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(Photo: DigitalGlobe via Getty)\u003c/figcaption>\u003c/figure>\n\u003cp>New research suggests that the cancer and death toll from Fukushima may be higher than previously claimed.\u003c/p>\n\u003cp>According to a team of Stanford University researchers, most of these deaths will likely occur in Japan, but there could be as many as 30 casualties from radiation exposure in North America.\u003c/p>\n\u003cp>These numbers are in addition to the roughly 600 people who died as result of the evacuation near Fukushima after the plant’s meltdown in March 2011.\u003c/p>\n\u003cp>The new estimates stand in stark contrast to others, including the United Nations Science Committee on the Effects of Atomic Radiation, which suggested there would be no deaths as a result of the radioactive release. \u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://ww2.kqed.org/news/2011/03/15/japan-nuclear-fallout-and-the-risk-to-california/\" target=\"_blank\" rel=\"noopener\">\u003cstrong>Japan Nuclear Fallout and the Risk to California\u003c/strong>\u003c/a> (News Fix, Mar 15, 2011)\u003c/aside>\n\u003cp>\u003ca href=\"http://www.stanford.edu/group/efmh/jacobson/\" target=\"_blank\" rel=\"noopener\">Mark Jacobson\u003c/a>, co-author of the study and an environmental and civil engineer at Stanford University, said he didn’t have any expectations when he started looking into the issue but wasn’t surprised that the claim of “zero health impacts” was not correct.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I am very familiar with the health impacts of air pollutants and particulate matter,” Jacobson said. “If you reduce the concentration you’ll have fewer health impacts. Why should this be any different?”\u003c/p>\n\u003cp>To get a handle on how the radiation was distributed, Jacobson and Ten Hoeve, another Stanford researcher, used a 3-D global atmospheric model they actively use to track and trace pollutants across the globe. The model is based on more than 20 years of research collected by Jacobson, who is particularly interested in the migration of pollutants from mainland Asia to California.\u003c!--more-->\u003c/p>\n\u003cp>So, when the Fukushima disaster happened, he figured he’d throw radiation into the analysis and build a model that could track the released iodine and cesium.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>Stanford researchers: There could be as many as 30 casualties from radiation exposure in North America.\u003c/strong>\u003c/aside>\n\u003cp>Not surprisingly, it moved around in similar fashion to other pollutants, with iodine behaving like a gas and cesium like a particulate. With prevailing westerly winds, only about 19 percent of the fallout made it to land, and the rest drifted out to sea.\u003c/p>\n\u003cp>The researchers then combined that information with a standard health-effects model, which is used by public health researchers to estimate exposure to radioactivity.\u003c/p>\n\u003cp>They found that the number of deaths would likely range between 15 and 1,300, with a best estimate of 130, while the number of people acquiring cancer as a result would range between 24 and 2,500, with a best estimate of 180.\u003c/p>\n\u003cp>Most deaths and cancer cases are likely to occur in Japan, but there may be a few in mainland Asia and as far away as North America.\u003c/p>\n\u003cp>“These worldwide levels are relatively low,” Hoeve said in a press statement. He said these numbers should “serve to manage the fear in other countries that the disaster had an extensive global reach.”\u003c/p>\n\u003cp>The research appears in Tuesday’s journal \u003ca href=\"http://pubs.rsc.org/en/content/articlelanding/2012/ee/c2ee22019a\" target=\"_blank\" rel=\"noopener\">Energy and Environmental Science\u003c/a>.\u003c/p>\n\u003cp>Paul Carroll, program director of the Ploughshares Fund, an antinuclear organization, said he thought the casualties seemed a little low and stressed that this kind of epidemiological data is highly uncertain.\u003c/p>\n\u003cp>“It is extremely difficult to predict the long-term effects of radiation, especially when you start factoring in things like different types of radiation, at different levels, at constant low levels, on different people,” he said.\u003c/p>\n\u003cp>“It’s the difference between death by a thousand cuts or death by a guillotine,” he explained. “So much of our data is based on large doses of exposure to radiation, not the constant, low levels. Which cut eventually killed the person? The 999th or the 1,000th?”\u003c/p>\n\u003cp>Jacobson agreed that the epidemiological data is the most uncertain, which is why their projected ranges were so wide.\u003c/p>\n\u003cp>But he said one of the reasons the deaths may seem so low is that only about 19 percent of the fallout found its way to land; the rest went out to sea.\u003c/p>\n\u003cp>If the same accident had happened at Diablo Canyon, Jacobson said, 45 percent of the radiation would find its way to land. Therefore, despite the fact that the population density around Diablo Canyon is a fourth of that around the Japanese power plant, the death rate would be 25 percent higher.\u003c/p>\n\u003cp>Jacobson said one of the most important factors, however, in keeping deaths from climbing in a disaster like this is a swift government response. And it is likely, in large part, the Japanese government’s response that prevented Fukushima from becoming Chernobyl, where nothing was done to remove people from the surrounding area.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Susanne Rust is an investigative journalist for \u003ca href=\"http://californiawatch.org/dailyreport/stanford-researchers-estimate-more-deaths-fukushima-fallout-17146\">California Watch\u003c/a>\u003c/em>.\u003c/p>\n\n",
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"description": "by Susanne Rust, California Watch New research suggests that the cancer and death toll from Fukushima may be higher than previously claimed. According to a team of Stanford University researchers, most of these deaths will likely occur in Japan, but there could be as many as 30 casualties from radiation exposure in North America. These numbers are in addition to the roughly 600 people who died as result of the evacuation near Fukushima after the plant’s meltdown in March 2011. The new estimates stand in stark contrast to others, including the United Nations Science Committee on the Effects of Atomic Radiation, which suggested",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>by Susanne Rust, \u003ca title=\"California Watch\" href=\"http://californiawatch.org/dailyreport/stanford-researchers-estimate-more-deaths-fukushima-fallout-17146\" target=\"_blank\" rel=\"noopener\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_51343\" class=\"wp-caption alignleft\" style=\"max-width: 230px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/12/JapanNuclearSM4.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-51343\" title=\"JapanNuclearSM4\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/12/JapanNuclearSM4.jpg\" alt=\"\" width=\"230\" height=\"155\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fukushima Dai-ichi Nuclear plant after earthquake and tsunami. (Photo: DigitalGlobe via Getty)\u003c/figcaption>\u003c/figure>\n\u003cp>New research suggests that the cancer and death toll from Fukushima may be higher than previously claimed.\u003c/p>\n\u003cp>According to a team of Stanford University researchers, most of these deaths will likely occur in Japan, but there could be as many as 30 casualties from radiation exposure in North America.\u003c/p>\n\u003cp>These numbers are in addition to the roughly 600 people who died as result of the evacuation near Fukushima after the plant’s meltdown in March 2011.\u003c/p>\n\u003cp>The new estimates stand in stark contrast to others, including the United Nations Science Committee on the Effects of Atomic Radiation, which suggested there would be no deaths as a result of the radioactive release. \u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://ww2.kqed.org/news/2011/03/15/japan-nuclear-fallout-and-the-risk-to-california/\" target=\"_blank\" rel=\"noopener\">\u003cstrong>Japan Nuclear Fallout and the Risk to California\u003c/strong>\u003c/a> (News Fix, Mar 15, 2011)\u003c/aside>\n\u003cp>\u003ca href=\"http://www.stanford.edu/group/efmh/jacobson/\" target=\"_blank\" rel=\"noopener\">Mark Jacobson\u003c/a>, co-author of the study and an environmental and civil engineer at Stanford University, said he didn’t have any expectations when he started looking into the issue but wasn’t surprised that the claim of “zero health impacts” was not correct.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I am very familiar with the health impacts of air pollutants and particulate matter,” Jacobson said. “If you reduce the concentration you’ll have fewer health impacts. Why should this be any different?”\u003c/p>\n\u003cp>To get a handle on how the radiation was distributed, Jacobson and Ten Hoeve, another Stanford researcher, used a 3-D global atmospheric model they actively use to track and trace pollutants across the globe. The model is based on more than 20 years of research collected by Jacobson, who is particularly interested in the migration of pollutants from mainland Asia to California.\u003c!--more-->\u003c/p>\n\u003cp>So, when the Fukushima disaster happened, he figured he’d throw radiation into the analysis and build a model that could track the released iodine and cesium.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>Stanford researchers: There could be as many as 30 casualties from radiation exposure in North America.\u003c/strong>\u003c/aside>\n\u003cp>Not surprisingly, it moved around in similar fashion to other pollutants, with iodine behaving like a gas and cesium like a particulate. With prevailing westerly winds, only about 19 percent of the fallout made it to land, and the rest drifted out to sea.\u003c/p>\n\u003cp>The researchers then combined that information with a standard health-effects model, which is used by public health researchers to estimate exposure to radioactivity.\u003c/p>\n\u003cp>They found that the number of deaths would likely range between 15 and 1,300, with a best estimate of 130, while the number of people acquiring cancer as a result would range between 24 and 2,500, with a best estimate of 180.\u003c/p>\n\u003cp>Most deaths and cancer cases are likely to occur in Japan, but there may be a few in mainland Asia and as far away as North America.\u003c/p>\n\u003cp>“These worldwide levels are relatively low,” Hoeve said in a press statement. He said these numbers should “serve to manage the fear in other countries that the disaster had an extensive global reach.”\u003c/p>\n\u003cp>The research appears in Tuesday’s journal \u003ca href=\"http://pubs.rsc.org/en/content/articlelanding/2012/ee/c2ee22019a\" target=\"_blank\" rel=\"noopener\">Energy and Environmental Science\u003c/a>.\u003c/p>\n\u003cp>Paul Carroll, program director of the Ploughshares Fund, an antinuclear organization, said he thought the casualties seemed a little low and stressed that this kind of epidemiological data is highly uncertain.\u003c/p>\n\u003cp>“It is extremely difficult to predict the long-term effects of radiation, especially when you start factoring in things like different types of radiation, at different levels, at constant low levels, on different people,” he said.\u003c/p>\n\u003cp>“It’s the difference between death by a thousand cuts or death by a guillotine,” he explained. “So much of our data is based on large doses of exposure to radiation, not the constant, low levels. Which cut eventually killed the person? The 999th or the 1,000th?”\u003c/p>\n\u003cp>Jacobson agreed that the epidemiological data is the most uncertain, which is why their projected ranges were so wide.\u003c/p>\n\u003cp>But he said one of the reasons the deaths may seem so low is that only about 19 percent of the fallout found its way to land; the rest went out to sea.\u003c/p>\n\u003cp>If the same accident had happened at Diablo Canyon, Jacobson said, 45 percent of the radiation would find its way to land. Therefore, despite the fact that the population density around Diablo Canyon is a fourth of that around the Japanese power plant, the death rate would be 25 percent higher.\u003c/p>\n\u003cp>Jacobson said one of the most important factors, however, in keeping deaths from climbing in a disaster like this is a swift government response. And it is likely, in large part, the Japanese government’s response that prevented Fukushima from becoming Chernobyl, where nothing was done to remove people from the surrounding area.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Susanne Rust is an investigative journalist for \u003ca href=\"http://californiawatch.org/dailyreport/stanford-researchers-estimate-more-deaths-fukushima-fallout-17146\">California Watch\u003c/a>\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>WASHINGTON (AP) — The Food and Drug Administration has \u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm311821.htm\">approved\u003c/a> the first drug shown to reduce the risk of HIV infection, a milestone in the 30-year battle against the virus that causes AIDS.\u003c/p>\n\u003cfigure id=\"attachment_34146\" class=\"wp-caption alignleft\" style=\"max-width: 99px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/07/truvadaSM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/07/truvadaSM.jpg\" alt=\"\" title=\"truvadaSM\" width=\"99\" height=\"94\" class=\"size-full wp-image-34146\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Truvada\u003c/figcaption>\u003c/figure>\n\u003cp>The agency approved Gilead Sciences’ pill Truvada as a preventive measure for people who are at high risk of acquiring HIV, such as those who have sex with HIV-infected partners.\u003c/p>\n\u003cp>Gilead Sciences Inc., based in Foster City, has marketed Truvada since 2004 as a treatment for people who are infected with the virus.\u003c/p>\n\u003cp>But company studies have shown the drug can prevent people from contracting HIV when used as a precautionary measure. A three-year study found that daily doses cut the risk of infection in healthy gay and bisexual men by 42 percent, when accompanied by condoms and counseling.\u003c/p>\n\u003cp>Related:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\">Interview about Truvada with Dr. Paul A. Volberding, co-director of the center for AIDS Research at UCSF\u003c/a> (July 15, 2011, News Fix)\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>WASHINGTON (AP) — The Food and Drug Administration has \u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm311821.htm\">approved\u003c/a> the first drug shown to reduce the risk of HIV infection, a milestone in the 30-year battle against the virus that causes AIDS.\u003c/p>\n\u003cfigure id=\"attachment_34146\" class=\"wp-caption alignleft\" style=\"max-width: 99px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/07/truvadaSM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/07/truvadaSM.jpg\" alt=\"\" title=\"truvadaSM\" width=\"99\" height=\"94\" class=\"size-full wp-image-34146\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Truvada\u003c/figcaption>\u003c/figure>\n\u003cp>The agency approved Gilead Sciences’ pill Truvada as a preventive measure for people who are at high risk of acquiring HIV, such as those who have sex with HIV-infected partners.\u003c/p>\n\u003cp>Gilead Sciences Inc., based in Foster City, has marketed Truvada since 2004 as a treatment for people who are infected with the virus.\u003c/p>\n\u003cp>But company studies have shown the drug can prevent people from contracting HIV when used as a precautionary measure. A three-year study found that daily doses cut the risk of infection in healthy gay and bisexual men by 42 percent, when accompanied by condoms and counseling.\u003c/p>\n\u003cp>Related:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\">Interview about Truvada with Dr. Paul A. Volberding, co-director of the center for AIDS Research at UCSF\u003c/a> (July 15, 2011, News Fix)\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"http://www.kqed.org/news/openspaces/\" rel=\"attachment wp-att-111261\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-111261\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/05/hdpublicplaces-mod.jpg\" alt=\"hdpublicplaces-mod\" width=\"200\" height=\"46\">\u003c/a>After a wee bit of wrangling, the city of Benicia has proposed an 11-month donor agreement with the \u003ca href=\"http://www.parks.ca.gov/\">California Department of Parks and Recreation\u003c/a> to keep the \u003ca href=\"http://www.parks.ca.gov/?page_id=476\">Benicia State Recreation Area\u003c/a> maintained. As previously noted in this space, no state parks are closing, but many are in various states of repair. Enter ye at your own risk, so to speak.\u003c/p>\n\u003cp>In Benicia, the city has agreed to pay the state $15,500 for water service, trash pickup, and some restroom maintenance.\u003c/p>\n\u003cp>“It is not much but it is better than nothing!” writes Bob Berman, VP of the \u003ca href=\"http://protectbeniciastateparks.com/\">Benicia State Parks Association\u003c/a>. “Hopefully the City and State can resolve the liability issue and there can be a more comprehensive agreement.”\u003c/p>\n\u003cp>The liability question? That was an issue I explored on the \u003ca href=\"http://www.californiareport.org/archive/R201206290850/a\">California Report\u003c/a> a couple of weeks ago; we’ll keep you posted.\u003c/p>\n\u003cp>In other, mildly related news…\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This week, Google announced that new panoramic imagery from five of California’s \u003cstrong>national\u003c/strong> parks is now available via \u003ca href=\"http://google-latlong.blogspot.com/2012/07/street-view-goes-on-road-trip-through.html\">Google Street View\u003c/a>, so that you can now take a virtual hike through\u003ca href=\"http://www.nps.gov/deva/index.htm\"> Death Valley\u003c/a>, \u003ca href=\"http://www.nps.gov/jotr/index.htm\">Joshua Tree\u003c/a>, \u003ca href=\"http://www.nps.gov/redw/index.htm\">Redwood\u003c/a>, \u003ca href=\"http://www.nps.gov/seki/index.htm\">Sequoia & Kings Canyon\u003c/a>, and \u003ca href=\"http://www.nps.gov/yose/index.htm\">Yosemite\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cp>Where will it end? In March, a \u003ca href=\"http://ww2.kqed.org/news/2012/03/15/interview-w-us-attorney-haag-on-pot-operations-if-its-close-to-children-thats-a-line-were-going-to-draw/\">U.S. attorney told KQED\u003c/a> that the federal crackdown on pot dispensaries would focus on establishments near places that children gather: schools, parks and playgrounds.\u003c/p>\n\u003cfigure id=\"attachment_70135\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/Harborside-press-conference.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-70135\" title=\"Harborside press conference\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/Harborside-press-conference-300x224.jpg\" alt=\"\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Harborside Health Center attorney Henry Wykowski says the dispensary plans to stay open. (Caitlin Esch/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But \u003ca href=\"http://www.harborsidehealthcenter.com/\">Harborside Health Center’s\u003c/a> facilities in Oakland and San Jose don’t fall into that category. So when federal authorities announced on Wednesday that they filed court papers to seize the company’s assets, they gave the impression that any dispensary may be fair game.\u003c/p>\n\u003cp>And in a press release Melinda Haag, US Attorney for Northern California, said as much: “I now find the need to consider actions regarding marijuana superstores such as Harborside. The larger the operation, the greater the likelihood that there will be abuse of the state’s medical marijuana laws, and marijuana in the hands of individuals who do not have a demonstrated medical need.”\u003c/p>\n\u003cp>Harborside is one of the largest — some say \u003cem>the\u003c/em> largest dispensary in the world. And while medical marijuana is legal under state law, but it still breaks federal law. So federal agents can strike whatever pot dispensary they want, and the new move suggests none is safe.\u003c/p>\n\u003cp>\u003c!--more-->Harborside’s management remains defiant. KQED’s Caitlin Esch attended a press conference there this morning.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here’s her report:\u003c/p>\n\u003cblockquote>\u003cp>Through tears, Modesto resident Jason David told a crowd of reporters and cannabis activists Thursday that medical marijuana saved his 5-year-old son’s life. His son suffers from Dravet Syndrome, a rare and severe form of epilepsy.\u003c/p>\n\u003cp>“The first time I ever gave him medical cannabis is the first time he ever went seizure-free in his life,” David said. “Can you imagine your kids having seizures every single day? Being in pain 12 to 14 hours a day? Crying and screaming?”\u003c/p>\n\u003cp>David travels to Harborside’s Oakland location regularly to buy a custom-made liquid medicine for his son. David estimates he has a two-month supply left, and doesn’t know where he would go for the medicine if Harborside closed its doors.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan called on federal prosecutors to focus on the real crisis in Oakland: violence.\u003c/p>\n\u003cp>“Please, we need those resources devoted to stopping the shooting, stopping the violence and stopping the killing. That should be the clear priority.”\u003c/p>\n\u003cp>Kaplan said Harborside operates legally under state-law and pays more than a $1 million a year in city taxes. Kaplan said the 100-plus jobs the dispensary provides are critical.\u003c/p>\n\u003cp>Haborside Executive Director Steve DeAngelo said the dispensary helps more than 100,000 patients and he won’t go down without a fight.\u003c/p>\n\u003cp>“We will resist this action with every legal means at our disposal,” DeAngelo said. “And should we be forced from our present location, we will find alternate means of providing medicine to our patients who need it. We will never abandon our patients; we will never abandon people like Jason David — not as long as I draw breath.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>You can see part of the press conference yourself in this video by \u003ca href=\"http://www.youtube.com/user/tonythetraveler\">tonythetraveler\u003c/a>:\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"http://www.youtube.com/embed/Ya5POFGyHZI\" frameborder=\"0\" width=\"420\" height=\"315\">\u003c/iframe>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Where will it end? In March, a \u003ca href=\"http://ww2.kqed.org/news/2012/03/15/interview-w-us-attorney-haag-on-pot-operations-if-its-close-to-children-thats-a-line-were-going-to-draw/\">U.S. attorney told KQED\u003c/a> that the federal crackdown on pot dispensaries would focus on establishments near places that children gather: schools, parks and playgrounds.\u003c/p>\n\u003cfigure id=\"attachment_70135\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/Harborside-press-conference.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-70135\" title=\"Harborside press conference\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/Harborside-press-conference-300x224.jpg\" alt=\"\" width=\"300\" height=\"224\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Harborside Health Center attorney Henry Wykowski says the dispensary plans to stay open. (Caitlin Esch/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>But \u003ca href=\"http://www.harborsidehealthcenter.com/\">Harborside Health Center’s\u003c/a> facilities in Oakland and San Jose don’t fall into that category. So when federal authorities announced on Wednesday that they filed court papers to seize the company’s assets, they gave the impression that any dispensary may be fair game.\u003c/p>\n\u003cp>And in a press release Melinda Haag, US Attorney for Northern California, said as much: “I now find the need to consider actions regarding marijuana superstores such as Harborside. The larger the operation, the greater the likelihood that there will be abuse of the state’s medical marijuana laws, and marijuana in the hands of individuals who do not have a demonstrated medical need.”\u003c/p>\n\u003cp>Harborside is one of the largest — some say \u003cem>the\u003c/em> largest dispensary in the world. And while medical marijuana is legal under state law, but it still breaks federal law. So federal agents can strike whatever pot dispensary they want, and the new move suggests none is safe.\u003c/p>\n\u003cp>\u003c!--more-->Harborside’s management remains defiant. KQED’s Caitlin Esch attended a press conference there this morning.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here’s her report:\u003c/p>\n\u003cblockquote>\u003cp>Through tears, Modesto resident Jason David told a crowd of reporters and cannabis activists Thursday that medical marijuana saved his 5-year-old son’s life. His son suffers from Dravet Syndrome, a rare and severe form of epilepsy.\u003c/p>\n\u003cp>“The first time I ever gave him medical cannabis is the first time he ever went seizure-free in his life,” David said. “Can you imagine your kids having seizures every single day? Being in pain 12 to 14 hours a day? Crying and screaming?”\u003c/p>\n\u003cp>David travels to Harborside’s Oakland location regularly to buy a custom-made liquid medicine for his son. David estimates he has a two-month supply left, and doesn’t know where he would go for the medicine if Harborside closed its doors.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan called on federal prosecutors to focus on the real crisis in Oakland: violence.\u003c/p>\n\u003cp>“Please, we need those resources devoted to stopping the shooting, stopping the violence and stopping the killing. That should be the clear priority.”\u003c/p>\n\u003cp>Kaplan said Harborside operates legally under state-law and pays more than a $1 million a year in city taxes. Kaplan said the 100-plus jobs the dispensary provides are critical.\u003c/p>\n\u003cp>Haborside Executive Director Steve DeAngelo said the dispensary helps more than 100,000 patients and he won’t go down without a fight.\u003c/p>\n\u003cp>“We will resist this action with every legal means at our disposal,” DeAngelo said. “And should we be forced from our present location, we will find alternate means of providing medicine to our patients who need it. We will never abandon our patients; we will never abandon people like Jason David — not as long as I draw breath.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>You can see part of the press conference yourself in this video by \u003ca href=\"http://www.youtube.com/user/tonythetraveler\">tonythetraveler\u003c/a>:\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"http://www.youtube.com/embed/Ya5POFGyHZI\" frameborder=\"0\" width=\"420\" height=\"315\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>An Oakland medical marijuana dispensary that’s been billed as the largest pot shop on the planet is being targeted for closure by federal prosecutors in Northern California.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2012/03/15/interview-w-us-attorney-haag-on-pot-operations-if-its-close-to-children-thats-a-line-were-going-to-draw/\">US Attorney Melinda Haag explains the reasoning behind raids on pot dispensaries (March 15, 2012).\u003c/a>\u003c/p>\n\u003c/aside>\n\u003cp>Harborside Health Center spokeswoman Gaynell Rogers said U.S. Attorney Melinda Haag’s office has threatened to seize the property where the popular dispensary has operated since 2006 as well its sister shop in San Jose.\u003c/p>\n\u003cp>Rogers says employees found the complaints taped to doors at the two locations on Monday.\u003c/p>\n\u003cp>Although medical marijuana is legal in California, court papers filed Sunday say the dispensaries are violating federal law by selling marijuana.\u003c/p>\n\u003cp>The court action represents an escalation in a months-long, statewide crackdown on medical marijuana by Haag, who said last year she would try to shut dispensaries that were within 1,000 feet of schools, which Harborside isn’t.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An Oakland medical marijuana dispensary that’s been billed as the largest pot shop on the planet is being targeted for closure by federal prosecutors in Northern California.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2012/03/15/interview-w-us-attorney-haag-on-pot-operations-if-its-close-to-children-thats-a-line-were-going-to-draw/\">US Attorney Melinda Haag explains the reasoning behind raids on pot dispensaries (March 15, 2012).\u003c/a>\u003c/p>\n\u003c/aside>\n\u003cp>Harborside Health Center spokeswoman Gaynell Rogers said U.S. Attorney Melinda Haag’s office has threatened to seize the property where the popular dispensary has operated since 2006 as well its sister shop in San Jose.\u003c/p>\n\u003cp>Rogers says employees found the complaints taped to doors at the two locations on Monday.\u003c/p>\n\u003cp>Although medical marijuana is legal in California, court papers filed Sunday say the dispensaries are violating federal law by selling marijuana.\u003c/p>\n\u003cp>The court action represents an escalation in a months-long, statewide crackdown on medical marijuana by Haag, who said last year she would try to shut dispensaries that were within 1,000 feet of schools, which Harborside isn’t.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Our friends at Frontline are hosting a live chat at 11 a.m. on AIDS in Black America.\u003c/p>\n\u003cp>Here’s the blurb:\u003c/p>\n\u003cblockquote>\u003cp>Every 10 minutes, someone in the United States contracts the AIDS virus. Half of them are black.\u003c/p>\n\u003cp>Thirty years after the AIDS virus was first reported among gay white men, nearly half of the 1 million people in the United States infected with HIV are black men, women and children.\u003c/p>\n\u003cp>In \u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/07/10/endgame-frontline-documentary-explores-aids-in-black-america/?utm_source=rss&utm_medium=rss&utm_campaign=endgame-frontline-documentary-explores-aids-in-black-america\">ENDGAME: AIDS in Black America\u003c/a>, producer/director Renata Simone explores the hidden history and personal impact of one of the country’s most urgent, preventable health crises. From Magic Johnson to civil rights pioneer Julian Bond, from pastors to health workers, people on the front lines tell their intimate stories of the battle to contain the virus, and the opportunity to finally find an endgame for AIDS.\u003c/p>\u003c/blockquote>\n\u003cp>Join the chat below…\u003c/p>\n\u003cp>\u003ciframe loading=\"lazy\" src=\"http://www.coveritlive.com/index2.php/option=com_altcaster/task=viewaltcast/altcast_code=a551878818/height=550/width=470\" frameborder=\"0\" scrolling=\"no\" width=\"470px\" height=\"550px\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"title": "Calif. Court Strikes Down LA County's Pot Shop Ban",
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"content": "\u003cp>LOS ANGELES (AP) — A California appeals court has struck down Los Angeles County’s ban on medical marijuana dispensaries.\u003c/p>\n\u003cfigure id=\"attachment_69478\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/marijuana_grove_sized.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-69478\" title=\"marijuana_grove_sized\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/marijuana_grove_sized.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mateusz Atroszko/stock.xchng\u003c/figcaption>\u003c/figure>\n\u003cp>The 4th District Court of Appeal ruled Monday that because the state’s medical marijuana laws authorize cooperatives and collectives to grow, store and distribute pot, a lower court judge erred when she cited the 2010 ban in granting the county an injunction against the Alternative Medicinal Cannabis Collective last year.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://ww2.kqed.org/news/tag/medical-marijuana/\">\u003cstrong>KQED’s medical marijuana coverage\u003c/strong>\u003c/a>\u003c/aside>\n\u003cp>However, the decision does not mean the coast is clear for the Covina dispensary. The Court of Appeal says even though L.A. County can’t outlaw pot shops completely, local lawmakers still can limit where they locate require them to obtain operating permits and business licenses.\u003c/p>\n\u003cp>Federal prosecutors also have cracked down by moving to seize the building that houses Alternative Medicinal Cannabis.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"description": "LOS ANGELES (AP) -- A California appeals court has struck down Los Angeles County's ban on medical marijuana dispensaries. The 4th District Court of Appeal ruled Monday that because the state's medical marijuana laws authorize cooperatives and collectives to grow, store and distribute pot, a lower court judge erred when she cited the 2010 ban in granting the county an injunction against the Alternative Medicinal Cannabis Collective last year. KQED's medical marijuana coverage However, the decision does not mean the coast is clear for the Covina dispensary. The Court of Appeal says even though L.A. County can't outlaw pot shops",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES (AP) — A California appeals court has struck down Los Angeles County’s ban on medical marijuana dispensaries.\u003c/p>\n\u003cfigure id=\"attachment_69478\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/marijuana_grove_sized.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-69478\" title=\"marijuana_grove_sized\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/07/marijuana_grove_sized.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mateusz Atroszko/stock.xchng\u003c/figcaption>\u003c/figure>\n\u003cp>The 4th District Court of Appeal ruled Monday that because the state’s medical marijuana laws authorize cooperatives and collectives to grow, store and distribute pot, a lower court judge erred when she cited the 2010 ban in granting the county an injunction against the Alternative Medicinal Cannabis Collective last year.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003ca href=\"http://ww2.kqed.org/news/tag/medical-marijuana/\">\u003cstrong>KQED’s medical marijuana coverage\u003c/strong>\u003c/a>\u003c/aside>\n\u003cp>However, the decision does not mean the coast is clear for the Covina dispensary. The Court of Appeal says even though L.A. County can’t outlaw pot shops completely, local lawmakers still can limit where they locate require them to obtain operating permits and business licenses.\u003c/p>\n\u003cp>Federal prosecutors also have cracked down by moving to seize the building that houses Alternative Medicinal Cannabis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Pelosi on Health Care Mandate: 'Goodbye to The Free Riders'; Interview With Scott Shafer",
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"content": "\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-69117\" title=\"pelosi\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi-200x300.jpg\" alt=\"\" width=\"142\" height=\"214\">\u003c/a>I gotta tell you, I have listened to a lot of Nancy Pelosi interviews over the last couple of years in this job, and her demeanor during a post-health-care-decision interview with Scott Shafer today was about as relaxed and unprogrammed as I’ve heard here. (\u003ca href=\"http://ww2.kqed.org/news/2012/06/28/interview-nancy-pelosi-on-health-care-decision/#interview\">\u003cstrong>Jump straight to the interview here\u003c/strong>\u003c/a>.)\u003c/p>\n\u003cp>With good reason, perhaps. In 2010, Pelosi was instrumental in reviving the health care bill when it seemed all but dead. Before the final House vote, The New York Times \u003ca href=\"http://www.nytimes.com/2010/03/21/health/policy/21reconstruct.html?pagewanted=all\">recounted her pivotal role\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Speaker Nancy Pelosi was at her wits’ end, and she let President Obama know it. Scott Brown, the upstart Republican, had just won his Senate race in Massachusetts, a victory that seemed to doom Mr. Obama’s dream of overhauling the nation’s health care system. The White House chief of staff, Rahm Emanuel, once Ms. Pelosi’s right hand man on Capitol Hill, was pushing Mr. Obama to scale back his ambitions and pursue a pared-down bill.\u003c/p>\n\u003cp>Mr. Obama seemed open to the idea, though it was clearly not his first choice. Ms. Pelosi scoffed. “Kiddie care,” she called the scaled-down plan, derisively, in private.\u003c/p>\n\u003cp>In a series of impassioned conversations, over the telephone and in the Oval Office, she conveyed her frustration to the president, according to four people familiar with the talks. If she and Harry Reid, the Senate Democratic leader, were going to stick out their necks for Mr. Obama’s top legislative priority, Ms. Pelosi wanted assurances that the president would too. At the White House, aides to Mr. Obama say, he also wanted assurances; he needed to hear that the leaders could pass his far-reaching plan.\u003c/p>\n\u003cp>“We’re in the majority,” Ms. Pelosi told the president. “We’ll never have a better majority in your presidency in numbers than we’ve got right now. We can make this work…”\u003c/p>\n\u003cp>That Mr. Obama has come this far — within a whisper of passing historic social legislation — is remarkable in itself. But the story of how he did it is not his alone. It is the story of how a struggling president partnered with a pair of experienced legislators — Ms. Pelosi and, to a lesser extent, Mr. Reid — to reach for a goal that Mr. Obama has often said had eluded his predecessors going back to Theodore Roosevelt. (\u003ca href=\"http://www.nytimes.com/2010/03/21/health/policy/21reconstruct.html?pagewanted=all\">Full article here\u003c/a>)\u003c/p>\u003c/blockquote>\n\u003cp>But the feeling of ecstatic victory among Pelosi’s House Democrats after the bill finally became law turned to one of bitter defeat after her party was swept out of power in the 2010 election, costing her the speakership. A sense of foreboding about its prospects only deepened with \u003ca href=\"http://www.pollingreport.com/health.htm\">polls showing the public mostly opposed\u003c/a> to “Obamacare” even two years after its passage, perhaps in part because of \u003ca href=\"http://www.nytimes.com/2012/06/21/health/policy/health-care-law-loses-ad-war.html?_r=1&pagewanted=all\">intense negative advertising\u003c/a> by opposition groups. After what appeared to be \u003ca href=\"http://articles.latimes.com/2012/mar/27/nation/la-na-court-healthcare-20120328\">skeptical questioning\u003c/a> during the oral arguments from a majority of justices — including Anthony Kennedy, widely expected to be the swing vote — the once-unthinkable become very much a possibility: that the law was going to be struck down, giving Republicans a huge victory on the eve of the presidential election. \u003c!--more-->\u003c/p>\n\u003cp>So, many may have thought Pelosi was whistling past the graveyard when she \u003ca href=\"http://www.cbsnews.com/8301-505267_162-57453813/pelosi-constitutionality-of-health-care-bill-ironclad/\">recently predicted the court, conservative majority and all, would uphold the law\u003c/a> 6-3.\u003c/p>\n\u003cp>The decision was 5-4. She almost had it right. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca name=\"interview\">\u003c/a>\u003c/p>\n\u003cp>An edited transcript of Scott Shafer’s interview with Pelosi follows the audio. In it, Pelosi says the law will help people of an artistic bent to change jobs and careers, that she never doubted its constitutionality or Chief Justice John Roberts’ vote, and that she doesn’t care if Roberts calls the penalty for not buying insurance that the law imposes a “tax,” because whatever its name it will eliminate the “free riders” in the health care system who have a responsibility, she says, to obtain coverage.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi.mp3\">\u003cstrong>Audio: Nancy Pelosi on today’s Supreme Court decision on health care\u003c/strong>\u003c/a>\u003cbr>\n[audio:http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi.mp3|titles=pelosi]\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: What are your thoughts about the impact of the decision, especially in California?\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cem>Shafer\u003c/em>: They did say this is a tax, and that’s why it’s constitutional. \n\u003cp>\u003cem>Pelosi\u003c/em>: I don’t’ care. I mean I shouldn’t say it quite that way…I would say it’s goodbye to the free riders who now have a responsibility to have health insurance or pay a penalty. \u003c/p>\u003c/aside>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: It’s a very California-oriented bill. It’s innovative, it’s about wellness, prevention, and the good health of our people in addition to good health care.\u003c/p>\n\u003cp>California has been an intellectual resource and an inspirational resource in terms of the spirit of entrepreneurship that is supported by people having the freedom to change jobs, create a business, be self-employed, play music, write poetry, whereever their aspirations or talents take them.\u003c/p>\n\u003cp>Our state and in particular San Francisco is blessed with many creative people, and their creativity sometimes is constrained by their need to hold down another job just to keep health benefits rather than fully dig into their artistic and creative pursuit.\u003c/p>\n\u003cp>And some small business owners I know, they have to have another job in order to get health insurance because they can’t afford to get it themselves.\u003c/p>\n\u003cp>I wasn’t surprised that it was upheld. I always said it was going to be 6-3. I gave one of the justices more credit than I think I should have.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: If someone said the decision was going to be 5-4 and it’s written by Roberts, you’d think it was bad news…\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I always had confidence in Roberts in this respect. His decision is consistent in his writings on the extent of the court’s role, and he was true to his beliefs, his writings, and his statements on the subject. I always felt confident that if this were fair and square, if justice were to prevail, we had a very good shot. Not regarding what he thought of the policy but what he thought of its constitutionality.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: They did say this is a tax, and that’s why it’s constitutional.\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I don’t’ care. I mean I shouldn’t say it quite that way. What we wrote in the House is similar to what he described.\u003c/p>\n\u003cp>I would say it’s goodbye to the free riders. There are people who are free riders who now have a responsibility to have health insurance or pay a penalty.\u003c/p>\n\u003cp>If you’re a healthy younger person, you have resources, you just decide you’re not going to apply for health insurance. You get sick or in an accident, your health care costs are a burden to everybody else. You go to the emergency room and that increases everybody’s costs.\u003c/p>\n\u003cp>That’s just not fair, especially if you multiple it by many many people. The ones who can opt out because they feel invincible – I’ve had them blowing through my office. People who thought they’d never be in an accident or get breast cancer or never thought they’d get a diagnosis of rare blood this or that. And then they’re up the creek.\u003c/p>\n\u003cp>The point being you can call it whatever you want, but it is a penalty for free riders, who get health care without paying for insurance, increasing the cost to others.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: You and your party paid a huge price for this in 2010. Do you now see it as a plus going into 2012?\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: Let me disagree with that. I think we lost the election because there’s 9.5 percent unemployment. I defy you to show me any circumstance except for maybe Franklin Delano Roosevelt during the Great Depression where incumbents do well with 9.5 percent unemployment. It was hard to get any message through. We didn’t lose that election because people voted for health care.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: Here we have John Roberts, who was the subject of a bitter confirmation fight, bitterly opposed by most Democrats, including Senator Obama, upholding this law. Is there any lesson to be learned here about partisanship and the way Congress does its job for the American people?\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I don’t think this is about bipartisanship. I think this is about the Constitution of the United States. I think we also have a situation where Republicans do not believe in a public role, so they’re not going to be for anything. Not Medicare, health care, Medicaid, Social Security, clean air, clean water, food safety, public transportation, none of it. they have a very fringe element, an anti-government orthodoxy. And they’re true to what their beliefs are, and their beliefs are to oppose any of those initiatives.\n\u003c/p>\u003c/blockquote>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Related\u003c/em>:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://articles.chicagotribune.com/2012-04-19/news/ct-perspec-0419-pelosi-20120419_1_judicial-review-federal-courts-supreme-court\">Nancy Pelosi: Respecting the Constitution and the role of the Supreme Court\u003c/a> (Chicago Tribune op-ed)\u003c/li>\n\u003c/ul>\n\n",
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"title": "Pelosi on Health Care Mandate: 'Goodbye to The Free Riders'; Interview With Scott Shafer | KQED",
"description": "I gotta tell you, I have listened to a lot of Nancy Pelosi interviews over the last couple of years in this job, and her demeanor during a post-health-care-decision interview with Scott Shafer today was about as relaxed and unprogrammed as I've heard here. (Jump straight to the interview here.) With good reason, perhaps. In 2010, Pelosi was instrumental in reviving the health care bill when it seemed all but dead. Before the final House vote, The New York Times recounted her pivotal role: Speaker Nancy Pelosi was at her wits’ end, and she let President Obama know it. Scott",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-69117\" title=\"pelosi\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi-200x300.jpg\" alt=\"\" width=\"142\" height=\"214\">\u003c/a>I gotta tell you, I have listened to a lot of Nancy Pelosi interviews over the last couple of years in this job, and her demeanor during a post-health-care-decision interview with Scott Shafer today was about as relaxed and unprogrammed as I’ve heard here. (\u003ca href=\"http://ww2.kqed.org/news/2012/06/28/interview-nancy-pelosi-on-health-care-decision/#interview\">\u003cstrong>Jump straight to the interview here\u003c/strong>\u003c/a>.)\u003c/p>\n\u003cp>With good reason, perhaps. In 2010, Pelosi was instrumental in reviving the health care bill when it seemed all but dead. Before the final House vote, The New York Times \u003ca href=\"http://www.nytimes.com/2010/03/21/health/policy/21reconstruct.html?pagewanted=all\">recounted her pivotal role\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Speaker Nancy Pelosi was at her wits’ end, and she let President Obama know it. Scott Brown, the upstart Republican, had just won his Senate race in Massachusetts, a victory that seemed to doom Mr. Obama’s dream of overhauling the nation’s health care system. The White House chief of staff, Rahm Emanuel, once Ms. Pelosi’s right hand man on Capitol Hill, was pushing Mr. Obama to scale back his ambitions and pursue a pared-down bill.\u003c/p>\n\u003cp>Mr. Obama seemed open to the idea, though it was clearly not his first choice. Ms. Pelosi scoffed. “Kiddie care,” she called the scaled-down plan, derisively, in private.\u003c/p>\n\u003cp>In a series of impassioned conversations, over the telephone and in the Oval Office, she conveyed her frustration to the president, according to four people familiar with the talks. If she and Harry Reid, the Senate Democratic leader, were going to stick out their necks for Mr. Obama’s top legislative priority, Ms. Pelosi wanted assurances that the president would too. At the White House, aides to Mr. Obama say, he also wanted assurances; he needed to hear that the leaders could pass his far-reaching plan.\u003c/p>\n\u003cp>“We’re in the majority,” Ms. Pelosi told the president. “We’ll never have a better majority in your presidency in numbers than we’ve got right now. We can make this work…”\u003c/p>\n\u003cp>That Mr. Obama has come this far — within a whisper of passing historic social legislation — is remarkable in itself. But the story of how he did it is not his alone. It is the story of how a struggling president partnered with a pair of experienced legislators — Ms. Pelosi and, to a lesser extent, Mr. Reid — to reach for a goal that Mr. Obama has often said had eluded his predecessors going back to Theodore Roosevelt. (\u003ca href=\"http://www.nytimes.com/2010/03/21/health/policy/21reconstruct.html?pagewanted=all\">Full article here\u003c/a>)\u003c/p>\u003c/blockquote>\n\u003cp>But the feeling of ecstatic victory among Pelosi’s House Democrats after the bill finally became law turned to one of bitter defeat after her party was swept out of power in the 2010 election, costing her the speakership. A sense of foreboding about its prospects only deepened with \u003ca href=\"http://www.pollingreport.com/health.htm\">polls showing the public mostly opposed\u003c/a> to “Obamacare” even two years after its passage, perhaps in part because of \u003ca href=\"http://www.nytimes.com/2012/06/21/health/policy/health-care-law-loses-ad-war.html?_r=1&pagewanted=all\">intense negative advertising\u003c/a> by opposition groups. After what appeared to be \u003ca href=\"http://articles.latimes.com/2012/mar/27/nation/la-na-court-healthcare-20120328\">skeptical questioning\u003c/a> during the oral arguments from a majority of justices — including Anthony Kennedy, widely expected to be the swing vote — the once-unthinkable become very much a possibility: that the law was going to be struck down, giving Republicans a huge victory on the eve of the presidential election. \u003c!--more-->\u003c/p>\n\u003cp>So, many may have thought Pelosi was whistling past the graveyard when she \u003ca href=\"http://www.cbsnews.com/8301-505267_162-57453813/pelosi-constitutionality-of-health-care-bill-ironclad/\">recently predicted the court, conservative majority and all, would uphold the law\u003c/a> 6-3.\u003c/p>\n\u003cp>The decision was 5-4. She almost had it right. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca name=\"interview\">\u003c/a>\u003c/p>\n\u003cp>An edited transcript of Scott Shafer’s interview with Pelosi follows the audio. In it, Pelosi says the law will help people of an artistic bent to change jobs and careers, that she never doubted its constitutionality or Chief Justice John Roberts’ vote, and that she doesn’t care if Roberts calls the penalty for not buying insurance that the law imposes a “tax,” because whatever its name it will eliminate the “free riders” in the health care system who have a responsibility, she says, to obtain coverage.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/06/pelosi.mp3\">\u003cstrong>Audio: Nancy Pelosi on today’s Supreme Court decision on health care\u003c/strong>\u003c/a>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cblockquote>\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: What are your thoughts about the impact of the decision, especially in California?\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cem>Shafer\u003c/em>: They did say this is a tax, and that’s why it’s constitutional. \n\u003cp>\u003cem>Pelosi\u003c/em>: I don’t’ care. I mean I shouldn’t say it quite that way…I would say it’s goodbye to the free riders who now have a responsibility to have health insurance or pay a penalty. \u003c/p>\u003c/aside>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: It’s a very California-oriented bill. It’s innovative, it’s about wellness, prevention, and the good health of our people in addition to good health care.\u003c/p>\n\u003cp>California has been an intellectual resource and an inspirational resource in terms of the spirit of entrepreneurship that is supported by people having the freedom to change jobs, create a business, be self-employed, play music, write poetry, whereever their aspirations or talents take them.\u003c/p>\n\u003cp>Our state and in particular San Francisco is blessed with many creative people, and their creativity sometimes is constrained by their need to hold down another job just to keep health benefits rather than fully dig into their artistic and creative pursuit.\u003c/p>\n\u003cp>And some small business owners I know, they have to have another job in order to get health insurance because they can’t afford to get it themselves.\u003c/p>\n\u003cp>I wasn’t surprised that it was upheld. I always said it was going to be 6-3. I gave one of the justices more credit than I think I should have.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: If someone said the decision was going to be 5-4 and it’s written by Roberts, you’d think it was bad news…\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I always had confidence in Roberts in this respect. His decision is consistent in his writings on the extent of the court’s role, and he was true to his beliefs, his writings, and his statements on the subject. I always felt confident that if this were fair and square, if justice were to prevail, we had a very good shot. Not regarding what he thought of the policy but what he thought of its constitutionality.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: They did say this is a tax, and that’s why it’s constitutional.\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I don’t’ care. I mean I shouldn’t say it quite that way. What we wrote in the House is similar to what he described.\u003c/p>\n\u003cp>I would say it’s goodbye to the free riders. There are people who are free riders who now have a responsibility to have health insurance or pay a penalty.\u003c/p>\n\u003cp>If you’re a healthy younger person, you have resources, you just decide you’re not going to apply for health insurance. You get sick or in an accident, your health care costs are a burden to everybody else. You go to the emergency room and that increases everybody’s costs.\u003c/p>\n\u003cp>That’s just not fair, especially if you multiple it by many many people. The ones who can opt out because they feel invincible – I’ve had them blowing through my office. People who thought they’d never be in an accident or get breast cancer or never thought they’d get a diagnosis of rare blood this or that. And then they’re up the creek.\u003c/p>\n\u003cp>The point being you can call it whatever you want, but it is a penalty for free riders, who get health care without paying for insurance, increasing the cost to others.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: You and your party paid a huge price for this in 2010. Do you now see it as a plus going into 2012?\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: Let me disagree with that. I think we lost the election because there’s 9.5 percent unemployment. I defy you to show me any circumstance except for maybe Franklin Delano Roosevelt during the Great Depression where incumbents do well with 9.5 percent unemployment. It was hard to get any message through. We didn’t lose that election because people voted for health care.\u003c/p>\n\u003cp>\u003cstrong>SCOTT SHAFER\u003c/strong>: Here we have John Roberts, who was the subject of a bitter confirmation fight, bitterly opposed by most Democrats, including Senator Obama, upholding this law. Is there any lesson to be learned here about partisanship and the way Congress does its job for the American people?\u003c/p>\n\u003cp>\u003cstrong>NANCY PELOSI\u003c/strong>: I don’t think this is about bipartisanship. I think this is about the Constitution of the United States. I think we also have a situation where Republicans do not believe in a public role, so they’re not going to be for anything. Not Medicare, health care, Medicaid, Social Security, clean air, clean water, food safety, public transportation, none of it. they have a very fringe element, an anti-government orthodoxy. And they’re true to what their beliefs are, and their beliefs are to oppose any of those initiatives.\n\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Related\u003c/em>:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://articles.chicagotribune.com/2012-04-19/news/ct-perspec-0419-pelosi-20120419_1_judicial-review-federal-courts-supreme-court\">Nancy Pelosi: Respecting the Constitution and the role of the Supreme Court\u003c/a> (Chicago Tribune op-ed)\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"title": "Health Care Decision on Twitter: DNC Official and CNN Stumble, Moving to Canada, Sarah Palin",
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"content": "\u003cp>Lots of interesting tweets out there on today’s big Supreme Court ruling affirming the constitutionality of the federal health care law.\u003c/p>\n\u003cp>https://twitter.com/patrickgaspard/status/218347872163344386\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/oliverdarcy/status/218366173962715136\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/patrickgaspard/status/218355332848685058\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/SarahPalinUSA/status/218353507491786752\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/brendlewhat/status/218371556286541826\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/prodigalsam/status/218387425716744194\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/BorowitzReport/status/218363643149037568\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/cnnbrk/status/218345251704811522\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/cnnbrk/status/218348346010640385\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/JoseRMejia/status/218349287174709249\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/yoyoha/status/218355001632890880\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/lafix/status/218360571899293696\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/joshtpm/status/218392888269209601\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://twitter.com/scottshafer/status/218352115574255617\u003c/p>\n\n",
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"title": "Health Care Decision on Twitter: DNC Official and CNN Stumble, Moving to Canada, Sarah Palin | KQED",
"description": "Lots of interesting tweets out there on today's big Supreme Court ruling affirming the constitutionality of the federal health care law. https://twitter.com/patrickgaspard/status/218347872163344386 https://twitter.com/oliverdarcy/status/218366173962715136 https://twitter.com/patrickgaspard/status/218355332848685058 https://twitter.com/SarahPalinUSA/status/218353507491786752 https://twitter.com/brendlewhat/status/218371556286541826 https://twitter.com/prodigalsam/status/218387425716744194 https://twitter.com/BorowitzReport/status/218363643149037568 https://twitter.com/cnnbrk/status/218345251704811522",
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"content": "\u003cp>From CSPAN:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.c-span.org/Events/Supreme-Court-Upholds-Health-Care-Law/10737431946-9/\">President Obama\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>“Earlier today the Supreme Court upheld the constitutionality of the Affordable Care Act. In doing so they reaffirmed a fundamental principle, that here in America, on the wealthiest nation on earth, no illness or accident should lead to any family’s financial ruin.”\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.c-span.org/Events/Supreme-Court-Upholds-Health-Care-Law/10737431946-9/\">Mitt Romney\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>“I disagree with the Supreme Court’s decision and I agree with the dissent. What the court did not do on its last day in session, I will do on my first day if elected president of the United States. And that is I will act to repeal Obamacare. Let’s make clear that we understand what the court did and did not do. What the court did today is say that Obamacare does not violate the constitution. What they did not do is say that Obamacare is good law or good policy.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>From CSPAN:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.c-span.org/Events/Supreme-Court-Upholds-Health-Care-Law/10737431946-9/\">President Obama\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>“Earlier today the Supreme Court upheld the constitutionality of the Affordable Care Act. In doing so they reaffirmed a fundamental principle, that here in America, on the wealthiest nation on earth, no illness or accident should lead to any family’s financial ruin.”\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.c-span.org/Events/Supreme-Court-Upholds-Health-Care-Law/10737431946-9/\">Mitt Romney\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>“I disagree with the Supreme Court’s decision and I agree with the dissent. What the court did not do on its last day in session, I will do on my first day if elected president of the United States. And that is I will act to repeal Obamacare. Let’s make clear that we understand what the court did and did not do. What the court did today is say that Obamacare does not violate the constitution. What they did not do is say that Obamacare is good law or good policy.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>WASHINGTON (AP) — The Supreme Court on Thursday upheld the individual insurance requirement at the heart of President Barack Obama’s health care overhaul.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\n\u003cul>\n\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/\">\u003cstrong>Live coverage: State of Health blog\u003c/strong>\u003c/a>\n\u003c/li>\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/06/28/full-transcript-supreme-court-decision-on-health-care/\">\u003cstrong>Read the decision\u003c/strong>\u003c/a> \u003c/li>\u003c/ul>\u003c/aside>\n\u003cp>The 5-4 decision means the huge overhaul, still taking effect, will proceed and pick up momentum over the next several years, affecting the way that countless Americans receive and pay for their personal medical care.\u003c/p>\n\u003cp>The ruling hands Obama a campaign-season victory in rejecting arguments that Congress went too far in approving the plan. However, Republicans quickly indicated they will try to use the decision to rally their supporters against what they call “Obamacare.”\u003c/p>\n\u003cp>Stocks of hospital companies rose sharply, and insurance companies fell immediately after the decision was announced that Americans must carry health insurance or pay a penalty.\u003c/p>\n\u003cp>Breaking with the court’s other conservative justices, Chief Justice John Roberts announced the judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The justices rejected two of the administration’s three arguments in support of the insurance requirement. But the court said the mandate can be construed as a tax. “Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness,” Roberts said. \u003c!--more-->\u003c/p>\n\u003cp>The court found problems with the law’s expansion of Medicaid, but even there said the expansion could proceed as long as the federal government does not threaten to withhold states’ entire Medicaid allotment if they don’t take part in the law’s extension.\u003c/p>\n\u003cp>The court’s four liberal justices, Stephen Breyer, Ruth Bader Ginsburg, Elena Kagan and Sonia Sotomayor, joined Roberts in the outcome.\u003c/p>\n\u003cp>Justices Samuel Alito, Anthony Kennedy, Antonin Scalia and Clarence Thomas dissented.\u003c/p>\n\u003cp>Kennedy summarized the dissent in court. “In our view, the act before us is invalid in its entirety,” he said.\u003c/p>\n\u003cp>The dissenters said in a joint statement that the law “exceeds federal power both in mandating the purchase of health insurance and in denying non-consenting states all Medicaid funding.”\u003c/p>\n\u003cp>In all, the justices spelled out their views in six opinions totaling 187 pages. Roberts, Kennedy and Ginsburg spent 57 minutes summarizing their views in the packed courtroom.\u003c/p>\n\u003cp>The legislation passed Congress in early 2010 after a monumental struggle in which all Republicans voted against it. House Majority Leader Eric Cantor, R-Va., said Thursday the House will vote the week of July 9 on whether to repeal the law, though such efforts have virtually no chance in the Democratic-controlled Senate.\u003c/p>\n\u003cp>GOP presidential candidate Mitt Romney has joined in calls for complete repeal.\u003c/p>\n\u003cp>After the ruling, Republican campaign strategists said Romney will use it to continue campaigning against “Obamacare” and attacking the president’s signature health care program as a tax increase.\u003c/p>\n\u003cp>“Obama might have his law, but the GOP has a cause,” said veteran campaign adviser Terry Holt. “This promises to galvanize Republican support around a repeal of what could well be called the largest tax increase in American history.”\u003c/p>\n\u003cp>Democrats said Romney, who backed an individual health insurance mandate when he was Massachusetts governor, will have a hard time exploiting the ruling.\u003c/p>\n\u003cp>“Mitt Romney is the intellectual godfather of Obamacare,” said Democratic consultant Jim Manley. “The bigger issue is the rising cost of health care, and this bill is designed to deal with it.”\u003c/p>\n\u003cp>More than eight in 10 Americans already have health insurance. But for most of the 50 million who are uninsured, the ruling offers the promise of guaranteed coverage at affordable prices. Lower-income and many middle-class families will be eligible for subsidies to help pay premiums starting in 2014.\u003c/p>\n\u003cp>There’s also an added safety net for all Americans, insured and uninsured. Starting in 2014, insurance companies will not be able to deny coverage for medical treatment, nor can they charge more to people with health problems. Those protections, now standard in most big employer plans, will be available to all, including people who get laid off, or leave a corporate job to launch their own small business.\u003c/p>\n\u003cp>Seniors also benefit from the law through better Medicare coverage for those with high prescription costs, and no copayments for preventive care. But hospitals, nursing homes, and many other service providers may struggle once the Medicare cuts used to finance the law really start to bite.\u003c/p>\n\u003cp>Illegal immigrants are not entitled to the new insurance coverage under the law, and will remain one of the biggest groups uninsured.\u003c/p>\n\u003cp>Obama’s law is by no means the last word on health care. Experts expect costs to keep rising, meaning that lawmakers will have to revisit the issue perhaps as early as next year, when federal budget woes will force them to confront painful options for Medicare and Medicaid, the giant federal programs that cover seniors, the disabled, and low-income people.\u003c/p>\n\u003cp>The health care overhaul focus will now quickly shift from Washington to state capitals. Only 14 states, plus Washington, D.C., have adopted plans to set up the new health insurance markets called for under the law. Called exchanges, the new markets are supposed to be up and running on Jan. 1, 2014. People buying coverage individually, as well as small businesses, will be able to shop for private coverage from a range of competing insurers.\u003c/p>\n\u003cp>Most Republican-led states, including large ones such as Texas and Florida, have been counting on the law to be overturned and have failed to do the considerable spade work needed to set up exchanges. There’s a real question about whether they can meet the deadline, and if they don’t, Washington will step in and run their exchanges for them.\u003c/p>\n\u003cp>In contrast to the states, health insurance companies, major employers, and big hospital systems are among the best prepared. Many of the changes called for in the law were already being demanded by employers trying to get better value for their private health insurance dollars.\u003c/p>\n\u003cp>“The main driver here is financial,” said Dr. Toby Cosgrove, CEO of the Cleveland Clinic, which has pioneered some of the changes. “The factors driving health care reform are not new, and they are not going to go away.”\u003c/p>\n\u003cp>Justice Ginsburg said the court should have upheld the entire law as written without forcing any changes in the Medicaid provision. She said Congress’ constitutional authority to regulate interstate commerce supports the individual mandate. She warned that the legal reasoning, even though the law was upheld, could cause trouble in future cases.\u003c/p>\n\u003cp>“So in the end, the Affordable Health Care Act survives largely unscathed. But the court’s commerce clause and spending clause jurisprudence has been set awry. My expectation is that the setbacks will be temporary blips, not permanent obstructions,” Ginsburg said in a statement she, too, read from the bench.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>More resources:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2012/06/28/155901105/live-blog-the-health-care-ruling\">NPR live blog\u003c/a>\n\u003c/li>\u003cli>\u003ca href=\"http://www.scotusblog.com/cover-it-live/\">SCOTUSblog live coverage and analysis\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://elections.nytimes.com/2012/live-coverage/scotus-healthcare\">NY Times live blog\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://liveblog.washingtonpost.com/2012/06/28/supreme-court-health-care-ruling/?hpid=z2\">Washington Post live blog\u003c/a>\n\u003c/li>\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The justices rejected two of the administration’s three arguments in support of the insurance requirement. But the court said the mandate can be construed as a tax. “Because the Constitution permits such a tax, it is not our role to forbid it, or to pass upon its wisdom or fairness,” Roberts said. \u003c!--more-->\u003c/p>\n\u003cp>The court found problems with the law’s expansion of Medicaid, but even there said the expansion could proceed as long as the federal government does not threaten to withhold states’ entire Medicaid allotment if they don’t take part in the law’s extension.\u003c/p>\n\u003cp>The court’s four liberal justices, Stephen Breyer, Ruth Bader Ginsburg, Elena Kagan and Sonia Sotomayor, joined Roberts in the outcome.\u003c/p>\n\u003cp>Justices Samuel Alito, Anthony Kennedy, Antonin Scalia and Clarence Thomas dissented.\u003c/p>\n\u003cp>Kennedy summarized the dissent in court. “In our view, the act before us is invalid in its entirety,” he said.\u003c/p>\n\u003cp>The dissenters said in a joint statement that the law “exceeds federal power both in mandating the purchase of health insurance and in denying non-consenting states all Medicaid funding.”\u003c/p>\n\u003cp>In all, the justices spelled out their views in six opinions totaling 187 pages. Roberts, Kennedy and Ginsburg spent 57 minutes summarizing their views in the packed courtroom.\u003c/p>\n\u003cp>The legislation passed Congress in early 2010 after a monumental struggle in which all Republicans voted against it. House Majority Leader Eric Cantor, R-Va., said Thursday the House will vote the week of July 9 on whether to repeal the law, though such efforts have virtually no chance in the Democratic-controlled Senate.\u003c/p>\n\u003cp>GOP presidential candidate Mitt Romney has joined in calls for complete repeal.\u003c/p>\n\u003cp>After the ruling, Republican campaign strategists said Romney will use it to continue campaigning against “Obamacare” and attacking the president’s signature health care program as a tax increase.\u003c/p>\n\u003cp>“Obama might have his law, but the GOP has a cause,” said veteran campaign adviser Terry Holt. “This promises to galvanize Republican support around a repeal of what could well be called the largest tax increase in American history.”\u003c/p>\n\u003cp>Democrats said Romney, who backed an individual health insurance mandate when he was Massachusetts governor, will have a hard time exploiting the ruling.\u003c/p>\n\u003cp>“Mitt Romney is the intellectual godfather of Obamacare,” said Democratic consultant Jim Manley. “The bigger issue is the rising cost of health care, and this bill is designed to deal with it.”\u003c/p>\n\u003cp>More than eight in 10 Americans already have health insurance. But for most of the 50 million who are uninsured, the ruling offers the promise of guaranteed coverage at affordable prices. Lower-income and many middle-class families will be eligible for subsidies to help pay premiums starting in 2014.\u003c/p>\n\u003cp>There’s also an added safety net for all Americans, insured and uninsured. Starting in 2014, insurance companies will not be able to deny coverage for medical treatment, nor can they charge more to people with health problems. Those protections, now standard in most big employer plans, will be available to all, including people who get laid off, or leave a corporate job to launch their own small business.\u003c/p>\n\u003cp>Seniors also benefit from the law through better Medicare coverage for those with high prescription costs, and no copayments for preventive care. But hospitals, nursing homes, and many other service providers may struggle once the Medicare cuts used to finance the law really start to bite.\u003c/p>\n\u003cp>Illegal immigrants are not entitled to the new insurance coverage under the law, and will remain one of the biggest groups uninsured.\u003c/p>\n\u003cp>Obama’s law is by no means the last word on health care. Experts expect costs to keep rising, meaning that lawmakers will have to revisit the issue perhaps as early as next year, when federal budget woes will force them to confront painful options for Medicare and Medicaid, the giant federal programs that cover seniors, the disabled, and low-income people.\u003c/p>\n\u003cp>The health care overhaul focus will now quickly shift from Washington to state capitals. Only 14 states, plus Washington, D.C., have adopted plans to set up the new health insurance markets called for under the law. Called exchanges, the new markets are supposed to be up and running on Jan. 1, 2014. People buying coverage individually, as well as small businesses, will be able to shop for private coverage from a range of competing insurers.\u003c/p>\n\u003cp>Most Republican-led states, including large ones such as Texas and Florida, have been counting on the law to be overturned and have failed to do the considerable spade work needed to set up exchanges. There’s a real question about whether they can meet the deadline, and if they don’t, Washington will step in and run their exchanges for them.\u003c/p>\n\u003cp>In contrast to the states, health insurance companies, major employers, and big hospital systems are among the best prepared. Many of the changes called for in the law were already being demanded by employers trying to get better value for their private health insurance dollars.\u003c/p>\n\u003cp>“The main driver here is financial,” said Dr. Toby Cosgrove, CEO of the Cleveland Clinic, which has pioneered some of the changes. “The factors driving health care reform are not new, and they are not going to go away.”\u003c/p>\n\u003cp>Justice Ginsburg said the court should have upheld the entire law as written without forcing any changes in the Medicaid provision. She said Congress’ constitutional authority to regulate interstate commerce supports the individual mandate. She warned that the legal reasoning, even though the law was upheld, could cause trouble in future cases.\u003c/p>\n\u003cp>“So in the end, the Affordable Health Care Act survives largely unscathed. But the court’s commerce clause and spending clause jurisprudence has been set awry. My expectation is that the setbacks will be temporary blips, not permanent obstructions,” Ginsburg said in a statement she, too, read from the bench.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More resources:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2012/06/28/155901105/live-blog-the-health-care-ruling\">NPR live blog\u003c/a>\n\u003c/li>\u003cli>\u003ca href=\"http://www.scotusblog.com/cover-it-live/\">SCOTUSblog live coverage and analysis\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://elections.nytimes.com/2012/live-coverage/scotus-healthcare\">NY Times live blog\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://liveblog.washingtonpost.com/2012/06/28/supreme-court-health-care-ruling/?hpid=z2\">Washington Post live blog\u003c/a>\n\u003c/li>\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"title": "Which Benefits Will Californians Lose if Court Strikes Down Health Care Act? (And Which Will Remain No Matter What?)",
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"headTitle": "Which Benefits Will Californians Lose if Court Strikes Down Health Care Act? (And Which Will Remain No Matter What?) | KQED",
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"content": "\u003cp>Tomorrow when you wake up, it’s widely expected you will be living in a country in which the Affordable Care Act (“health care reform” if you’re a Democrat, “Obamacare” if you’re a Republican, and “The End of the American Way of Life As We Know It” if you’re a devotee of conservative talk radio) has either been sanctioned by the Supreme Court of the United States — or struck down by that body as unconstitutional.\u003c/p>\n\u003caside class=\"pullquote alignleft\">More resources…\n\u003cul>\n\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/\">Live coverage Thursday on KQED State of Health\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.sacbee.com/2012/06/21/4578080/imminent-court-ruling-could-undercut.html\">Imminent court ruling could undercut California’s health plans\u003c/a> (Sacramento Bee)\n\u003c/li>\u003cli>\u003ca href=\"http://www.scotusblog.com/2012/06/a-readers-guide-to-health-care-ruling/\">A reader’s guide to health care ruling\u003c/a> (SCOTUSblog)\u003c/li>\n\u003cli>\u003ca href=\"http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/27/four-ways-the-supreme-court-could-split-the-difference-on-health-care/\">Four ways the Supreme Court could split the difference on health care\u003c/a> (Ezra Klein, Washington Post)\n\u003c/li>\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/06/why-the-ruling-on-obamacare-may-not-matter/258882/#\">Why the Obamacare Ruling May Not Matter\u003c/a> (The Atlantic)\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Or something in-between. It’s \u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/06/25/demystifying-questions-around-the-supreme-courts-coming-health-care-decision/\">complicated\u003c/a>.\u003c/p>\n\u003cp>Debate about the law, you may have observed, has become something much more than an argument over a specific policy. Opposition to the act among Republican politicians is virtually mandatory, and its fate has come to feel like a proxy for the success or failure of the entire Obama presidency.\u003c/p>\n\u003cp>Furthermore, one might argue, opponents’ \u003ca href=\"http://thehill.com/video/house/235139-sen-barrasso-weighs-in-on-palins-renewed-death-panel-claim-\">extreme interpretations of the law’s provisions\u003c/a> are indicative of not just the gaping partisan divide, but an almost metaphysical chasm between two distinct sets of Americans.\u003c/p>\n\u003cp>But there’s more at stake than just politics. A substantial number of people are already receiving insurance or other benefits under the law that they otherwise would not be eligible for. So I checked in today with Mina Kim, who has been reporting on health care for KQED, to see just what’s at risk.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I asked Mina to break down the possibilities into two categories:\u003c/p>\n\u003cp>1) What happens if the entire law is struck down\u003cbr>\n2) What happens if only the individual mandate — the requirement that everybody buy health insurance — is nixed\u003c/p>\n\u003cp>\u003c!--more-->\u003cstrong>What happens if the entire law is struck down\u003c/strong>\u003c/p>\n\u003cp>Through the federal health care law, Mina Kim reports, about 400,000 Californians currently receive health care under a low-income health insurance program. After the health care law was enacted, California received a Medicaid waiver from the federal government that has enabled counties to receive matching federal funds to expand coverage to low-income, childless adults. Currently, 47 of California’s 58 counties participate in this program.\u003c/p>\n\u003cp>In 2014, when the full federal law is supposed to go into effect, these individuals would be transferred to a newly expanded Medicaid program that \u003ca href=\"http://www.medicaid.gov/AffordableCareAct/Provisions/Eligibility.html\">mandates people below 133 percent of the poverty level qualify for coverage\u003c/a> (another component challenged in the Supreme Court).\u003c/p>\n\u003cp>If the entire law is struck down, or just the Medicaid expansion, there will be no federal funds to keep these 400,000 low-income Californians enrolled.\u003c/p>\n\u003cp>California is also using federal funds provided under the health care law to \u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\">insure more than 10,000 people with pre-existing conditions\u003c/a>. (The state already has a “\u003ca href=\"http://www.mrmib.ca.gov/mrmib/Facts_About_California_HR_Pool.pdf\">high-risk pool\u003c/a>” under which it insures about 7,000 people, but it’s expensive and there’s a waiting list.) These are people who can’t get insurance on the individual market because they are already sick to some degree.\u003c/p>\n\u003cp>This program would be phased out in 2014 and replaced with an online health insurance exchange.\u003c/p>\n\u003cp>Some senior citizens who receive prescription drug benefits under Medicare would also be affected if the entire law is struck down. The law requires pharmaceutical companies to provide 50 percent discounts on brand-name drugs and 7 percent on generics when people are caught in the so-called “\u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\">doughnut hole\u003c/a>” — a gap in coverage. The Centers For Medicare & Medicaid Services says that Californians have saved $311 million dollars on prescription drugs under this provision since the law passed.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>What happens if the just the individual mandate is struck down?\u003c/strong>\u003c/p>\n\u003cp>This will primarily affect the way the health exchange — on track for 2014 — is intended to operate, says Mina Kim. The individual mandate compels people to buy insurance — the healthy and the sick alike — and theoretically if the mandate doesn’t exist, healthy people will not participate, thus not offsetting the cost of insuring the sick and keeping premiums affordable.\u003c/p>\n\u003cp>It’s been estimated that 2.5 to 3 million people in California will buy insurance over the exchange. The UCLA Center For Health Policy Research predicts 900,000 fewer people purchasing a plan if they’re not forced to. Peter Lee, the Executive Director of the California Health Benefit Exchange, estimated the decrease will be more like 500,000 people.\u003c/p>\n\u003cp>In any event, California intends on going forward with its exchange even if the mandate is struck down, because the income-based subsidies that individual purchasers of insurance qualify for will remain.\u003c/p>\n\u003cp>“Peter Lee, who used to work on health policy in the Obama administration, said that the striking down of the individual mandate will absolutely not inhibit the ability of the exchange to go forward,” Mina Kim says. “Lee says he’s not even doing any contingency planning for the decision.”\u003c/p>\n\u003cp>But what if the entire law is struck down — meaning no subsidies for people to buy insurance on the exchange?\u003c/p>\n\u003cp>“Lee thinks for the justices to strike down all the parts of the health care law would be such an incredible overreach of judicial power, that it’s not even worth considering. That’s how he feels about it. California has already even contracted with an IT vendor to create an online portal for the exchange. But he’s willing to concede the mandate may be struck down.”\u003c/p>\n\u003cp>Additionally, state lawmakers could try to legislate around a decision striking down the mandate, creating something akin to it that would still meet constitutional muster. “There has been support for that in the past,” says Mina Kim. “There are lawmakers considering laws to that effect should the court strike the mandate down.”\u003c/p>\n\u003cp>\u003cstrong>What will stay no matter what the court rules? \u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Some provisions of the health care act will remain in California even if the court strikes the entire thing down, because the state has passed legislation duplicating those laws.\u003c/p>\n\u003cul>\n\u003cli>Children will still be able to stay on their parents’ health plan up to the age of 26.\u003c/li>\n\u003cli>Insurers will still not be able to reject anyone under 18 with pre-existing conditions\u003c/li>\n\u003cli>Insurers will not be able to cancel someone’s coverage when they become sick (called “recission”) because the insured made an unintentional error in his or her original application.\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tomorrow when you wake up, it’s widely expected you will be living in a country in which the Affordable Care Act (“health care reform” if you’re a Democrat, “Obamacare” if you’re a Republican, and “The End of the American Way of Life As We Know It” if you’re a devotee of conservative talk radio) has either been sanctioned by the Supreme Court of the United States — or struck down by that body as unconstitutional.\u003c/p>\n\u003caside class=\"pullquote alignleft\">More resources…\n\u003cul>\n\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/\">Live coverage Thursday on KQED State of Health\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"http://www.sacbee.com/2012/06/21/4578080/imminent-court-ruling-could-undercut.html\">Imminent court ruling could undercut California’s health plans\u003c/a> (Sacramento Bee)\n\u003c/li>\u003cli>\u003ca href=\"http://www.scotusblog.com/2012/06/a-readers-guide-to-health-care-ruling/\">A reader’s guide to health care ruling\u003c/a> (SCOTUSblog)\u003c/li>\n\u003cli>\u003ca href=\"http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/27/four-ways-the-supreme-court-could-split-the-difference-on-health-care/\">Four ways the Supreme Court could split the difference on health care\u003c/a> (Ezra Klein, Washington Post)\n\u003c/li>\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/06/why-the-ruling-on-obamacare-may-not-matter/258882/#\">Why the Obamacare Ruling May Not Matter\u003c/a> (The Atlantic)\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Or something in-between. It’s \u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/06/25/demystifying-questions-around-the-supreme-courts-coming-health-care-decision/\">complicated\u003c/a>.\u003c/p>\n\u003cp>Debate about the law, you may have observed, has become something much more than an argument over a specific policy. Opposition to the act among Republican politicians is virtually mandatory, and its fate has come to feel like a proxy for the success or failure of the entire Obama presidency.\u003c/p>\n\u003cp>Furthermore, one might argue, opponents’ \u003ca href=\"http://thehill.com/video/house/235139-sen-barrasso-weighs-in-on-palins-renewed-death-panel-claim-\">extreme interpretations of the law’s provisions\u003c/a> are indicative of not just the gaping partisan divide, but an almost metaphysical chasm between two distinct sets of Americans.\u003c/p>\n\u003cp>But there’s more at stake than just politics. A substantial number of people are already receiving insurance or other benefits under the law that they otherwise would not be eligible for. So I checked in today with Mina Kim, who has been reporting on health care for KQED, to see just what’s at risk.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I asked Mina to break down the possibilities into two categories:\u003c/p>\n\u003cp>1) What happens if the entire law is struck down\u003cbr>\n2) What happens if only the individual mandate — the requirement that everybody buy health insurance — is nixed\u003c/p>\n\u003cp>\u003c!--more-->\u003cstrong>What happens if the entire law is struck down\u003c/strong>\u003c/p>\n\u003cp>Through the federal health care law, Mina Kim reports, about 400,000 Californians currently receive health care under a low-income health insurance program. After the health care law was enacted, California received a Medicaid waiver from the federal government that has enabled counties to receive matching federal funds to expand coverage to low-income, childless adults. Currently, 47 of California’s 58 counties participate in this program.\u003c/p>\n\u003cp>In 2014, when the full federal law is supposed to go into effect, these individuals would be transferred to a newly expanded Medicaid program that \u003ca href=\"http://www.medicaid.gov/AffordableCareAct/Provisions/Eligibility.html\">mandates people below 133 percent of the poverty level qualify for coverage\u003c/a> (another component challenged in the Supreme Court).\u003c/p>\n\u003cp>If the entire law is struck down, or just the Medicaid expansion, there will be no federal funds to keep these 400,000 low-income Californians enrolled.\u003c/p>\n\u003cp>California is also using federal funds provided under the health care law to \u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\">insure more than 10,000 people with pre-existing conditions\u003c/a>. (The state already has a “\u003ca href=\"http://www.mrmib.ca.gov/mrmib/Facts_About_California_HR_Pool.pdf\">high-risk pool\u003c/a>” under which it insures about 7,000 people, but it’s expensive and there’s a waiting list.) These are people who can’t get insurance on the individual market because they are already sick to some degree.\u003c/p>\n\u003cp>This program would be phased out in 2014 and replaced with an online health insurance exchange.\u003c/p>\n\u003cp>Some senior citizens who receive prescription drug benefits under Medicare would also be affected if the entire law is struck down. The law requires pharmaceutical companies to provide 50 percent discounts on brand-name drugs and 7 percent on generics when people are caught in the so-called “\u003ca href=\"http://www.pcip.ca.gov/Home/default.aspx\">doughnut hole\u003c/a>” — a gap in coverage. The Centers For Medicare & Medicaid Services says that Californians have saved $311 million dollars on prescription drugs under this provision since the law passed.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>What happens if the just the individual mandate is struck down?\u003c/strong>\u003c/p>\n\u003cp>This will primarily affect the way the health exchange — on track for 2014 — is intended to operate, says Mina Kim. The individual mandate compels people to buy insurance — the healthy and the sick alike — and theoretically if the mandate doesn’t exist, healthy people will not participate, thus not offsetting the cost of insuring the sick and keeping premiums affordable.\u003c/p>\n\u003cp>It’s been estimated that 2.5 to 3 million people in California will buy insurance over the exchange. The UCLA Center For Health Policy Research predicts 900,000 fewer people purchasing a plan if they’re not forced to. Peter Lee, the Executive Director of the California Health Benefit Exchange, estimated the decrease will be more like 500,000 people.\u003c/p>\n\u003cp>In any event, California intends on going forward with its exchange even if the mandate is struck down, because the income-based subsidies that individual purchasers of insurance qualify for will remain.\u003c/p>\n\u003cp>“Peter Lee, who used to work on health policy in the Obama administration, said that the striking down of the individual mandate will absolutely not inhibit the ability of the exchange to go forward,” Mina Kim says. “Lee says he’s not even doing any contingency planning for the decision.”\u003c/p>\n\u003cp>But what if the entire law is struck down — meaning no subsidies for people to buy insurance on the exchange?\u003c/p>\n\u003cp>“Lee thinks for the justices to strike down all the parts of the health care law would be such an incredible overreach of judicial power, that it’s not even worth considering. That’s how he feels about it. California has already even contracted with an IT vendor to create an online portal for the exchange. But he’s willing to concede the mandate may be struck down.”\u003c/p>\n\u003cp>Additionally, state lawmakers could try to legislate around a decision striking down the mandate, creating something akin to it that would still meet constitutional muster. “There has been support for that in the past,” says Mina Kim. “There are lawmakers considering laws to that effect should the court strike the mandate down.”\u003c/p>\n\u003cp>\u003cstrong>What will stay no matter what the court rules? \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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