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But he quickly added, “Our current intent right now is to close the refinery.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Valero CEO Lane Riggs cited California’s tough “regulatory and enforcement environment” as the main driver behind the company’s intent to cease operations at the sprawling North Bay facility. The sixth-largest refinery in the state, it currently produces up to 145,000 barrels of crude oil a day, accounting for \u003ca href=\"https://www.energy.ca.gov/data-reports/energy-almanac/californias-petroleum-market/californias-oil-refineries\">about 9%\u003c/a> of the state’s production.\u003c/p>\n\u003cp>“California has been pursuing policies to move away from fossil fuels for really the past 20 years,” Riggs said, calling the state’s regulations “the most stringent and difficult of anywhere else in North America.”\u003c/p>\n\u003cp>Benicia Mayor Steve Young doesn’t disagree with the assessment, but said he wishes the company had provided more lead time.\u003c/p>\n\u003cp>[aside postID=news_12036242 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/ValeroBenicia-1020x765.jpg']\u003c/p>\n\u003cp>“We need to get moving on this quickly because 12 months is not a long time given the severity of the economic impact,” said Young, noting that nearly 20% of Benicia’s $60 million budget comes from the refinery. “I think that’s part of my frustration, is how little time we have to try to plan for some kind of an alternative.”\u003c/p>\n\u003cp>Shutting down the facility, he added, would also be a major blow to the hundreds of residents who work there, not to mention the scores of restaurants, hotels and other businesses that provide services to those workers in this city of some 27,000 residents.\u003c/p>\n\u003cp>The Valero refinery is also the exclusive supplier of jet fuel to nearby Travis Air Force Base, which it delivers through a direct pipeline.\u003c/p>\n\u003cp>“If that is stopped, what does that mean to the base?” Young said. “Travis uses an amazing amount of fuel to fly all their planes, much more than can be easily replaced, and certainly not replaced within a year. So I think that this becomes a matter of real concern to the Defense Department and it’s potentially a national security issue.”\u003c/p>\n\u003cp>Valero dropped its bombshell April 16 announcement roughly six months after regional and state air regulators fined the company a \u003ca href=\"https://www.kqed.org/news/12011785/bay-area-air-district-hits-valeros-benicia-refinery-with-historic-82-million-fine\">record $82 million\u003c/a> for secretly exceeding toxic emissions standards for at least 15 years. And last month, city leaders voted unanimously to impose moderate \u003ca href=\"https://www.kqed.org/news/12029845/benicia-moves-toward-tougher-oversight-of-valero-refinery\">new safety regulations\u003c/a> on the facility.\u003c/p>\n\u003cfigure id=\"attachment_11906319\" class=\"wp-caption alignright\" style=\"max-width: 345px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11906319\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery.png\" alt=\"Map showing location of Valero's Benicia refinery\" width=\"345\" height=\"362\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery.png 940w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery-800x839.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery-160x168.png 160w\" sizes=\"auto, (max-width: 345px) 100vw, 345px\">\u003cfigcaption class=\"wp-caption-text\">\u003ci>Map by Matthew Green/KQED\u003c/i>\u003c/figcaption>\u003c/figure>\n\u003cp>“I suspect that compared to other refinery operators, they’re a pretty good business operator. But they’ve also had a pretty bad track record on public safety,” said Terry Mollica, who leads a group of residents that pushed for the city’s new safety rules to increase oversight of the refinery.\u003c/p>\n\u003cp>But Mollica said that he doesn’t think anybody in his group is particularly excited about the possibility of the facility closing altogether.\u003c/p>\n\u003cp>“There would be long-term and short-term impacts on the community,” he said. “People would lose their jobs. None of us want to see that happen particularly.”\u003c/p>\n\u003cp>Valero has owned and operated the Benicia refinery since 2000. The refinery was originally built in 1968 for Humble Oil, later called Exxon, and began operations the following year.\u003c/p>\n\u003cp>Its possible closure comes amid a growing exodus of traditional oil refiners in California. \u003ca href=\"https://biodieselmagazine.com/articles/phillips-66-rodeo-conversion-project-to-begin-operations-in-q1\">Phillips 66’s refinery in Rodeo\u003c/a> and \u003ca href=\"https://biodieselmagazine.com/articles/marathon-martinez-biorefinery-to-reach-full-capacity-by-year-end\">Marathon’s facility in Martinez \u003c/a>both recently converted operations to biofuel production. Phillips 66 also \u003ca href=\"https://www.latimes.com/business/story/2024-10-16/phillips-66-will-shut-historic-wilmington-refinery\">plans to close\u003c/a> its Los Angeles-area refinery — the seventh largest in the state — later this year.[aside postID=news_12011785 hero='https://ww2.kqed.org/app/uploads/sites/10/2016/10/Refinery-1920x1440.jpg']And Valero executives, in this week’s earnings call, hinted that they may also soon consider “strategic alternatives” for the company’s only other California refinery, located near Los Angeles, which accounts for more than 5% of the state’s crude oil supply.\u003c/p>\n\u003cp>“California is phasing out its gasoline consumption and refiners see that coming,” said Severin Borenstein, a UC Berkeley energy economist. “We should be seriously concerned about how all that gasoline supply is going to get replaced.”\u003c/p>\n\u003cp>California has dramatically reduced its reliance on fossil fuels in recent decades, but most residents still drive gas-powered cars and will continue to do so for years to come, Borenstein said, even though the state already has some of the highest gas prices in the nation.\u003c/p>\n\u003cp>Gov. Gavin Newsom underscored that sense of urgency this week \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/GovNewsomLetterCECGunda.pdf\" target=\"_blank\" rel=\"noopener\">in a letter (PDF)\u003c/a> to California Energy Commission Vice Chair Siva Gunda. He urged the commission to “redouble” its efforts to ensure refiners “continue to see the value in serving the California market, even as demand for fossil fuels continues its gradual decline over the coming decades.”\u003c/p>\n\u003cp>“I am directing you … to reinforce the State’s openness to a collaborative relationship and our firm belief that Californians can be protected from price spikes and refiners can profitably operate in California — a market where demand for gasoline will still exist for years to come,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_12037805\" class=\"wp-caption aligncenter\" style=\"max-width: 1947px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037805\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed.jpg\" alt=\"\" width=\"1947\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed.jpg 1947w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1020x698.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1536x1052.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1920x1315.jpg 1920w\" sizes=\"auto, (max-width: 1947px) 100vw, 1947px\">\u003cfigcaption class=\"wp-caption-text\">A customer prepares to pump gas into his truck at a Valero gas station on July 22, 2013 in Mill Valley. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Almost immediately after Valero’s announcement, Newsom was lambasted by state Assembly Republicans, who said the potential closure was among the growing number of “real-world consequences” of [his] war on California energy producers that was “becoming clearer by the day.”\u003c/p>\n\u003cp>In his letter, Newsom defended two different laws he signed in the last two years that give the state more oversight of the oil industry and regulate backup supply when refineries go offline in order to prevent market irregularities. He also asked state energy and environmental officials to produce a report by July 1 on “any changes in the State’s approach that are needed to ensure adequate supply during this transition.”\u003c/p>\n\u003cp>“The California Energy Commission continues to be committed to working with stakeholders to explore options to ensure an affordable, reliable, and safe transportation fuel supply,” Sandy Louey, a spokesperson for the commission, said in an email in response to Newsom’s letter.\u003c/p>\n\u003cp>Young, whose city has long felt the health impacts of the refinery’s toxic releases, said he understands the motivation behind California’s ambitious regulations.\u003c/p>\n\u003cp>“I think certainly [California’s] done them for lots of good environmental reasons, and that obviously climate change is a real thing and burning fossil fuels is a direct contributor to it,” he said. “Did they go too far? I don’t want to say that. But it certainly has created an environment where oil companies feel that either they’ve been unfairly targeted or they are just seeing this as perhaps a way to negotiate some rollbacks of some of those things.”\u003c/p>\n\u003cp>Young acknowledged that the refinery’s closure would yield some “net benefit” to the health and safety of his community.\u003c/p>\n\u003cp>“And so from an environmental point of view, sure, it’s certainly possible to look at it as a silver lining,” he said. “But overall, given how quick this is unfolding, I’m certainly not celebrating it by any means.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The potential closure of the massive Benicia oil refinery by next April would have a major impact on the city’s economy and the state’s oil supply. ",
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"title": "Potential Valero Refinery Closure Leaves Benicia, State Officials Scrambling for Alternatives | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A week after Valero \u003ca href=\"https://www.kqed.org/news/12036695/shocking-news-valero-announces-plans-to-end-operations-at-benicia-refinery\">announced plans\u003c/a> to “idle, restructure or cease” operations at its massive Benicia oil refinery by next April, company executives said that while the plant’s closure was more than likely, it was not yet a foregone conclusion.\u003c/p>\n\u003cp>In an \u003ca href=\"https://seekingalpha.com/article/4777736-valero-energy-corporation-vlo-q1-2025-earnings-call-transcript\">earnings call\u003c/a> Thursday, Valero executives left open the possibility of a Hail Mary, saying they had plans to meet with state and local officials to discuss potential options.\u003c/p>\n\u003cp>“I do think there’s a genuine interest in California to avoid the closure,” Richard Walsh, Valero’s executive vice president, said during the call. But he quickly added, “Our current intent right now is to close the refinery.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Valero CEO Lane Riggs cited California’s tough “regulatory and enforcement environment” as the main driver behind the company’s intent to cease operations at the sprawling North Bay facility. The sixth-largest refinery in the state, it currently produces up to 145,000 barrels of crude oil a day, accounting for \u003ca href=\"https://www.energy.ca.gov/data-reports/energy-almanac/californias-petroleum-market/californias-oil-refineries\">about 9%\u003c/a> of the state’s production.\u003c/p>\n\u003cp>“California has been pursuing policies to move away from fossil fuels for really the past 20 years,” Riggs said, calling the state’s regulations “the most stringent and difficult of anywhere else in North America.”\u003c/p>\n\u003cp>Benicia Mayor Steve Young doesn’t disagree with the assessment, but said he wishes the company had provided more lead time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We need to get moving on this quickly because 12 months is not a long time given the severity of the economic impact,” said Young, noting that nearly 20% of Benicia’s $60 million budget comes from the refinery. “I think that’s part of my frustration, is how little time we have to try to plan for some kind of an alternative.”\u003c/p>\n\u003cp>Shutting down the facility, he added, would also be a major blow to the hundreds of residents who work there, not to mention the scores of restaurants, hotels and other businesses that provide services to those workers in this city of some 27,000 residents.\u003c/p>\n\u003cp>The Valero refinery is also the exclusive supplier of jet fuel to nearby Travis Air Force Base, which it delivers through a direct pipeline.\u003c/p>\n\u003cp>“If that is stopped, what does that mean to the base?” Young said. “Travis uses an amazing amount of fuel to fly all their planes, much more than can be easily replaced, and certainly not replaced within a year. So I think that this becomes a matter of real concern to the Defense Department and it’s potentially a national security issue.”\u003c/p>\n\u003cp>Valero dropped its bombshell April 16 announcement roughly six months after regional and state air regulators fined the company a \u003ca href=\"https://www.kqed.org/news/12011785/bay-area-air-district-hits-valeros-benicia-refinery-with-historic-82-million-fine\">record $82 million\u003c/a> for secretly exceeding toxic emissions standards for at least 15 years. And last month, city leaders voted unanimously to impose moderate \u003ca href=\"https://www.kqed.org/news/12029845/benicia-moves-toward-tougher-oversight-of-valero-refinery\">new safety regulations\u003c/a> on the facility.\u003c/p>\n\u003cfigure id=\"attachment_11906319\" class=\"wp-caption alignright\" style=\"max-width: 345px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11906319\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery.png\" alt=\"Map showing location of Valero's Benicia refinery\" width=\"345\" height=\"362\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery.png 940w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery-800x839.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/BeniciaRefinery-160x168.png 160w\" sizes=\"auto, (max-width: 345px) 100vw, 345px\">\u003cfigcaption class=\"wp-caption-text\">\u003ci>Map by Matthew Green/KQED\u003c/i>\u003c/figcaption>\u003c/figure>\n\u003cp>“I suspect that compared to other refinery operators, they’re a pretty good business operator. But they’ve also had a pretty bad track record on public safety,” said Terry Mollica, who leads a group of residents that pushed for the city’s new safety rules to increase oversight of the refinery.\u003c/p>\n\u003cp>But Mollica said that he doesn’t think anybody in his group is particularly excited about the possibility of the facility closing altogether.\u003c/p>\n\u003cp>“There would be long-term and short-term impacts on the community,” he said. “People would lose their jobs. None of us want to see that happen particularly.”\u003c/p>\n\u003cp>Valero has owned and operated the Benicia refinery since 2000. The refinery was originally built in 1968 for Humble Oil, later called Exxon, and began operations the following year.\u003c/p>\n\u003cp>Its possible closure comes amid a growing exodus of traditional oil refiners in California. \u003ca href=\"https://biodieselmagazine.com/articles/phillips-66-rodeo-conversion-project-to-begin-operations-in-q1\">Phillips 66’s refinery in Rodeo\u003c/a> and \u003ca href=\"https://biodieselmagazine.com/articles/marathon-martinez-biorefinery-to-reach-full-capacity-by-year-end\">Marathon’s facility in Martinez \u003c/a>both recently converted operations to biofuel production. Phillips 66 also \u003ca href=\"https://www.latimes.com/business/story/2024-10-16/phillips-66-will-shut-historic-wilmington-refinery\">plans to close\u003c/a> its Los Angeles-area refinery — the seventh largest in the state — later this year.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And Valero executives, in this week’s earnings call, hinted that they may also soon consider “strategic alternatives” for the company’s only other California refinery, located near Los Angeles, which accounts for more than 5% of the state’s crude oil supply.\u003c/p>\n\u003cp>“California is phasing out its gasoline consumption and refiners see that coming,” said Severin Borenstein, a UC Berkeley energy economist. “We should be seriously concerned about how all that gasoline supply is going to get replaced.”\u003c/p>\n\u003cp>California has dramatically reduced its reliance on fossil fuels in recent decades, but most residents still drive gas-powered cars and will continue to do so for years to come, Borenstein said, even though the state already has some of the highest gas prices in the nation.\u003c/p>\n\u003cp>Gov. Gavin Newsom underscored that sense of urgency this week \u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/GovNewsomLetterCECGunda.pdf\" target=\"_blank\" rel=\"noopener\">in a letter (PDF)\u003c/a> to California Energy Commission Vice Chair Siva Gunda. He urged the commission to “redouble” its efforts to ensure refiners “continue to see the value in serving the California market, even as demand for fossil fuels continues its gradual decline over the coming decades.”\u003c/p>\n\u003cp>“I am directing you … to reinforce the State’s openness to a collaborative relationship and our firm belief that Californians can be protected from price spikes and refiners can profitably operate in California — a market where demand for gasoline will still exist for years to come,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_12037805\" class=\"wp-caption aligncenter\" style=\"max-width: 1947px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037805\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed.jpg\" alt=\"\" width=\"1947\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed.jpg 1947w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1020x698.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1536x1052.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/174246469_qed-1920x1315.jpg 1920w\" sizes=\"auto, (max-width: 1947px) 100vw, 1947px\">\u003cfigcaption class=\"wp-caption-text\">A customer prepares to pump gas into his truck at a Valero gas station on July 22, 2013 in Mill Valley. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Almost immediately after Valero’s announcement, Newsom was lambasted by state Assembly Republicans, who said the potential closure was among the growing number of “real-world consequences” of [his] war on California energy producers that was “becoming clearer by the day.”\u003c/p>\n\u003cp>In his letter, Newsom defended two different laws he signed in the last two years that give the state more oversight of the oil industry and regulate backup supply when refineries go offline in order to prevent market irregularities. He also asked state energy and environmental officials to produce a report by July 1 on “any changes in the State’s approach that are needed to ensure adequate supply during this transition.”\u003c/p>\n\u003cp>“The California Energy Commission continues to be committed to working with stakeholders to explore options to ensure an affordable, reliable, and safe transportation fuel supply,” Sandy Louey, a spokesperson for the commission, said in an email in response to Newsom’s letter.\u003c/p>\n\u003cp>Young, whose city has long felt the health impacts of the refinery’s toxic releases, said he understands the motivation behind California’s ambitious regulations.\u003c/p>\n\u003cp>“I think certainly [California’s] done them for lots of good environmental reasons, and that obviously climate change is a real thing and burning fossil fuels is a direct contributor to it,” he said. “Did they go too far? I don’t want to say that. But it certainly has created an environment where oil companies feel that either they’ve been unfairly targeted or they are just seeing this as perhaps a way to negotiate some rollbacks of some of those things.”\u003c/p>\n\u003cp>Young acknowledged that the refinery’s closure would yield some “net benefit” to the health and safety of his community.\u003c/p>\n\u003cp>“And so from an environmental point of view, sure, it’s certainly possible to look at it as a silver lining,” he said. “But overall, given how quick this is unfolding, I’m certainly not celebrating it by any means.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "rfk-jr-announced-phase-out-poisonous-food-dyes-critics-say-plan-lacks-teeth",
"title": "RFK Jr. Announced a Phase-Out of ‘Poisonous’ Food Dyes. Critics Say the Plan Lacks Teeth",
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"headTitle": "RFK Jr. Announced a Phase-Out of ‘Poisonous’ Food Dyes. Critics Say the Plan Lacks Teeth | KQED",
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"content": "\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump administration\u003c/a> announced a major food safety initiative this week: a plan to phase out eight petroleum-based synthetic food dyes from the U.S. food supply. The policy, led by Health and Human Services Secretary \u003ca href=\"https://www.kqed.org/news/tag/robert-f-kennedy-jr\">Robert F. Kennedy Jr.\u003c/a> and the Food and Drug Administration, marks a dramatic escalation in federal attention to artificial additives that health advocates say may pose risks to children’s health.\u003c/p>\n\u003cp>At a news conference, Kennedy described the plan as part of the administration’s “Make America Healthy Again” initiative, calling synthetic dyes “poisonous compounds” that offer no nutritional value. “That era is coming to an end,” he said.\u003c/p>\n\u003cp>The FDA says it will revoke authorization for two dyes — Citrus Red No. 2 and Orange B — in the coming months, and work with manufacturers to eliminate six additional dyes by the end of 2026. These include Red 40, Yellow 5, Yellow 6, Blue 1, Blue 2 and Green 3. Red Dye No. 3, some of which California and other states have already outlawed, is also targeted for accelerated removal. The plan includes fast-tracking approval of natural alternatives like butterfly pea flower extract, gardenia blue and blue Galdieria extract.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But while the goal of the plan is ambitious, the path to implementation is murky. Kennedy acknowledged the phase-out is based on an “understanding” with industry rather than a binding regulatory mandate. The agencies are requesting — rather than requiring — that manufacturers remove dyes from products sold in the U.S.\u003c/p>\n\u003cp>Consumer Reports, which has long advocated for eliminating harmful food dyes, called the policy a step in the right direction but warned it could take years to implement.\u003c/p>\n\u003cfigure id=\"attachment_12037196\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037196\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">CVS’s artificially colored jelly beans in Washington, DC, on March 24, 2011. \u003ccite>(Wendy Galietta/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s encouraging to see the FDA working towards a ban on synthetic food dyes,” said Brian Ronholm, the organization’s director of food policy. “But this multistep plan relies on voluntary industry efforts that will simply prolong the amount of time it will take to get dangerous dyes out of our food.”\u003c/p>\n\u003cp>Ronholm urges states to continue adopting their own bans in the meantime. Earlier this year, West Virginia passed legislation restricting most artificial dyes, and more than two dozen other states are considering similar bills. Ronholm also raised concerns that recent staff and budget cuts at the FDA could hamper the agency’s ability to follow through.\u003c/p>\n\u003cp>The dyes in question are found in thousands of processed foods — everything from cereals to candies to beverages — primarily to enhance visual appeal. While the FDA continues to allow their use, researchers and public health experts have increasingly questioned their safety, particularly in light of newer studies linking synthetic dyes to behavioral changes in children.[aside postID=news_12035659 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/CTScanAP-1020x680.jpg']“It’s a slam dunk that some kids are being harmed by these toxic chemicals,” said Scott Faber, senior vice president for government affairs for the Environmental Working Group, a national environmental health organization. “It makes them less prepared to learn. And that is not only terrible for those kids, it makes everything harder for all the other kids in that classroom and the teachers.”\u003c/p>\n\u003cp>In 2021, California’s Office of Environmental Health Hazard Assessment released a comprehensive \u003ca href=\"https://oehha.ca.gov/media/downloads/risk-assessment/report/healthefftsassess041621.pdf\" target=\"_blank\" rel=\"noopener\">review (PDF)\u003c/a> of the scientific literature and concluded that synthetic food dyes can negatively affect neurobehavior in some children, especially those with ADHD. The agency determined that the safe intake levels set by the FDA for the additives may not sufficiently protect children because the animal studies used to set these levels were not designed for — or even capable of — detecting neurobehavioral impacts.\u003c/p>\n\u003cp>That research helped lay the groundwork for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2316\">California’s School Food Safety Act\u003c/a>, which bans six synthetic dyes from public school meals beginning in 2027. And the food industry must \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB418\">remove Red 3\u003c/a> — which has been banned in the European Union, the United Kingdom and China — in all products.\u003c/p>\n\u003cp>Industry groups are already raising alarms about the new federal announcement. “There are not enough alternatives available to replace these products,” the International Association of Color Manufacturers said in a statement. “Supply chains will take an estimated five to 10 years to catch up and require importing more expensive ingredients grown in China, India and Mexico.”\u003c/p>\n\u003cp>Still, the political will behind the new plan appears strong. Kennedy’s move gives the Trump administration a headline-grabbing, bipartisan health reform — one that signals both skepticism of corporate food practices and responsiveness to growing parental concern.\u003c/p>\n\u003cp>Whether it results in meaningful improvements to public health — or stalls under legal and logistical challenges — remains to be seen. But with California leading and momentum building in other states, this could be the moment the U.S. rethinks the chemicals behind its rainbow-hued snacks.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "RFK Jr. says the era of petroleum-based dyes is ending. But with no firm mandate, watchdogs worry the FDA’s plan to clean up food could rely too much on industry goodwill.",
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"title": "RFK Jr. Announced a Phase-Out of ‘Poisonous’ Food Dyes. Critics Say the Plan Lacks Teeth | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump administration\u003c/a> announced a major food safety initiative this week: a plan to phase out eight petroleum-based synthetic food dyes from the U.S. food supply. The policy, led by Health and Human Services Secretary \u003ca href=\"https://www.kqed.org/news/tag/robert-f-kennedy-jr\">Robert F. Kennedy Jr.\u003c/a> and the Food and Drug Administration, marks a dramatic escalation in federal attention to artificial additives that health advocates say may pose risks to children’s health.\u003c/p>\n\u003cp>At a news conference, Kennedy described the plan as part of the administration’s “Make America Healthy Again” initiative, calling synthetic dyes “poisonous compounds” that offer no nutritional value. “That era is coming to an end,” he said.\u003c/p>\n\u003cp>The FDA says it will revoke authorization for two dyes — Citrus Red No. 2 and Orange B — in the coming months, and work with manufacturers to eliminate six additional dyes by the end of 2026. These include Red 40, Yellow 5, Yellow 6, Blue 1, Blue 2 and Green 3. Red Dye No. 3, some of which California and other states have already outlawed, is also targeted for accelerated removal. The plan includes fast-tracking approval of natural alternatives like butterfly pea flower extract, gardenia blue and blue Galdieria extract.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But while the goal of the plan is ambitious, the path to implementation is murky. Kennedy acknowledged the phase-out is based on an “understanding” with industry rather than a binding regulatory mandate. The agencies are requesting — rather than requiring — that manufacturers remove dyes from products sold in the U.S.\u003c/p>\n\u003cp>Consumer Reports, which has long advocated for eliminating harmful food dyes, called the policy a step in the right direction but warned it could take years to implement.\u003c/p>\n\u003cfigure id=\"attachment_12037196\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12037196\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FoodDyeGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">CVS’s artificially colored jelly beans in Washington, DC, on March 24, 2011. \u003ccite>(Wendy Galietta/The Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s encouraging to see the FDA working towards a ban on synthetic food dyes,” said Brian Ronholm, the organization’s director of food policy. “But this multistep plan relies on voluntary industry efforts that will simply prolong the amount of time it will take to get dangerous dyes out of our food.”\u003c/p>\n\u003cp>Ronholm urges states to continue adopting their own bans in the meantime. Earlier this year, West Virginia passed legislation restricting most artificial dyes, and more than two dozen other states are considering similar bills. Ronholm also raised concerns that recent staff and budget cuts at the FDA could hamper the agency’s ability to follow through.\u003c/p>\n\u003cp>The dyes in question are found in thousands of processed foods — everything from cereals to candies to beverages — primarily to enhance visual appeal. While the FDA continues to allow their use, researchers and public health experts have increasingly questioned their safety, particularly in light of newer studies linking synthetic dyes to behavioral changes in children.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s a slam dunk that some kids are being harmed by these toxic chemicals,” said Scott Faber, senior vice president for government affairs for the Environmental Working Group, a national environmental health organization. “It makes them less prepared to learn. And that is not only terrible for those kids, it makes everything harder for all the other kids in that classroom and the teachers.”\u003c/p>\n\u003cp>In 2021, California’s Office of Environmental Health Hazard Assessment released a comprehensive \u003ca href=\"https://oehha.ca.gov/media/downloads/risk-assessment/report/healthefftsassess041621.pdf\" target=\"_blank\" rel=\"noopener\">review (PDF)\u003c/a> of the scientific literature and concluded that synthetic food dyes can negatively affect neurobehavior in some children, especially those with ADHD. The agency determined that the safe intake levels set by the FDA for the additives may not sufficiently protect children because the animal studies used to set these levels were not designed for — or even capable of — detecting neurobehavioral impacts.\u003c/p>\n\u003cp>That research helped lay the groundwork for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2316\">California’s School Food Safety Act\u003c/a>, which bans six synthetic dyes from public school meals beginning in 2027. And the food industry must \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB418\">remove Red 3\u003c/a> — which has been banned in the European Union, the United Kingdom and China — in all products.\u003c/p>\n\u003cp>Industry groups are already raising alarms about the new federal announcement. “There are not enough alternatives available to replace these products,” the International Association of Color Manufacturers said in a statement. “Supply chains will take an estimated five to 10 years to catch up and require importing more expensive ingredients grown in China, India and Mexico.”\u003c/p>\n\u003cp>Still, the political will behind the new plan appears strong. Kennedy’s move gives the Trump administration a headline-grabbing, bipartisan health reform — one that signals both skepticism of corporate food practices and responsiveness to growing parental concern.\u003c/p>\n\u003cp>Whether it results in meaningful improvements to public health — or stalls under legal and logistical challenges — remains to be seen. But with California leading and momentum building in other states, this could be the moment the U.S. rethinks the chemicals behind its rainbow-hued snacks.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "‘Secret Deal’ in California Would Weaken Regulations for Oil Refineries",
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"content": "\u003cp>\u003cem>This \u003ca href=\"https://publichealthwatch.org/2025/04/22/secret-deal-in-california-would-weaken-regulations-for-oil-refineries/\">article\u003c/a> was originally published by \u003c/em>\u003ca href=\"https://publichealthwatch.org/\">\u003cem>Public Health Watch\u003c/em>\u003c/a>\u003cem>, a nonprofit investigative news organization.\u003c/em>\u003c/p>\n\u003cp>On Aug. 6, 2012, a corroded, eight-inch pipe at Chevron’s oil refinery in \u003ca href=\"https://www.kqed.org/news/tag/richmond\">Richmond\u003c/a> cracked open, sending a white cloud hundreds of feet into the air. The cloud quickly engulfed the 19 refinery firefighters, managers and other workers who had been trying to fix what had been a small leak in the pipe.\u003c/p>\n\u003cp>Some of them went to ground, unable to see past their hands; most ran or crawled out of the way. Then the vapor ignited, trapping a firefighter in a truck. He, too, ran out, through what eyewitnesses called a wall of flame.\u003c/p>\n\u003cp>That was just the beginning. \u003ca href=\"https://www.kqed.org/news/73746/new-photos-chevron-refinery-fire-and-its-aftermath\">The fire burned for hours\u003c/a>; the smoke choked the Bay Area for days. Fifteen thousand people sought medical care for breathing problems and exposure to the toxic plume; hospitals admitted 20, including one refinery worker.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>U.S. Chemical Safety Board investigators \u003ca href=\"https://www.csb.gov/assets/1/17/chevron_final_investigation_report_2015-01-28.pdf?15397\">concluded\u003c/a> that the fire could have been prevented if Chevron had heeded its own inspectors’ pleas to replace the decaying pipe, and if federal and California regulations had mandated better safety practices. Then-Gov. Jerry Brown convened a working group of 13 state agencies and departments to appraise the safety of California’s refineries, clustered in the Bay Area and Los Angeles.\u003c/p>\n\u003cp>The safety measures rolled out over the next five years were among the strongest in the nation, giving workers unprecedented power to halt operations they felt were unsafe. Other rules were designed to protect communities near refineries from accidental chemical releases.\u003c/p>\n\u003cfigure id=\"attachment_12037033\" class=\"wp-caption aligncenter\" style=\"max-width: 1586px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12037033 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB.png\" alt=\"\" width=\"1586\" height=\"1084\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB.png 1586w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-800x547.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-1020x697.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-160x109.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-1536x1050.png 1536w\" sizes=\"auto, (max-width: 1586px) 100vw, 1586px\">\u003cfigcaption class=\"wp-caption-text\">The Aug. 6, 2012, fire at the Chevron oil refinery in Richmond, California, began near the rupture of this 8-inch pipe, shown in this photo included in the U.S. Chemical Safety Board’s final investigative report. \u003ccite>(Courtesy of U.S. Chemical Safety Board)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, more than 12 years after the Chevron fire, regulators are poised to weaken two key regulations that had been challenged in court by the Western States Petroleum Association, or WSPA, a trade association that lobbies heavily in California. A settlement of two lawsuits reached behind closed doors in September calls for easing some of those rules.\u003c/p>\n\u003cp>Union leaders and community advocates — who were excluded from the settlement negotiations — say the proposed changes would put workers and the public at greater risk.\u003c/p>\n\u003cp>“To be looking at the possibility of rolling back these regulations is dangerous and alarming for our communities,” said Marie Choi, communications director for the Asian Pacific Environmental Network, or APEN, a watchdog group. “We can’t let industry write the rules.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.google.com/maps/d/u/1/embed?mid=1IWp_ArXOUH-HGhBlVqnqw8n3IFJPXAs&ehbc=2E312F&noprof=1\" width=\"675\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The California Environmental Protection Agency, known as CalEPA, set a Tuesday deadline to \u003ca href=\"https://calepa.ca.gov/wp-content/uploads/2025/03/Final-CalARP-Notice-of-Proposed-Rulemaking.pdf\">accept public comment\u003c/a> on proposed changes to its accidental release program. The agency will make an internal decision afterward on whether to accept the changes.\u003c/p>\n\u003cp>At the same time, the state’s Occupational Safety and Health Standards Board, part of the Department of Industrial Relations, or DIR, is independently considering changes to safety rules affecting workers. A decision by the board may not come until 2026.\u003c/p>\n\u003cp>CalEPA said that the revisions are needed to provide clarity and consistency in applying the rules.[aside postID=news_12036242 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/ValeroBenicia-1020x765.jpg']“Petroleum refineries have stated that certain terms and provisions of the [accidental release program] regulations are vague and confusing, making it difficult for them to comply,” the agency wrote in a statement accompanying the proposed amendments.\u003c/p>\n\u003cp>In a statement to \u003cem>Public Health Watch\u003c/em>, a spokeswoman for DIR wrote that the agency and CalEPA “remain committed to protecting refinery workers and ensuring refinery operations meet all safety and environmental standards.”\u003c/p>\n\u003cp>California Attorney General Rob Bonta, whose office represented the state in the two lawsuits, responded to requests for comment from \u003cem>Public Health Watch\u003c/em> by referring the questions to the affected agencies. WSPA did not respond to requests for comment.\u003c/p>\n\u003cp>The moves have left environmental and labor advocates questioning the transparency of the negotiations. Lawyers for the Steelworkers were asked to sign off on the settlement of the lawsuit last September. They refused.\u003c/p>\n\u003cp>“At the end of the day, our biggest thing was that we were left out of a process in which we had the right to participate,” said Mike Smith, who heads the Steelworkers’ National Oil Bargaining Program in Pittsburgh and was a union staff representative for six years at Local 5 in Martinez.\u003c/p>\n\u003cp>“We don’t understand how this happened,” said Julia May, a senior scientist with Communities for a Better Environment, an advocacy group that helped craft the original process safety management rule. “We’ve had a bad history of [refinery] accidents in California due to cutting corners on maintenance, due to not listening to the workers.”\u003c/p>\n\u003cp>\u003cem>Read the full story at \u003c/em>\u003ca href=\"https://publichealthwatch.org/\">\u003cem>Public Health Watch\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "More than 12 years after the Chevron fire in Richmond, regulators are poised to weaken two key regulations that had been challenged in court by the Western States Petroleum Association.",
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"nprByline": "\u003ca href=\"https://publichealthwatch.org/author/jimmorris/\" target=\"_blank\" rel=\"noopener noreferrer\"> Jim Morris \u003c/a> and \u003ca href=\"https://publichealthwatch.org/author/mollypeterson/\" target=\"_blank\" rel=\"noopener noreferrer\"> Molly Peterson\u003c/a>, Public Health Watch ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This \u003ca href=\"https://publichealthwatch.org/2025/04/22/secret-deal-in-california-would-weaken-regulations-for-oil-refineries/\">article\u003c/a> was originally published by \u003c/em>\u003ca href=\"https://publichealthwatch.org/\">\u003cem>Public Health Watch\u003c/em>\u003c/a>\u003cem>, a nonprofit investigative news organization.\u003c/em>\u003c/p>\n\u003cp>On Aug. 6, 2012, a corroded, eight-inch pipe at Chevron’s oil refinery in \u003ca href=\"https://www.kqed.org/news/tag/richmond\">Richmond\u003c/a> cracked open, sending a white cloud hundreds of feet into the air. The cloud quickly engulfed the 19 refinery firefighters, managers and other workers who had been trying to fix what had been a small leak in the pipe.\u003c/p>\n\u003cp>Some of them went to ground, unable to see past their hands; most ran or crawled out of the way. Then the vapor ignited, trapping a firefighter in a truck. He, too, ran out, through what eyewitnesses called a wall of flame.\u003c/p>\n\u003cp>That was just the beginning. \u003ca href=\"https://www.kqed.org/news/73746/new-photos-chevron-refinery-fire-and-its-aftermath\">The fire burned for hours\u003c/a>; the smoke choked the Bay Area for days. Fifteen thousand people sought medical care for breathing problems and exposure to the toxic plume; hospitals admitted 20, including one refinery worker.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>U.S. Chemical Safety Board investigators \u003ca href=\"https://www.csb.gov/assets/1/17/chevron_final_investigation_report_2015-01-28.pdf?15397\">concluded\u003c/a> that the fire could have been prevented if Chevron had heeded its own inspectors’ pleas to replace the decaying pipe, and if federal and California regulations had mandated better safety practices. Then-Gov. Jerry Brown convened a working group of 13 state agencies and departments to appraise the safety of California’s refineries, clustered in the Bay Area and Los Angeles.\u003c/p>\n\u003cp>The safety measures rolled out over the next five years were among the strongest in the nation, giving workers unprecedented power to halt operations they felt were unsafe. Other rules were designed to protect communities near refineries from accidental chemical releases.\u003c/p>\n\u003cfigure id=\"attachment_12037033\" class=\"wp-caption aligncenter\" style=\"max-width: 1586px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12037033 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB.png\" alt=\"\" width=\"1586\" height=\"1084\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB.png 1586w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-800x547.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-1020x697.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-160x109.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/PHOTO-2-Chevron-RUPTURED-PIPELINE-CSB-1536x1050.png 1536w\" sizes=\"auto, (max-width: 1586px) 100vw, 1586px\">\u003cfigcaption class=\"wp-caption-text\">The Aug. 6, 2012, fire at the Chevron oil refinery in Richmond, California, began near the rupture of this 8-inch pipe, shown in this photo included in the U.S. Chemical Safety Board’s final investigative report. \u003ccite>(Courtesy of U.S. Chemical Safety Board)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, more than 12 years after the Chevron fire, regulators are poised to weaken two key regulations that had been challenged in court by the Western States Petroleum Association, or WSPA, a trade association that lobbies heavily in California. A settlement of two lawsuits reached behind closed doors in September calls for easing some of those rules.\u003c/p>\n\u003cp>Union leaders and community advocates — who were excluded from the settlement negotiations — say the proposed changes would put workers and the public at greater risk.\u003c/p>\n\u003cp>“To be looking at the possibility of rolling back these regulations is dangerous and alarming for our communities,” said Marie Choi, communications director for the Asian Pacific Environmental Network, or APEN, a watchdog group. “We can’t let industry write the rules.”\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.google.com/maps/d/u/1/embed?mid=1IWp_ArXOUH-HGhBlVqnqw8n3IFJPXAs&ehbc=2E312F&noprof=1\" width=\"675\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>The California Environmental Protection Agency, known as CalEPA, set a Tuesday deadline to \u003ca href=\"https://calepa.ca.gov/wp-content/uploads/2025/03/Final-CalARP-Notice-of-Proposed-Rulemaking.pdf\">accept public comment\u003c/a> on proposed changes to its accidental release program. The agency will make an internal decision afterward on whether to accept the changes.\u003c/p>\n\u003cp>At the same time, the state’s Occupational Safety and Health Standards Board, part of the Department of Industrial Relations, or DIR, is independently considering changes to safety rules affecting workers. A decision by the board may not come until 2026.\u003c/p>\n\u003cp>CalEPA said that the revisions are needed to provide clarity and consistency in applying the rules.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Petroleum refineries have stated that certain terms and provisions of the [accidental release program] regulations are vague and confusing, making it difficult for them to comply,” the agency wrote in a statement accompanying the proposed amendments.\u003c/p>\n\u003cp>In a statement to \u003cem>Public Health Watch\u003c/em>, a spokeswoman for DIR wrote that the agency and CalEPA “remain committed to protecting refinery workers and ensuring refinery operations meet all safety and environmental standards.”\u003c/p>\n\u003cp>California Attorney General Rob Bonta, whose office represented the state in the two lawsuits, responded to requests for comment from \u003cem>Public Health Watch\u003c/em> by referring the questions to the affected agencies. WSPA did not respond to requests for comment.\u003c/p>\n\u003cp>The moves have left environmental and labor advocates questioning the transparency of the negotiations. Lawyers for the Steelworkers were asked to sign off on the settlement of the lawsuit last September. They refused.\u003c/p>\n\u003cp>“At the end of the day, our biggest thing was that we were left out of a process in which we had the right to participate,” said Mike Smith, who heads the Steelworkers’ National Oil Bargaining Program in Pittsburgh and was a union staff representative for six years at Local 5 in Martinez.\u003c/p>\n\u003cp>“We don’t understand how this happened,” said Julia May, a senior scientist with Communities for a Better Environment, an advocacy group that helped craft the original process safety management rule. “We’ve had a bad history of [refinery] accidents in California due to cutting corners on maintenance, due to not listening to the workers.”\u003c/p>\n\u003cp>\u003cem>Read the full story at \u003c/em>\u003ca href=\"https://publichealthwatch.org/\">\u003cem>Public Health Watch\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As part of efforts to treat the \u003ca href=\"https://www.kqed.org/news/12033622/sf-is-moving-away-from-harm-reduction-in-its-drug-crackdown-doctors-are-concerned\">city’s drug crisis\u003c/a>, San Francisco’s Department of Public Health is expanding a program for unhoused people that combines a shelter bed with opioid addiction treatment under one roof.\u003c/p>\n\u003cp>RESTORE — which stands for Rapid Engagement Shelter and Treatment for Opioid Recovery — currently operates 35 beds at the Adante Hotel on Geary Street in Lower Nob Hill. Officials will soon double the number of beds, with the hope of operating up to 200 across the city.\u003c/p>\n\u003cp>The expansion comes as the Office of the Chief Medical Examiner released its latest \u003ca href=\"https://media.api.sf.gov/documents/2025_04_OCME_Overdose_Report.pdf\">data \u003c/a>showing 65 accidental overdose deaths in March 2025, including 52 cases involving fentanyl. Public Health Director Daniel Tsai said the goal of RESTORE is to initiate treatment as soon as someone is off the streets to better transition them to long-term care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I can think of very few interventions that we have from a public health standpoint where we’re getting people plugged into a bed and initiating treatment literally immediately,” Tsai said at a press conference on Wednesday. “We will do telehealth prescribing to start someone on medications for opioid use disorder that same day.”\u003c/p>\n\u003cp>Potential clients will be required to engage with a case manager daily and agree to an opioid or mental health treatment plan to secure their stay.\u003c/p>\n\u003cp>RESTORE started as a pilot program over the past 12 months and saw success rates “unlike anything we have ever seen,” Tsai added, although he did not disclose the specific numbers.\u003c/p>\n\u003cfigure id=\"attachment_12021632\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021632\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco Department of Public Health on Feb. 6, 2014. \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you talk to our teams on the street, they will tell you that the availability of a RESTORE bed completely changes the type of discussion they can have with a client,” Tsai said.\u003c/p>\n\u003cp>The shelter beds offered in the program are non-congregate and stays are short-term: usually between one and two weeks. These factors lower the barrier of entry for unhoused people, Tsai said. Additionally, the combination of a bed and treatment plan means that clients don’t have to coordinate the two themselves.\u003c/p>\n\u003cp>The brief stay is meant to stabilize clients and put them on the path to recovery, which varies significantly from person to person.[aside postID=news_12035625 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/023_KQED_OBICBuprenorphineClinic_03292023_qut-1020x680.jpg']Keith Humphreys, a Stanford University professor and addiction policy researcher, said even one or two weeks could provide a “time-out” that is long enough to get people back on their feet.\u003c/p>\n\u003cp>“It is a period of stability where they can stop taking any substances that they’re taking, start taking any medications they should be taking for their mental illness or for their addiction and have a sort of headspace to make good decisions about their future,” he said.\u003c/p>\n\u003cp>Tsai said the biggest problem is capacity.\u003c/p>\n\u003cp>“One of our biggest barriers is we only have 35 beds, and there are people on the street who are willing to start treatment in this sort of setting,” he said.\u003c/p>\n\u003cp>But in light of the upcoming expansion, Humphreys noted that scaling services like those offered through RESTORE can quickly run into quality issues, too.\u003c/p>\n\u003cp>He pointed to HealthRIGHT 360, the city’s largest, publicly-funded addiction treatment provider, which saw five \u003ca href=\"https://www.sfchronicle.com/sf/article/healthright-360-drug-overdoses-19897492.php\">fatal overdoses\u003c/a> in 13 months. Wesley Saver, director of policy & public affairs for HealthRIGHT 360, said in a statement that it is “encouraging” to see the Department of Public Health scale programs like RESTORE.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“A lot of life, particularly street life, is lived in five-minute intervals,” Humphreys said. “Just to have the time-out to say, OK, you’re stable, you’re safe, you don’t have to survive, you’ve got food, you’ve got shelter. Let’s talk about where you want to be in a month or six months, as opposed to where you want to be in five minutes.”\u003c/p>\n\u003cp>The expansion of RESTORE follows a slight decrease in accidental overdose deaths, down from 68 overdose deaths in February, breaking a \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">trend of monthly increases since October\u003c/a>. Of the 192 total deaths from January through March of this year, the vast majority are fentanyl-related.\u003c/p>\n\u003cp>That translates to an average of at least two deaths per day, Tsai noted.\u003c/p>\n\u003cp>“Every overdose death we have here in the city and county of San Francisco is preventable, and it’s unacceptable, and it’s tragic,” Tsai said. “The current approach of what we’ve done historically here has not delivered the results that we need.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As part of efforts to treat the \u003ca href=\"https://www.kqed.org/news/12033622/sf-is-moving-away-from-harm-reduction-in-its-drug-crackdown-doctors-are-concerned\">city’s drug crisis\u003c/a>, San Francisco’s Department of Public Health is expanding a program for unhoused people that combines a shelter bed with opioid addiction treatment under one roof.\u003c/p>\n\u003cp>RESTORE — which stands for Rapid Engagement Shelter and Treatment for Opioid Recovery — currently operates 35 beds at the Adante Hotel on Geary Street in Lower Nob Hill. Officials will soon double the number of beds, with the hope of operating up to 200 across the city.\u003c/p>\n\u003cp>The expansion comes as the Office of the Chief Medical Examiner released its latest \u003ca href=\"https://media.api.sf.gov/documents/2025_04_OCME_Overdose_Report.pdf\">data \u003c/a>showing 65 accidental overdose deaths in March 2025, including 52 cases involving fentanyl. Public Health Director Daniel Tsai said the goal of RESTORE is to initiate treatment as soon as someone is off the streets to better transition them to long-term care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I can think of very few interventions that we have from a public health standpoint where we’re getting people plugged into a bed and initiating treatment literally immediately,” Tsai said at a press conference on Wednesday. “We will do telehealth prescribing to start someone on medications for opioid use disorder that same day.”\u003c/p>\n\u003cp>Potential clients will be required to engage with a case manager daily and agree to an opioid or mental health treatment plan to secure their stay.\u003c/p>\n\u003cp>RESTORE started as a pilot program over the past 12 months and saw success rates “unlike anything we have ever seen,” Tsai added, although he did not disclose the specific numbers.\u003c/p>\n\u003cfigure id=\"attachment_12021632\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021632\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/SFDepartmentPublicHealth-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The San Francisco Department of Public Health on Feb. 6, 2014. \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“When you talk to our teams on the street, they will tell you that the availability of a RESTORE bed completely changes the type of discussion they can have with a client,” Tsai said.\u003c/p>\n\u003cp>The shelter beds offered in the program are non-congregate and stays are short-term: usually between one and two weeks. These factors lower the barrier of entry for unhoused people, Tsai said. Additionally, the combination of a bed and treatment plan means that clients don’t have to coordinate the two themselves.\u003c/p>\n\u003cp>The brief stay is meant to stabilize clients and put them on the path to recovery, which varies significantly from person to person.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Keith Humphreys, a Stanford University professor and addiction policy researcher, said even one or two weeks could provide a “time-out” that is long enough to get people back on their feet.\u003c/p>\n\u003cp>“It is a period of stability where they can stop taking any substances that they’re taking, start taking any medications they should be taking for their mental illness or for their addiction and have a sort of headspace to make good decisions about their future,” he said.\u003c/p>\n\u003cp>Tsai said the biggest problem is capacity.\u003c/p>\n\u003cp>“One of our biggest barriers is we only have 35 beds, and there are people on the street who are willing to start treatment in this sort of setting,” he said.\u003c/p>\n\u003cp>But in light of the upcoming expansion, Humphreys noted that scaling services like those offered through RESTORE can quickly run into quality issues, too.\u003c/p>\n\u003cp>He pointed to HealthRIGHT 360, the city’s largest, publicly-funded addiction treatment provider, which saw five \u003ca href=\"https://www.sfchronicle.com/sf/article/healthright-360-drug-overdoses-19897492.php\">fatal overdoses\u003c/a> in 13 months. Wesley Saver, director of policy & public affairs for HealthRIGHT 360, said in a statement that it is “encouraging” to see the Department of Public Health scale programs like RESTORE.\u003c/p>\n\u003cfigure id=\"attachment_11995962\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11995962\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/SFOverdoseDeathDecline-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction program representative speaks with people on a popular alleyway in the Tenderloin neighborhood to hand out Narcan, fentanyl detection packets and tinfoil to those who need them as a part of drug addiction outreach in San Francisco. \u003ccite>(Nick Otto/Washington Post via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“A lot of life, particularly street life, is lived in five-minute intervals,” Humphreys said. “Just to have the time-out to say, OK, you’re stable, you’re safe, you don’t have to survive, you’ve got food, you’ve got shelter. Let’s talk about where you want to be in a month or six months, as opposed to where you want to be in five minutes.”\u003c/p>\n\u003cp>The expansion of RESTORE follows a slight decrease in accidental overdose deaths, down from 68 overdose deaths in February, breaking a \u003ca href=\"https://www.kqed.org/news/12031847/sf-sees-decline-in-overdose-deaths-but-fentanyl-remains-a-major-threat\">trend of monthly increases since October\u003c/a>. Of the 192 total deaths from January through March of this year, the vast majority are fentanyl-related.\u003c/p>\n\u003cp>That translates to an average of at least two deaths per day, Tsai noted.\u003c/p>\n\u003cp>“Every overdose death we have here in the city and county of San Francisco is preventable, and it’s unacceptable, and it’s tragic,” Tsai said. “The current approach of what we’ve done historically here has not delivered the results that we need.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "CT Scans Save Lives. But as They’re Used More Often, How Many Are Causing Cancer?",
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"content": "\u003cp>As CT scans become increasingly prevalent in U.S. health care, radiation from the often lifesaving imaging technique could come with a steep long-term cost: tens of thousands more cases of cancer, according to a \u003ca href=\"https://www.kqed.org/news/tag/ucsf\">UCSF\u003c/a> study published Monday in \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine\">JAMA Internal Medicine\u003c/a>.\u003c/p>\n\u003cp>Researchers analyzed CT scan data and estimated that the 93 million scans performed in 2023 — nearly one for every three people in the country — could lead to approximately 103,000 future cancer cases over patients’ lifetimes. A similar analysis years earlier estimated that routine CT exposures in 2007 would lead to about 29,000 future cancer cases.\u003c/p>\n\u003cp>The projection reflects both the sharp rise in how often CT scans are used and the higher radiation doses many patients now receive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Most patients will not develop cancer from a CT scan,” said Dr. Rebecca Smith-Bindman, lead author and professor of epidemiology and biostatistics at UCSF. “But if you’re not getting any benefit, then even a small risk is unacceptable.”\u003c/p>\n\u003cp>During a CT scan, a patient lies on a table that slides through a large, donut-shaped machine. Inside, an X-ray tube rotates around the body, capturing images of thin slices — like layers of a loaf of bread. A computer then assembles those slices into a 3D image that doctors use to spot injuries, tumors or other abnormalities.\u003c/p>\n\u003cfigure id=\"attachment_12032820\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032820\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg\" alt=\"\" width=\"2000\" height=\"1343\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-800x537.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1020x685.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1536x1031.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1920x1289.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Mission Bay campus on Feb. 10, 2025, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The process exposes the body to radiation, which can alter DNA. Most of the time, the body repairs these changes. However, occasionally, a cell keeps dividing abnormally, and over time, that can lead to cancer.\u003c/p>\n\u003cp>“There’s DNA damage response pathways that are active all the time that take these insults, and they repair your DNA,” said Dr. Patricia Nguyen, a cardiologist at Stanford who was not involved in the study. “But as we age, those responses aren’t as strong … and that’s when damaged cells can turn into cancer.”\u003c/p>\n\u003cp>The researchers used the National Cancer Institute’s Radiation Risk Assessment Tool, which estimates cancer risk based on scan type, patient age and radiation dose. The model draws on historical data, including studies of Japanese atomic bomb survivors. While the methodology is widely accepted in public health research, it has limitations.\u003c/p>\n\u003cp>“They don’t know what’s happening biologically to the actual patient,” Nguyen said. “They are just basing it on formulas or retrospective data … we don’t know what happens in each individual.”[aside postID=news_12035344 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250408-CAL-TECH-TESTING-113-ZS-KQED-1020x680.jpg']CT scans are often essential — especially in emergencies like a serious car crash, when doctors need to quickly check for internal bleeding. But they’re also used far more often than necessary. Some are ordered for mild headaches or routine infections, when they’re unlikely to change a diagnosis or improve care.\u003c/p>\n\u003cp>“Our estimates put CT on par with other significant risk factors, such as alcohol consumption and excess body weight,” Smith-Bindman said. “Reducing the number of scans and reducing doses per scan would save lives.”\u003c/p>\n\u003cp>Use of the technology has climbed 35% over the last decade. A mix of pressure and convenience drives the increase: Doctors have less time with patients, imaging is typically reimbursed by insurance, and patients often expect a clear answer. Meanwhile, as medicine shifts away from open surgeries to less invasive procedures, physicians increasingly rely on CT scans to plan and guide treatment.\u003c/p>\n\u003cp>The researchers found that certain types of CT scans — especially of the abdomen and pelvis — were responsible for a large share of the projected cancer cases. Many involved “multiphase” imaging, where a patient is scanned two or three times in one session. While that approach can be clinically useful, the study found it’s often unnecessary.\u003c/p>\n\u003cp>The takeaway isn’t to avoid CT scans but to be more thoughtful about when they’re used — and why. For some patients, asking a simple question may be the best safeguard.\u003c/p>\n\u003cp>“Every test has potential risks,” Nguyen said. “And patients should ask: Why am I getting this? What will the result change?”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As CT scans become increasingly prevalent in U.S. health care, radiation from the often lifesaving imaging technique could come with a steep long-term cost: tens of thousands more cases of cancer, according to a \u003ca href=\"https://www.kqed.org/news/tag/ucsf\">UCSF\u003c/a> study published Monday in \u003ca href=\"https://jamanetwork.com/journals/jamainternalmedicine\">JAMA Internal Medicine\u003c/a>.\u003c/p>\n\u003cp>Researchers analyzed CT scan data and estimated that the 93 million scans performed in 2023 — nearly one for every three people in the country — could lead to approximately 103,000 future cancer cases over patients’ lifetimes. A similar analysis years earlier estimated that routine CT exposures in 2007 would lead to about 29,000 future cancer cases.\u003c/p>\n\u003cp>The projection reflects both the sharp rise in how often CT scans are used and the higher radiation doses many patients now receive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Most patients will not develop cancer from a CT scan,” said Dr. Rebecca Smith-Bindman, lead author and professor of epidemiology and biostatistics at UCSF. “But if you’re not getting any benefit, then even a small risk is unacceptable.”\u003c/p>\n\u003cp>During a CT scan, a patient lies on a table that slides through a large, donut-shaped machine. Inside, an X-ray tube rotates around the body, capturing images of thin slices — like layers of a loaf of bread. A computer then assembles those slices into a 3D image that doctors use to spot injuries, tumors or other abnormalities.\u003c/p>\n\u003cfigure id=\"attachment_12032820\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032820\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg\" alt=\"\" width=\"2000\" height=\"1343\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-800x537.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1020x685.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1536x1031.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/UCSFGetty-1920x1289.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Mission Bay campus on Feb. 10, 2025, in San Francisco, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The process exposes the body to radiation, which can alter DNA. Most of the time, the body repairs these changes. However, occasionally, a cell keeps dividing abnormally, and over time, that can lead to cancer.\u003c/p>\n\u003cp>“There’s DNA damage response pathways that are active all the time that take these insults, and they repair your DNA,” said Dr. Patricia Nguyen, a cardiologist at Stanford who was not involved in the study. “But as we age, those responses aren’t as strong … and that’s when damaged cells can turn into cancer.”\u003c/p>\n\u003cp>The researchers used the National Cancer Institute’s Radiation Risk Assessment Tool, which estimates cancer risk based on scan type, patient age and radiation dose. The model draws on historical data, including studies of Japanese atomic bomb survivors. While the methodology is widely accepted in public health research, it has limitations.\u003c/p>\n\u003cp>“They don’t know what’s happening biologically to the actual patient,” Nguyen said. “They are just basing it on formulas or retrospective data … we don’t know what happens in each individual.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>CT scans are often essential — especially in emergencies like a serious car crash, when doctors need to quickly check for internal bleeding. But they’re also used far more often than necessary. Some are ordered for mild headaches or routine infections, when they’re unlikely to change a diagnosis or improve care.\u003c/p>\n\u003cp>“Our estimates put CT on par with other significant risk factors, such as alcohol consumption and excess body weight,” Smith-Bindman said. “Reducing the number of scans and reducing doses per scan would save lives.”\u003c/p>\n\u003cp>Use of the technology has climbed 35% over the last decade. A mix of pressure and convenience drives the increase: Doctors have less time with patients, imaging is typically reimbursed by insurance, and patients often expect a clear answer. Meanwhile, as medicine shifts away from open surgeries to less invasive procedures, physicians increasingly rely on CT scans to plan and guide treatment.\u003c/p>\n\u003cp>The researchers found that certain types of CT scans — especially of the abdomen and pelvis — were responsible for a large share of the projected cancer cases. Many involved “multiphase” imaging, where a patient is scanned two or three times in one session. While that approach can be clinically useful, the study found it’s often unnecessary.\u003c/p>\n\u003cp>The takeaway isn’t to avoid CT scans but to be more thoughtful about when they’re used — and why. For some patients, asking a simple question may be the best safeguard.\u003c/p>\n\u003cp>“Every test has potential risks,” Nguyen said. “And patients should ask: Why am I getting this? What will the result change?”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Past Lives Fade at This San Francisco Tattoo Removal Clinic",
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"content": "\u003cp>The fluorescent lighting inside a hospital can be unforgiving.\u003c/p>\n\u003cp>Freddie Gutierrez settles into a waiting room at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">Zuckerberg San Francisco General Hospital\u003c/a>, wearing sleek, designer shades like the kind celebrities wear to avoid the public eye. Soon, he’ll swap his sunglasses for protective, medical-grade eyewear — still cool, but with more of a sci-fi edge.\u003c/p>\n\u003cp>Guiterrez, 33, has kind, dark eyes. They could inspire pop songs. Etched between his ear and right eye is a small tattoo of an upside-down pitchfork. Above his left eye, he has a second tattoo of a crown, about an inch long. The designs refer to his past gang life.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“How’s school?” asked nurse Judy Wong as she prepared him for the exam room.\u003c/p>\n\u003cp>“It’s been a while since I’ve done a timed math test,” said Guiterrez, who is studying computer science at City College of San Francisco. “Sometimes, it’s eating up my life. When I’m done getting my bachelor’s, I’m gonna have gray hairs.”\u003c/p>\n\u003cp>Guiterrez braces for a painful procedure. Since September, he’s been undergoing laser treatment to remove his tattoos. The face is an especially sensitive area. He described the pain as similar to a rubber band snapping against the skin repeatedly, but he thinks the sessions, which last a few minutes, are worth the discomfort — a decision he made to start fresh.\u003c/p>\n\u003cfigure id=\"attachment_12030039\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030039\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Freddie Gutierrez says goodbye to clinicians after a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>April is Second Chance Month, which highlights the experiences of millions of Americans who are formerly incarcerated and the stigma they face for having a criminal record. As spring kicks off, patients like Gutierrez are grateful for SF General’s tattoo removal clinic.\u003c/p>\n\u003cp>Opened in 2009, the clinic, a partnership with UCSF and the San Francisco Department of Public Health, serves low-income people who have tattoos linked to incarceration, trafficking or gang affiliations.\u003c/p>\n\u003cp>“Not only the physical removal of tattoos is rewarding, but also just seeing people as they are in their journey of recovery — being a part of that and being a consistent face in that is really special,” said Dr. Matthew Pantell, who runs the clinic and is a researcher at UCSF on the social factors of health care.[aside postID=news_12034006 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20250327_SoberHousing_GC-9-1020x680.jpg']Pantell took over the clinic from its founder, Dr. Pierre Joseph Marie-Rose. In 1998, he launched a similar effort, called \u003ca href=\"https://www.sf.gov/location--carecen-2nd-chance-tattoo-removal-clinic\">Second Chance,\u003c/a> for gang-affiliated youth in San Francisco (it’s still located at the Central American Resource Center on Mission and Cesar Chavez streets). While working at SF General Hospital, he applied for a grant to start a tattoo removal program at the hospital.\u003c/p>\n\u003cp>“This is a thermal injury. I was humbled that [patients] would come back and ask me to do it again,” Marie-Rose said. “I’ve never taken that for granted.”\u003c/p>\n\u003cp>When patients enter the laser room, lo-fi hip-hop music plays. Wearing a baseball cap, jeans and fresh kicks, Pantell arms a long glass cylinder, which resembles a thin highball cocktail glass, at the tattoos. Over the music, it’s hard to hear anything noticeable as patients brace for the pain. The procedure can last anywhere from a few minutes to a half-hour, depending on the tattoo size, complexity and location on the body, according to Pantell.\u003c/p>\n\u003cp>Other factors, such as ink color — red and green can be stubborn — and quality, can play a role, Pantell said.\u003c/p>\n\u003cp>“You don’t want to do two lasers in the same day, so we’ll do the black ink first and then come back every six weeks till it’s gone,” he added.\u003c/p>\n\u003cfigure id=\"attachment_12030036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030036 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Dr. Matthew Pantell uses a laser tattoo removal machine during a session with Nikki at the clinic he runs at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since patients are required to return every six to eight weeks for treatment, the hospital setting helps connect patients with other health care services, according to Pantell. He pointed out that patients are linked to their primary care physician and other social needs, like housing.\u003c/p>\n\u003cp>For patients like Guiterrez, the tattoo removal visits are often the most consistent contact with the medical system that they have had. He said he has been “in and out of the [criminal justice] system” since he was a kid growing up in Santa Barbara. Last July, he was released from state prison after serving a nearly 13-year sentence for charges related to carjacking.\u003c/p>\n\u003cp>“I thought about what I want to do for myself and being a two striker, meaning that if I catch another strike that will give me a 25-to-life sentence. So that makes me really think about every decision I make,” said Gutierrez, who said he sought self-help groups in prison and got support from Criminals & Gang Members Anonymous.\u003c/p>\n\u003cp>He said a contact affiliated with Jails to Jobs, a Bay Area-based nonprofit that supports re-entry to the workforce for formerly incarcerated people, referred him to the clinic. Jails to Jobs estimates there are around 300 similar tattoo removal clinics in the U.S. Just under half of them are located in California which, in recent years, has seen an increase in access to these services — inside prisons through the California Department of Corrections and Rehabilitation, at university health systems like UC San Diego and in cities, like Santa Rosa, which \u003ca href=\"https://www.srcity.org/CivicAlerts.aspx?AID=2829\">launched\u003c/a> a similar effort this year.\u003c/p>\n\u003cp>People typically seek tattoo removal to improve job prospects, but there’s also the societal stigma that can be as difficult to shed, said Mark Drevno, founder and executive director of Jails to Jobs.\u003c/p>\n\u003cfigure id=\"attachment_12030034\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030034\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ana Navarro ices her tattoo to ease the pain before a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Simple things like traveling on the bus. I’ve had people tell me how they hide their hands on the bus because they don’t want anybody to see their hands,” he said. “Besides the practical stuff, there is inner work going on. They’re touching their soul when they’re removing these tattoos.”\u003c/p>\n\u003cp>Despite the wider acceptance of tattoos in modern American society, their associations with prison life, gangs and violence persist. Recently, U.S. Immigration and Customs Enforcement \u003ca href=\"https://www.npr.org/2025/03/27/nx-s1-5341544/ice-el-salvador-jerce-reyes-barrios\">reportedly\u003c/a> cited a tattoo of a Spanish soccer team as evidence for one of the 238 Venezuelan migrants deported from the U.S. to El Salvador over their alleged allegiance to the Tren de Aragua gang, which has become a target of the Trump administration.\u003c/p>\n\u003cp>Researchers with UC San Diego, where a free removal clinic was established in 2016, have studied motivations for tattoo removal among “justice-involved adults.” Their \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/0306624X221102807\">2023 study\u003c/a>, published in the International Journal of Offender Therapy and Comparative Criminology, found that over half of the participants cited reasons associated with “public or interpersonal stigma,” which included better perceptions among friends and family. The study also found that more than 80% of participants said they felt they had been discriminated against because of their tattoos.[aside postID=news_12026600 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250214-Dream-Keeper-Returns-01-KQED-1020x680.jpg']Part of the appeal of clinics like the one at SF General is that there’s no cost to patients. The UC San Diego research cites cost as a significant barrier. Treatments at private establishments can cost thousands of dollars.\u003c/p>\n\u003cp>Pantell estimates around a dozen patients visit the weekly clinic at SF General. Ana Navarro has a rose design on her right ankle. It’s hard to see it as the treatment appears to be working. She said she has had it since she was a teenager and has been trying to get it removed for almost a year.\u003c/p>\n\u003cp>“I was young, not in the right relationships,” Navarro, 32, said. “So, being able to remove them, it feels like I’ve been an opportunity to clear the past.”\u003c/p>\n\u003cp>For a while, Shannon Whiley, 53, has been trying to get two tattooed dots removed — marks that were placed as part of her breast cancer treatment. The dots, about the size of a freckle, help doctors accurately position patients during radiation therapy.\u003c/p>\n\u003cp>Nikki, a sexual violence survivor, has an arm sleeve filled with interwoven hearts and flowers. She described it as a “bad cover-up” in an effort to hide associations to her past life trafficked as a minor.\u003c/p>\n\u003cp>“All of it was from some backyard tattoo artist who had no business really doing tattoos on a minor,” recalled Nikki, whose request to go by a nickname because of the stigma of sexual violence was granted under KQED’s anonymous sources policy.\u003c/p>\n\u003cp>She’s been coming to the clinic since September and has started to notice her tattoos begin to fade. She has a long way to go until they’re erased, but she’s used to hard work paying off. She said she’s in nursing school, following in her mom’s footsteps.\u003c/p>\n\u003cp>“Every time I leave the clinic, I’m like, ‘God bless this doctor,’” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The tattoo removal clinic, run by a UCSF doctor at Zuckerberg San Francisco General Hospital, forges deep bonds with patients who are trying to mend old wounds.",
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"title": "Past Lives Fade at This San Francisco Tattoo Removal Clinic | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The fluorescent lighting inside a hospital can be unforgiving.\u003c/p>\n\u003cp>Freddie Gutierrez settles into a waiting room at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">Zuckerberg San Francisco General Hospital\u003c/a>, wearing sleek, designer shades like the kind celebrities wear to avoid the public eye. Soon, he’ll swap his sunglasses for protective, medical-grade eyewear — still cool, but with more of a sci-fi edge.\u003c/p>\n\u003cp>Guiterrez, 33, has kind, dark eyes. They could inspire pop songs. Etched between his ear and right eye is a small tattoo of an upside-down pitchfork. Above his left eye, he has a second tattoo of a crown, about an inch long. The designs refer to his past gang life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“How’s school?” asked nurse Judy Wong as she prepared him for the exam room.\u003c/p>\n\u003cp>“It’s been a while since I’ve done a timed math test,” said Guiterrez, who is studying computer science at City College of San Francisco. “Sometimes, it’s eating up my life. When I’m done getting my bachelor’s, I’m gonna have gray hairs.”\u003c/p>\n\u003cp>Guiterrez braces for a painful procedure. Since September, he’s been undergoing laser treatment to remove his tattoos. The face is an especially sensitive area. He described the pain as similar to a rubber band snapping against the skin repeatedly, but he thinks the sessions, which last a few minutes, are worth the discomfort — a decision he made to start fresh.\u003c/p>\n\u003cfigure id=\"attachment_12030039\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030039\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Freddie Gutierrez says goodbye to clinicians after a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>April is Second Chance Month, which highlights the experiences of millions of Americans who are formerly incarcerated and the stigma they face for having a criminal record. As spring kicks off, patients like Gutierrez are grateful for SF General’s tattoo removal clinic.\u003c/p>\n\u003cp>Opened in 2009, the clinic, a partnership with UCSF and the San Francisco Department of Public Health, serves low-income people who have tattoos linked to incarceration, trafficking or gang affiliations.\u003c/p>\n\u003cp>“Not only the physical removal of tattoos is rewarding, but also just seeing people as they are in their journey of recovery — being a part of that and being a consistent face in that is really special,” said Dr. Matthew Pantell, who runs the clinic and is a researcher at UCSF on the social factors of health care.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Pantell took over the clinic from its founder, Dr. Pierre Joseph Marie-Rose. In 1998, he launched a similar effort, called \u003ca href=\"https://www.sf.gov/location--carecen-2nd-chance-tattoo-removal-clinic\">Second Chance,\u003c/a> for gang-affiliated youth in San Francisco (it’s still located at the Central American Resource Center on Mission and Cesar Chavez streets). While working at SF General Hospital, he applied for a grant to start a tattoo removal program at the hospital.\u003c/p>\n\u003cp>“This is a thermal injury. I was humbled that [patients] would come back and ask me to do it again,” Marie-Rose said. “I’ve never taken that for granted.”\u003c/p>\n\u003cp>When patients enter the laser room, lo-fi hip-hop music plays. Wearing a baseball cap, jeans and fresh kicks, Pantell arms a long glass cylinder, which resembles a thin highball cocktail glass, at the tattoos. Over the music, it’s hard to hear anything noticeable as patients brace for the pain. The procedure can last anywhere from a few minutes to a half-hour, depending on the tattoo size, complexity and location on the body, according to Pantell.\u003c/p>\n\u003cp>Other factors, such as ink color — red and green can be stubborn — and quality, can play a role, Pantell said.\u003c/p>\n\u003cp>“You don’t want to do two lasers in the same day, so we’ll do the black ink first and then come back every six weeks till it’s gone,” he added.\u003c/p>\n\u003cfigure id=\"attachment_12030036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030036 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Dr. Matthew Pantell uses a laser tattoo removal machine during a session with Nikki at the clinic he runs at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since patients are required to return every six to eight weeks for treatment, the hospital setting helps connect patients with other health care services, according to Pantell. He pointed out that patients are linked to their primary care physician and other social needs, like housing.\u003c/p>\n\u003cp>For patients like Guiterrez, the tattoo removal visits are often the most consistent contact with the medical system that they have had. He said he has been “in and out of the [criminal justice] system” since he was a kid growing up in Santa Barbara. Last July, he was released from state prison after serving a nearly 13-year sentence for charges related to carjacking.\u003c/p>\n\u003cp>“I thought about what I want to do for myself and being a two striker, meaning that if I catch another strike that will give me a 25-to-life sentence. So that makes me really think about every decision I make,” said Gutierrez, who said he sought self-help groups in prison and got support from Criminals & Gang Members Anonymous.\u003c/p>\n\u003cp>He said a contact affiliated with Jails to Jobs, a Bay Area-based nonprofit that supports re-entry to the workforce for formerly incarcerated people, referred him to the clinic. Jails to Jobs estimates there are around 300 similar tattoo removal clinics in the U.S. Just under half of them are located in California which, in recent years, has seen an increase in access to these services — inside prisons through the California Department of Corrections and Rehabilitation, at university health systems like UC San Diego and in cities, like Santa Rosa, which \u003ca href=\"https://www.srcity.org/CivicAlerts.aspx?AID=2829\">launched\u003c/a> a similar effort this year.\u003c/p>\n\u003cp>People typically seek tattoo removal to improve job prospects, but there’s also the societal stigma that can be as difficult to shed, said Mark Drevno, founder and executive director of Jails to Jobs.\u003c/p>\n\u003cfigure id=\"attachment_12030034\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030034\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ana Navarro ices her tattoo to ease the pain before a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Simple things like traveling on the bus. I’ve had people tell me how they hide their hands on the bus because they don’t want anybody to see their hands,” he said. “Besides the practical stuff, there is inner work going on. They’re touching their soul when they’re removing these tattoos.”\u003c/p>\n\u003cp>Despite the wider acceptance of tattoos in modern American society, their associations with prison life, gangs and violence persist. Recently, U.S. Immigration and Customs Enforcement \u003ca href=\"https://www.npr.org/2025/03/27/nx-s1-5341544/ice-el-salvador-jerce-reyes-barrios\">reportedly\u003c/a> cited a tattoo of a Spanish soccer team as evidence for one of the 238 Venezuelan migrants deported from the U.S. to El Salvador over their alleged allegiance to the Tren de Aragua gang, which has become a target of the Trump administration.\u003c/p>\n\u003cp>Researchers with UC San Diego, where a free removal clinic was established in 2016, have studied motivations for tattoo removal among “justice-involved adults.” Their \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/0306624X221102807\">2023 study\u003c/a>, published in the International Journal of Offender Therapy and Comparative Criminology, found that over half of the participants cited reasons associated with “public or interpersonal stigma,” which included better perceptions among friends and family. The study also found that more than 80% of participants said they felt they had been discriminated against because of their tattoos.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Part of the appeal of clinics like the one at SF General is that there’s no cost to patients. The UC San Diego research cites cost as a significant barrier. Treatments at private establishments can cost thousands of dollars.\u003c/p>\n\u003cp>Pantell estimates around a dozen patients visit the weekly clinic at SF General. Ana Navarro has a rose design on her right ankle. It’s hard to see it as the treatment appears to be working. She said she has had it since she was a teenager and has been trying to get it removed for almost a year.\u003c/p>\n\u003cp>“I was young, not in the right relationships,” Navarro, 32, said. “So, being able to remove them, it feels like I’ve been an opportunity to clear the past.”\u003c/p>\n\u003cp>For a while, Shannon Whiley, 53, has been trying to get two tattooed dots removed — marks that were placed as part of her breast cancer treatment. The dots, about the size of a freckle, help doctors accurately position patients during radiation therapy.\u003c/p>\n\u003cp>Nikki, a sexual violence survivor, has an arm sleeve filled with interwoven hearts and flowers. She described it as a “bad cover-up” in an effort to hide associations to her past life trafficked as a minor.\u003c/p>\n\u003cp>“All of it was from some backyard tattoo artist who had no business really doing tattoos on a minor,” recalled Nikki, whose request to go by a nickname because of the stigma of sexual violence was granted under KQED’s anonymous sources policy.\u003c/p>\n\u003cp>She’s been coming to the clinic since September and has started to notice her tattoos begin to fade. She has a long way to go until they’re erased, but she’s used to hard work paying off. She said she’s in nursing school, following in her mom’s footsteps.\u003c/p>\n\u003cp>“Every time I leave the clinic, I’m like, ‘God bless this doctor,’” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Meals on Wheels, Child Welfare: Key HHS Staff in SF ‘Woke Up and Our Jobs Were Gone’",
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"content": "\u003cp>Sara Minnich woke up Tuesday to an email she’d been dreading for weeks.\u003c/p>\n\u003cp>She was laid off from her job at the Health Resources and Services Administration — one of the federal agencies whose \u003ca href=\"https://www.kqed.org/news/12033968/san-franciscos-hhs-office-close-federal-health-cuts-pelosi\">San Francisco staff was gutted\u003c/a> as part of wide-ranging cuts to the Department of Health and Human Services’ workforce.\u003c/p>\n\u003cp>“We woke up one day and our jobs were gone,” she told KQED.\u003c/p>\n\u003cp>Minnich and hundreds of other HHS workers in the San Francisco regional office — which connects California, Nevada, Arizona, Hawaii, six U.S. territories and more than 100 tribes to federal health resources — were shut out of their government emails, computers and offices just hours after getting the message around 2:30 a.m.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The layoffs and closure of the office came less than a week after Health Secretary Robert F. Kennedy Jr. announced that HHS would reduce its staff by about 25% and shutter at least five of its 10 regional offices in the name of “governmental efficiency.” He said about 10,000 roles would be eliminated, on top of another 10,000 employees who had agreed to leave through early retirement and other means.\u003c/p>\n\u003cp>Three former employees in San Francisco’s office who lost their jobs spoke to KQED about what they did for the department and the holes their terminations will leave behind.\u003c/p>\n\u003ch2>Historical knowledge thrown out the window\u003c/h2>\n\u003cp>The email was an impersonal form message: Minnich would be placed on 60 days of administrative leave before losing her job entirely. After she opened it, she quickly fired off a few emails to contacts in the department’s Denver office, one of the five she heard would remain open.\u003c/p>\n\u003cp>Minnich said she didn’t have time to hand off all of her work, but one of the documents she sent was vital: a 4,000-person contact list that included leads at primary care associations, employees in the region’s state offices for rural health, and organizations like the California Growers Association.\u003c/p>\n\u003cfigure id=\"attachment_12034562\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034562\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Employees of the Department of Health and Human Services (HHS) stand in line to enter the Mary E. Switzer Memorial Building on April 2, 2025 in Washington, D.C. Layoffs began earlier this week at the Health and Human Service Administration offices after it was announced last week that the Trump Administration plans to cut 10,000 jobs at HHS. \u003ccite>(Anna Moneymaker/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Minnich described her role as two-pronged: helping people connect with HRSA grant money and programs and making the programs work better for their needs.\u003c/p>\n\u003cp>When the COVID-19 vaccine was rolled out in 2021, HRSA worked with the California Growers Association to vaccinate migrant farmworkers. It also regularly hosts grant workshops with community-based health centers that don’t have the bandwidth to hire an expert, and it connects primary care associations and clinics in rural areas with targeted health initiatives like the Rural Communities Opioid Response Program and another for all-inclusive elder care.\u003c/p>\n\u003cp>“We are like ambassadors for the agency and liaisons between the general public, between HRSA grantees, [and] between health centers,” Minnich said.\u003c/p>\n\u003cp>She also did public health surveillance and collected feedback about the efficiency of some of the federal HRSA initiatives.\u003c/p>\n\u003cp>This meant hearing: “‘Here’s the way that we feel like us in rural areas are being left out,’ or ‘Here’s a gap in policy where it doesn’t take into account these specific circumstances,’” she said. “We could relay those messages back to our leadership and to the different bureaus and offices that were in charge of coming out with the funding opportunities and with the policies surrounding these grants.”\u003c/p>\n\u003cp>In the San Francisco office’s region, this work was especially important.\u003c/p>\n\u003cp>“When working with these Pacific Island jurisdictions and tribes, there’s so much knowledge and just so much trust that needs to be built before there’s any sort of successful partnership there,” Minnich said. “The amount of historical knowledge and experience and relationships that have sometimes taken decades to build … it feels like it’s all just being thrown out the window.”\u003c/p>\n\u003ch2>‘We are the connective tissue’\u003c/h2>\n\u003cp>Fay Gordon was a regional administrator for the Administration for Community Living, an agency that ensures states and territories adhere to federal laws related to community health and services for older adults and people with disabilities. It \u003ca href=\"https://www.npr.org/sections/shots-health-news/2025/04/01/g-s1-57716/hhs-layoffs-seniors-disabled-liheap-acl\">coordinates Meals on Wheels\u003c/a>, which serves more than 216 million meals a year, and funds senior centers.\u003c/p>\n\u003cp>In addition to oversight and data management, a big part of Gordon’s job was to be a point of contact for service providers and recipients and “the central voice for them within our headquarters in D.C.”\u003c/p>\n\u003cfigure id=\"attachment_11937354\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11937354\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut.jpg\" alt=\"Pre-packed meals in a fridge awaiting delivery.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dinners prepared by Meals on Wheels in the kitchen at the Embarcadero SAFE Navigation Center at the corner of Embarcadero and Beale Street in San Francisco on Jan. 30, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are the connective tissue,” Gordon said. “We are the direct line from these local providers, from the senior centers, from the transportation providers, from the people who are doing respite … back to the complexity of the federal bureaucracy. And now that line is lost and that voice is lost.”\u003c/p>\n\u003cp>The Administration for Community Living is being completely overhauled. According to Kennedy’s March 27 directive, its “critical programs” will be integrated into other HHS agencies, like the Administration for Children and Families and the Centers for Medicare and Medicaid Services.\u003c/p>\n\u003cp>Gordon said that not having dedicated staff for ACL programs worries her.[aside postID=news_12034478 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/FederalEmployeeLayoffsGetty-1020x680.jpg']“I think it has to do with capacity and relationships,” she said.\u003c/p>\n\u003cp>One part of the job that’s often overlooked is the role regional ACL employees play in disaster response, which often disproportionately affects older adults, according to Gordon.\u003c/p>\n\u003cp>After the deadly wildfires that devastated Los Angeles this year, she said her knowledge of California’s unique assisted living system was imperative in helping facilities and connecting residents with resources.\u003c/p>\n\u003cp>“Most people who work at the national level don’t realize that California has a very unique system of assisted living,” she said. “I was able to step in and say, ‘We’ve got to check on these smaller residential facilities, see if these business owners are OK, see where their residents are, what their emergency plan was.’”\u003c/p>\n\u003cp>Gordon did similar work after a major typhoon in Guam in May 2023 and the fires in Maui that August, she said.\u003c/p>\n\u003cp>“I am extraordinarily concerned with what will happen when there is a major climate disaster, which, given the fact that we work in the Pacific Coast, as we have seen, is very likely to happen,” she told KQED. “What happens when there’s no leadership at the national level that understands the unique systems and programs for older adults in that state and in that locality?\u003c/p>\n\u003cp>“And who will be there to elevate those needs and make sure that they get the supplemental programs and the funding and the resources in a timely manner?”\u003c/p>\n\u003ch2>Preventing waste and abuse\u003c/h2>\n\u003cp>Around 55 of the 65 Administration for Children and Families workers based in San Francisco were also laid off, including regional administrator Pete Weldy.\u003c/p>\n\u003cp>“Our entire Head Start team, our entire childcare team, our child welfare team, our child support team, the people that oversee the Temporary Assistance for Needy Families program, our people who do work on low income heating energy assistance programs” were all affected, he told KQED.\u003c/p>\n\u003cfigure id=\"attachment_12022566\" class=\"wp-caption aligncenter\" style=\"max-width: 1988px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12022566 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed.jpg\" alt=\"\" width=\"1988\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed.jpg 1988w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1020x684.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1536x1030.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1920x1287.jpg 1920w\" sizes=\"auto, (max-width: 1988px) 100vw, 1988px\">\u003cfigcaption class=\"wp-caption-text\">Children play under a giant parachute at Lincoln Square Park in Oakland on Friday, May 24, 2024. Last year, the city of Oakland introduced their ‘Ready, Set, Go,’ vehicle, an RV converted into a Head Start classroom, which travels to homeless shelters, providing educational and social services to families experiencing housing instability. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the administration’s most well-known programs is Head Start, which provides early education, nutrition, health and other services for children from low-income families.\u003c/p>\n\u003cp>In California, these are run through various entities, including cities like \u003ca href=\"https://www.oaklandca.gov/topics/head-start\">Oakland\u003c/a> and county offices of education. In Oakland, Head Start funds a preschool program, lends laptops, and trains educators to work with kids up to 5 years old.\u003c/p>\n\u003cp>Weldy said that ACF also funded San Francisco’s Larkin Street Youth Services and Huckleberry Youth Programs through its Runaway and Homeless Youth Program.\u003c/p>\n\u003cp>ACF’s job was to ensure the programs used funding correctly and provided imperative resources for low-income families and youth.\u003c/p>\n\u003cp>[aside postID=news_12033968 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2019/12/ap_19339517645312_wide-ffafd91c38d240cad446fa4a43ddd2ffbad7e6f0-1020x574.jpg']“Program officers are really the people who are supposed to be preventing waste, fraud and abuse, who are making sure the dollars are spent in the way that Congress intended them to be spent — those are the folks who were there, who were providing both technical assistance and oversight over taxpayer dollars,” he said. “That oversight is now gone.”\u003c/p>\n\u003cp>Weldy said the federal government was putting some “hurdles” in its payment management system, which would require grant recipients to get validation from an employee before using some of their funds.\u003c/p>\n\u003cp>“With so many reductions yesterday, it’s hard to say if those programs are going to be able to get the money as quickly as they normally would,” he said.\u003c/p>\n\u003cp>Weldy isn’t as worried about the states as he is the tribes and territories he worked with, though.\u003c/p>\n\u003cp>One of the U.S.’s largest tribes, the Navajo Nation, is within San Francisco’s region, he said. “You also have a bunch of really smaller tribes. You have landless urban tribes who are federally recognized. These are really complicated, delicate relationships that the federal government’s been trying to mend for a hundred years or more, and we were making really good progress,” he said.\u003c/p>\n\u003cp>“But I think you have to be here to do that kind of work.”\u003c/p>\n\u003cp>He said that there are also unique challenges that face the Pacific territories, like American Samoa, the Commonwealth of the Northern Mariana Islands and Guam, since they are “treated like a state but not funded like one.”\u003c/p>\n\u003cp>Knowing the community nonprofits and funding recipients in the many areas covered by the West Coast region is key to making sure the $12 billion that used to flow through the San Francisco office was spent and went to good use, Weldy said.\u003c/p>\n\u003cp>“The regional offices like the front lines of the federal government,” he said. “We’re here in San Francisco because we’re closer to all of our partners in the region. We’re in the same time zone. They can come and visit us; we go visit them.”\u003c/p>\n\u003cp>All three employees said they hadn’t been told how the department plans to redistribute their work — or whether any such plan exists. Some grant recipients might start working with people in farther regional branches, like Denver or HHS’s D.C. headquarters.\u003c/p>\n\u003cp>They also aren’t sure whether their long-established regional networks will be maintained at all. Many contacts have already been wiped from their records.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sara Minnich woke up Tuesday to an email she’d been dreading for weeks.\u003c/p>\n\u003cp>She was laid off from her job at the Health Resources and Services Administration — one of the federal agencies whose \u003ca href=\"https://www.kqed.org/news/12033968/san-franciscos-hhs-office-close-federal-health-cuts-pelosi\">San Francisco staff was gutted\u003c/a> as part of wide-ranging cuts to the Department of Health and Human Services’ workforce.\u003c/p>\n\u003cp>“We woke up one day and our jobs were gone,” she told KQED.\u003c/p>\n\u003cp>Minnich and hundreds of other HHS workers in the San Francisco regional office — which connects California, Nevada, Arizona, Hawaii, six U.S. territories and more than 100 tribes to federal health resources — were shut out of their government emails, computers and offices just hours after getting the message around 2:30 a.m.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The layoffs and closure of the office came less than a week after Health Secretary Robert F. Kennedy Jr. announced that HHS would reduce its staff by about 25% and shutter at least five of its 10 regional offices in the name of “governmental efficiency.” He said about 10,000 roles would be eliminated, on top of another 10,000 employees who had agreed to leave through early retirement and other means.\u003c/p>\n\u003cp>Three former employees in San Francisco’s office who lost their jobs spoke to KQED about what they did for the department and the holes their terminations will leave behind.\u003c/p>\n\u003ch2>Historical knowledge thrown out the window\u003c/h2>\n\u003cp>The email was an impersonal form message: Minnich would be placed on 60 days of administrative leave before losing her job entirely. After she opened it, she quickly fired off a few emails to contacts in the department’s Denver office, one of the five she heard would remain open.\u003c/p>\n\u003cp>Minnich said she didn’t have time to hand off all of her work, but one of the documents she sent was vital: a 4,000-person contact list that included leads at primary care associations, employees in the region’s state offices for rural health, and organizations like the California Growers Association.\u003c/p>\n\u003cfigure id=\"attachment_12034562\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034562\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/HHSGetty-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Employees of the Department of Health and Human Services (HHS) stand in line to enter the Mary E. Switzer Memorial Building on April 2, 2025 in Washington, D.C. Layoffs began earlier this week at the Health and Human Service Administration offices after it was announced last week that the Trump Administration plans to cut 10,000 jobs at HHS. \u003ccite>(Anna Moneymaker/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Minnich described her role as two-pronged: helping people connect with HRSA grant money and programs and making the programs work better for their needs.\u003c/p>\n\u003cp>When the COVID-19 vaccine was rolled out in 2021, HRSA worked with the California Growers Association to vaccinate migrant farmworkers. It also regularly hosts grant workshops with community-based health centers that don’t have the bandwidth to hire an expert, and it connects primary care associations and clinics in rural areas with targeted health initiatives like the Rural Communities Opioid Response Program and another for all-inclusive elder care.\u003c/p>\n\u003cp>“We are like ambassadors for the agency and liaisons between the general public, between HRSA grantees, [and] between health centers,” Minnich said.\u003c/p>\n\u003cp>She also did public health surveillance and collected feedback about the efficiency of some of the federal HRSA initiatives.\u003c/p>\n\u003cp>This meant hearing: “‘Here’s the way that we feel like us in rural areas are being left out,’ or ‘Here’s a gap in policy where it doesn’t take into account these specific circumstances,’” she said. “We could relay those messages back to our leadership and to the different bureaus and offices that were in charge of coming out with the funding opportunities and with the policies surrounding these grants.”\u003c/p>\n\u003cp>In the San Francisco office’s region, this work was especially important.\u003c/p>\n\u003cp>“When working with these Pacific Island jurisdictions and tribes, there’s so much knowledge and just so much trust that needs to be built before there’s any sort of successful partnership there,” Minnich said. “The amount of historical knowledge and experience and relationships that have sometimes taken decades to build … it feels like it’s all just being thrown out the window.”\u003c/p>\n\u003ch2>‘We are the connective tissue’\u003c/h2>\n\u003cp>Fay Gordon was a regional administrator for the Administration for Community Living, an agency that ensures states and territories adhere to federal laws related to community health and services for older adults and people with disabilities. It \u003ca href=\"https://www.npr.org/sections/shots-health-news/2025/04/01/g-s1-57716/hhs-layoffs-seniors-disabled-liheap-acl\">coordinates Meals on Wheels\u003c/a>, which serves more than 216 million meals a year, and funds senior centers.\u003c/p>\n\u003cp>In addition to oversight and data management, a big part of Gordon’s job was to be a point of contact for service providers and recipients and “the central voice for them within our headquarters in D.C.”\u003c/p>\n\u003cfigure id=\"attachment_11937354\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11937354\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut.jpg\" alt=\"Pre-packed meals in a fridge awaiting delivery.\" width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/RS41018_030_KQED_EmbarcaderoNavigationCenter_01302020_7939-qut-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dinners prepared by Meals on Wheels in the kitchen at the Embarcadero SAFE Navigation Center at the corner of Embarcadero and Beale Street in San Francisco on Jan. 30, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We are the connective tissue,” Gordon said. “We are the direct line from these local providers, from the senior centers, from the transportation providers, from the people who are doing respite … back to the complexity of the federal bureaucracy. And now that line is lost and that voice is lost.”\u003c/p>\n\u003cp>The Administration for Community Living is being completely overhauled. According to Kennedy’s March 27 directive, its “critical programs” will be integrated into other HHS agencies, like the Administration for Children and Families and the Centers for Medicare and Medicaid Services.\u003c/p>\n\u003cp>Gordon said that not having dedicated staff for ACL programs worries her.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I think it has to do with capacity and relationships,” she said.\u003c/p>\n\u003cp>One part of the job that’s often overlooked is the role regional ACL employees play in disaster response, which often disproportionately affects older adults, according to Gordon.\u003c/p>\n\u003cp>After the deadly wildfires that devastated Los Angeles this year, she said her knowledge of California’s unique assisted living system was imperative in helping facilities and connecting residents with resources.\u003c/p>\n\u003cp>“Most people who work at the national level don’t realize that California has a very unique system of assisted living,” she said. “I was able to step in and say, ‘We’ve got to check on these smaller residential facilities, see if these business owners are OK, see where their residents are, what their emergency plan was.’”\u003c/p>\n\u003cp>Gordon did similar work after a major typhoon in Guam in May 2023 and the fires in Maui that August, she said.\u003c/p>\n\u003cp>“I am extraordinarily concerned with what will happen when there is a major climate disaster, which, given the fact that we work in the Pacific Coast, as we have seen, is very likely to happen,” she told KQED. “What happens when there’s no leadership at the national level that understands the unique systems and programs for older adults in that state and in that locality?\u003c/p>\n\u003cp>“And who will be there to elevate those needs and make sure that they get the supplemental programs and the funding and the resources in a timely manner?”\u003c/p>\n\u003ch2>Preventing waste and abuse\u003c/h2>\n\u003cp>Around 55 of the 65 Administration for Children and Families workers based in San Francisco were also laid off, including regional administrator Pete Weldy.\u003c/p>\n\u003cp>“Our entire Head Start team, our entire childcare team, our child welfare team, our child support team, the people that oversee the Temporary Assistance for Needy Families program, our people who do work on low income heating energy assistance programs” were all affected, he told KQED.\u003c/p>\n\u003cfigure id=\"attachment_12022566\" class=\"wp-caption aligncenter\" style=\"max-width: 1988px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12022566 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed.jpg\" alt=\"\" width=\"1988\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed.jpg 1988w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1020x684.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1536x1030.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20240524_MobileHeadStart-14_qed-1920x1287.jpg 1920w\" sizes=\"auto, (max-width: 1988px) 100vw, 1988px\">\u003cfigcaption class=\"wp-caption-text\">Children play under a giant parachute at Lincoln Square Park in Oakland on Friday, May 24, 2024. Last year, the city of Oakland introduced their ‘Ready, Set, Go,’ vehicle, an RV converted into a Head Start classroom, which travels to homeless shelters, providing educational and social services to families experiencing housing instability. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the administration’s most well-known programs is Head Start, which provides early education, nutrition, health and other services for children from low-income families.\u003c/p>\n\u003cp>In California, these are run through various entities, including cities like \u003ca href=\"https://www.oaklandca.gov/topics/head-start\">Oakland\u003c/a> and county offices of education. In Oakland, Head Start funds a preschool program, lends laptops, and trains educators to work with kids up to 5 years old.\u003c/p>\n\u003cp>Weldy said that ACF also funded San Francisco’s Larkin Street Youth Services and Huckleberry Youth Programs through its Runaway and Homeless Youth Program.\u003c/p>\n\u003cp>ACF’s job was to ensure the programs used funding correctly and provided imperative resources for low-income families and youth.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Program officers are really the people who are supposed to be preventing waste, fraud and abuse, who are making sure the dollars are spent in the way that Congress intended them to be spent — those are the folks who were there, who were providing both technical assistance and oversight over taxpayer dollars,” he said. “That oversight is now gone.”\u003c/p>\n\u003cp>Weldy said the federal government was putting some “hurdles” in its payment management system, which would require grant recipients to get validation from an employee before using some of their funds.\u003c/p>\n\u003cp>“With so many reductions yesterday, it’s hard to say if those programs are going to be able to get the money as quickly as they normally would,” he said.\u003c/p>\n\u003cp>Weldy isn’t as worried about the states as he is the tribes and territories he worked with, though.\u003c/p>\n\u003cp>One of the U.S.’s largest tribes, the Navajo Nation, is within San Francisco’s region, he said. “You also have a bunch of really smaller tribes. You have landless urban tribes who are federally recognized. These are really complicated, delicate relationships that the federal government’s been trying to mend for a hundred years or more, and we were making really good progress,” he said.\u003c/p>\n\u003cp>“But I think you have to be here to do that kind of work.”\u003c/p>\n\u003cp>He said that there are also unique challenges that face the Pacific territories, like American Samoa, the Commonwealth of the Northern Mariana Islands and Guam, since they are “treated like a state but not funded like one.”\u003c/p>\n\u003cp>Knowing the community nonprofits and funding recipients in the many areas covered by the West Coast region is key to making sure the $12 billion that used to flow through the San Francisco office was spent and went to good use, Weldy said.\u003c/p>\n\u003cp>“The regional offices like the front lines of the federal government,” he said. “We’re here in San Francisco because we’re closer to all of our partners in the region. We’re in the same time zone. They can come and visit us; we go visit them.”\u003c/p>\n\u003cp>All three employees said they hadn’t been told how the department plans to redistribute their work — or whether any such plan exists. Some grant recipients might start working with people in farther regional branches, like Denver or HHS’s D.C. headquarters.\u003c/p>\n\u003cp>They also aren’t sure whether their long-established regional networks will be maintained at all. Many contacts have already been wiped from their records.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "rural-california-relies-on-the-trump-administration-for-jobs-now-theyre-bracing-for-cuts",
"title": "Rural California Relies on the Trump Administration for Jobs. Now They're Bracing for Cuts",
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"headTitle": "Rural California Relies on the Trump Administration for Jobs. Now They’re Bracing for Cuts | KQED",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Far from the halls of power in Washington, the forested hamlet of Mount Shasta has long tied its economic fate to a functioning federal government.\u003c/p>\n\u003cp>Yet even in a county where President Donald Trump’s cuts could hit the region’s economy hard, some are welcoming them. Nearly 60% of voters there supported the president.\u003c/p>\n\u003cp>The past two months have been a whirlwind for rural towns across California like Mount Shasta, population 3,200, where federal lands abound and outdoor recreation drives the local economy. Probationary federal workers were abruptly fired, then reinstated under court order, as further reductions in force loom. Local organizations scrambled when the federal government froze some grant funds for wildfire preparation, trail maintenance and other work, then some saw the money trickle in again but with no guarantee it’ll continue.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Sierra Club and other nonprofits are suing the Trump administration to reverse Forest Service firings.\u003c/p>\n\u003cp>Business owners and officials in forest towns, overwhelmingly dependent on recreation and tourism, are anxious about whether there will be enough federal workers to keep trails open, campgrounds clean and visitors coming.\u003c/p>\n\u003cp>Some forest towns, like Mammoth Lakes in the eastern Sierra Nevada, are trying to backfill some anticipated federal losses with their own dollars. But that would be a tough undertaking for many others.\u003c/p>\n\u003cp>“We are a poor, rural county,” said Siskiyou County Supervisor Ed Valenzuela, who represents Mount Shasta. “Federal funding, it’s not like that money is going to be replicated anywhere else.”\u003c/p>\n\u003ch2>Rural California relies on federal funding\u003c/h2>\n\u003cp>He has cause for concern. The namesake mountain towers above the small town, drawing in thousands of visitors to climb and ski. In surrounding Siskiyou County, over 60% of the land is owned and managed by the U.S. Forest Service. As much as 6% of the county workforce is employed by the federal government, according to Census data.\u003c/p>\n\u003cp>It’s second only to neighboring Lassen County. Both are among the most Trump-supporting counties in the state. In Siskiyou County, nearly 60% voted for the president in November.[aside postID=news_12026245 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/ap25023755326447-1020x681.jpeg']Estimates from state labor agencies show other small, forested counties in Northern California and the Sierra Nevada also have high shares of federal employment. By contrast, though federal agencies employ far more people at offices in urban counties, they’re only responsible for 1–2% of the workforces there.\u003c/p>\n\u003cp>“Things are magnified in a small community,” said Tonya Dowse, executive director of the Siskiyou Economic Development Council, a nonprofit that receives several federal grants to help small businesses, farmers and towns including Mount Shasta. “Small reductions are felt to a greater extent.”\u003c/p>\n\u003cp>Federal land makes up the majority of many rural counties, which are already dealing with the \u003ca href=\"https://calmatters.org/education/k-12-education/2025/03/rural-counties/\">likely loss of millions of federal dollars\u003c/a> that prop up their school systems and public works departments. Rural hospitals are \u003ca href=\"https://ccf.georgetown.edu/2025/01/15/medicaids-role-in-small-towns-and-rural-areas/\">generally more reliant\u003c/a> on the massive low-income health program Medicaid. Their populations are older and poorer, making the Social Security Administration and federally funded safety net programs critical.\u003c/p>\n\u003cfigure id=\"attachment_12034416\" class=\"wp-caption aligncenter\" style=\"max-width: 2500px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034416\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image.jpg\" alt=\"\" width=\"2500\" height=\"833\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image.jpg 2500w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-800x267.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1020x340.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1536x512.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-2048x682.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1920x640.jpg 1920w\" sizes=\"auto, (max-width: 2500px) 100vw, 2500px\">\u003cfigcaption class=\"wp-caption-text\">A view of the rural Siskiyou County community of Happy Camp on Dec. 13, 2024. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Federal officials have not been forthcoming about exactly how many workers have been fired and reinstated in recent weeks, and locals say they’re unsure themselves. The Forest Service in February cut at least 3,400 probationary employees nationwide. The Washington Post reported last week that the administration plans new cuts of \u003ca href=\"https://www.washingtonpost.com/politics/2025/03/27/federal-worker-layoffs-government-agencies/\">between 8% to 50% across federal agencies\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for the Forest Service, who would not provide a name, would say only that probationary employees who were fired in February were placed in March under a “phased plan for return-to-duty.” Thomas Stokesberry, a spokesperson for the Shasta-Trinity National Forest, directed a separate request for a breakdown of staffing cuts to the regional Forest Service press office, which did not respond.\u003c/p>\n\u003cp>In Mount Shasta, everyone seems to know someone who is affected. John Redmond, a bar owner who is also the mayor, said his regulars who work at the local Forest Service district office haven’t been spending as much since they were fired or heard of cuts. Timothy Keating, a longtime mountain guide, said he depends on a fully staffed Forest Service to approve his operating permits.\u003c/p>\n\u003cp>Down the street, an outdoor goods store manager named Michelle is also worried about economic fallout. She wouldn’t give her last name out of fear of drawing attention to her husband, a federal employee who she said was anxious about losing his job in the next round of reductions in force.\u003c/p>\n\u003cp>“A lot of federal workers make up our middle class,” she said. “This can really hurt our local tax base and spending levels.”\u003c/p>\n\u003ch2>Trump’s cuts will hit a divided county\u003c/h2>\n\u003cp>Yet others welcome cuts, even if they’ll hit the local economy.\u003c/p>\n\u003cp>While the town of Mount Shasta is liberal, its streets of Subarus, crystal shops and bed-and-breakfasts welcoming out-of-town mountaineers give way quickly to vast stretches of the county where ranchers and loggers have long clashed with environmentalists and chafed at state and federal regulations.[aside postID=news_12028454 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/GettyImages-2177324845-1020x680.jpg']Longtime resentment over Forest Service management and the decline of the timber industry have split the county.\u003c/p>\n\u003cp>Many in Mount Shasta cheered when then-President Joe Biden, in his last days in office in January, designated a new national monument on Forest Service lands outside the town, increasing federal protections there. Other Siskiyou County residents, including Supervisor W. Jess Harris, celebrated when Trump indicated last month he may revoke the designation.\u003c/p>\n\u003cp>Harris acknowledges the county relies on the federal government for both services and jobs — but he said it doesn’t have to be that way. He hopes federal cuts will reduce grants to environmental nonprofits that he says have hampered private industry.\u003c/p>\n\u003cp>Regulations like those that restrict logging to protect the spotted owl, listed as a threatened species, have “effectively damaged all of our natural resource industries,” he said. “Our area’s just a prime example of what happens when you kill the industry and become reliant on the government jobs.”\u003c/p>\n\u003cp>Dan Dorsey, chair of the local Republican Party, said he welcomes reducing federal spending and doesn’t believe the cuts will be drastic.\u003c/p>\n\u003cp>“I think the idea is to sit back and wait and see where the cuts are going to be made, and do we actually need those programs anymore?” he said. “We have too many -ologists all over the place.”\u003c/p>\n\u003cp>Other local politicians are caught in the middle.\u003c/p>\n\u003cp>Assemblywoman Heather Hadwick, a Republican from Alturas, represents 11 rural counties across Northern California, including Siskiyou. She said she’s worried about the economic ripple effects of job losses in small towns, and about funding delays in local wildfire mitigation projects, when now is the season to make those preparations.\u003c/p>\n\u003cfigure id=\"attachment_12034417\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034417\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Assemblymember Heather Hadwick speaks before lawmakers during an Assembly floor session at the state Capitol in Sacramento on Feb. 20, 2025. \u003ccite>(Fred Greaves for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s personal, too. Hadwick’s husband manages a local office of the U.S. Department of Agriculture and she’s seen firsthand how “his people are stressed.” But her district, which she said already holds deep distrust of the government, voted for cuts and spending reviews.\u003c/p>\n\u003cp>“I think it’s going to be uncomfortable for a while and it’s going to hurt, I know some of those programs that I care about deeply are going to be affected,” she said. “My district is very conservative, and I am very conservative … I’m going to trust in my president and trust what he’s doing is best.”\u003c/p>\n\u003cp>With both federal uncertainty and local polarization, some are hesitant to speak publicly against the cuts. The leader of one nonprofit in Siskiyou County detailed to CalMatters how the group had a Forest Service grant temporarily frozen, delaying the hiring of contractors. But after meeting with the rest of the organization the leader asked to withdraw their comments, stressing the need to remain “apolitical.”\u003c/p>\n\u003ch2>Other forest towns are preparing\u003c/h2>\n\u003cp>In bluer parts of California, some forest towns are trying to mount a small resistance. Council members in Truckee, near Lake Tahoe, last month \u003ca href=\"https://www.townoftruckee.gov/CivicAlerts.aspx?AID=116\">passed a resolution\u003c/a> denouncing possible federal cuts, citing the impact they would have on the region’s ability to prevent wildfires and accommodate tourists visiting the Tahoe National Forest.\u003c/p>\n\u003cp>Similar resolutions have passed in a handful of local fire protection districts and in the eastern Sierra Nevada town of Mammoth Lakes.\u003c/p>\n\u003cp>The town, population 7,200, balloons to nearly quadruple its size on the weekends, from skiers in winter to backpackers, climbers and tourists in spring, summer and fall. It needs the visitors: Nearly three-quarters of Mammoth Lakes’ revenue comes from a bed tax on hotels and Airbnbs, Mayor Chris Bubser said.\u003c/p>\n\u003cp>Bubser said the city has already hired a new staff member to pick up trash and help maintain local campgrounds in case there aren’t enough Forest Service personnel to do so this summer.\u003c/p>\n\u003cp>And in March, the Mammoth Lakes Town Council agreed to provide $700,000 in bridge funding for a forest-thinning and wildfire resilience project run by a local nonprofit that spans 58,000 acres of mostly national forest land surrounding the town. The project relies on about $17 million in different federal grants, some of which is frozen, she said. But Bubser said she didn’t want the project to get delayed, risking having contractors leave town if they can’t be hired in time.\u003c/p>\n\u003cp>“How, as a small-town government, are we supposed to plan and execute when the earth is moving beneath us?” she said. “We have to be prepared for any situation. We’re all alone out here.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/politics/2025/04/rural-california-federal-cuts/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Rural counties are some of the most reliant on federal funding and federal workers. But some still welcome Trump’s upcoming cuts to forestry and other departments.",
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"title": "Rural California Relies on the Trump Administration for Jobs. Now They're Bracing for Cuts | KQED",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/jeanne-kuang/\">Jeanne Kuang\u003c/a>, CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Far from the halls of power in Washington, the forested hamlet of Mount Shasta has long tied its economic fate to a functioning federal government.\u003c/p>\n\u003cp>Yet even in a county where President Donald Trump’s cuts could hit the region’s economy hard, some are welcoming them. Nearly 60% of voters there supported the president.\u003c/p>\n\u003cp>The past two months have been a whirlwind for rural towns across California like Mount Shasta, population 3,200, where federal lands abound and outdoor recreation drives the local economy. Probationary federal workers were abruptly fired, then reinstated under court order, as further reductions in force loom. Local organizations scrambled when the federal government froze some grant funds for wildfire preparation, trail maintenance and other work, then some saw the money trickle in again but with no guarantee it’ll continue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Sierra Club and other nonprofits are suing the Trump administration to reverse Forest Service firings.\u003c/p>\n\u003cp>Business owners and officials in forest towns, overwhelmingly dependent on recreation and tourism, are anxious about whether there will be enough federal workers to keep trails open, campgrounds clean and visitors coming.\u003c/p>\n\u003cp>Some forest towns, like Mammoth Lakes in the eastern Sierra Nevada, are trying to backfill some anticipated federal losses with their own dollars. But that would be a tough undertaking for many others.\u003c/p>\n\u003cp>“We are a poor, rural county,” said Siskiyou County Supervisor Ed Valenzuela, who represents Mount Shasta. “Federal funding, it’s not like that money is going to be replicated anywhere else.”\u003c/p>\n\u003ch2>Rural California relies on federal funding\u003c/h2>\n\u003cp>He has cause for concern. The namesake mountain towers above the small town, drawing in thousands of visitors to climb and ski. In surrounding Siskiyou County, over 60% of the land is owned and managed by the U.S. Forest Service. As much as 6% of the county workforce is employed by the federal government, according to Census data.\u003c/p>\n\u003cp>It’s second only to neighboring Lassen County. Both are among the most Trump-supporting counties in the state. In Siskiyou County, nearly 60% voted for the president in November.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Estimates from state labor agencies show other small, forested counties in Northern California and the Sierra Nevada also have high shares of federal employment. By contrast, though federal agencies employ far more people at offices in urban counties, they’re only responsible for 1–2% of the workforces there.\u003c/p>\n\u003cp>“Things are magnified in a small community,” said Tonya Dowse, executive director of the Siskiyou Economic Development Council, a nonprofit that receives several federal grants to help small businesses, farmers and towns including Mount Shasta. “Small reductions are felt to a greater extent.”\u003c/p>\n\u003cp>Federal land makes up the majority of many rural counties, which are already dealing with the \u003ca href=\"https://calmatters.org/education/k-12-education/2025/03/rural-counties/\">likely loss of millions of federal dollars\u003c/a> that prop up their school systems and public works departments. Rural hospitals are \u003ca href=\"https://ccf.georgetown.edu/2025/01/15/medicaids-role-in-small-towns-and-rural-areas/\">generally more reliant\u003c/a> on the massive low-income health program Medicaid. Their populations are older and poorer, making the Social Security Administration and federally funded safety net programs critical.\u003c/p>\n\u003cfigure id=\"attachment_12034416\" class=\"wp-caption aligncenter\" style=\"max-width: 2500px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034416\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image.jpg\" alt=\"\" width=\"2500\" height=\"833\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image.jpg 2500w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-800x267.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1020x340.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1536x512.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-2048x682.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/Copy-of-KQED-side-by-side-downpage-image-1920x640.jpg 1920w\" sizes=\"auto, (max-width: 2500px) 100vw, 2500px\">\u003cfigcaption class=\"wp-caption-text\">A view of the rural Siskiyou County community of Happy Camp on Dec. 13, 2024. \u003ccite>(Miguel Gutierrez Jr./CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Federal officials have not been forthcoming about exactly how many workers have been fired and reinstated in recent weeks, and locals say they’re unsure themselves. The Forest Service in February cut at least 3,400 probationary employees nationwide. The Washington Post reported last week that the administration plans new cuts of \u003ca href=\"https://www.washingtonpost.com/politics/2025/03/27/federal-worker-layoffs-government-agencies/\">between 8% to 50% across federal agencies\u003c/a>.\u003c/p>\n\u003cp>A spokesperson for the Forest Service, who would not provide a name, would say only that probationary employees who were fired in February were placed in March under a “phased plan for return-to-duty.” Thomas Stokesberry, a spokesperson for the Shasta-Trinity National Forest, directed a separate request for a breakdown of staffing cuts to the regional Forest Service press office, which did not respond.\u003c/p>\n\u003cp>In Mount Shasta, everyone seems to know someone who is affected. John Redmond, a bar owner who is also the mayor, said his regulars who work at the local Forest Service district office haven’t been spending as much since they were fired or heard of cuts. Timothy Keating, a longtime mountain guide, said he depends on a fully staffed Forest Service to approve his operating permits.\u003c/p>\n\u003cp>Down the street, an outdoor goods store manager named Michelle is also worried about economic fallout. She wouldn’t give her last name out of fear of drawing attention to her husband, a federal employee who she said was anxious about losing his job in the next round of reductions in force.\u003c/p>\n\u003cp>“A lot of federal workers make up our middle class,” she said. “This can really hurt our local tax base and spending levels.”\u003c/p>\n\u003ch2>Trump’s cuts will hit a divided county\u003c/h2>\n\u003cp>Yet others welcome cuts, even if they’ll hit the local economy.\u003c/p>\n\u003cp>While the town of Mount Shasta is liberal, its streets of Subarus, crystal shops and bed-and-breakfasts welcoming out-of-town mountaineers give way quickly to vast stretches of the county where ranchers and loggers have long clashed with environmentalists and chafed at state and federal regulations.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Longtime resentment over Forest Service management and the decline of the timber industry have split the county.\u003c/p>\n\u003cp>Many in Mount Shasta cheered when then-President Joe Biden, in his last days in office in January, designated a new national monument on Forest Service lands outside the town, increasing federal protections there. Other Siskiyou County residents, including Supervisor W. Jess Harris, celebrated when Trump indicated last month he may revoke the designation.\u003c/p>\n\u003cp>Harris acknowledges the county relies on the federal government for both services and jobs — but he said it doesn’t have to be that way. He hopes federal cuts will reduce grants to environmental nonprofits that he says have hampered private industry.\u003c/p>\n\u003cp>Regulations like those that restrict logging to protect the spotted owl, listed as a threatened species, have “effectively damaged all of our natural resource industries,” he said. “Our area’s just a prime example of what happens when you kill the industry and become reliant on the government jobs.”\u003c/p>\n\u003cp>Dan Dorsey, chair of the local Republican Party, said he welcomes reducing federal spending and doesn’t believe the cuts will be drastic.\u003c/p>\n\u003cp>“I think the idea is to sit back and wait and see where the cuts are going to be made, and do we actually need those programs anymore?” he said. “We have too many -ologists all over the place.”\u003c/p>\n\u003cp>Other local politicians are caught in the middle.\u003c/p>\n\u003cp>Assemblywoman Heather Hadwick, a Republican from Alturas, represents 11 rural counties across Northern California, including Siskiyou. She said she’s worried about the economic ripple effects of job losses in small towns, and about funding delays in local wildfire mitigation projects, when now is the season to make those preparations.\u003c/p>\n\u003cfigure id=\"attachment_12034417\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034417\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/022025_Capitol-Session_FG_CM_28-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Assemblymember Heather Hadwick speaks before lawmakers during an Assembly floor session at the state Capitol in Sacramento on Feb. 20, 2025. \u003ccite>(Fred Greaves for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s personal, too. Hadwick’s husband manages a local office of the U.S. Department of Agriculture and she’s seen firsthand how “his people are stressed.” But her district, which she said already holds deep distrust of the government, voted for cuts and spending reviews.\u003c/p>\n\u003cp>“I think it’s going to be uncomfortable for a while and it’s going to hurt, I know some of those programs that I care about deeply are going to be affected,” she said. “My district is very conservative, and I am very conservative … I’m going to trust in my president and trust what he’s doing is best.”\u003c/p>\n\u003cp>With both federal uncertainty and local polarization, some are hesitant to speak publicly against the cuts. The leader of one nonprofit in Siskiyou County detailed to CalMatters how the group had a Forest Service grant temporarily frozen, delaying the hiring of contractors. But after meeting with the rest of the organization the leader asked to withdraw their comments, stressing the need to remain “apolitical.”\u003c/p>\n\u003ch2>Other forest towns are preparing\u003c/h2>\n\u003cp>In bluer parts of California, some forest towns are trying to mount a small resistance. Council members in Truckee, near Lake Tahoe, last month \u003ca href=\"https://www.townoftruckee.gov/CivicAlerts.aspx?AID=116\">passed a resolution\u003c/a> denouncing possible federal cuts, citing the impact they would have on the region’s ability to prevent wildfires and accommodate tourists visiting the Tahoe National Forest.\u003c/p>\n\u003cp>Similar resolutions have passed in a handful of local fire protection districts and in the eastern Sierra Nevada town of Mammoth Lakes.\u003c/p>\n\u003cp>The town, population 7,200, balloons to nearly quadruple its size on the weekends, from skiers in winter to backpackers, climbers and tourists in spring, summer and fall. It needs the visitors: Nearly three-quarters of Mammoth Lakes’ revenue comes from a bed tax on hotels and Airbnbs, Mayor Chris Bubser said.\u003c/p>\n\u003cp>Bubser said the city has already hired a new staff member to pick up trash and help maintain local campgrounds in case there aren’t enough Forest Service personnel to do so this summer.\u003c/p>\n\u003cp>And in March, the Mammoth Lakes Town Council agreed to provide $700,000 in bridge funding for a forest-thinning and wildfire resilience project run by a local nonprofit that spans 58,000 acres of mostly national forest land surrounding the town. The project relies on about $17 million in different federal grants, some of which is frozen, she said. But Bubser said she didn’t want the project to get delayed, risking having contractors leave town if they can’t be hired in time.\u003c/p>\n\u003cp>“How, as a small-town government, are we supposed to plan and execute when the earth is moving beneath us?” she said. “We have to be prepared for any situation. We’re all alone out here.”\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/politics/2025/04/rural-california-federal-cuts/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Santa Clara County has officially \u003ca href=\"https://www.kqed.org/news/12021981/santa-clara-county-reaches-definitive-deal-to-buy-east-san-jose-hospital-for-150-million\">brought a crucial regional hospital into public ownership\u003c/a>, following more than a year of turmoil that was touched off when a national health care corporation announced it would shutter the East San José facility’s trauma center and downgrade services.\u003c/p>\n\u003cp>Tuesday marked the first day that Regional Medical Center is operating under the umbrella of Santa Clara Valley Healthcare — the county’s public hospital and clinic system — joining Valley Medical Center and O’Connor Hospital in San José, as well as St. Louise Regional Hospital in Gilroy.\u003c/p>\n\u003cp>The county announced Tuesday that the facility’s Level II trauma center, which was downgraded by the hospital’s previous owner, HCA Healthcare, in August, has been restored and is fully operational again, along with other service reinstatements.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is about a commitment to excellence in service. This is about a commitment to ensuring access to health care. This is about providing opportunity to families who otherwise would go without,” James R. Williams, the county executive, said Tuesday during a ceremony at the facility,\u003c/p>\n\u003cp>Williams said the county board and other leaders have shown great leadership to ensure every resident in the county has access to quality health care.\u003c/p>\n\u003cfigure id=\"attachment_12034081\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034081 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County executive James R. Williams speaks during a ceremony at Regional Medical Center in East San José to mark the county’s first day of ownership of the facility on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even in the face of extraordinary challenges at the federal level, we are making that investment because we know what is possible, we know what is necessary,” Williams said. “We know what it means for the people who live here.”\u003c/p>\n\u003cp>The county’s takeover of Regional Medical Center follows months of negotiations with HCA over a purchase agreement. The county \u003ca href=\"https://www.kqed.org/news/12001214/santa-clara-county-plans-to-buy-east-san-jose-hospital-to-reverse-cuts-to-care\">initially announced its plan to buy the hospital in August\u003c/a> at roughly $175 million, which was \u003ca href=\"https://www.kqed.org/news/12021981/santa-clara-county-reaches-definitive-deal-to-buy-east-san-jose-hospital-for-150-million\">reduced to $150 million\u003c/a> in a January update from the county about the finalization of the deal.[aside postID=news_12021981 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1020x680.jpg']The 258-bed hospital is the main emergency facility for East San José and much of the eastern portion of Santa Clara County. Nashville-based HCA sent shockwaves into the region when it announced in February 2024 that it planned to close the trauma center and completely eliminate severe heart attack services and downgrade stroke services in August.\u003c/p>\n\u003cp>Following months of public outcry, including \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">protests and demonstrations\u003c/a> by health care workers and local and regional elected officials, HCA partially backed off those plans in mid-July, though it still made several reductions in levels of service and care.\u003c/p>\n\u003cp>County officials warned the closures and reductions would significantly impact people living in the surrounding areas, \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\">including some of the most diverse and socioeconomically disadvantaged\u003c/a> portions of the county.\u003c/p>\n\u003cp>More than half of the residents in the area are Latino, about a third are Asian American, roughly 11% are white, and just under 2.5% are African American. People living there face higher rates of chronic disease, trauma and poverty — and they are twice as likely to lack health insurance, the county said.\u003c/p>\n\u003cp>“Today is a great day for the county of Santa Clara and for the residents of East San José, and for our entire county community,” said Betty Duong, the District 2 supervisor for Santa Clara County, who represents the area where the Regional Medical Center operates.\u003c/p>\n\u003cfigure id=\"attachment_12034077\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034077 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Betty Duong, the District 2 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Duong said her father was treated at the hospital when he was hit by a car, and her mother was treated there when she had a stroke, and she expressed gratitude to the roughly 1,000 staff members of the facility.\u003c/p>\n\u003cp>“For years, the Regional Medical Center staff has been part of our family. And now I am so proud to be able to say that I’m part of yours,” she said.\u003c/p>\n\u003cp>In addition to the trauma center, the county has brought back vital stroke and severe heart attack services, also known as the ST-elevation myocardial infarction (STEMI) program. Labor and delivery care, which was eliminated by HCA in 2020, will also eventually be offered again at the hospital under the county’s stewardship, officials said.\u003c/p>\n\u003cp>“We are restoring critical, life-saving services to our community through this important acquisition,” said Supervisor Otto Lee, president of the Santa Clara County Board of Supervisors.\u003c/p>\n\u003cfigure id=\"attachment_12034078\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034078 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sylvia Arenas, the District 1 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José to mark the county’s first day of ownership of the facility, on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Gloria Jiménez, a trauma surgeon who previously worked at Regional Medical Center before it was shuttered in August, asked to return to the staff and work the first shift at the reopened trauma center.\u003c/p>\n\u003cp>“I contacted the leadership, and I said, ‘I’ve been there, that’s my family. I want to go back home, and I want to be there the first day,’” Jiménez said. “Walking through the hallways this morning, it was like coming home.”[aside postID=news_12032727 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20240324_SANTACLARAMEDICALSTRIKE_GC-9-KQED-1020x680.jpg']She said having the facility owned in perpetuity by the county will offer residents not only life-saving services closer to home but confidence they will always have access to care.\u003c/p>\n\u003cp>The county is paying for the purchase of the hospital almost entirely through reimbursements the county received from the Federal Emergency Management Agency last year for its pandemic-related expenditures.\u003c/p>\n\u003cp>Not purchasing the hospital would have also resulted in significant costs to the county, officials said, as the service cuts at Regional Medical Center would require an increase in staffing and facility space at Valley Medical Center — which houses the only other trauma center within 15 miles — to serve additional patients.\u003c/p>\n\u003cp>In the first month after services were cut at Regional Medical Center in August, Valley Medical Center’s trauma center saw a 50% increase in patients compared to the same period from the prior year.\u003c/p>\n\u003cfigure id=\"attachment_12034092\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034092\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Susan Ellenberg, the District 4 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Supervisor Susan Ellenberg, who was the board president at the time the purchase agreement talks began, said Regional Medical Center not only plays a vital role in the eastern portion of the county but helps balance the loads at the other county facilities.\u003c/p>\n\u003cp>“Our emergency departments are near capacity most days, and ensuring a healthy RMC means that patients in this area can get service close to home, leading to better outcomes for them and to less pressure and other E.R. locations, enabling everyone who needs emergency care to receive it in a timely manner,” Ellenberg said.\u003c/p>\n\u003cp>HCA faced significant criticism for its decision to cut services at Regional Medical Center and was accused by advocates and officials of putting profits over people’s health, as it estimated it would rake in $6 billion in profit for 2024 across its privately owned hospital portfolio.\u003c/p>\n\u003cp>The company’s proposal to overhaul and expand Good Samaritan Hospital in San José’s West Valley area also faced opposition from residents and community advocates, in large part due to its cuts in East San José. However, the San José City Council ultimately approved the major development plan in November.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A trauma center at Regional Medical Center in East San José that had been downgraded is back in operation on the first day under county ownership. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Santa Clara County has officially \u003ca href=\"https://www.kqed.org/news/12021981/santa-clara-county-reaches-definitive-deal-to-buy-east-san-jose-hospital-for-150-million\">brought a crucial regional hospital into public ownership\u003c/a>, following more than a year of turmoil that was touched off when a national health care corporation announced it would shutter the East San José facility’s trauma center and downgrade services.\u003c/p>\n\u003cp>Tuesday marked the first day that Regional Medical Center is operating under the umbrella of Santa Clara Valley Healthcare — the county’s public hospital and clinic system — joining Valley Medical Center and O’Connor Hospital in San José, as well as St. Louise Regional Hospital in Gilroy.\u003c/p>\n\u003cp>The county announced Tuesday that the facility’s Level II trauma center, which was downgraded by the hospital’s previous owner, HCA Healthcare, in August, has been restored and is fully operational again, along with other service reinstatements.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is about a commitment to excellence in service. This is about a commitment to ensuring access to health care. This is about providing opportunity to families who otherwise would go without,” James R. Williams, the county executive, said Tuesday during a ceremony at the facility,\u003c/p>\n\u003cp>Williams said the county board and other leaders have shown great leadership to ensure every resident in the county has access to quality health care.\u003c/p>\n\u003cfigure id=\"attachment_12034081\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034081 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-3_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County executive James R. Williams speaks during a ceremony at Regional Medical Center in East San José to mark the county’s first day of ownership of the facility on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even in the face of extraordinary challenges at the federal level, we are making that investment because we know what is possible, we know what is necessary,” Williams said. “We know what it means for the people who live here.”\u003c/p>\n\u003cp>The county’s takeover of Regional Medical Center follows months of negotiations with HCA over a purchase agreement. The county \u003ca href=\"https://www.kqed.org/news/12001214/santa-clara-county-plans-to-buy-east-san-jose-hospital-to-reverse-cuts-to-care\">initially announced its plan to buy the hospital in August\u003c/a> at roughly $175 million, which was \u003ca href=\"https://www.kqed.org/news/12021981/santa-clara-county-reaches-definitive-deal-to-buy-east-san-jose-hospital-for-150-million\">reduced to $150 million\u003c/a> in a January update from the county about the finalization of the deal.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The 258-bed hospital is the main emergency facility for East San José and much of the eastern portion of Santa Clara County. Nashville-based HCA sent shockwaves into the region when it announced in February 2024 that it planned to close the trauma center and completely eliminate severe heart attack services and downgrade stroke services in August.\u003c/p>\n\u003cp>Following months of public outcry, including \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">protests and demonstrations\u003c/a> by health care workers and local and regional elected officials, HCA partially backed off those plans in mid-July, though it still made several reductions in levels of service and care.\u003c/p>\n\u003cp>County officials warned the closures and reductions would significantly impact people living in the surrounding areas, \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\">including some of the most diverse and socioeconomically disadvantaged\u003c/a> portions of the county.\u003c/p>\n\u003cp>More than half of the residents in the area are Latino, about a third are Asian American, roughly 11% are white, and just under 2.5% are African American. People living there face higher rates of chronic disease, trauma and poverty — and they are twice as likely to lack health insurance, the county said.\u003c/p>\n\u003cp>“Today is a great day for the county of Santa Clara and for the residents of East San José, and for our entire county community,” said Betty Duong, the District 2 supervisor for Santa Clara County, who represents the area where the Regional Medical Center operates.\u003c/p>\n\u003cfigure id=\"attachment_12034077\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034077 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-7_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Betty Duong, the District 2 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Duong said her father was treated at the hospital when he was hit by a car, and her mother was treated there when she had a stroke, and she expressed gratitude to the roughly 1,000 staff members of the facility.\u003c/p>\n\u003cp>“For years, the Regional Medical Center staff has been part of our family. And now I am so proud to be able to say that I’m part of yours,” she said.\u003c/p>\n\u003cp>In addition to the trauma center, the county has brought back vital stroke and severe heart attack services, also known as the ST-elevation myocardial infarction (STEMI) program. Labor and delivery care, which was eliminated by HCA in 2020, will also eventually be offered again at the hospital under the county’s stewardship, officials said.\u003c/p>\n\u003cp>“We are restoring critical, life-saving services to our community through this important acquisition,” said Supervisor Otto Lee, president of the Santa Clara County Board of Supervisors.\u003c/p>\n\u003cfigure id=\"attachment_12034078\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12034078 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-6_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sylvia Arenas, the District 1 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José to mark the county’s first day of ownership of the facility, on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Gloria Jiménez, a trauma surgeon who previously worked at Regional Medical Center before it was shuttered in August, asked to return to the staff and work the first shift at the reopened trauma center.\u003c/p>\n\u003cp>“I contacted the leadership, and I said, ‘I’ve been there, that’s my family. I want to go back home, and I want to be there the first day,’” Jiménez said. “Walking through the hallways this morning, it was like coming home.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She said having the facility owned in perpetuity by the county will offer residents not only life-saving services closer to home but confidence they will always have access to care.\u003c/p>\n\u003cp>The county is paying for the purchase of the hospital almost entirely through reimbursements the county received from the Federal Emergency Management Agency last year for its pandemic-related expenditures.\u003c/p>\n\u003cp>Not purchasing the hospital would have also resulted in significant costs to the county, officials said, as the service cuts at Regional Medical Center would require an increase in staffing and facility space at Valley Medical Center — which houses the only other trauma center within 15 miles — to serve additional patients.\u003c/p>\n\u003cp>In the first month after services were cut at Regional Medical Center in August, Valley Medical Center’s trauma center saw a 50% increase in patients compared to the same period from the prior year.\u003c/p>\n\u003cfigure id=\"attachment_12034092\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12034092\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/250401-REGIONALMED-JG-5_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">Susan Ellenberg, the District 4 supervisor for Santa Clara County, speaks during a ceremony at Regional Medical Center in East San José on April 1, 2025. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Supervisor Susan Ellenberg, who was the board president at the time the purchase agreement talks began, said Regional Medical Center not only plays a vital role in the eastern portion of the county but helps balance the loads at the other county facilities.\u003c/p>\n\u003cp>“Our emergency departments are near capacity most days, and ensuring a healthy RMC means that patients in this area can get service close to home, leading to better outcomes for them and to less pressure and other E.R. locations, enabling everyone who needs emergency care to receive it in a timely manner,” Ellenberg said.\u003c/p>\n\u003cp>HCA faced significant criticism for its decision to cut services at Regional Medical Center and was accused by advocates and officials of putting profits over people’s health, as it estimated it would rake in $6 billion in profit for 2024 across its privately owned hospital portfolio.\u003c/p>\n\u003cp>The company’s proposal to overhaul and expand Good Samaritan Hospital in San José’s West Valley area also faced opposition from residents and community advocates, in large part due to its cuts in East San José. However, the San José City Council ultimately approved the major development plan in November.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "San Francisco’s HHS Office to Close in ‘Irresponsible’ Federal Health Cuts, Pelosi Says",
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"content": "\u003cp>The Trump administration will shutter San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/department-of-health-and-human-services\">Department of Health and Human Services\u003c/a> office this spring, Speaker Emerita Nancy Pelosi’s office confirmed Tuesday as thousands of layoffs began amid wide cuts to the federal health agency.\u003c/p>\n\u003cp>The regional office, located in the Speaker Nancy Pelosi Federal Building at 7th and Mission streets, is the home of \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">federal health programs like Medicaid\u003c/a> and Medicare, substance abuse and mental health resources and HIV/AIDS care for the western states of California, Arizona, Hawaii and Nevada, along with six nearby American territories.\u003c/p>\n\u003cp>It also employs hundreds of San Franciscans, who are among those across the department who began receiving layoff notices on Tuesday morning, according to reporting from the Associated Press.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“By closing our regional office, the Trump Administration would choose to put the health and safety of Bay Area residents and all Californians in jeopardy, gut vital public health initiatives like the Ryan White HIV/AIDS Program, and potentially axe hundreds of career civil servant jobs held by hard working Californians,” Pelosi said in a statement to KQED.\u003c/p>\n\u003cp>The nationwide layoffs are part of \u003ca href=\"https://www.kqed.org/news/12033326/preparing-trump-cuts-california-senator-proposes-research-vaccine-access-bills\">a massive overhaul\u003c/a> led by Health Secretary Robert F. Kennedy Jr., who announced last week that in the name of the administration’s focus on “government efficiency,” the department would terminate about an eighth of the workforce, or around 10,000 people. Combined with another 10,000 who have already left via early retirement or other means, the department is expected to shrink from about 82,000 employees to 62,000.[aside postID=news_12033802 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg']Kennedy announced in a statement that he plans to downsize the department, which is responsible for monitoring global trends and disease outbreaks, as well as \u003ca href=\"https://www.kqed.org/news/12033412/trump-administration-revokes-11-billion-in-funding-for-addiction-mental-health-care\">conducting medical research\u003c/a> and housing the Food and Drug Administration and federal health insurance programs.\u003c/p>\n\u003cp>He plans to halve the number of regional offices, like San Francisco’s, and decrease the number of divisions within the agency.\u003c/p>\n\u003cp>Notably, the new “Administration for a Healthy America” would merge the Substance Abuse and Mental Health Services Administration and the Agency for Toxic Substances and Disease Registry with three other agencies to “improve coordination of health resources for low income Americans.”\u003c/p>\n\u003cp>Pelosi said she and other Congress members were “examining all possible avenues to fight back against these irresponsible cuts,” saying that the decision is “shortsighted” and will slow down services for San Franciscans.\u003c/p>\n\u003cp>“Make no mistake: the reported plans to restructure HHS and close the San Francisco regional office would directly harm our most vulnerable communities and make America sicker,” Pelosi wrote in her statement.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Trump administration will shutter San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/department-of-health-and-human-services\">Department of Health and Human Services\u003c/a> office this spring, Speaker Emerita Nancy Pelosi’s office confirmed Tuesday as thousands of layoffs began amid wide cuts to the federal health agency.\u003c/p>\n\u003cp>The regional office, located in the Speaker Nancy Pelosi Federal Building at 7th and Mission streets, is the home of \u003ca href=\"https://www.kqed.org/news/12033802/how-cuts-medicaid-republican-gains-california\">federal health programs like Medicaid\u003c/a> and Medicare, substance abuse and mental health resources and HIV/AIDS care for the western states of California, Arizona, Hawaii and Nevada, along with six nearby American territories.\u003c/p>\n\u003cp>It also employs hundreds of San Franciscans, who are among those across the department who began receiving layoff notices on Tuesday morning, according to reporting from the Associated Press.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“By closing our regional office, the Trump Administration would choose to put the health and safety of Bay Area residents and all Californians in jeopardy, gut vital public health initiatives like the Ryan White HIV/AIDS Program, and potentially axe hundreds of career civil servant jobs held by hard working Californians,” Pelosi said in a statement to KQED.\u003c/p>\n\u003cp>The nationwide layoffs are part of \u003ca href=\"https://www.kqed.org/news/12033326/preparing-trump-cuts-california-senator-proposes-research-vaccine-access-bills\">a massive overhaul\u003c/a> led by Health Secretary Robert F. Kennedy Jr., who announced last week that in the name of the administration’s focus on “government efficiency,” the department would terminate about an eighth of the workforce, or around 10,000 people. Combined with another 10,000 who have already left via early retirement or other means, the department is expected to shrink from about 82,000 employees to 62,000.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kennedy announced in a statement that he plans to downsize the department, which is responsible for monitoring global trends and disease outbreaks, as well as \u003ca href=\"https://www.kqed.org/news/12033412/trump-administration-revokes-11-billion-in-funding-for-addiction-mental-health-care\">conducting medical research\u003c/a> and housing the Food and Drug Administration and federal health insurance programs.\u003c/p>\n\u003cp>He plans to halve the number of regional offices, like San Francisco’s, and decrease the number of divisions within the agency.\u003c/p>\n\u003cp>Notably, the new “Administration for a Healthy America” would merge the Substance Abuse and Mental Health Services Administration and the Agency for Toxic Substances and Disease Registry with three other agencies to “improve coordination of health resources for low income Americans.”\u003c/p>\n\u003cp>Pelosi said she and other Congress members were “examining all possible avenues to fight back against these irresponsible cuts,” saying that the decision is “shortsighted” and will slow down services for San Franciscans.\u003c/p>\n\u003cp>“Make no mistake: the reported plans to restructure HHS and close the San Francisco regional office would directly harm our most vulnerable communities and make America sicker,” Pelosi wrote in her statement.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "soaring-housing-costs-make-life-even-more-challenging-for-oaklands-unaccompanied-minors",
"title": "Soaring Housing Costs Make Life Even More Challenging for Oakland’s Unaccompanied Minors",
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"headTitle": "Soaring Housing Costs Make Life Even More Challenging for Oakland’s Unaccompanied Minors | KQED",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.eltimpano.org/espanol/vivienda-espanol/el-aumento-del-costo-de-la-vivienda-dificulta-aun-mas-la-vida-de-los-menores-no-acompanados-de-oakland/\">Lea esta historia en español.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Jorge arrived in the United States aged 16 and roughly $9,000 in debt to those who helped him make the harrowing journey from Guatemala to California.\u003c/p>\n\u003cp>The day after he arrived in Oakland, he found a job cleaning roofs and attics and eventually working in construction.\u003c/p>\n\u003cp>“I didn’t have the opportunity to continue with school or to go to school,” Jorge said in Spanish, though his native tongue is Mam, an indigenous language spoken in Guatemala. “When I came here, finding myself with such a huge debt, with pressure on me like that, [people] asking me to pay that debt, it affected me.”\u003c/p>\n\u003cp>An increasing number of young people like Jorge are arriving in Alameda County. While the exact numbers are unclear, between October 2023 and June 2024, more than 500 unaccompanied minors were released to a sponsor (an adult who takes responsibility for the child while they await immigration proceedings) in Alameda County, \u003ca href=\"https://www.hhs.gov/programs/social-services/unaccompanied-children-released-to-sponsors-by-county-june-2024.html\">according to the latest Health and Human Services data\u003c/a>. Alameda County is second only to Los Angeles County in the number of unaccompanied minors released to sponsors statewide. \u003ca href=\"https://calmatters.org/california-divide/2024/07/unaccompanied-minors-legal-advocacy-ending/\">More than 64,000\u003c/a> unaccompanied children settled in California between January 2015 and May 2023, according to an analysis of federal data by CalMatters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Unaccompanied minors’ journeys to the U.S. leave a lasting mark on their mental health, compounded by the economic demands on them when they arrive. Once here, they face a staggering cost of living fueled by the Bay Area’s housing crisis. Some, like Jorge, must also pay the debt they accumulated getting to the U.S. As the challenges build, so do the traumas, yet the need for mental health care is often lost behind basic survival.\u003c/p>\n\u003cp>“They’ve sometimes experienced layers of trauma and family separation,” explained Lisa Hoffman, the Co-Executive Director of East Bay Sanctuary Covenant (EBSC). “They are incredibly vulnerable and need many layers of support.”\u003c/p>\n\u003cp>Hoffman’s organization works with the Children’s Holistic Immigration Representation Project (CHIRP), a pilot program with the Acacia Center for Justice, a nonprofit, non-governmental organization that pairs a social worker with an immigration lawyer to provide stabilizing and trauma-informed support to unaccompanied minors immigrating into the U.S., while also helping them maneuver the immigration court system. The program is one of few that offers assistance to unaccompanied minors. According to data from CHIRP, between Sept. 1, 2022 and Dec. 31, 2023, legal representation was provided to more than 600 children with immigration cases. CHIRP also accompanied 300 youth to critical appointments including educational or medical services.\u003c/p>\n\u003cp>Governor Gavin Newsom’s proposed budget for 2025–2026 excludes funding for CHIRP, which would leave a more than $17 million gap in the program’s budget.\u003c/p>\n\u003cp>Federal funding for the Acacia Center’s legal aid program for unaccompanied minors is also in flux. On Feb. 18, the Department of Interior emailed a stop-work order to the center to immediately pause services for their Unaccompanied Children Program. The order was lifted by the Trump administration on Feb. 21 and the center issued a statement reading in part: “Children who arrive in the U.S. unaccompanied by parents or legal guardians often have survived targeted violence, abuse, persecution or trafficking. It is unconscionable to think that they should be forced to represent themselves in immigration court against a trained government attorney in an adversarial hearing before a judge, without even a child-friendly orientation or understanding of their legal options.”\u003c/p>\n\u003cp>Unaccompanied minors are a group targeted by the Trump administration’s plans to deport undocumented immigrants, according to \u003ca href=\"https://www.reuters.com/world/us/trump-administration-directs-ice-agents-find-deport-unaccompanied-migrant-2025-02-23/\">Reuters\u003c/a>, which reviewed an \u003ca href=\"https://english.elpais.com/usa/2025-02-25/trump-administration-launches-offensive-to-deport-undocumented-minors-who-entered-us-alone.html\">internal memo\u003c/a> from the administration to ICE detailing those plans.\u003c/p>\n\u003ch2>‘Kids experience trauma in different ways than adults’\u003c/h2>\n\u003cp>The immediate needs of unaccompanied minors can both subsume and multiply their mental health needs.\u003c/p>\n\u003cp>Center on Immigrant Child Welfare Director Kristina Lovato described the experience of these young migrants as the triple-trauma paradigm: the trauma of leaving your home, the trauma of the journey and the trauma of resettling in an ambiguous or even hostile environment.\u003c/p>\n\u003cp>“The mental health needs of unaccompanied minors are severely impacted upon resettlement in the U.S.,” Lovato said. “They’ve dreamed of being in the U.S. for the ability to go to college, the ability to send money back home, but once they arrive here, there’s a different reality and they realize that they have to go to work immediately.”\u003c/p>\n\u003cp>Time constraints and a need to work were significant barriers to establishing a sense of community, further affecting their mental health, Lovato said, according to a forthcoming study in which the Center on Immigrant Child Welfare interviewed 90 unaccompanied minors and young adults across California about their mental health needs.\u003c/p>\n\u003cp>“The need to work is primary and that means other things fall to the wayside, like the ability to go to school, the ability to feel like they can engage in civic life,” Lovato said, as was the case for Jorge.\u003c/p>\n\u003cp>Abigail L’Esperance is the interim co-director of the immigration unit at the East Bay Community Law Center (EBCLC), which provides legal aid for CHIRP participants. She emphasized the importance of trauma-informed practices when working with children, noting that they often have difficulty talking about their experiences because of the trauma they have endured.\u003c/p>\n\u003cp>“Kids experience trauma in different ways than adults,” L’Esperance said. “It takes them longer to build trust with their legal advocate and to also understand what’s happening during the legal process. We’ve learned we need to prioritize the mental health of the child, to avoid having the child be retraumatized during the process.”\u003c/p>\n\u003cp>Jorge came to the U.S. with his brother, following family members who had come to Oakland before them. The brothers were seeking better education and work opportunities. However, the financial support promised by a family member who had said they could help fell through almost immediately. Meanwhile, Jorge was pressured to hand over the money he owed.\u003c/p>\n\u003cp>Jorge said he skipped meals to save money any way he could to pay off his debt within six months and avoid accumulating interest. He didn’t have the time or the financial stability to attend school or socialize. He had bills to pay — rent, a cell phone, car insurance and $1,500 a month towards his debt until it was paid off. At the time, he was making about $120 a day, working five to six days weekly.\u003c/p>\n\u003cp>“I can’t forget, I was able to endure hunger to pay everything I owed,” he said. “I didn’t want people to put more pressure on me, asking me, ‘When are you going to pay me?’”\u003c/p>\n\u003cp>For Jorge, the financial stress was isolating, he said. “I was only thinking about that … I almost didn’t want to talk to other people anymore.” Had he not been able to find work, he added, the stress would have been even more daunting.\u003c/p>\n\u003cfigure id=\"attachment_12033299\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033299\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy.jpg\" alt=\"\" width=\"1568\" height=\"1022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-800x521.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-1020x665.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-1536x1001.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Left: A letter Jorge wrote in preparation for his interview with El Tímpano and to practice his written Spanish. Right: Jorge stands for a portrait at a park in East Oakland on Thursday, Jan. 16, 2025. \u003ccite>(Hiram Alejandro Durán for El Tímpano/Catchlight/Report for America corps member)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Housing insecurity and mental health\u003c/h2>\n\u003cp>Even after he paid off his debt, Jorge said working to afford monthly rent and other bills kept him from attending school. A \u003ca href=\"https://achealthyschools.org/wp-content/uploads/2020/04/181_Unaccompanied_Immigrant_Youth_UIY.pdf\">2019 Alameda County report, which is the most recent data (PDF)\u003c/a> on unaccompanied minors, found that they are “highly impacted by the housing crisis.”\u003c/p>\n\u003cp>Some unaccompanied minors live in stable family situations, but others contend with high rent and overcrowded housing. They face a litany of needs, from assistance navigating a byzantine legal system to basic health care like teeth cleaning. But, the report noted, “the need for stable housing seems to be paramount.”\u003c/p>\n\u003cp>During the 2023–2024 school year alone, the Oakland Unified School District (OUSD) had approximately 1,006 immigrant students — 75% of whom were unaccompanied minors — who came to the U.S. in the past three years and are considered housing insecure, according to\u003ca href=\"https://drive.google.com/drive/folders/1wHQAMEDu1GtgGMPtazPOotygX35EGqTR?usp=drive_link\"> the most recent OUSD McKinney-Vento data\u003c/a>, which tracks the number of students considered homeless.\u003c/p>\n\u003cp>OUSD Newcomer and Refugee/Asylum Services Program Manager Nate Dunstan said in a Sept. 2024 interview that almost all the students he works with are housing insecure or living in overcrowded housing. “Either they’re doubled up or they’re in substandard housing,” he said.\u003c/p>\n\u003cp>For many, the lack of basic needs, such as housing, often pushes aside the ability to address mental and emotional needs.\u003c/p>\n\u003cp>“We do see a lot of that,” La Familia Caminos Program Supervisor Elizabeth Ventura said. “We’re client-driven, so if their need is food and basic needs or medical or whatever it is … through that process, we’re planting seeds. We’re planting seeds around mental health.”\u003c/p>\n\u003cp>The Caminos Program, which is a collaboration between Alameda County Health Service’s Healthy Schools and Communities Agency and the nonprofit organization La Familia, was launched in 2013 following an uptick in unaccompanied minors arriving in the county, according to Jasmine Gonzalez, the program coordinator. The program partners with schools around Alameda County to offer training and wraparound support for unaccompanied minors, including mental health support.\u003c/p>\n\u003cp>Gonzalez and Ventura said the program has found success working within schools to build community trust, offer services and sometimes break down the stigma around seeking mental health support.\u003c/p>\n\u003cp>“Schools are a safe place for students to be at when they’re unaccompanied,” Ventura said. “So really working with administration and the school sites … providing that education around [students’] needs and their challenges, so that they can work with them and not work against them.”\u003c/p>\n\u003cp>However, language access, time constraints and navigating health systems are some of the continued barriers unaccompanied minors and recent immigrants face, especially when resources are scarce. Lisa Hoffman with EBSC said she has long dealt with a lack of resources in her work and she expects that scarcity to continue.\u003c/p>\n\u003cp>“There’s not enough lawyers, but there’s also very few mental health professionals who are trained to be able to work with this population in linguistically and culturally accessible ways,” Hoffman said. “Many people in immigrant communities, whether youth or adults, are living in a lot of fear right now, and unaccompanied minors are also absorbing a lot of this rhetoric and fear. It does create even more barriers for them to be able to access the services that they need.”\u003c/p>\n\u003cp>Despite this, Lovato said many of the immigrant youth she has spoken to have developed and relied on social networks and mutual aid in their community for emotional, mental health and basic needs support.\u003c/p>\n\u003ch2>Informal networks of care\u003c/h2>\n\u003cp>Despite the lack of readily available services, some unaccompanied youth not only survive but thrive by drawing connections to the area’s immigrant community.\u003c/p>\n\u003cp>“When they’re unable to access support because of barriers, let’s say because of their [immigration] status, these youth are so resilient,” Lovato said. “I think what’s working well is the ways in which youth find incredible, insightful ways to reach out to one another and be of support to one another, and that’s happening through mutual aid,” she said.\u003c/p>\n\u003cp>Lovato said oftentimes people rely on word-of-mouth and it is a friend or community member of unaccompanied minors and young adults that serves as a connection point to services.\u003c/p>\n\u003cfigure id=\"attachment_12033300\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033300\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246.jpg\" alt=\"\" width=\"1568\" height=\"1025\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-800x523.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-1020x667.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-160x105.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-1536x1004.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Jorge at a park in East Oakland on Thursday, Jan. 16, 2025. \u003ccite>(Hiram Alejandro Durán for El Tímpano/Catchlight/Report for America corps member)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While Jorge didn’t seek out mental health services when experiencing immense stress, he said finding a community meant finding support for goals that once felt out of reach.\u003c/p>\n\u003cp>Now 20, Jorge is a student at an alternative high school where he said he is on track to graduate in May. Jorge said a member of his church introduced him to a community-based nonprofit, where he now works two days a week and is encouraged to attend school, a dream that he had not been able to start for several years living in Oakland.\u003c/p>\n\u003cp>“I never gave up on being in school, maybe at some point I thought about it but I didn’t give up,” Jorge said. “To this day I continue studying, I continue learning new words [in English], I continue meeting more people through school. It has opened more doors for me.”\u003c/p>\n\u003cp>Attending school has not come without its challenges, however. Since he began attending school two days a week, he’s had to give up some work hours and at times has struggled to afford life in Oakland. When he is not in school or working with the nonprofit, he is still working in construction and landscaping. But, Jorge adds, he is committed to finishing school and continuing his education in college, studying either biology or architecture, he hasn’t decided yet. “Biology because I want to help my community,” he said, “and architecture I want to [study] because I have the ability to work in construction, so I want to use my skills.”\u003c/p>\n\u003cp>\u003cem>El Tímpano is part of the \u003c/em>\u003ca href=\"https://mentalhealthjournalism.org/parity-collaborative/\">\u003cem>Mental Health Parity Collaborative\u003c/em>\u003c/a>\u003cem>, a group of newsrooms that are covering stories on mental health care access and inequities in the U.S. The partners on this project include The Carter Center and newsrooms in select states across the country.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"nprByline": "\u003ca href=\"https://www.eltimpano.org/author/cgaribay/\">Cassandra Garibay\u003c/a> and \u003ca href=\"https://www.eltimpano.org/author/xloeza/\">Ximena Loeza \u003c/a>, El Tímpano",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.eltimpano.org/espanol/vivienda-espanol/el-aumento-del-costo-de-la-vivienda-dificulta-aun-mas-la-vida-de-los-menores-no-acompanados-de-oakland/\">Lea esta historia en español.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Jorge arrived in the United States aged 16 and roughly $9,000 in debt to those who helped him make the harrowing journey from Guatemala to California.\u003c/p>\n\u003cp>The day after he arrived in Oakland, he found a job cleaning roofs and attics and eventually working in construction.\u003c/p>\n\u003cp>“I didn’t have the opportunity to continue with school or to go to school,” Jorge said in Spanish, though his native tongue is Mam, an indigenous language spoken in Guatemala. “When I came here, finding myself with such a huge debt, with pressure on me like that, [people] asking me to pay that debt, it affected me.”\u003c/p>\n\u003cp>An increasing number of young people like Jorge are arriving in Alameda County. While the exact numbers are unclear, between October 2023 and June 2024, more than 500 unaccompanied minors were released to a sponsor (an adult who takes responsibility for the child while they await immigration proceedings) in Alameda County, \u003ca href=\"https://www.hhs.gov/programs/social-services/unaccompanied-children-released-to-sponsors-by-county-june-2024.html\">according to the latest Health and Human Services data\u003c/a>. Alameda County is second only to Los Angeles County in the number of unaccompanied minors released to sponsors statewide. \u003ca href=\"https://calmatters.org/california-divide/2024/07/unaccompanied-minors-legal-advocacy-ending/\">More than 64,000\u003c/a> unaccompanied children settled in California between January 2015 and May 2023, according to an analysis of federal data by CalMatters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Unaccompanied minors’ journeys to the U.S. leave a lasting mark on their mental health, compounded by the economic demands on them when they arrive. Once here, they face a staggering cost of living fueled by the Bay Area’s housing crisis. Some, like Jorge, must also pay the debt they accumulated getting to the U.S. As the challenges build, so do the traumas, yet the need for mental health care is often lost behind basic survival.\u003c/p>\n\u003cp>“They’ve sometimes experienced layers of trauma and family separation,” explained Lisa Hoffman, the Co-Executive Director of East Bay Sanctuary Covenant (EBSC). “They are incredibly vulnerable and need many layers of support.”\u003c/p>\n\u003cp>Hoffman’s organization works with the Children’s Holistic Immigration Representation Project (CHIRP), a pilot program with the Acacia Center for Justice, a nonprofit, non-governmental organization that pairs a social worker with an immigration lawyer to provide stabilizing and trauma-informed support to unaccompanied minors immigrating into the U.S., while also helping them maneuver the immigration court system. The program is one of few that offers assistance to unaccompanied minors. According to data from CHIRP, between Sept. 1, 2022 and Dec. 31, 2023, legal representation was provided to more than 600 children with immigration cases. CHIRP also accompanied 300 youth to critical appointments including educational or medical services.\u003c/p>\n\u003cp>Governor Gavin Newsom’s proposed budget for 2025–2026 excludes funding for CHIRP, which would leave a more than $17 million gap in the program’s budget.\u003c/p>\n\u003cp>Federal funding for the Acacia Center’s legal aid program for unaccompanied minors is also in flux. On Feb. 18, the Department of Interior emailed a stop-work order to the center to immediately pause services for their Unaccompanied Children Program. The order was lifted by the Trump administration on Feb. 21 and the center issued a statement reading in part: “Children who arrive in the U.S. unaccompanied by parents or legal guardians often have survived targeted violence, abuse, persecution or trafficking. It is unconscionable to think that they should be forced to represent themselves in immigration court against a trained government attorney in an adversarial hearing before a judge, without even a child-friendly orientation or understanding of their legal options.”\u003c/p>\n\u003cp>Unaccompanied minors are a group targeted by the Trump administration’s plans to deport undocumented immigrants, according to \u003ca href=\"https://www.reuters.com/world/us/trump-administration-directs-ice-agents-find-deport-unaccompanied-migrant-2025-02-23/\">Reuters\u003c/a>, which reviewed an \u003ca href=\"https://english.elpais.com/usa/2025-02-25/trump-administration-launches-offensive-to-deport-undocumented-minors-who-entered-us-alone.html\">internal memo\u003c/a> from the administration to ICE detailing those plans.\u003c/p>\n\u003ch2>‘Kids experience trauma in different ways than adults’\u003c/h2>\n\u003cp>The immediate needs of unaccompanied minors can both subsume and multiply their mental health needs.\u003c/p>\n\u003cp>Center on Immigrant Child Welfare Director Kristina Lovato described the experience of these young migrants as the triple-trauma paradigm: the trauma of leaving your home, the trauma of the journey and the trauma of resettling in an ambiguous or even hostile environment.\u003c/p>\n\u003cp>“The mental health needs of unaccompanied minors are severely impacted upon resettlement in the U.S.,” Lovato said. “They’ve dreamed of being in the U.S. for the ability to go to college, the ability to send money back home, but once they arrive here, there’s a different reality and they realize that they have to go to work immediately.”\u003c/p>\n\u003cp>Time constraints and a need to work were significant barriers to establishing a sense of community, further affecting their mental health, Lovato said, according to a forthcoming study in which the Center on Immigrant Child Welfare interviewed 90 unaccompanied minors and young adults across California about their mental health needs.\u003c/p>\n\u003cp>“The need to work is primary and that means other things fall to the wayside, like the ability to go to school, the ability to feel like they can engage in civic life,” Lovato said, as was the case for Jorge.\u003c/p>\n\u003cp>Abigail L’Esperance is the interim co-director of the immigration unit at the East Bay Community Law Center (EBCLC), which provides legal aid for CHIRP participants. She emphasized the importance of trauma-informed practices when working with children, noting that they often have difficulty talking about their experiences because of the trauma they have endured.\u003c/p>\n\u003cp>“Kids experience trauma in different ways than adults,” L’Esperance said. “It takes them longer to build trust with their legal advocate and to also understand what’s happening during the legal process. We’ve learned we need to prioritize the mental health of the child, to avoid having the child be retraumatized during the process.”\u003c/p>\n\u003cp>Jorge came to the U.S. with his brother, following family members who had come to Oakland before them. The brothers were seeking better education and work opportunities. However, the financial support promised by a family member who had said they could help fell through almost immediately. Meanwhile, Jorge was pressured to hand over the money he owed.\u003c/p>\n\u003cp>Jorge said he skipped meals to save money any way he could to pay off his debt within six months and avoid accumulating interest. He didn’t have the time or the financial stability to attend school or socialize. He had bills to pay — rent, a cell phone, car insurance and $1,500 a month towards his debt until it was paid off. At the time, he was making about $120 a day, working five to six days weekly.\u003c/p>\n\u003cp>“I can’t forget, I was able to endure hunger to pay everything I owed,” he said. “I didn’t want people to put more pressure on me, asking me, ‘When are you going to pay me?’”\u003c/p>\n\u003cp>For Jorge, the financial stress was isolating, he said. “I was only thinking about that … I almost didn’t want to talk to other people anymore.” Had he not been able to find work, he added, the stress would have been even more daunting.\u003c/p>\n\u003cfigure id=\"attachment_12033299\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033299\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy.jpg\" alt=\"\" width=\"1568\" height=\"1022\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-800x521.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-1020x665.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-AlexDiptych-01-scaled-copy-1536x1001.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Left: A letter Jorge wrote in preparation for his interview with El Tímpano and to practice his written Spanish. Right: Jorge stands for a portrait at a park in East Oakland on Thursday, Jan. 16, 2025. \u003ccite>(Hiram Alejandro Durán for El Tímpano/Catchlight/Report for America corps member)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Housing insecurity and mental health\u003c/h2>\n\u003cp>Even after he paid off his debt, Jorge said working to afford monthly rent and other bills kept him from attending school. A \u003ca href=\"https://achealthyschools.org/wp-content/uploads/2020/04/181_Unaccompanied_Immigrant_Youth_UIY.pdf\">2019 Alameda County report, which is the most recent data (PDF)\u003c/a> on unaccompanied minors, found that they are “highly impacted by the housing crisis.”\u003c/p>\n\u003cp>Some unaccompanied minors live in stable family situations, but others contend with high rent and overcrowded housing. They face a litany of needs, from assistance navigating a byzantine legal system to basic health care like teeth cleaning. But, the report noted, “the need for stable housing seems to be paramount.”\u003c/p>\n\u003cp>During the 2023–2024 school year alone, the Oakland Unified School District (OUSD) had approximately 1,006 immigrant students — 75% of whom were unaccompanied minors — who came to the U.S. in the past three years and are considered housing insecure, according to\u003ca href=\"https://drive.google.com/drive/folders/1wHQAMEDu1GtgGMPtazPOotygX35EGqTR?usp=drive_link\"> the most recent OUSD McKinney-Vento data\u003c/a>, which tracks the number of students considered homeless.\u003c/p>\n\u003cp>OUSD Newcomer and Refugee/Asylum Services Program Manager Nate Dunstan said in a Sept. 2024 interview that almost all the students he works with are housing insecure or living in overcrowded housing. “Either they’re doubled up or they’re in substandard housing,” he said.\u003c/p>\n\u003cp>For many, the lack of basic needs, such as housing, often pushes aside the ability to address mental and emotional needs.\u003c/p>\n\u003cp>“We do see a lot of that,” La Familia Caminos Program Supervisor Elizabeth Ventura said. “We’re client-driven, so if their need is food and basic needs or medical or whatever it is … through that process, we’re planting seeds. We’re planting seeds around mental health.”\u003c/p>\n\u003cp>The Caminos Program, which is a collaboration between Alameda County Health Service’s Healthy Schools and Communities Agency and the nonprofit organization La Familia, was launched in 2013 following an uptick in unaccompanied minors arriving in the county, according to Jasmine Gonzalez, the program coordinator. The program partners with schools around Alameda County to offer training and wraparound support for unaccompanied minors, including mental health support.\u003c/p>\n\u003cp>Gonzalez and Ventura said the program has found success working within schools to build community trust, offer services and sometimes break down the stigma around seeking mental health support.\u003c/p>\n\u003cp>“Schools are a safe place for students to be at when they’re unaccompanied,” Ventura said. “So really working with administration and the school sites … providing that education around [students’] needs and their challenges, so that they can work with them and not work against them.”\u003c/p>\n\u003cp>However, language access, time constraints and navigating health systems are some of the continued barriers unaccompanied minors and recent immigrants face, especially when resources are scarce. Lisa Hoffman with EBSC said she has long dealt with a lack of resources in her work and she expects that scarcity to continue.\u003c/p>\n\u003cp>“There’s not enough lawyers, but there’s also very few mental health professionals who are trained to be able to work with this population in linguistically and culturally accessible ways,” Hoffman said. “Many people in immigrant communities, whether youth or adults, are living in a lot of fear right now, and unaccompanied minors are also absorbing a lot of this rhetoric and fear. It does create even more barriers for them to be able to access the services that they need.”\u003c/p>\n\u003cp>Despite this, Lovato said many of the immigrant youth she has spoken to have developed and relied on social networks and mutual aid in their community for emotional, mental health and basic needs support.\u003c/p>\n\u003ch2>Informal networks of care\u003c/h2>\n\u003cp>Despite the lack of readily available services, some unaccompanied youth not only survive but thrive by drawing connections to the area’s immigrant community.\u003c/p>\n\u003cp>“When they’re unable to access support because of barriers, let’s say because of their [immigration] status, these youth are so resilient,” Lovato said. “I think what’s working well is the ways in which youth find incredible, insightful ways to reach out to one another and be of support to one another, and that’s happening through mutual aid,” she said.\u003c/p>\n\u003cp>Lovato said oftentimes people rely on word-of-mouth and it is a friend or community member of unaccompanied minors and young adults that serves as a connection point to services.\u003c/p>\n\u003cfigure id=\"attachment_12033300\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033300\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246.jpg\" alt=\"\" width=\"1568\" height=\"1025\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-800x523.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-1020x667.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-160x105.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/01.16.2025-Alex-03-scaled-copy-e1743096010246-1536x1004.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Jorge at a park in East Oakland on Thursday, Jan. 16, 2025. \u003ccite>(Hiram Alejandro Durán for El Tímpano/Catchlight/Report for America corps member)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While Jorge didn’t seek out mental health services when experiencing immense stress, he said finding a community meant finding support for goals that once felt out of reach.\u003c/p>\n\u003cp>Now 20, Jorge is a student at an alternative high school where he said he is on track to graduate in May. Jorge said a member of his church introduced him to a community-based nonprofit, where he now works two days a week and is encouraged to attend school, a dream that he had not been able to start for several years living in Oakland.\u003c/p>\n\u003cp>“I never gave up on being in school, maybe at some point I thought about it but I didn’t give up,” Jorge said. “To this day I continue studying, I continue learning new words [in English], I continue meeting more people through school. It has opened more doors for me.”\u003c/p>\n\u003cp>Attending school has not come without its challenges, however. Since he began attending school two days a week, he’s had to give up some work hours and at times has struggled to afford life in Oakland. When he is not in school or working with the nonprofit, he is still working in construction and landscaping. But, Jorge adds, he is committed to finishing school and continuing his education in college, studying either biology or architecture, he hasn’t decided yet. “Biology because I want to help my community,” he said, “and architecture I want to [study] because I have the ability to work in construction, so I want to use my skills.”\u003c/p>\n\u003cp>\u003cem>El Tímpano is part of the \u003c/em>\u003ca href=\"https://mentalhealthjournalism.org/parity-collaborative/\">\u003cem>Mental Health Parity Collaborative\u003c/em>\u003c/a>\u003cem>, a group of newsrooms that are covering stories on mental health care access and inequities in the U.S. The partners on this project include The Carter Center and newsrooms in select states across the country.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California \u003c/a>leaders are pushing for the creation of a state agency for scientific research and vaccine accessibility as \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">the Trump administration\u003c/a> continues implementing sweeping cuts to \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">federal funding\u003c/a> for public health research.\u003c/p>\n\u003cp>The bill, introduced by state Sen. \u003ca href=\"https://www.kqed.org/news/tag/scott-wiener\">Scott Wiener, \u003c/a>D-San Francisco, on Thursday, would create the California Institute for Scientific Research, a new state agency funding grants and loans to organizations that have traditionally relied on the National Institutes of Health.\u003c/p>\n\u003cp>The proposal also seeks to bolster the state’s vaccine infrastructure amid a climate of vaccine skepticism promoted by Health and Human Services Secretary Robert F. Kennedy Jr. and others in government.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump and Elon Musk’s \u003ca href=\"https://www.kqed.org/news/12029281/musks-costly-cuts-x-will-doge-trump-face-similar-fallout\">Department of Government Efficiency\u003c/a> “are taking a wrecking ball to federal scientific research, and they’re taking a wrecking ball to American leadership,” Wiener told KQED. “If the federal government is going to step back from science leadership, let’s make sure that California is the world leader.”\u003c/p>\n\u003cp>In February, a federal judge temporarily blocked the Trump administration’s plans to drastically reduce NIH funding for scientific research after a lawsuit was filed by a coalition of more than two dozen states. The \u003ca href=\"https://www.kqed.org/news/12030313/uc-berkeley-scientists-protest-trump-administrations-cuts-to-research-funding\">preliminary injunction was extended\u003c/a> earlier this month after Rhode Island U.S. District Court Judge John McConnell declared the cuts unsupported by any constitutional authority.\u003c/p>\n\u003cfigure id=\"attachment_12027568\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027568\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks during a press conference in Union Square, San Francisco, on Tuesday, Feb. 18, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite the judge’s order, some research funding freezes have continued unobstructed through the Trump administration’s use of procedural loopholes prohibiting health officials from giving public notice of grant review meetings, a required step before funding can be disbursed.\u003c/p>\n\u003cp>Last year, the NIH — the largest research funding institution in the world — allocated over $30 billion in grants to research projects. The University of California system said it received roughly $2.6 billion in NIH research funding. Wiener said cuts, including those to research that touches on diversity, equity and inclusion, would be a major setback for scientific development.[aside postID=news_12032892 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250310-TRUMP-SF-MD-02-KQED-1020x680.jpg']“In California, we should be supporting scientific research around diverse communities,” said Wiener, who is widely thought to be a contender for Sen. Nancy Pelosi’s House seat in the midterms. “But to be clear, what Trump and Musk are doing is way broader than that. They’re upending all scientific research, DEI and otherwise, and so we need to do what we can to enhance our science research capacity here in California.”\u003c/p>\n\u003cp>The California Institute of Scientific Research would fill the void caused by federal funding cuts, Wiener said. The agency would support state institutions and researchers conducting studies in areas including, but not limited to, biomedicine, climate, coastal and marine ecosystems and disease prevention.\u003c/p>\n\u003cp>The bill would also direct CalRX, a state program that produces and distributes prescription drugs such as generic insulin, to partner with other agencies to improve vaccine accessibility for Californians.\u003c/p>\n\u003cp>California’s local public health departments are already reckoning with a measles outbreak, with over \u003ca href=\"https://www.kqed.org/news/12033049/san-mateo-county-measles-case-highlights-risk-for-unvaccinated-expert-sayshttps:/www.kqed.org/news/12033049/san-mateo-county-measles-case-highlights-risk-for-unvaccinated-expert-says\">300 confirmed measles cases\u003c/a> this year. Many experts are attributing the rise in infections to lower vaccination rates in school-age children.\u003c/p>\n\u003cp>Kennedy and other health officials have already begun proposing alternatives to traditional vaccinations when it comes to dealing with diseases such as measles. While Kennedy has said the measles vaccine is effective at protecting children from the disease, he also suggested in an op-ed for Fox News that improved nutrition and vitamin intake is the “best defense” against infectious illnesses.\u003c/p>\n\u003cfigure id=\"attachment_12033385\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033385\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A syringe is filled with a dose of the Johnson & Johnson Janssen COVID-19 vaccine at a vaccination site inside Reuther Hall at Forty Acres on March 13, 2021, in Delano, California. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials also announced Wednesday that the Centers for Disease Control and Prevention plans to curtail federal funding for COVID-19 vaccinations and surveillance, further alarming health advocates who are pushing for improved public health initiatives.\u003c/p>\n\u003cp>“This COVID-19 rollback of funding at the federal level is just another example of how…we don’t have that kind of support at the federal level, to continue doing important innovative research that will benefit the public and the health of the public,” said Mar Velez, director of policy at the Latino Coalition for a Healthy California. “We’re happy to see that legislators in California are doing their job and setting up infrastructure that will continue to support the health of Californians.”\u003c/p>\n\u003cp>Funding for the bill is likely to be an obstacle moving forward. If Trump is successful in pushing forth sweeping cuts to critical state programs such as MediCaid, California could face a \u003ca href=\"https://www.kqed.org/news/12032878/gop-cuts-to-medicaid-snap-would-shrink-californias-economy-by-17-billion-and-kill-nearly-140000-jobs-new-study-finds\">severe budget deficit\u003c/a>, Wiener said, adding that state leaders are looking for ways to prepare for the worst.\u003c/p>\n\u003cp>“Scientific research is a crucial pillar of California’s economy and of our success, and we should never lose sight of that,” he said. “We’re all nervous. We are all scared…It’s paralyzing the level of harm that [the Trump administration] is doing. We need to all take a deep breath and focus on what we as individuals or as leaders can do.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/skennedy\">\u003cem>Samantha Kennedy\u003c/em>\u003c/a>\u003cem> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California \u003c/a>leaders are pushing for the creation of a state agency for scientific research and vaccine accessibility as \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">the Trump administration\u003c/a> continues implementing sweeping cuts to \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">federal funding\u003c/a> for public health research.\u003c/p>\n\u003cp>The bill, introduced by state Sen. \u003ca href=\"https://www.kqed.org/news/tag/scott-wiener\">Scott Wiener, \u003c/a>D-San Francisco, on Thursday, would create the California Institute for Scientific Research, a new state agency funding grants and loans to organizations that have traditionally relied on the National Institutes of Health.\u003c/p>\n\u003cp>The proposal also seeks to bolster the state’s vaccine infrastructure amid a climate of vaccine skepticism promoted by Health and Human Services Secretary Robert F. Kennedy Jr. and others in government.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump and Elon Musk’s \u003ca href=\"https://www.kqed.org/news/12029281/musks-costly-cuts-x-will-doge-trump-face-similar-fallout\">Department of Government Efficiency\u003c/a> “are taking a wrecking ball to federal scientific research, and they’re taking a wrecking ball to American leadership,” Wiener told KQED. “If the federal government is going to step back from science leadership, let’s make sure that California is the world leader.”\u003c/p>\n\u003cp>In February, a federal judge temporarily blocked the Trump administration’s plans to drastically reduce NIH funding for scientific research after a lawsuit was filed by a coalition of more than two dozen states. The \u003ca href=\"https://www.kqed.org/news/12030313/uc-berkeley-scientists-protest-trump-administrations-cuts-to-research-funding\">preliminary injunction was extended\u003c/a> earlier this month after Rhode Island U.S. District Court Judge John McConnell declared the cuts unsupported by any constitutional authority.\u003c/p>\n\u003cfigure id=\"attachment_12027568\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027568\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250218-SFDowntown-20-BL-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Sen. Scott Wiener speaks during a press conference in Union Square, San Francisco, on Tuesday, Feb. 18, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite the judge’s order, some research funding freezes have continued unobstructed through the Trump administration’s use of procedural loopholes prohibiting health officials from giving public notice of grant review meetings, a required step before funding can be disbursed.\u003c/p>\n\u003cp>Last year, the NIH — the largest research funding institution in the world — allocated over $30 billion in grants to research projects. The University of California system said it received roughly $2.6 billion in NIH research funding. Wiener said cuts, including those to research that touches on diversity, equity and inclusion, would be a major setback for scientific development.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“In California, we should be supporting scientific research around diverse communities,” said Wiener, who is widely thought to be a contender for Sen. Nancy Pelosi’s House seat in the midterms. “But to be clear, what Trump and Musk are doing is way broader than that. They’re upending all scientific research, DEI and otherwise, and so we need to do what we can to enhance our science research capacity here in California.”\u003c/p>\n\u003cp>The California Institute of Scientific Research would fill the void caused by federal funding cuts, Wiener said. The agency would support state institutions and researchers conducting studies in areas including, but not limited to, biomedicine, climate, coastal and marine ecosystems and disease prevention.\u003c/p>\n\u003cp>The bill would also direct CalRX, a state program that produces and distributes prescription drugs such as generic insulin, to partner with other agencies to improve vaccine accessibility for Californians.\u003c/p>\n\u003cp>California’s local public health departments are already reckoning with a measles outbreak, with over \u003ca href=\"https://www.kqed.org/news/12033049/san-mateo-county-measles-case-highlights-risk-for-unvaccinated-expert-sayshttps:/www.kqed.org/news/12033049/san-mateo-county-measles-case-highlights-risk-for-unvaccinated-expert-says\">300 confirmed measles cases\u003c/a> this year. Many experts are attributing the rise in infections to lower vaccination rates in school-age children.\u003c/p>\n\u003cp>Kennedy and other health officials have already begun proposing alternatives to traditional vaccinations when it comes to dealing with diseases such as measles. While Kennedy has said the measles vaccine is effective at protecting children from the disease, he also suggested in an op-ed for Fox News that improved nutrition and vitamin intake is the “best defense” against infectious illnesses.\u003c/p>\n\u003cfigure id=\"attachment_12033385\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033385\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/GettyImages-1231697879_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A syringe is filled with a dose of the Johnson & Johnson Janssen COVID-19 vaccine at a vaccination site inside Reuther Hall at Forty Acres on March 13, 2021, in Delano, California. \u003ccite>(Patrick T. Fallon/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials also announced Wednesday that the Centers for Disease Control and Prevention plans to curtail federal funding for COVID-19 vaccinations and surveillance, further alarming health advocates who are pushing for improved public health initiatives.\u003c/p>\n\u003cp>“This COVID-19 rollback of funding at the federal level is just another example of how…we don’t have that kind of support at the federal level, to continue doing important innovative research that will benefit the public and the health of the public,” said Mar Velez, director of policy at the Latino Coalition for a Healthy California. “We’re happy to see that legislators in California are doing their job and setting up infrastructure that will continue to support the health of Californians.”\u003c/p>\n\u003cp>Funding for the bill is likely to be an obstacle moving forward. If Trump is successful in pushing forth sweeping cuts to critical state programs such as MediCaid, California could face a \u003ca href=\"https://www.kqed.org/news/12032878/gop-cuts-to-medicaid-snap-would-shrink-californias-economy-by-17-billion-and-kill-nearly-140000-jobs-new-study-finds\">severe budget deficit\u003c/a>, Wiener said, adding that state leaders are looking for ways to prepare for the worst.\u003c/p>\n\u003cp>“Scientific research is a crucial pillar of California’s economy and of our success, and we should never lose sight of that,” he said. “We’re all nervous. We are all scared…It’s paralyzing the level of harm that [the Trump administration] is doing. We need to all take a deep breath and focus on what we as individuals or as leaders can do.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/skennedy\">\u003cem>Samantha Kennedy\u003c/em>\u003c/a>\u003cem> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"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.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
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},
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},
"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"link": "/radio/program/reveal",
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"rss": "http://feeds.revealradio.org/revealpodcast"
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
},
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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