to stand him every hour for two minutes. But with the lack of therapy, he’s gaining weight, which makes it harder for us to do that. At the live-in facility, he was also getting psychological therapy, which he doesn’t get now.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: So who is taking care of Bryan at your parents’ home?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: My parents hired someone for three hours in the morning to get him up and showered, and three hours in the evening. My mom feeds him.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Is that covered by insurance?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: No. It’s $25 per hour.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: So that’s $150 per day, or about $55,000 per year. Have the donations you were receiving after the attack slowed?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Yeah, but I don’t want to take away from the donations we are getting. Of course they help.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Are the Giants helping out?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Tim Lincecum donated to his fund in the beginning and Barry Bonds donated money for the kids’ education. We get texts from the Giants to make sure we’re doing OK. Tim Flannery did a couple of fundraisers. They treated us to the World Series game. They’ve been supportive in making us feel like part of their family.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: How is Bryan doing in terms of his overall recovery?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Well, he lived. That’s big progress. His memory is pretty good. He has moments he doesn’t remember what he had for breakfast. He’ll sometimes use a word that’s not what he meant to say, and it doesn’t make sense. But he’s doing really well when you look at him. His body just needs to catch up. And, in order to do that, he needs his therapies.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: And how well is the family coping now?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: I feel like this is a different chapter. We’re all in Santa Cruz County, so we’re all here and we’re able to help, so we have the support of each other. We’re coping in the sense that we’re together and we’re doing it as a family.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>A Common Situation\u003c/strong>\u003c/p>\n\u003cp>This is a situation no one ever plans for, of course. I asked Karen Pollitz, a senior fellow at the Kaiser Family Foundation who specializes in private health insurance, how often someone who is seriously injured gets sent home from a live-in facility. Stow is still covered by his employer through COBRA, and Pollitz said job-based insurance limitations on coverage for rehab services are common.\u003c/p>\n\u003cp>“One common limit is on days or rehab visits a plan will cover in a year or relative to a particular accident or injury. The second (is that) plans will only cover care that’s medically necessary, and the definition of that with respect to rehab may have something to do with whether you’re still on a trajectory to return to the level of health and function prior to the injury or accident.”\u003c/p>\n\u003cp>But, Pollitz said, there is no definition of what’s “medically necessary.”\u003c/p>\n\u003cp>“This has been a long-running discussion,” she said. “What should be the standard for covering medically necessary rehab services that are required over the long term? Is it that you’re eventually going to get better, eventually achieve a certain level of improvement, or is it to prevent further deterioration?”\u003c/p>\n\u003cp>I asked Pollitz whether the Affordable Care Act, which goes into full effect in 2014, could help Stow. It won’t, she said. The 30 hours per year for different rehabilitative services that his family says Stow is now approved for is similar to the standard that plans offered through California’s health exchange will operate under. So, even though people like Stow, who have a long-term injury, will be able to buy insurance, they would still run into the same limits on rehab services.\u003c/p>\n\u003cp>So what do you do when an unthinkable tragedy like this strikes? The Stow family is fortunate — if you want to call it that — in the respect that the attack received so much publicity that donations were able to help defray the cost of his recovery. And of course, they may or may not receive money from the Dodgers through their lawsuit. But not everyone gets a fundraising \u003ca href=\"http://ww2.kqed.org/news/2011/11/02/video-barry-bonds-asks-for-help-for-bryan-stow-kids-college-fund/\" target=\"_blank\" rel=\"noopener\">video made on their behalf by Barry Bonds.\u003c/a>\u003c/p>\n\u003cp>Pollitz said the best option for people in Stow’s situation who can’t afford long-term care may be Medicaid (Medi-Cal in California), which has no limits in getting rehabilitative services at a live-in facility.\u003c/p>\n\u003cp>“One of the huge differences between Medi-Cal coverage and private insurance coverage is that (Medi-Cal) doesn’t limit these services, either for medically necessary reasons or dollar limits. This distinction between (what’s) care to improve or care to maintain … that gets blown away under Medicaid. It’s all covered.”\u003c/p>\n\u003cp>That might, however, require “spending down” — reducing your assets in order to qualify for the program.\u003c/p>\n\u003cp>We’ll check in with the Stow family as events develop. For now, here’s a video they posted that documents Bryan’s recovery …\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=F0Nfgxj6xG4]\u003c/p>\n\n",
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"title": "Bryan Stow Situation Shows Limits of Long-term Rehab Care | KQED",
"description": "The Bryan Stow incident is one of those things that whenever it comes up, even years later, has you sort of shaking your head and muttering to yourself about the abject tribalism that often governs human relations. Guy goes to opening day, probably basking like everyone else in the shopworn connotations of renewal and hope, and winds up severely beaten with brain damage. All because he rooted for the wrong team. The two men who have been accused of attacking Stow, Louie Sanchez and Marvin Norwood, are still awaiting trial, and the Stow family has sued the Dodgers, claiming the",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_44935\" class=\"wp-caption alignright\" style=\"max-width: 162px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-44935\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow1.jpg\" alt=\"Bryan Stow family photo\" width=\"162\" height=\"241\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bryan Stow family photo\u003c/figcaption>\u003c/figure>\n\u003cp>The Bryan Stow incident is one of those things that whenever it comes up, even years later, has you sort of \u003ca href=\"http://ww2.kqed.org/news/2011/04/06/the-incredible-attack-on-giants-fan-bryan-stow/\" target=\"_blank\" rel=\"noopener\">shaking your head\u003c/a> and muttering to yourself about the abject tribalism that often governs human relations.\u003c/p>\n\u003cp>Guy goes to opening day, probably basking like everyone else in the shopworn connotations of renewal and hope, and winds up severely beaten with brain damage. All because he rooted for the wrong team. The two men who have been accused of attacking Stow, Louie Sanchez and Marvin Norwood, are still awaiting trial, and the Stow family has sued the Dodgers, claiming the organization’s negligence in stadium security contributed to the attack. That trial is set to begin on Aug. 27.\u003c/p>\n\u003cp>Stow, 43, has made remarkable progress since he emerged from a coma two years ago. But two weeks ago, in an update on its \u003ca href=\"http://support4bryanstow.com/\" target=\"_blank\" rel=\"noopener\">Support4BryanStow\u003c/a> website, his family said that he had been forced to return home from the live-in facility where he had been rehabbing because Stow’s insurance company would no longer pay for that level of care. The family said Stow’s condition has declined somewhat since then.\u003c/p>\n\u003cp>Last week, I talked to Bryan’s sister, Bonnie, about this latest development. Stow has been living at his parents’ home in Capitola for about seven weeks now. His two children, who used to live with him part time, now live exclusively with their mother. \u003c!--more-->\u003c/p>\n\u003cp>Edited transcript …\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: What sort of care is the insurance company still paying for?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Outpatient therapy, but it’s been cut to 30 hours of physical therapy, speech therapy and occupational therapy each for the entire calendar year.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Can you tell me who the insurance company is?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Well, we got a lot of responses from people who were not happy with the insurance company and we don’t want to make the situation worse by people contacting them directly.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Are you in negotiations?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: We haven’t gotten to that point yet. We’ve never dealt with this, so we don’t know what avenue we should take.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: What was the reason you were given for the company no longer paying for the facility?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: We were told insurance companies will only continue to pay as long as there are signs of improvement and progress. And the second a patient starts to plateau, they’ll stop paying. But now he’s gotten to the point where he’s taken a big step back.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: How has he declined?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Even transferring from his wheelchair to his bed is painful. His body stiffens up if he’s not continually moved, which is why we’re trying to stand him every hour for two minutes. But with the lack of therapy, he’s gaining weight, which makes it harder for us to do that. At the live-in facility, he was also getting psychological therapy, which he doesn’t get now.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: So who is taking care of Bryan at your parents’ home?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: My parents hired someone for three hours in the morning to get him up and showered, and three hours in the evening. My mom feeds him.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Is that covered by insurance?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: No. It’s $25 per hour.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: So that’s $150 per day, or about $55,000 per year. Have the donations you were receiving after the attack slowed?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Yeah, but I don’t want to take away from the donations we are getting. Of course they help.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: Are the Giants helping out?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Tim Lincecum donated to his fund in the beginning and Barry Bonds donated money for the kids’ education. We get texts from the Giants to make sure we’re doing OK. Tim Flannery did a couple of fundraisers. They treated us to the World Series game. They’ve been supportive in making us feel like part of their family.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: How is Bryan doing in terms of his overall recovery?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: Well, he lived. That’s big progress. His memory is pretty good. He has moments he doesn’t remember what he had for breakfast. He’ll sometimes use a word that’s not what he meant to say, and it doesn’t make sense. But he’s doing really well when you look at him. His body just needs to catch up. And, in order to do that, he needs his therapies.\u003c/p>\n\u003cp>\u003cstrong>JON BROOKS\u003c/strong>: And how well is the family coping now?\u003c/p>\n\u003cp>\u003cstrong>BONNIE STOW\u003c/strong>: I feel like this is a different chapter. We’re all in Santa Cruz County, so we’re all here and we’re able to help, so we have the support of each other. We’re coping in the sense that we’re together and we’re doing it as a family.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>A Common Situation\u003c/strong>\u003c/p>\n\u003cp>This is a situation no one ever plans for, of course. I asked Karen Pollitz, a senior fellow at the Kaiser Family Foundation who specializes in private health insurance, how often someone who is seriously injured gets sent home from a live-in facility. Stow is still covered by his employer through COBRA, and Pollitz said job-based insurance limitations on coverage for rehab services are common.\u003c/p>\n\u003cp>“One common limit is on days or rehab visits a plan will cover in a year or relative to a particular accident or injury. The second (is that) plans will only cover care that’s medically necessary, and the definition of that with respect to rehab may have something to do with whether you’re still on a trajectory to return to the level of health and function prior to the injury or accident.”\u003c/p>\n\u003cp>But, Pollitz said, there is no definition of what’s “medically necessary.”\u003c/p>\n\u003cp>“This has been a long-running discussion,” she said. “What should be the standard for covering medically necessary rehab services that are required over the long term? Is it that you’re eventually going to get better, eventually achieve a certain level of improvement, or is it to prevent further deterioration?”\u003c/p>\n\u003cp>I asked Pollitz whether the Affordable Care Act, which goes into full effect in 2014, could help Stow. It won’t, she said. The 30 hours per year for different rehabilitative services that his family says Stow is now approved for is similar to the standard that plans offered through California’s health exchange will operate under. So, even though people like Stow, who have a long-term injury, will be able to buy insurance, they would still run into the same limits on rehab services.\u003c/p>\n\u003cp>So what do you do when an unthinkable tragedy like this strikes? The Stow family is fortunate — if you want to call it that — in the respect that the attack received so much publicity that donations were able to help defray the cost of his recovery. And of course, they may or may not receive money from the Dodgers through their lawsuit. But not everyone gets a fundraising \u003ca href=\"http://ww2.kqed.org/news/2011/11/02/video-barry-bonds-asks-for-help-for-bryan-stow-kids-college-fund/\" target=\"_blank\" rel=\"noopener\">video made on their behalf by Barry Bonds.\u003c/a>\u003c/p>\n\u003cp>Pollitz said the best option for people in Stow’s situation who can’t afford long-term care may be Medicaid (Medi-Cal in California), which has no limits in getting rehabilitative services at a live-in facility.\u003c/p>\n\u003cp>“One of the huge differences between Medi-Cal coverage and private insurance coverage is that (Medi-Cal) doesn’t limit these services, either for medically necessary reasons or dollar limits. This distinction between (what’s) care to improve or care to maintain … that gets blown away under Medicaid. It’s all covered.”\u003c/p>\n\u003cp>That might, however, require “spending down” — reducing your assets in order to qualify for the program.\u003c/p>\n\u003cp>We’ll check in with the Stow family as events develop. For now, here’s a video they posted that documents Bryan’s recovery …\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"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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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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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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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"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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"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",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
"id": "how-i-built-this",
"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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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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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",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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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": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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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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"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/",
"meta": {
"site": "news",
"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",
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