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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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"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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"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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"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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"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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"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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"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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"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": "\u003cdiv class=\"post-body\">\u003cp>\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\u003c/div>\u003c/p>",
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"title": "Appeals Court Overturns State Law Limiting Medicaid Benefits",
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"headTitle": "Appeals Court Overturns State Law Limiting Medicaid Benefits | KQED",
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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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"title": "Appeals Court Overturns State Law Limiting Medicaid Benefits | KQED",
"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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"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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"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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"content": "\u003cp>(Bay City News) A week after a San Francisco bar said it would no longer be able to allow the “Tamale Lady” to serve her famous food at its establishment, a city supervisor said Tuesday that he is working on a solution.\u003c/p>\n\u003cfigure id=\"attachment_100431\" class=\"wp-caption alignleft\" style=\"max-width: 249px\">\u003ca href=\"http://www.flickr.com/photos/74551611@N00/2907684534/in/photolist-5qWDiY-5tKqzD-4ZWKD8-yMxpH-v8T74-4Yx3Vh-4pmbL-a3gdxS-VgZhe-r1s9h-5aJ7vF-5hQLGr-4Vn4pQ-aosDez-35y3mw-aovofJ-aovo7J-aosCBV-4avGzN-4vAvQN-6RFapk-vv7W1-dCjnWd-7uYhZY-p1VNM-6sFWbn-aosD2g-aovoEs-aovotN-656Mjy-ae1kcP-azvJmV-ae1mjk-ae4dFs-ae1kyg-ae1nSn-ae4c9y-ae4bGy-ae4diS-ae4bhA-ae4avL-ae1ogr-4SiiFL-hZVS9-5d2PSf-jsCB8-vv7W7-vv7VZ-vv7VV-vv7W4-vv7VX\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-100431\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/06/tamalelady1.jpg\" alt=\"Virginia Ramos, aka The Tamale Lady, at Zeitgeist. (Photo: Dinah Sanders/Flickr)\" width=\"249\" height=\"330\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Virginia Ramos, aka The Tamale Lady, at Zeitgeist. (Photo: Dinah Sanders/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The popular Valencia Street establishment Zeitgeist announced on Facebook last week that city codes were preventing Virginia Ramos from serving her famous tamales\u003c/p>\n\u003cp>Supervisor David Campos said at today’s board meeting that since the news came out, his office has received “hundreds of calls and emails from people wanting to know how they can help the Tamale Lady.”\u003c/p>\n\u003cp>Campos said he met with Ramos on Friday and is looking at a few different solutions that would allow her to continue serving the tamales at Zeitgeist and other restaurants while complying with laws from the city’s Department of Public Health.\u003c/p>\n\u003cp>SFDPH spokeswoman Eileen Shields said the issue comes down to liability because “health code says if a restaurant is selling food from an unlicensed vendor and someone gets ill, it’s on the restaurant.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Shields said the department “has been trying for a number of years to work with her to become permitted and will continue to try to do that.”\u003c/p>\n\u003cp>Ramos is a “much-loved community resource,” Shields said. “Many of us at the health department like her tamales as well, so there’s a lot of support for her to get permitted and become legit.”\u003c/p>\n\u003cp>Campos said that Ramos began selling the tamales after realizing that her day job as a domestic worker cleaning houses was not bringing in enough money to support her family, which includes seven children. \u003c!--more-->\u003c/p>\n\u003cp>“She has become an icon here in the city,” he said. “She seems to miraculously appear when nightlife patrons need something to eat.”\u003c/p>\n\u003cp>Ramos has more than \u003ca href=\"https://twitter.com/TamaleLady\" target=\"_blank\" rel=\"noopener\">5,500 followers on Twitter\u003c/a> and has been the subject of several features in local publications.\u003c/p>\n\u003cp>Campos said his office is “doing everything we can to make sure the Tamale Lady stays in business” and said an announcement about a plan of action could come in the next few days.\u003c/p>\n\u003cp>In the meantime, a 60th birthday party is being held for Ramos this Friday at 7 p.m. at the SF Eagle, a bar located at 398 12th St.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Campos encouraged the Tamale Lady’s supporters to attend the event and “donate a little money to ensure she continues to have a business in San Francisco.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shields said the department “has been trying for a number of years to work with her to become permitted and will continue to try to do that.”\u003c/p>\n\u003cp>Ramos is a “much-loved community resource,” Shields said. “Many of us at the health department like her tamales as well, so there’s a lot of support for her to get permitted and become legit.”\u003c/p>\n\u003cp>Campos said that Ramos began selling the tamales after realizing that her day job as a domestic worker cleaning houses was not bringing in enough money to support her family, which includes seven children. \u003c!--more-->\u003c/p>\n\u003cp>“She has become an icon here in the city,” he said. “She seems to miraculously appear when nightlife patrons need something to eat.”\u003c/p>\n\u003cp>Ramos has more than \u003ca href=\"https://twitter.com/TamaleLady\" target=\"_blank\" rel=\"noopener\">5,500 followers on Twitter\u003c/a> and has been the subject of several features in local publications.\u003c/p>\n\u003cp>Campos said his office is “doing everything we can to make sure the Tamale Lady stays in business” and said an announcement about a plan of action could come in the next few days.\u003c/p>\n\u003cp>In the meantime, a 60th birthday party is being held for Ramos this Friday at 7 p.m. at the SF Eagle, a bar located at 398 12th St.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Campos encouraged the Tamale Lady’s supporters to attend the event and “donate a little money to ensure she continues to have a business in San Francisco.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>(Bay City News Service) Bryan Stow, the San Francisco Giants fan critically injured in an attack after a Los Angeles Dodgers game in 2011, is back home after his insurance company declined to continue paying for care at a live-in facility, according to an online post from Stow’s family.\u003c/p>\n\u003cfigure id=\"attachment_42668\" class=\"wp-caption alignleft\" style=\"max-width: 134px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-42668\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow.jpg\" alt=\"Bryan Stow family photo.\" width=\"134\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bryan Stow family photo.\u003c/figcaption>\u003c/figure>\n\u003cp>Stow’s family has been posting updates on a website, \u003ca href=\"http://www.support4bryanstow.com/\" target=\"_blank\" rel=\"noopener\">www.support4bryanstow.com\u003c/a>, since the Santa Cruz-area paramedic and father of two suffered a severe head injury in an attack outside Dodger Stadium during the Giants’ opening day game on March 31, 2011.\u003c/p>\n\u003cp>In the latest update posted last Thursday, the family said that although Stow had been recovering at a live-in facility in Bakersfield for the past several months, his insurance company ceased payments, requiring the family to bring him home.\u003c/p>\n\u003cp>“Bryan could have benefited greatly by staying … longer,” the family wrote. “We are glad to have him home, but as prepared as we thought we were, it was a difficult transition.”\u003c/p>\n\u003cp>The family has hired caregivers for Stow but said he has “physically experienced a big setback” by not having as much therapy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>\u003ca href=\"http://www.support4bryanstow.com/\">Read the Stow family’s full post here\u003c/a>\u003c/strong>\u003c/aside>\n\u003cp>“We do what we can at home, but he needs the 5 days a week that he grew accustomed to,” the family said. “We just don’t know how to get that for him.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The family thanked the community for the support they have received. Stow has received support from the Giants, including via a series of concerts by third base coach Tim Flannery earlier this year that raised nearly $75,000 to go toward the medical bills.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The two men arrested for Stow’s beating, Louie Sanchez and Marvin Norwood, are still awaiting trial in Los Angeles.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>(Bay City News Service) Bryan Stow, the San Francisco Giants fan critically injured in an attack after a Los Angeles Dodgers game in 2011, is back home after his insurance company declined to continue paying for care at a live-in facility, according to an online post from Stow’s family.\u003c/p>\n\u003cfigure id=\"attachment_42668\" class=\"wp-caption alignleft\" style=\"max-width: 134px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-42668\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/10/bryanstow.jpg\" alt=\"Bryan Stow family photo.\" width=\"134\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bryan Stow family photo.\u003c/figcaption>\u003c/figure>\n\u003cp>Stow’s family has been posting updates on a website, \u003ca href=\"http://www.support4bryanstow.com/\" target=\"_blank\" rel=\"noopener\">www.support4bryanstow.com\u003c/a>, since the Santa Cruz-area paramedic and father of two suffered a severe head injury in an attack outside Dodger Stadium during the Giants’ opening day game on March 31, 2011.\u003c/p>\n\u003cp>In the latest update posted last Thursday, the family said that although Stow had been recovering at a live-in facility in Bakersfield for the past several months, his insurance company ceased payments, requiring the family to bring him home.\u003c/p>\n\u003cp>“Bryan could have benefited greatly by staying … longer,” the family wrote. “We are glad to have him home, but as prepared as we thought we were, it was a difficult transition.”\u003c/p>\n\u003cp>The family has hired caregivers for Stow but said he has “physically experienced a big setback” by not having as much therapy.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>\u003ca href=\"http://www.support4bryanstow.com/\">Read the Stow family’s full post here\u003c/a>\u003c/strong>\u003c/aside>\n\u003cp>“We do what we can at home, but he needs the 5 days a week that he grew accustomed to,” the family said. “We just don’t know how to get that for him.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President Barack Obama, in San Jose on Friday, defended U.S. surveillance of telecommunications records.\u003c/p>\n\u003cp>He arrived in Silicon Valley on Thursday to raise money and stayed Friday to tout California’s participation in the Affordable Care Act.\u003c/p>\n\u003cfigure id=\"attachment_88992\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/02/12/watch-live-state-of-the-union/obama640/\" rel=\"attachment wp-att-88992\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-88992\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/02/obama640-300x201.jpg\" alt=\"(Win McNamee/Getty Images)\" width=\"300\" height=\"201\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Barack Obama (File photo: Win McNamee/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Protesters confronted him Thursday about the Keystone XL fuel pipeline, and reporters questioned him Friday about government snooping.\u003c/p>\n\u003cp>Speaking at the Fairmont Hotel in San Jose, Obama praised California for how it’s implementing the Affordable Care Act, also known as Obamacare.\u003c/p>\n\u003cp>He said the new law will expand coverage through Covered California, the state-run insurance exchange. And he urged people not to focus on the criticisms of the plan.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“So, the bottom line is you can listen to a bunch of political talk, negative ads,” he said. “Or alternatively you can actually look at what’s happening in states like California right now.”\u003c/p>\n\u003cp>President Obama also said the new law will cover more than 10 million uninsured Latinos, many of whom live in California.\u003c/p>\n\u003cp>After his remarks, reporters focused on recent reports that U.S. security agencies have requested records of Americans’ phone and Internet usage.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>\u003cbr>\nFrom The Associated Press:\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>SAN JOSE, Calif. (AP) — President Barack Obama is defending his government’s secret surveillance, saying Congress has repeatedly authorized the collection of America’s phone records and U.S. Internet use.\u003c/p>\n\u003cp>In his first comments since the programs were publicly revealed this week, Obama says safeguards are in place. He says nobody is listening to the content of phone calls. And he says the Internet targeting is aimed at foreign nationals, not American citizens.\u003c/p>\n\u003cp>Obama says he increased some of the “safeguards” on the programs after taking office. And he believes they help his administration stop terrorist attacks.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Tweets from reporters covering the speech:\u003c/strong>\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Obama now refers to his War on Terror over speech 2 weeks ago. “I welcome this debate.” Cue: \u003ca title=\"http://www.politico.com/story/2013/06/barack-obama-debate-defense-nsa-surveillance-92389.html\" href=\"http://t.co/Y5yJGQGWcR\">politico.com/story/2013/06/…\u003c/a>\u003c/p>\n\u003cp>— Michelle Malkin (@michellemalkin) \u003ca href=\"https://twitter.com/michellemalkin/status/343039652112003072\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>POTUS in San Jose: “You can’t have 100% security and then 100% privacy and 0% inconvenience.” Laments tradeoffs.\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343040022339006466\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>“When it comes to telephone calls, nobody is listening to your telephone calls,” says Obama in San Jose on NSA surveillance controversy..\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343038537471516673\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Obama: CA officials work to implement \u003ca href=\"https://twitter.com/search/%23Obamacare\">#Obamacare\u003c/a> “have shown results in the biggest insurance market in the country”\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343035500153688064\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>From the \u003ca href=\"http://www.sfgate.com/politics/article/Obama-dogged-by-protesters-on-bay-visit-4585196.php\">San Francisco Chronicle\u003c/a>:\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>President Obama swooped through Silicon Valley Thursday for two private fundraisers, dogged by protesters who urged him not to approve the controversial Keystone XL pipeline project that would transport tar sands fuel across the United States.\u003c/p>\n\u003cp>Holding signs that said “Stop the Keystone XL pipeline” and chanting “Hey Obama. We don’t want no pipeline drama,” more than 350 demonstrators from activist groups, including CREDO Mobile and the Sierra Club, gathered near the Palo Alto home of Flipboard founder and CEO Michael McCue.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Background from The Associated Press:\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>SAN JOSE, Calif. (AP) — President Barack Obama is making a personal plea to Californians, Latinos and young people to sign up for coverage under the new health care law.\u003c/p>\n\u003cp>Obama on Friday will use his visit to California to highlight how the state is implementing the Affordable Care Act. He also will discuss California’s collaboration with non-government groups to promote, primarily to Hispanics, the health care exchanges that are being created to help millions of now-uninsured consumers afford coverage, White House officials said.\u003c/p>\n\u003cp>California has the country’s biggest insurance market and, with 6 million uninsured residents, it is a crucial part of the effort to get consumers to sign up for coverage, officials said.\u003c/p>\n\u003cp>Thirteen insurance companies will be offering multiple health plans that vary in coverage and price through California’s exchange, even in some of the most rural regions of the state.\u003c/p>\n\u003cp>Getting young people to enroll through the exchanges also is critical; they cost insurers less money because they tend to have the best health and don’t require a lot of costly medical care.\u003c/p>\n\u003cp>The Obama administration is looking for about 7 million people to enroll through the exchanges, and 2.6 million of them need to be younger in order to keep costs down for the overall pool of enrollees, officials said. Nearly one-third of these young people live in three states: California, Texas and Florida.\u003c/p>\n\u003cp>Among the private entities working with the state of California to promote enrollment are the Spanish-language TV networks Telemundo and Univision. The White House says the law will give more than 10 million uninsured Latinos across the country the opportunity to afford health insurance coverage.\u003c/p>\n\u003cp>Not all states are pushing the law. In many states, Republican governments are opposing the law’s implementation and are leaving oversight of the exchanges to the federal government.\u003c/p>\n\u003cp>Obama arrived in California on Thursday evening to attend fundraisers in Palo Alto and Portola Valley to help Senate Democratic candidates.\u003c/p>\n\u003cp>The fundraising was to continue Friday with Obama’s attendance at two Democratic National Committee fundraisers at the Santa Monica home of Peter Chernin, a former News Corp. executive, officials said. The events include a lunch for about 100 people, followed by a smaller 35-person reception. Tickets for the events range from $10,000 to $32,400.\u003c/p>\u003c/blockquote>\n\n",
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"description": "President Barack Obama, in San Jose on Friday, defended U.S. surveillance of telecommunications records. He arrived in Silicon Valley on Thursday to raise money and stayed Friday to tout California's participation in the Affordable Care Act. Protesters confronted him Thursday about the Keystone XL fuel pipeline, and reporters questioned him Friday about government snooping. Speaking at the Fairmont Hotel in San Jose, Obama praised California for how it's implementing the Affordable Care Act, also known as Obamacare. He said the new law will expand coverage through Covered California, the state-run insurance exchange. And he urged people not to focus on the",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Barack Obama, in San Jose on Friday, defended U.S. surveillance of telecommunications records.\u003c/p>\n\u003cp>He arrived in Silicon Valley on Thursday to raise money and stayed Friday to tout California’s participation in the Affordable Care Act.\u003c/p>\n\u003cfigure id=\"attachment_88992\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/2013/02/12/watch-live-state-of-the-union/obama640/\" rel=\"attachment wp-att-88992\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-88992\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/02/obama640-300x201.jpg\" alt=\"(Win McNamee/Getty Images)\" width=\"300\" height=\"201\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Barack Obama (File photo: Win McNamee/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Protesters confronted him Thursday about the Keystone XL fuel pipeline, and reporters questioned him Friday about government snooping.\u003c/p>\n\u003cp>Speaking at the Fairmont Hotel in San Jose, Obama praised California for how it’s implementing the Affordable Care Act, also known as Obamacare.\u003c/p>\n\u003cp>He said the new law will expand coverage through Covered California, the state-run insurance exchange. And he urged people not to focus on the criticisms of the plan.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“So, the bottom line is you can listen to a bunch of political talk, negative ads,” he said. “Or alternatively you can actually look at what’s happening in states like California right now.”\u003c/p>\n\u003cp>President Obama also said the new law will cover more than 10 million uninsured Latinos, many of whom live in California.\u003c/p>\n\u003cp>After his remarks, reporters focused on recent reports that U.S. security agencies have requested records of Americans’ phone and Internet usage.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>\u003cbr>\nFrom The Associated Press:\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>SAN JOSE, Calif. (AP) — President Barack Obama is defending his government’s secret surveillance, saying Congress has repeatedly authorized the collection of America’s phone records and U.S. Internet use.\u003c/p>\n\u003cp>In his first comments since the programs were publicly revealed this week, Obama says safeguards are in place. He says nobody is listening to the content of phone calls. And he says the Internet targeting is aimed at foreign nationals, not American citizens.\u003c/p>\n\u003cp>Obama says he increased some of the “safeguards” on the programs after taking office. And he believes they help his administration stop terrorist attacks.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Tweets from reporters covering the speech:\u003c/strong>\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Obama now refers to his War on Terror over speech 2 weeks ago. “I welcome this debate.” Cue: \u003ca title=\"http://www.politico.com/story/2013/06/barack-obama-debate-defense-nsa-surveillance-92389.html\" href=\"http://t.co/Y5yJGQGWcR\">politico.com/story/2013/06/…\u003c/a>\u003c/p>\n\u003cp>— Michelle Malkin (@michellemalkin) \u003ca href=\"https://twitter.com/michellemalkin/status/343039652112003072\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>POTUS in San Jose: “You can’t have 100% security and then 100% privacy and 0% inconvenience.” Laments tradeoffs.\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343040022339006466\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>“When it comes to telephone calls, nobody is listening to your telephone calls,” says Obama in San Jose on NSA surveillance controversy..\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343038537471516673\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cblockquote class=\"twitter-tweet\">\u003cp>Obama: CA officials work to implement \u003ca href=\"https://twitter.com/search/%23Obamacare\">#Obamacare\u003c/a> “have shown results in the biggest insurance market in the country”\u003c/p>\n\u003cp>— John Myers (@johnmyers) \u003ca href=\"https://twitter.com/johnmyers/status/343035500153688064\">June 7, 2013\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>From the \u003ca href=\"http://www.sfgate.com/politics/article/Obama-dogged-by-protesters-on-bay-visit-4585196.php\">San Francisco Chronicle\u003c/a>:\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>President Obama swooped through Silicon Valley Thursday for two private fundraisers, dogged by protesters who urged him not to approve the controversial Keystone XL pipeline project that would transport tar sands fuel across the United States.\u003c/p>\n\u003cp>Holding signs that said “Stop the Keystone XL pipeline” and chanting “Hey Obama. We don’t want no pipeline drama,” more than 350 demonstrators from activist groups, including CREDO Mobile and the Sierra Club, gathered near the Palo Alto home of Flipboard founder and CEO Michael McCue.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Background from The Associated Press:\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>SAN JOSE, Calif. (AP) — President Barack Obama is making a personal plea to Californians, Latinos and young people to sign up for coverage under the new health care law.\u003c/p>\n\u003cp>Obama on Friday will use his visit to California to highlight how the state is implementing the Affordable Care Act. He also will discuss California’s collaboration with non-government groups to promote, primarily to Hispanics, the health care exchanges that are being created to help millions of now-uninsured consumers afford coverage, White House officials said.\u003c/p>\n\u003cp>California has the country’s biggest insurance market and, with 6 million uninsured residents, it is a crucial part of the effort to get consumers to sign up for coverage, officials said.\u003c/p>\n\u003cp>Thirteen insurance companies will be offering multiple health plans that vary in coverage and price through California’s exchange, even in some of the most rural regions of the state.\u003c/p>\n\u003cp>Getting young people to enroll through the exchanges also is critical; they cost insurers less money because they tend to have the best health and don’t require a lot of costly medical care.\u003c/p>\n\u003cp>The Obama administration is looking for about 7 million people to enroll through the exchanges, and 2.6 million of them need to be younger in order to keep costs down for the overall pool of enrollees, officials said. Nearly one-third of these young people live in three states: California, Texas and Florida.\u003c/p>\n\u003cp>Among the private entities working with the state of California to promote enrollment are the Spanish-language TV networks Telemundo and Univision. The White House says the law will give more than 10 million uninsured Latinos across the country the opportunity to afford health insurance coverage.\u003c/p>\n\u003cp>Not all states are pushing the law. In many states, Republican governments are opposing the law’s implementation and are leaving oversight of the exchanges to the federal government.\u003c/p>\n\u003cp>Obama arrived in California on Thursday evening to attend fundraisers in Palo Alto and Portola Valley to help Senate Democratic candidates.\u003c/p>\n\u003cp>The fundraising was to continue Friday with Obama’s attendance at two Democratic National Committee fundraisers at the Santa Monica home of Peter Chernin, a former News Corp. executive, officials said. The events include a lunch for about 100 people, followed by a smaller 35-person reception. Tickets for the events range from $10,000 to $32,400.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>(BCN) A Contra Costa County case of hepatitis A appears to be linked to a recently recalled batch of frozen berries sold at Costco stores, county health officials said Saturday.\u003c/p>\n\u003cp>A 62-year-old woman from East Contra Costa County was hospitalized with hepatitis last month and has since recovered, said health services spokeswoman Kate Fowlie.\u003c/p>\n\u003cp>The woman bought the Townsend Farms Organic Antioxidant Blend of frozen berries sold at Costco that was the subject of a multi-state recall last week and her illness and probably connected to the berries, Fowlie said.\u003c/p>\n\u003cp>Around 30 people in five states including California have become ill as a result of eating the berries, which are a frozen mix of cherries, blueberries, pomegranate seeds, raspberries and strawberries. Costco has removed the berries from its shelves since the outbreak and is alerting consumers who have bought them since February not to eat them.\u003c/p>\n\u003cp>Around 880 bags of the berries have been sold in Contra Costa County in the past four weeks, Fowlie said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Health officials are still investigating whether the berries might be sold at other stores. There is also some concern that restaurants and other food service providers might have purchased the berries and fed them to customers.\u003c/p>\n\u003cp>Anyone who has purchased the berries should avoid eating them. Those who have eaten them within the past 14 days should contact their health care provider about getting vaccinated to help prevent illness.\u003c/p>\n\u003cp>Hepatitis A can start two to six weeks after exposure, and symptoms include dark yellow or brown urine, yellowing of skin and the white parts of the eye, diarrhea or light-colored stool, fever or chills, loss of appetite, nausea and vomiting, upset stomach, stomach pain in the upper right side of the belly and fatigue.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hepatitis can be mild, especially in children, or severe enough to require hospitalization. Those who have had it before or who have been immunized are probably immune.\u003c/p>\n\n",
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"description": "(BCN) A Contra Costa County case of hepatitis A appears to be linked to a recently recalled batch of frozen berries sold at Costco stores, county health officials said Saturday. A 62-year-old woman from East Contra Costa County was hospitalized with hepatitis last month and has since recovered, said health services spokeswoman Kate Fowlie. The woman bought the Townsend Farms Organic Antioxidant Blend of frozen berries sold at Costco that was the subject of a multi-state recall last week and her illness and probably connected to the berries, Fowlie said. Around 30 people in five states including California have become",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>(BCN) A Contra Costa County case of hepatitis A appears to be linked to a recently recalled batch of frozen berries sold at Costco stores, county health officials said Saturday.\u003c/p>\n\u003cp>A 62-year-old woman from East Contra Costa County was hospitalized with hepatitis last month and has since recovered, said health services spokeswoman Kate Fowlie.\u003c/p>\n\u003cp>The woman bought the Townsend Farms Organic Antioxidant Blend of frozen berries sold at Costco that was the subject of a multi-state recall last week and her illness and probably connected to the berries, Fowlie said.\u003c/p>\n\u003cp>Around 30 people in five states including California have become ill as a result of eating the berries, which are a frozen mix of cherries, blueberries, pomegranate seeds, raspberries and strawberries. Costco has removed the berries from its shelves since the outbreak and is alerting consumers who have bought them since February not to eat them.\u003c/p>\n\u003cp>Around 880 bags of the berries have been sold in Contra Costa County in the past four weeks, Fowlie said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Health officials are still investigating whether the berries might be sold at other stores. There is also some concern that restaurants and other food service providers might have purchased the berries and fed them to customers.\u003c/p>\n\u003cp>Anyone who has purchased the berries should avoid eating them. Those who have eaten them within the past 14 days should contact their health care provider about getting vaccinated to help prevent illness.\u003c/p>\n\u003cp>Hepatitis A can start two to six weeks after exposure, and symptoms include dark yellow or brown urine, yellowing of skin and the white parts of the eye, diarrhea or light-colored stool, fever or chills, loss of appetite, nausea and vomiting, upset stomach, stomach pain in the upper right side of the belly and fatigue.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hepatitis can be mild, especially in children, or severe enough to require hospitalization. Those who have had it before or who have been immunized are probably immune.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>LOS ANGELES (AP) — University of California medical center workers began a two-day strike Tuesday that could involve thousands of employees and prompted postponement of some surgeries.\u003c/p>\n\u003cfigure id=\"attachment_97789\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/2013/05/21/97709/ucsf-strikers-2/\" rel=\"attachment wp-att-97789\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-97789\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/05/ucsf-strikers-2-1024x768.jpg\" alt=\"Striking workers whistled on the picket line at UC San Francisco. (Andrew Stelzer/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Striking workers whistled on the picket line at UC San Francisco. (Andrew Stelzer/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The union representing some 13,000 hospital pharmacists, nursing assistants, operating room scrubs and other health care workers began the walkout at 4 a.m. Tuesday at medical facilities in cities including San Diego, Orange, Los Angeles, Santa Monica, San Francisco and Sacramento, home to UC Davis Medical Center.\u003c/p>\n\u003cp>Green-shirted picketers were in place at the Los Angeles facility.\u003c/p>\n\u003cp>The union is battling over staffing and pension issues.\u003c/p>\n\u003cp>“We care about our patients and we feel that we’re chronically understaffed and we need additional help,” Ruben Gomez, a radiation therapist in Los Angeles, told KCBS-TV.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than 2,000 workers were expected to walk out at UC facilities in Los Angeles and Santa Monica, but the strikers set up a task force to ensure that critically ill patients receive care, Gomez said.\u003c/p>\n\u003cp>University officials prepared for the strike by postponing nonessential services, including some surgeries and some chemotherapy sessions for children, and by bringing in temporary workers.\u003c/p>\n\u003cp>“There may be delays,” said Dr. Tom Rosenthal, chief medical officer for UCLA Hospitals. “Things are likely to be way slower than on a normal day. But things will be safe.”\u003c/p>\n\u003cp>The workers, represented by the American Federation of State, County and Municipal Employees, contend that UC officials have allowed executive pensions to balloon, diverting money that would otherwise go to alleviate dangerously low staffing levels.\u003c/p>\n\u003cp>System officials said the main issue is the union’s refusal to accept a new pension plan, similar to those of other state workers, that requires more employee contributions and reduces long-term benefits for new hires.\u003c/p>\n\u003cp>They had sought a judge’s injunction to stop the strike for the sake of public safety, but on Monday Sacramento County Superior Court Judge David Brown granted it only partially, ordering 453 workers to remain on the job.\u003c/p>\n\u003cp>“If all respiratory therapists in the UC Burn Centers and all pharmacists working in UCSF’s California Poison Control System were permitted to strike,” the judge wrote in his ruling, “there is reasonable cause to believe that the strike would prevent delivery of an essential public service.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Brown also said there was no reason that others could not strike as long as staffing remained at weekend levels for critical services.\u003c/p>\n\n",
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"description": "LOS ANGELES (AP) — University of California medical center workers began a two-day strike Tuesday that could involve thousands of employees and prompted postponement of some surgeries. The union representing some 13,000 hospital pharmacists, nursing assistants, operating room scrubs and other health care workers began the walkout at 4 a.m. Tuesday at medical facilities in cities including San Diego, Orange, Los Angeles, Santa Monica, San Francisco and Sacramento, home to UC Davis Medical Center. Green-shirted picketers were in place at the Los Angeles facility. The union is battling over staffing and pension issues. "We care about our patients and we",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than 2,000 workers were expected to walk out at UC facilities in Los Angeles and Santa Monica, but the strikers set up a task force to ensure that critically ill patients receive care, Gomez said.\u003c/p>\n\u003cp>University officials prepared for the strike by postponing nonessential services, including some surgeries and some chemotherapy sessions for children, and by bringing in temporary workers.\u003c/p>\n\u003cp>“There may be delays,” said Dr. Tom Rosenthal, chief medical officer for UCLA Hospitals. “Things are likely to be way slower than on a normal day. But things will be safe.”\u003c/p>\n\u003cp>The workers, represented by the American Federation of State, County and Municipal Employees, contend that UC officials have allowed executive pensions to balloon, diverting money that would otherwise go to alleviate dangerously low staffing levels.\u003c/p>\n\u003cp>System officials said the main issue is the union’s refusal to accept a new pension plan, similar to those of other state workers, that requires more employee contributions and reduces long-term benefits for new hires.\u003c/p>\n\u003cp>They had sought a judge’s injunction to stop the strike for the sake of public safety, but on Monday Sacramento County Superior Court Judge David Brown granted it only partially, ordering 453 workers to remain on the job.\u003c/p>\n\u003cp>“If all respiratory therapists in the UC Burn Centers and all pharmacists working in UCSF’s California Poison Control System were permitted to strike,” the judge wrote in his ruling, “there is reasonable cause to believe that the strike would prevent delivery of an essential public service.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Brown also said there was no reason that others could not strike as long as staffing remained at weekend levels for critical services.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>by Don Thompson, Associated Press\u003c/em>\u003c/p>\n\u003cp>SACRAMENTO, Calif. (AP) — California would take steps to regulate the sale of medical marijuana under a bill approved Monday by the state Senate, restricting cannabis dispensaries that federal prosecutors say have grown out of control.\u003c/p>\n\u003cfigure id=\"attachment_97675\" class=\"wp-caption alignleft\" style=\"max-width: 324px\">\u003ca href=\"http://ww2.kqed.org/news/2013/05/20/senate-oks-regulations-for-medicinal-marijuana/richard-lee-oaksterdam/\" rel=\"attachment wp-att-97675\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-97675 \" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/05/richard-lee-oaksterdam.jpg\" alt=\"richard lee oaksterdam\" width=\"324\" height=\"215\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Richard Lee’s Oaksterdam was among the marijuana dispensaries targeted by federal agents.(Manny Crisosotomo/Sacramento Bee/MCT via Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California voters first supported legalizing marijuana to treat illness in 1996, but federal prosecutors recently cracked down. They said the industry has grown enormously profitable and has made marijuana essentially available for recreational use.\u003c/p>\n\u003cp>The Senate sent the bill to the Assembly on a 22-12 vote and without any Republican support.\u003c/p>\n\u003cp>The legislation makes it clear that dispensaries cannot operate at a profit, but that the owners can receive reasonable compensation and reimbursement for expenses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This bill is not about the legalization of marijuana,” said Senate President Pro Tem Darrell Steinberg, D-Sacramento. “It does seek to assure that patients who need medical cannabis have access to it. It is intended to assure that drug cartels and other criminals do not benefit from the lack of regulation.”\u003c!--more-->\u003c/p>\n\u003cp>He said his SB439, along with pending legislation by Assemblyman Tom Ammiano, D-San Francisco, is “intended to come to some sort of an understanding with the federal government.”\u003c/p>\n\u003cp>The bill’s language is still being negotiated with law enforcement groups and is likely to be amended in the Assembly, Steinberg said.\u003c/p>\n\u003cp>It would not affect local regulations or prohibitions on dispensaries, authority that the state Supreme Court upheld earlier this month.\u003c/p>\n\u003cp>The bill would adopt guidelines issued by Gov. Jerry Brown when he was the state’s attorney general in 2008, making it clear that the dispensaries cannot operate at a profit. Those operating within the guidelines could not face state prosecution.\u003c/p>\n\u003cp>Under Brown’s 2008 guidelines, cooperatives registered under the state’s Food and Agricultural Code or organized as less formal “collectives” are legal under California law, while for-profit dispensaries are not.\u003c/p>\n\u003cp>But there is lingering confusion over what is permitted in California, as indicated by the three competing medicinal marijuana measures that Los Angeles voters will consider on Tuesday’s municipal ballot. The measures would either limit the number of dispensaries or allow new ones to open.\u003c/p>\n\u003cp>Sen. Jim Nielsen, R-Gerber, said California voters never intended to create the wide open marijuana industry that has evolved from the 1996 initiative, which since has created such headaches that 200 cities have outlawed or restricted dispensaries.\u003c/p>\n\u003cp>“The public thought it was, like, terminally ill or very seriously ill individuals, and now it’s almost carte blanche for everybody and these marijuana dispensaries are popping up everywhere….” Nielsen said. “It’s a gateway drug into great profits that many criminals have utilized to prey upon our public.”\u003c/p>\n\u003cp>But Sen. Mark Leno, D-San Francisco, said nearly 50 California cities have opted to let dispensaries operate under the 2008 guidelines. The idea that marijuana should be available to those who are sick continues to have wide support both in California and across the nation, he said.\u003c/p>\n\u003cp>Aside from the restrictions on profits, the 2008 guidelines also said dispensaries should track their members and product and take steps to discourage the marijuana from going to those without a legitimate medical need. Steinberg’s bill would put those non-binding guidelines into state law.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The idea that…everyone has to have the wherewithal and the ability and the physical stamina as a patient to be able to grow their own is just unreasonable and unworkable,” Leno said. “This is a very sensible step.”\u003c/p>\n\n",
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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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",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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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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"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": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"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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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"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": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"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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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"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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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"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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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"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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"source": "npr"
},
"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)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"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/",
"meta": {
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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": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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