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"content": "\u003cp>A California bill aimed at preventing more stonecutters from \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">contracting a deadly lung disease\u003c/a> on the job cleared its first legislative hurdle on Wednesday.\u003c/p>\n\u003cp>The proposed law, SB 20, seeks to expand regulations to protect workers from inhaling toxic silica particles while power-cutting and polishing slabs of artificial stone for kitchen and bathroom countertops and other products.\u003c/p>\n\u003cp>Artificial stone countertops have exploded in popularity because they are cheaper and easier to clean than natural stone. However, cutting the factory-made slabs without proper protective equipment is linked to a more aggressive form of silicosis, a disease historically associated with miners and stonecutters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Artificial stone is now the top countertop material in the U.S., with a market size of \u003ca href=\"https://www.dir.ca.gov/OSHSB/documents/Respirable-Crystalline-Silica-Emergency-FOE.pdf\">$17.7 billion\u003c/a>, according to a report by state workplace safety regulators. Critics argue that SB 20 won’t be enough to stem a growing public health crisis.\u003c/p>\n\u003cp>In California, health authorities have \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">tracked\u003c/a> about 260 silicosis cases among mostly Latino countertop fabrication workers since 2019, with Los Angeles County’s San Fernando Valley as the epicenter of the outbreak. At least 15 people have died. Dozens underwent lung transplants.\u003c/p>\n\u003cp>State Sen. Caroline Menjivar (D-San Fernando Valley) introduced SB 20.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We need to do better to protect these individuals,” Menjivar told the Senate’s Labor, Public Employment and Retirement Committee at Wednesday’s hearing. “I’ve met someone who was in his early 30s who had a double lung transplant. This is no inexpensive disease. This is life threatening.”\u003c/p>\n\u003cp>Artificial stone, also known as quartz or engineered stone, is \u003ca href=\"https://www.kqed.org/news/11956246/california-fast-tracks-rules-to-protect-stonecutters-from-horrible-deaths\">uniquely hazardous to stonecutters\u003c/a> because it can contain up to 93% silica — significantly more than natural alternatives.\u003c/p>\n\u003cp>California workplace regulators \u003ca href=\"https://www.kqed.org/news/11969846/california-regulators-approve-emergency-rules-to-protect-stonecutters-from-deadly-disease\">approved emergency rules\u003c/a> in December 2023 banning the dry cutting of engineered stone. Fabrication shops must use wet-cutting saws and other tools that submerge slabs under water to suppress dust. Those Cal/OSHA rules \u003ca href=\"https://www.dir.ca.gov/DIRNews/2024/2024-111.html#:~:text=Sacramento%E2%80%94The%20Occupational%20Safety%20and%20Health%20Standards%20Board,stone%20containing%20more%20than%2010%%20crystalline%20silica.\">became permanent\u003c/a> a year later.\u003c/p>\n\u003cp>SB 20 would go further by establishing certification and training requirements for fabrication shops to operate safely while also prohibiting the supply of artificial stone to unlicensed businesses or people after January 2027. The bill, which the labor committee advanced with a unanimous vote, would also require the state to create a public online database that tracks enforcement actions against fabrication businesses. SB 20 heads next to a hearing at the Senate Health Committee.[aside postID=news_11969381 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/10/231017-StonecutterSilicosis-016-BL-KQED-1020x680.jpg']Judy Yee, a legislative advocate with the State Building and Construction Trades Council of California, said many fabrication shops in Los Angeles County are unregulated, often operating out of garages or the backs of trailers. The businesses employ mostly non-unionized undocumented immigrants, who may fear speaking up about unsafe workplace practices.\u003c/p>\n\u003cp>Without proper training, tracking and prevention efforts, the state will continue to see a rise in silicosis cases and deaths, according to Yee and other supporters of Menjivar’s bill at the hearing. Representatives for industry groups and Cosentino, one of the world’s largest manufacturers of engineered stone, also attended.\u003c/p>\n\u003cp>“We believe SB 20 represents a critical step toward complementing California’s recently adopted silica regulations with a well-structured certification program for artificial stone fabricators,” Eric Rose, a spokesperson with the Stone Coalition, which represents manufacturers, distributors and fabricators, said in a statement. “A certification framework — paired with robust oversight and enforcement — will help ensure that all fabricators, particularly bad actors, are held to consistent health and safety standards.”\u003c/p>\n\u003cp>Hundreds of silicosis patients in California are suing the largest engineered stone manufacturers — Cosentino, Caesarstone and Cambria — arguing that the companies failed to adequately label and warn of the hazards of their products, according to James Nevin, one of the attorneys representing workers.\u003c/p>\n\u003cfigure id=\"attachment_11964918\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11964918\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED.jpg\" alt=\"A hand holds a phone showing the photo of a stone fireplace.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabrication worker shares a photo on his phone of stonecutting work from his job at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nevin and other critics of SB 20 doubt a licensing process will protect most stonecutters. According to Nevin, many fabrication shops will continue operating without certification because they can’t afford the expensive equipment needed to comply with Cal/OSHA rules to handle the material safely.\u003c/p>\n\u003cp>San Francisco resident Jorge Estrella Moreno, one of the workers suing the manufacturers, was diagnosed with silicosis about two years ago. His symptoms — feeling like he can’t get enough air when talking or walking uphill — have worsened, he said.\u003c/p>\n\u003cp>The long-time stonecutter, who prides himself in having raised three kids in the U.S. with the job, continues to work at a fabrication shop that cuts artificial stone slabs dry, exposing him and others to dust clouds, he said.\u003c/p>\n\u003cp>“I don’t have another option. I have to pay bills and rent, and if I don’t work, I don’t have enough to eat,” Estrella Moreno, 49, told KQED in Spanish.[aside postID=news_12022784 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250117_Safeway-Injuries_DMB_00163-1020x680.jpg']Maegan Ortiz, who directs a labor center that educates countertop fabrication workers in the San Fernando Valley on work hazards, worried that SB 20 would further drive small fabrication shops underground.\u003c/p>\n\u003cp>“The only way to deal with the silicosis crisis is to actually stop the usage of this artificial stone with the high silica content,” said Ortiz, executive director at Instituto de Educación Popular del Sur de California. “Basically, all that this bill does is ensure that big companies and big shops have the above-ground market of artificial stone … As far as we are concerned, SB 20 is a gift to the industry and not a gift to workers.”\u003c/p>\n\u003cp>Australia became the first country to \u003ca href=\"https://www.dewr.gov.au/engineeredstone\">ban the use\u003c/a>, supply and manufacture of engineered stone last year due to a rising silicosis epidemic. Top engineered stone manufacturers hope to avoid that fate in California, where Cal/OSHA officials have suggested a ban may be needed if widespread noncompliance with safety rules continues.\u003c/p>\n\u003cp>Manufacturers maintain that the material is used safely to produce countertops when appropriate measures are followed and that a ban would unnecessarily decimate jobs. Representatives for Cosentino, a company based in Spain, and the Israel-based Caesarstone, told Cal/OSHA in 2023 that they would support creating a licensing program to sell artificial stone only to fabrication shops equipped to handle it safely.\u003c/p>\n\u003cp>SB 20 is nearly identical to a bill Menjivar co-authored last year. That bill’s main author, former Assemblymember Luz Rivas, who was elected to Congress in November, pulled \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB3043\">AB 3043\u003c/a>, arguing that state regulators were “not receptive to creating a tracking system to identify licensed fabrication shops.”\u003c/p>\n\u003cp>Estrella Moreno said he would prefer to use safer stone alternatives at work and believes the most effective way to protect workers like himself would be for state regulators to prohibit the use and sale of artificial stone altogether.\u003c/p>\n\u003cp>“A ban would be the best thing for everyone,” he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "California Bill Moves Forward to Protect Stonecutters From Deadly Disease | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California bill aimed at preventing more stonecutters from \u003ca href=\"https://www.kqed.org/news/11969381/california-regulators-to-vote-on-emergency-rules-for-stonecutters-safety\">contracting a deadly lung disease\u003c/a> on the job cleared its first legislative hurdle on Wednesday.\u003c/p>\n\u003cp>The proposed law, SB 20, seeks to expand regulations to protect workers from inhaling toxic silica particles while power-cutting and polishing slabs of artificial stone for kitchen and bathroom countertops and other products.\u003c/p>\n\u003cp>Artificial stone countertops have exploded in popularity because they are cheaper and easier to clean than natural stone. However, cutting the factory-made slabs without proper protective equipment is linked to a more aggressive form of silicosis, a disease historically associated with miners and stonecutters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Artificial stone is now the top countertop material in the U.S., with a market size of \u003ca href=\"https://www.dir.ca.gov/OSHSB/documents/Respirable-Crystalline-Silica-Emergency-FOE.pdf\">$17.7 billion\u003c/a>, according to a report by state workplace safety regulators. Critics argue that SB 20 won’t be enough to stem a growing public health crisis.\u003c/p>\n\u003cp>In California, health authorities have \u003ca href=\"https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx\">tracked\u003c/a> about 260 silicosis cases among mostly Latino countertop fabrication workers since 2019, with Los Angeles County’s San Fernando Valley as the epicenter of the outbreak. At least 15 people have died. Dozens underwent lung transplants.\u003c/p>\n\u003cp>State Sen. Caroline Menjivar (D-San Fernando Valley) introduced SB 20.\u003c/p>\n\u003cfigure id=\"attachment_12033047\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12033047\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/231017-StonecutterSilicosis-002-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabricator places his hand on a table that he cut at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We need to do better to protect these individuals,” Menjivar told the Senate’s Labor, Public Employment and Retirement Committee at Wednesday’s hearing. “I’ve met someone who was in his early 30s who had a double lung transplant. This is no inexpensive disease. This is life threatening.”\u003c/p>\n\u003cp>Artificial stone, also known as quartz or engineered stone, is \u003ca href=\"https://www.kqed.org/news/11956246/california-fast-tracks-rules-to-protect-stonecutters-from-horrible-deaths\">uniquely hazardous to stonecutters\u003c/a> because it can contain up to 93% silica — significantly more than natural alternatives.\u003c/p>\n\u003cp>California workplace regulators \u003ca href=\"https://www.kqed.org/news/11969846/california-regulators-approve-emergency-rules-to-protect-stonecutters-from-deadly-disease\">approved emergency rules\u003c/a> in December 2023 banning the dry cutting of engineered stone. Fabrication shops must use wet-cutting saws and other tools that submerge slabs under water to suppress dust. Those Cal/OSHA rules \u003ca href=\"https://www.dir.ca.gov/DIRNews/2024/2024-111.html#:~:text=Sacramento%E2%80%94The%20Occupational%20Safety%20and%20Health%20Standards%20Board,stone%20containing%20more%20than%2010%%20crystalline%20silica.\">became permanent\u003c/a> a year later.\u003c/p>\n\u003cp>SB 20 would go further by establishing certification and training requirements for fabrication shops to operate safely while also prohibiting the supply of artificial stone to unlicensed businesses or people after January 2027. The bill, which the labor committee advanced with a unanimous vote, would also require the state to create a public online database that tracks enforcement actions against fabrication businesses. SB 20 heads next to a hearing at the Senate Health Committee.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Judy Yee, a legislative advocate with the State Building and Construction Trades Council of California, said many fabrication shops in Los Angeles County are unregulated, often operating out of garages or the backs of trailers. The businesses employ mostly non-unionized undocumented immigrants, who may fear speaking up about unsafe workplace practices.\u003c/p>\n\u003cp>Without proper training, tracking and prevention efforts, the state will continue to see a rise in silicosis cases and deaths, according to Yee and other supporters of Menjivar’s bill at the hearing. Representatives for industry groups and Cosentino, one of the world’s largest manufacturers of engineered stone, also attended.\u003c/p>\n\u003cp>“We believe SB 20 represents a critical step toward complementing California’s recently adopted silica regulations with a well-structured certification program for artificial stone fabricators,” Eric Rose, a spokesperson with the Stone Coalition, which represents manufacturers, distributors and fabricators, said in a statement. “A certification framework — paired with robust oversight and enforcement — will help ensure that all fabricators, particularly bad actors, are held to consistent health and safety standards.”\u003c/p>\n\u003cp>Hundreds of silicosis patients in California are suing the largest engineered stone manufacturers — Cosentino, Caesarstone and Cambria — arguing that the companies failed to adequately label and warn of the hazards of their products, according to James Nevin, one of the attorneys representing workers.\u003c/p>\n\u003cfigure id=\"attachment_11964918\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11964918\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED.jpg\" alt=\"A hand holds a phone showing the photo of a stone fireplace.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231017-StonecutterSilicosis-003-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A stone fabrication worker shares a photo on his phone of stonecutting work from his job at his home in San Francisco on Oct. 17, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nevin and other critics of SB 20 doubt a licensing process will protect most stonecutters. According to Nevin, many fabrication shops will continue operating without certification because they can’t afford the expensive equipment needed to comply with Cal/OSHA rules to handle the material safely.\u003c/p>\n\u003cp>San Francisco resident Jorge Estrella Moreno, one of the workers suing the manufacturers, was diagnosed with silicosis about two years ago. His symptoms — feeling like he can’t get enough air when talking or walking uphill — have worsened, he said.\u003c/p>\n\u003cp>The long-time stonecutter, who prides himself in having raised three kids in the U.S. with the job, continues to work at a fabrication shop that cuts artificial stone slabs dry, exposing him and others to dust clouds, he said.\u003c/p>\n\u003cp>“I don’t have another option. I have to pay bills and rent, and if I don’t work, I don’t have enough to eat,” Estrella Moreno, 49, told KQED in Spanish.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Maegan Ortiz, who directs a labor center that educates countertop fabrication workers in the San Fernando Valley on work hazards, worried that SB 20 would further drive small fabrication shops underground.\u003c/p>\n\u003cp>“The only way to deal with the silicosis crisis is to actually stop the usage of this artificial stone with the high silica content,” said Ortiz, executive director at Instituto de Educación Popular del Sur de California. “Basically, all that this bill does is ensure that big companies and big shops have the above-ground market of artificial stone … As far as we are concerned, SB 20 is a gift to the industry and not a gift to workers.”\u003c/p>\n\u003cp>Australia became the first country to \u003ca href=\"https://www.dewr.gov.au/engineeredstone\">ban the use\u003c/a>, supply and manufacture of engineered stone last year due to a rising silicosis epidemic. Top engineered stone manufacturers hope to avoid that fate in California, where Cal/OSHA officials have suggested a ban may be needed if widespread noncompliance with safety rules continues.\u003c/p>\n\u003cp>Manufacturers maintain that the material is used safely to produce countertops when appropriate measures are followed and that a ban would unnecessarily decimate jobs. Representatives for Cosentino, a company based in Spain, and the Israel-based Caesarstone, told Cal/OSHA in 2023 that they would support creating a licensing program to sell artificial stone only to fabrication shops equipped to handle it safely.\u003c/p>\n\u003cp>SB 20 is nearly identical to a bill Menjivar co-authored last year. That bill’s main author, former Assemblymember Luz Rivas, who was elected to Congress in November, pulled \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB3043\">AB 3043\u003c/a>, arguing that state regulators were “not receptive to creating a tracking system to identify licensed fabrication shops.”\u003c/p>\n\u003cp>Estrella Moreno said he would prefer to use safer stone alternatives at work and believes the most effective way to protect workers like himself would be for state regulators to prohibit the use and sale of artificial stone altogether.\u003c/p>\n\u003cp>“A ban would be the best thing for everyone,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "gop-cuts-to-medicaid-snap-would-shrink-californias-economy-by-17-billion-and-kill-nearly-140000-jobs-new-study-finds",
"title": "California Faces $17 Billion Economic Hit, 140,000 Job Losses Under GOP Budget Cuts",
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"headTitle": "California Faces $17 Billion Economic Hit, 140,000 Job Losses Under GOP Budget Cuts | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> could lose nearly 140,000 jobs and see its economy shrink by close to $17 billion next year, far more than any other state, if congressional Republicans push through massive cuts to Medicaid and SNAP programs.\u003c/p>\n\u003cp>That’s according to \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2025/mar/how-cuts-medicaid-snap-could-trigger-job-loss-state-revenue\">a new study\u003c/a> by the Commonwealth Fund, a left-leaning health policy group, and George Washington University, that estimates the potential economic hit to each state under the current Republican proposal to slash more than $1 trillion from Medicaid and SNAP — the Supplemental Nutrition Assistance Program — over the next decade.\u003c/p>\n\u003cp>While recent analyses have largely focused on the tremendous consequences such sweeping cuts would have on program recipients, far less attention has been given to how such cuts would “necessarily weaken states’ economies and result in substantial job losses through a ‘multiplier effect,’” the study’s authors note.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Part of the point we’re trying to make is these are not harmless cuts,” said Leighton Ku, the study’s lead author, who is a professor of health policy and management at George Washington University. “We were trying to say there are broader effects for state economies. There are the sorts of things that also lead to unemployment rates going up, to state tax revenues going down as opposed to just the effect for the low-income people.”\u003c/p>\n\u003cp>Although huge numbers of lower-income Americans benefit from the programs, Ku said, the direct recipients of Medicaid payments and SNAP benefits are actually health care providers and grocery stores.\u003c/p>\n\u003cp>“What happens is if they lose money because of the SNAP or Medicaid cutbacks, then these businesses need to reduce how much spending they have,” said Ku, whose analysis is based on each state’s most recent federal medical assistance expenditures, as well as U.S. Department of Agriculture SNAP benefit spending.\u003c/p>\n\u003cp>[aside postID=news_12028454 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/GettyImages-2177324845-1020x680.jpg']\u003c/p>\n\u003cp>“So they need to lay off staff. They need to buy fewer stuff from other places,” he said. “Ultimately speaking, this leads to broader reductions in the economy.”\u003c/p>\n\u003cp>The cutbacks will also lower the amount of taxes that state and local governments can collect, with state and local tax revenues falling by about $1.4 billion in California alone, Ku added.\u003c/p>\n\u003cp>“This would be in addition to the budget problems the state is already facing,” he said.\u003c/p>\n\u003cp>Medicaid provides health insurance to more than 72 million Americans with limited incomes and funds long-term care for some seniors. In California, \u003ca href=\"https://www.dhcs.ca.gov/dataandstats/dashboards/Pages/Medi-Cal-Enrollment-and-Renewals-Dashboard-January2025.aspx\">nearly 15 million people\u003c/a> — more than a third of residents — are enrolled in Medi-Cal, the state’s version of the program. About two-thirds of funding for state Medicaid programs is federal.\u003c/p>\n\u003cp>Meanwhile, nearly 42 million Americans — including \u003ca href=\"https://www.cbpp.org/sites/default/files/atoms/files/snap_factsheet_california.pdf\">more than 5 million in California\u003c/a> — are enrolled in SNAP, which offers food benefits to lower-income families and is funded entirely by the federal government.\u003c/p>\n\u003cp>Taken together, the Republican proposal to cut upward of $880 billion in funding for Medicaid and $230 billion for SNAP over the next 10 years would collectively reduce state GDPs by $113 billion in 2026, resulting in the loss of more than 1 million jobs, Ku estimates.\u003c/p>\n\u003cp>“I would say the point that we’re trying to make is [Republicans] should be aware that the deep cuts they’re talking about are going to increase unemployment. They’re not going to help strengthen the economy of states,” Ku said. “They’re going to make it harder for states to balance their budgets.”\u003c/p>\n\u003cp>The U.S. House of Representatives’ current budget resolution \u003ca href=\"https://www.nytimes.com/2025/03/10/briefing/republicans-medicaid.html\">offers a blueprint\u003c/a> for the so-called reconciliation bill that Republicans hope to pass in the coming months. The legislation would extend the 2017 tax cuts that lawmakers passed during President Donald Trump’s first term, offsetting the cost by slashing funding to safety net programs, which Republicans have long attacked as being rife with fraud and waste.\u003c/p>\n\u003cp>And while the House resolution doesn’t explicitly call for cutting Medicaid or food assistance, it directs two House committees with jurisdiction over the programs to identify the $1 trillion in cuts, something that would be virtually impossible without slashing Medicaid and SNAP.\u003c/p>\n\u003cp>“There’s a fairness problem here,” Ku said. “These will be cuts that will harm people, will harm state economies, will increase unemployment.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/lesleymcclurg\">\u003cem>Lesley McClurg\u003c/em>\u003c/a>\u003cem> contributed to this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Taken together, the Republican proposal to cut upward of $880 billion in funding for Medicaid and $230 billion for SNAP over the next 10 years would collectively reduce state GDPs by $113 billion in 2026, resulting in the loss of more than 1 million jobs, the report estimates.",
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"title": "California Faces $17 Billion Economic Hit, 140,000 Job Losses Under GOP Budget Cuts | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a> could lose nearly 140,000 jobs and see its economy shrink by close to $17 billion next year, far more than any other state, if congressional Republicans push through massive cuts to Medicaid and SNAP programs.\u003c/p>\n\u003cp>That’s according to \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2025/mar/how-cuts-medicaid-snap-could-trigger-job-loss-state-revenue\">a new study\u003c/a> by the Commonwealth Fund, a left-leaning health policy group, and George Washington University, that estimates the potential economic hit to each state under the current Republican proposal to slash more than $1 trillion from Medicaid and SNAP — the Supplemental Nutrition Assistance Program — over the next decade.\u003c/p>\n\u003cp>While recent analyses have largely focused on the tremendous consequences such sweeping cuts would have on program recipients, far less attention has been given to how such cuts would “necessarily weaken states’ economies and result in substantial job losses through a ‘multiplier effect,’” the study’s authors note.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Part of the point we’re trying to make is these are not harmless cuts,” said Leighton Ku, the study’s lead author, who is a professor of health policy and management at George Washington University. “We were trying to say there are broader effects for state economies. There are the sorts of things that also lead to unemployment rates going up, to state tax revenues going down as opposed to just the effect for the low-income people.”\u003c/p>\n\u003cp>Although huge numbers of lower-income Americans benefit from the programs, Ku said, the direct recipients of Medicaid payments and SNAP benefits are actually health care providers and grocery stores.\u003c/p>\n\u003cp>“What happens is if they lose money because of the SNAP or Medicaid cutbacks, then these businesses need to reduce how much spending they have,” said Ku, whose analysis is based on each state’s most recent federal medical assistance expenditures, as well as U.S. Department of Agriculture SNAP benefit spending.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“So they need to lay off staff. They need to buy fewer stuff from other places,” he said. “Ultimately speaking, this leads to broader reductions in the economy.”\u003c/p>\n\u003cp>The cutbacks will also lower the amount of taxes that state and local governments can collect, with state and local tax revenues falling by about $1.4 billion in California alone, Ku added.\u003c/p>\n\u003cp>“This would be in addition to the budget problems the state is already facing,” he said.\u003c/p>\n\u003cp>Medicaid provides health insurance to more than 72 million Americans with limited incomes and funds long-term care for some seniors. In California, \u003ca href=\"https://www.dhcs.ca.gov/dataandstats/dashboards/Pages/Medi-Cal-Enrollment-and-Renewals-Dashboard-January2025.aspx\">nearly 15 million people\u003c/a> — more than a third of residents — are enrolled in Medi-Cal, the state’s version of the program. About two-thirds of funding for state Medicaid programs is federal.\u003c/p>\n\u003cp>Meanwhile, nearly 42 million Americans — including \u003ca href=\"https://www.cbpp.org/sites/default/files/atoms/files/snap_factsheet_california.pdf\">more than 5 million in California\u003c/a> — are enrolled in SNAP, which offers food benefits to lower-income families and is funded entirely by the federal government.\u003c/p>\n\u003cp>Taken together, the Republican proposal to cut upward of $880 billion in funding for Medicaid and $230 billion for SNAP over the next 10 years would collectively reduce state GDPs by $113 billion in 2026, resulting in the loss of more than 1 million jobs, Ku estimates.\u003c/p>\n\u003cp>“I would say the point that we’re trying to make is [Republicans] should be aware that the deep cuts they’re talking about are going to increase unemployment. They’re not going to help strengthen the economy of states,” Ku said. “They’re going to make it harder for states to balance their budgets.”\u003c/p>\n\u003cp>The U.S. House of Representatives’ current budget resolution \u003ca href=\"https://www.nytimes.com/2025/03/10/briefing/republicans-medicaid.html\">offers a blueprint\u003c/a> for the so-called reconciliation bill that Republicans hope to pass in the coming months. The legislation would extend the 2017 tax cuts that lawmakers passed during President Donald Trump’s first term, offsetting the cost by slashing funding to safety net programs, which Republicans have long attacked as being rife with fraud and waste.\u003c/p>\n\u003cp>And while the House resolution doesn’t explicitly call for cutting Medicaid or food assistance, it directs two House committees with jurisdiction over the programs to identify the $1 trillion in cuts, something that would be virtually impossible without slashing Medicaid and SNAP.\u003c/p>\n\u003cp>“There’s a fairness problem here,” Ku said. “These will be cuts that will harm people, will harm state economies, will increase unemployment.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/lesleymcclurg\">\u003cem>Lesley McClurg\u003c/em>\u003c/a>\u003cem> contributed to this story\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Cross-border politics have cost the UCSF Medical Center a leading heart surgeon from Canada who was set to start his job this month but changed his mind. The reason: \u003ca href=\"https://www.kqed.org/forum/2010101909303/canadians-to-trump-we-are-not-having-it\">economic and political hostility toward our northern neighbor\u003c/a> emanating from the Trump administration.\u003c/p>\n\u003cp>UCSF touted the hiring of Dr. Marc Ruel late last year, saying he would be relocating from Canada to serve as the chief of the Division of Adult Cardiothoracic Surgery.\u003c/p>\n\u003cp>“Dr. Ruel is one of the world’s most highly regarded cardiac surgeons, and his leadership will undoubtedly elevate our division to new heights across all our missions,” Dr. Julie Ann Sosa, chair of the Department of Surgery at UCSF, wrote in its December newsletter.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ruel, too, had notified colleagues in Canada that he was leaving his post at the \u003ca href=\"https://www.ottawaheart.ca/profile/ruel-marc\">University of Ottawa Heart Institute\u003c/a> (UOHI) to head up the division at UCSF, a position he accepted last fall. But a message from Sosa and another UCSF physician sent on March 4 to colleagues notified staff that Ruel had decided not to move to California, apparently influenced by President Donald Trump’s \u003ca href=\"https://www.kqed.org/news/12025404/canada-tariffs-paused-california-wineries-fear-trade-dispute-would-be-crushing\">threats of tariffs\u003c/a> and talk of annexing Canada as the 51st state.\u003c/p>\n\u003cp>The message, signed by Sosa and Dr. Joshua Adler, acknowledged that much preparation had been made for Ruel’s arrival, adding that he “made the personal decision not to move forward with his relocation, given the evolving political climate and his commitment to serving his current institution in Ottawa.”\u003c/p>\n\u003cfigure id=\"attachment_12024922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12024922 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump signs executive orders in the Oval Office on Jan. 20, 2025, in Washington, D.C. \u003ccite>(Anna Monkeymaker/Getty)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The message also noted the “tremendous effort” UCSF teams put into preparing for Ruel’s arrival, “laying the groundwork for his transition … and extending a warm welcome to him and his family.” Despite that lost effort, the physicians said the medical center “respects his decision.”\u003c/p>\n\u003cp>The impact of Ruel’s decision is being felt by patients in the Bay Area, including Jennifer Friedman of Berkeley. She has a hereditary condition leading to a partially blocked artery to her heart — a condition she was told could, at some point, require invasive open-heart surgery and a very long recovery.\u003c/p>\n\u003cp>She was excited to learn from UCSF that Ruel could treat her using a far less invasive procedure. The two connected by text, email and phone to get her on his schedule at UCSF.\u003c/p>\n\u003cp>“Dr. Ruel was the hero surgeon that was coming to teach everybody at UCSF how to do the magical procedure,” Friedman told KQED. “And I was so excited that he was coming.”[aside postID=news_12032263 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250320-JAPANESEAMERICANSDENOUNCE-03-BL-KQED-1020x680.jpg']Friedman said it was her understanding that in preparation for Ruel’s arrival, UCSF was going to “send a team of people from UCSF to Canada to see what his whole operating room situation looked like so they could basically recreate it here in San Francisco. And I don’t know if that happened or not, but then Trump was elected.”\u003c/p>\n\u003cp>The internal UCSF letter to staff was careful not to weigh in on the U.S. political situation — not surprising given the enormous amount of federal dollars UCSF receives — but said, “We respect his need to adapt to changing circumstances — just as we do every day to advance our mission and provide world-class care to our patients.”\u003c/p>\n\u003cp>In 2023, UCSF received $789 million in grants from the National Institutes of Health (NIH), which the Trump administration is trying to slash. In February, the University of California announced its \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-supports-legal-action-against-misguided-plan-cut-vital-nih-research-funds\">support for a lawsuit \u003c/a>filed by Attorney General Rob Bonta and 21 other states seeking to block the action. Earlier this month, a federal judge extended a temporary restraining order pausing \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">efforts to cut NIH medical and scientific research grants\u003c/a> to universities and hospitals.\u003c/p>\n\u003cp>UCSF did not publicly announce the loss of Ruel and declined KQED’s repeated requests for comment while referring us to the doctor. A spokesperson for the University of Ottawa confirmed that Ruel changed his mind over political considerations and will likely stay there.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to UOHI’s website, Ruel, who was trained at Harvard, led its Division of Cardiac Surgery for 11 years. The university notes that the focus of Ruel’s research and work has been to make cardiac surgery “less invasive, more evidence-based, and performed with better patient outcomes.” He is currently the director of Minimally Invasive Cardiac Surgery at UOHI.\u003c/p>\n\u003cp>In an email to Friedman sent on March 4, Ruel told her of his regrets that he would no longer be coming to UCSF, stressing that it was his personal affection for his nation that drove his decision.\u003c/p>\n\u003cp>“I am a proud Canadian, above all else, and I cannot in my patriotic conscience ignore what is happening,” Ruel wrote.\u003c/p>\n\u003cp>Now Friedman, 57, is back to square one, looking for a new surgeon. \u003cstrong>“\u003c/strong>I’m disappointed, I’m sad and I’m scared. And I feel like this is just the beginning of the ramifications” of Trump’s policies, she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cross-border politics have cost the UCSF Medical Center a leading heart surgeon from Canada who was set to start his job this month but changed his mind. The reason: \u003ca href=\"https://www.kqed.org/forum/2010101909303/canadians-to-trump-we-are-not-having-it\">economic and political hostility toward our northern neighbor\u003c/a> emanating from the Trump administration.\u003c/p>\n\u003cp>UCSF touted the hiring of Dr. Marc Ruel late last year, saying he would be relocating from Canada to serve as the chief of the Division of Adult Cardiothoracic Surgery.\u003c/p>\n\u003cp>“Dr. Ruel is one of the world’s most highly regarded cardiac surgeons, and his leadership will undoubtedly elevate our division to new heights across all our missions,” Dr. Julie Ann Sosa, chair of the Department of Surgery at UCSF, wrote in its December newsletter.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ruel, too, had notified colleagues in Canada that he was leaving his post at the \u003ca href=\"https://www.ottawaheart.ca/profile/ruel-marc\">University of Ottawa Heart Institute\u003c/a> (UOHI) to head up the division at UCSF, a position he accepted last fall. But a message from Sosa and another UCSF physician sent on March 4 to colleagues notified staff that Ruel had decided not to move to California, apparently influenced by President Donald Trump’s \u003ca href=\"https://www.kqed.org/news/12025404/canada-tariffs-paused-california-wineries-fear-trade-dispute-would-be-crushing\">threats of tariffs\u003c/a> and talk of annexing Canada as the 51st state.\u003c/p>\n\u003cp>The message, signed by Sosa and Dr. Joshua Adler, acknowledged that much preparation had been made for Ruel’s arrival, adding that he “made the personal decision not to move forward with his relocation, given the evolving political climate and his commitment to serving his current institution in Ottawa.”\u003c/p>\n\u003cfigure id=\"attachment_12024922\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12024922 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/GettyImages-2194989581-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">President Donald Trump signs executive orders in the Oval Office on Jan. 20, 2025, in Washington, D.C. \u003ccite>(Anna Monkeymaker/Getty)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The message also noted the “tremendous effort” UCSF teams put into preparing for Ruel’s arrival, “laying the groundwork for his transition … and extending a warm welcome to him and his family.” Despite that lost effort, the physicians said the medical center “respects his decision.”\u003c/p>\n\u003cp>The impact of Ruel’s decision is being felt by patients in the Bay Area, including Jennifer Friedman of Berkeley. She has a hereditary condition leading to a partially blocked artery to her heart — a condition she was told could, at some point, require invasive open-heart surgery and a very long recovery.\u003c/p>\n\u003cp>She was excited to learn from UCSF that Ruel could treat her using a far less invasive procedure. The two connected by text, email and phone to get her on his schedule at UCSF.\u003c/p>\n\u003cp>“Dr. Ruel was the hero surgeon that was coming to teach everybody at UCSF how to do the magical procedure,” Friedman told KQED. “And I was so excited that he was coming.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Friedman said it was her understanding that in preparation for Ruel’s arrival, UCSF was going to “send a team of people from UCSF to Canada to see what his whole operating room situation looked like so they could basically recreate it here in San Francisco. And I don’t know if that happened or not, but then Trump was elected.”\u003c/p>\n\u003cp>The internal UCSF letter to staff was careful not to weigh in on the U.S. political situation — not surprising given the enormous amount of federal dollars UCSF receives — but said, “We respect his need to adapt to changing circumstances — just as we do every day to advance our mission and provide world-class care to our patients.”\u003c/p>\n\u003cp>In 2023, UCSF received $789 million in grants from the National Institutes of Health (NIH), which the Trump administration is trying to slash. In February, the University of California announced its \u003ca href=\"https://www.universityofcalifornia.edu/press-room/uc-supports-legal-action-against-misguided-plan-cut-vital-nih-research-funds\">support for a lawsuit \u003c/a>filed by Attorney General Rob Bonta and 21 other states seeking to block the action. Earlier this month, a federal judge extended a temporary restraining order pausing \u003ca href=\"https://www.kqed.org/news/12026447/judge-blocks-trump-plan-cut-research-funding-after-california-other-states-sue\">efforts to cut NIH medical and scientific research grants\u003c/a> to universities and hospitals.\u003c/p>\n\u003cp>UCSF did not publicly announce the loss of Ruel and declined KQED’s repeated requests for comment while referring us to the doctor. A spokesperson for the University of Ottawa confirmed that Ruel changed his mind over political considerations and will likely stay there.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health in San Francisco. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to UOHI’s website, Ruel, who was trained at Harvard, led its Division of Cardiac Surgery for 11 years. The university notes that the focus of Ruel’s research and work has been to make cardiac surgery “less invasive, more evidence-based, and performed with better patient outcomes.” He is currently the director of Minimally Invasive Cardiac Surgery at UOHI.\u003c/p>\n\u003cp>In an email to Friedman sent on March 4, Ruel told her of his regrets that he would no longer be coming to UCSF, stressing that it was his personal affection for his nation that drove his decision.\u003c/p>\n\u003cp>“I am a proud Canadian, above all else, and I cannot in my patriotic conscience ignore what is happening,” Ruel wrote.\u003c/p>\n\u003cp>Now Friedman, 57, is back to square one, looking for a new surgeon. \u003cstrong>“\u003c/strong>I’m disappointed, I’m sad and I’m scared. And I feel like this is just the beginning of the ramifications” of Trump’s policies, she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/pop/104710/how-dna-tests-like-23andme-are-exposing-family-secrets\">23andMe\u003c/a>, the South San Francisco-based biotech giant that pioneered at-home genetic testing, filed for Chapter 11 bankruptcy, stoking privacy concerns for many of its more than 15 million customers.\u003c/p>\n\u003cp>The company \u003ca href=\"https://www.globenewswire.com/news-release/2025/03/24/3047517/0/en/23andMe-Initiates-Voluntary-Chapter-11-Process-to-Maximize-Stakeholder-Value-Through-Court-Supervised-Sale-Process.html\">announced\u003c/a> Sunday that it plans to sell “substantially all of its assets” through a court-approved reorganization plan and said its CEO, Anne Wojcicki, who co-founded the company nearly two decades ago, is stepping down effective immediately but will remain on the company’s board.\u003c/p>\n\u003cp>As the company’s bankruptcy filing appeared imminent last week, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-urgently-issues-consumer-alert-23andme-customers\">issued a consumer alert\u003c/a> informing the company’s roughly 1.7 million customers in California of their right to delete the trove of genetic information collected about them.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I want to remind people of their rights given this moment,” Bonta told KQED on Monday, a day after the company submitted its filing in a Missouri bankruptcy court. “They may not have the same guardrails and protections in place for privacy … as they do now.”\u003c/p>\n\u003cp>Bonta said he’s not going as far as telling customers to delete their data but that, as a 23andMe customer himself, he’s already begun the process of deleting his own data.\u003c/p>\n\u003cfigure id=\"attachment_11959336\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11959336\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg\" alt=\"California's Attorney General Rob Bonta speaks into a microphone.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta fields questions during a press conference on Monday, Aug. 28, 2023, in Los Angeles. \u003ccite>(Marcio Jose Sanchez/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s totally their decision about how they value their private data, what kind of risk they want to take on and are willing to absorb,” he said. “So that’s up to them, but I’m just reminding them of their unique rights here in California.”\u003c/p>\n\u003cp>The bankruptcy filing marks a striking reversal of fortune for the company, which just four years ago had a \u003ca href=\"https://finance.yahoo.com/news/23andmes-journey-dna-testing-pioneer-171858532.html\">market value of $6 billion\u003c/a> but has since struggled to contain mounting financial and operational challenges.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#Todeletegeneticdatafrom23andMe\">Skip to a step-by-step guide on how to delete your 23andMe data\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Since it went public in 2021, 23andMe has struggled to find a profitable business model, which was made more challenging after a massive data breach in 2023 that spooked investors and customers.\u003c/p>\n\u003cp>“I’m concerned because of the past conduct of 23andMe,” Bonta said. “Even when they were operating at full capacity, having a massive data breach that affected half of their customers — seven million customers, 850,000 Californians — that’s a red flag, that’s a concern.”\u003c/p>\n\u003cp>Beyond the “inherent injury” in someone’s privacy being violated, breached data could be used by scammers in nefarious ways, including identity theft, someone posing as a relative and asking for money or targeting individuals based on their race or ethnicity.[aside postID=pop_104710 hero='https://ww2.kqed.org/app/uploads/sites/12/2018/07/dna-kit-23andme-ancestry-family-secret-1180x664.jpg']Founded in 2006, the company is best known for its saliva-based DNA mail-in testing kits that quickly drew millions of customers eager to learn more about their ancestry. More recently, the company delved further into health research and drug development.\u003c/p>\n\u003cp>But amid ongoing financial woes, the company announced in November that it was laying off more than 200 employees — about 40% of its workforce — and would discontinue its therapeutics division.\u003c/p>\n\u003cp>Shares of the company have shed nearly all their value since last spring and plunged even farther after Sunday’s bankruptcy filing, trading at less than $1 as of midday Monday.\u003c/p>\n\u003cp>In recent securities filings, 23andMe continued to warn about its “ability to continue as a going concern.” In its Chapter 11 bankruptcy filing, the company reported total debts of nearly $215 million as of the end of last year.\u003c/p>\n\u003cp>In a statement on Sunday, Board Chair Mark Jensen said the court-supervised bankruptcy process was “the best path forward to maximize the value of the business.”\u003c/p>\n\u003cfigure id=\"attachment_11676897\" class=\"wp-caption aligncenter\" style=\"max-width: 1600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11676897 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o.jpg\" alt=\"\" width=\"1600\" height=\"1066\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o.jpg 1600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1200x800.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1180x786.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-520x346.jpg 520w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\">\u003cfigcaption class=\"wp-caption-text\">23andMe, the South San Francisco-based company that pioneered at-home genetic testing, holds a trove of sensitive genetic data on its 15 million customers. \u003ccite>(Hong Chang Bum/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The company said it expects to continue regular business operations during the bankruptcy process but is also seeking court approval to reject lease contracts, including for properties in San Francisco and Sunnyvale, in an effort to reduce expenses.\u003c/p>\n\u003cp>The company assured customers that its bankruptcy filing will not change the way it stores or protects data.\u003c/p>\n\u003cp>23andMe “is committed to continuing to safeguard customer data and being transparent about the management of user data going forward,” Jensen added.\u003c/p>\n\u003cp>John Bringardner of Debtwire notes that a prospective buyer of 23andMe will have to comply with regulatory approvals that ensure “customer data won’t end up in unscrupulous hands.”\u003c/p>\n\u003cp>“Personal data collected by 23andme has always been at risk,” Bringardner wrote in an email on Monday, referencing the 2023 data breach.[aside postID=news_12030969 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Honda-1020x765.jpg']Litigation spanning from the aftermath of the breach helped drive up liabilities, eventually contributing to the bankruptcy, he said. Last year, 23andMe agreed to pay $30 million in cash to settle a class-action lawsuit accusing it of failing to protect customers whose personal information was exposed in this breach.\u003c/p>\n\u003cp>On Sunday, the company said it plans to use the bankruptcy proceedings to “resolve all outstanding legal liabilities” stemming from the 2023 incident.\u003c/p>\n\u003cp>Hank Greely, a Stanford law professor, said it’s quite likely that customer data will be compromised as the company goes through bankruptcy and ultimately sells its assets. But in most cases, he doesn’t think the consequences will be all that significant.\u003c/p>\n\u003cp>“There is the non-concrete side of privacy violations. Even though it might not hurt me in any way, if somebody posted on the internet a photo of me sitting on the toilet, I would be more than annoyed,” he said. “There’s a violation of the privacy side to this. But the actual concrete applications, I think, of having the kind of genetic information that 23andMe has … are likely to be relatively small.”\u003c/p>\n\u003cp>Greely said there are few privacy protections in place when customer data is sold from one company to another, as is expected to happen during a bankruptcy proceeding. The privacy agreement between 23andMe and its customers, he said, only holds weight if the company continues to own the data.\u003c/p>\n\u003cp>But “if their assets get sold to a different company, the different company doesn’t necessarily have to follow the agreement,” he said, adding, in this case, the asset could be worth more if there are few privacy protections in place.\u003c/p>\n\u003cp>“And the asset being worth more is something bankruptcy courts are supposed to try to achieve,” he said.\u003c/p>\n\u003ch2>\u003ca id=\"Todeletegeneticdatafrom23andMe\">\u003c/a>To delete genetic data from 23andMe\u003c/h2>\n\u003col>\n\u003cli>Log into your 23andMe account on their website.\u003c/li>\n\u003cli>Go to the “Settings” section of your profile.\u003c/li>\n\u003cli>Scroll to a section labeled “23andMe Data” at the bottom of the page.\u003c/li>\n\u003cli>Click “View” next to “23andMe Data.”\u003c/li>\n\u003cli>Download your data: If you want a copy of your genetic data for personal storage, choose the option to download it to your device before proceeding.\u003c/li>\n\u003cli>Scroll to the “Delete Data” section.\u003c/li>\n\u003cli>Click “Permanently Delete Data.”\u003c/li>\n\u003c/ol>\n\u003cp>Confirm your request: You’ll receive an email from 23andMe; follow the link in the email to confirm your deletion request.\u003c/p>\n\u003ch2>To destroy your 23andMe test sample:\u003c/h2>\n\u003cp>If you previously opted to have your saliva sample and DNA stored by 23andMe but want to change that preference, you can do so from your account settings page under “Preferences.”\u003c/p>\n\u003ch2>To revoke permission for your genetic data to be used for research:\u003c/h2>\n\u003cp>If you previously consented to 23andMe and third-party researchers to use your genetic data and sample for research, you may withdraw consent from the account settings page under “Research and Product Consents.”\u003c/p>\n\u003cp>Under the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB41\">Genetic Information Privacy Act\u003c/a>, California consumers can delete their account and genetic data and have their biological sample destroyed. In addition, GIPA permits California consumers to revoke consent that they provided a genetic testing company to collect, use and disclose genetic data, as well as to store biological samples after the initial testing has been completed.\u003c/p>\n\u003cp>The \u003ca href=\"https://oag.ca.gov/privacy/ccpa\">Consumer Protection Act\u003c/a> also vests California consumers with the right to delete personal information, including genetic data, from businesses that collect personal information from the consumer.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from the Associated Press\u003c/em>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/pop/104710/how-dna-tests-like-23andme-are-exposing-family-secrets\">23andMe\u003c/a>, the South San Francisco-based biotech giant that pioneered at-home genetic testing, filed for Chapter 11 bankruptcy, stoking privacy concerns for many of its more than 15 million customers.\u003c/p>\n\u003cp>The company \u003ca href=\"https://www.globenewswire.com/news-release/2025/03/24/3047517/0/en/23andMe-Initiates-Voluntary-Chapter-11-Process-to-Maximize-Stakeholder-Value-Through-Court-Supervised-Sale-Process.html\">announced\u003c/a> Sunday that it plans to sell “substantially all of its assets” through a court-approved reorganization plan and said its CEO, Anne Wojcicki, who co-founded the company nearly two decades ago, is stepping down effective immediately but will remain on the company’s board.\u003c/p>\n\u003cp>As the company’s bankruptcy filing appeared imminent last week, California Attorney General Rob Bonta \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-urgently-issues-consumer-alert-23andme-customers\">issued a consumer alert\u003c/a> informing the company’s roughly 1.7 million customers in California of their right to delete the trove of genetic information collected about them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I want to remind people of their rights given this moment,” Bonta told KQED on Monday, a day after the company submitted its filing in a Missouri bankruptcy court. “They may not have the same guardrails and protections in place for privacy … as they do now.”\u003c/p>\n\u003cp>Bonta said he’s not going as far as telling customers to delete their data but that, as a 23andMe customer himself, he’s already begun the process of deleting his own data.\u003c/p>\n\u003cfigure id=\"attachment_11959336\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11959336\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg\" alt=\"California's Attorney General Rob Bonta speaks into a microphone.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/230828-ROB-BONTA-AP-MJS-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">California Attorney General Rob Bonta fields questions during a press conference on Monday, Aug. 28, 2023, in Los Angeles. \u003ccite>(Marcio Jose Sanchez/AP Photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s totally their decision about how they value their private data, what kind of risk they want to take on and are willing to absorb,” he said. “So that’s up to them, but I’m just reminding them of their unique rights here in California.”\u003c/p>\n\u003cp>The bankruptcy filing marks a striking reversal of fortune for the company, which just four years ago had a \u003ca href=\"https://finance.yahoo.com/news/23andmes-journey-dna-testing-pioneer-171858532.html\">market value of $6 billion\u003c/a> but has since struggled to contain mounting financial and operational challenges.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#Todeletegeneticdatafrom23andMe\">Skip to a step-by-step guide on how to delete your 23andMe data\u003c/a> \u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Since it went public in 2021, 23andMe has struggled to find a profitable business model, which was made more challenging after a massive data breach in 2023 that spooked investors and customers.\u003c/p>\n\u003cp>“I’m concerned because of the past conduct of 23andMe,” Bonta said. “Even when they were operating at full capacity, having a massive data breach that affected half of their customers — seven million customers, 850,000 Californians — that’s a red flag, that’s a concern.”\u003c/p>\n\u003cp>Beyond the “inherent injury” in someone’s privacy being violated, breached data could be used by scammers in nefarious ways, including identity theft, someone posing as a relative and asking for money or targeting individuals based on their race or ethnicity.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Founded in 2006, the company is best known for its saliva-based DNA mail-in testing kits that quickly drew millions of customers eager to learn more about their ancestry. More recently, the company delved further into health research and drug development.\u003c/p>\n\u003cp>But amid ongoing financial woes, the company announced in November that it was laying off more than 200 employees — about 40% of its workforce — and would discontinue its therapeutics division.\u003c/p>\n\u003cp>Shares of the company have shed nearly all their value since last spring and plunged even farther after Sunday’s bankruptcy filing, trading at less than $1 as of midday Monday.\u003c/p>\n\u003cp>In recent securities filings, 23andMe continued to warn about its “ability to continue as a going concern.” In its Chapter 11 bankruptcy filing, the company reported total debts of nearly $215 million as of the end of last year.\u003c/p>\n\u003cp>In a statement on Sunday, Board Chair Mark Jensen said the court-supervised bankruptcy process was “the best path forward to maximize the value of the business.”\u003c/p>\n\u003cfigure id=\"attachment_11676897\" class=\"wp-caption aligncenter\" style=\"max-width: 1600px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11676897 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o.jpg\" alt=\"\" width=\"1600\" height=\"1066\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o.jpg 1600w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1200x800.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-1180x786.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-960x640.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS10205_3129766406_3f62c12d6a_o-520x346.jpg 520w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\">\u003cfigcaption class=\"wp-caption-text\">23andMe, the South San Francisco-based company that pioneered at-home genetic testing, holds a trove of sensitive genetic data on its 15 million customers. \u003ccite>(Hong Chang Bum/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The company said it expects to continue regular business operations during the bankruptcy process but is also seeking court approval to reject lease contracts, including for properties in San Francisco and Sunnyvale, in an effort to reduce expenses.\u003c/p>\n\u003cp>The company assured customers that its bankruptcy filing will not change the way it stores or protects data.\u003c/p>\n\u003cp>23andMe “is committed to continuing to safeguard customer data and being transparent about the management of user data going forward,” Jensen added.\u003c/p>\n\u003cp>John Bringardner of Debtwire notes that a prospective buyer of 23andMe will have to comply with regulatory approvals that ensure “customer data won’t end up in unscrupulous hands.”\u003c/p>\n\u003cp>“Personal data collected by 23andme has always been at risk,” Bringardner wrote in an email on Monday, referencing the 2023 data breach.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Litigation spanning from the aftermath of the breach helped drive up liabilities, eventually contributing to the bankruptcy, he said. Last year, 23andMe agreed to pay $30 million in cash to settle a class-action lawsuit accusing it of failing to protect customers whose personal information was exposed in this breach.\u003c/p>\n\u003cp>On Sunday, the company said it plans to use the bankruptcy proceedings to “resolve all outstanding legal liabilities” stemming from the 2023 incident.\u003c/p>\n\u003cp>Hank Greely, a Stanford law professor, said it’s quite likely that customer data will be compromised as the company goes through bankruptcy and ultimately sells its assets. But in most cases, he doesn’t think the consequences will be all that significant.\u003c/p>\n\u003cp>“There is the non-concrete side of privacy violations. Even though it might not hurt me in any way, if somebody posted on the internet a photo of me sitting on the toilet, I would be more than annoyed,” he said. “There’s a violation of the privacy side to this. But the actual concrete applications, I think, of having the kind of genetic information that 23andMe has … are likely to be relatively small.”\u003c/p>\n\u003cp>Greely said there are few privacy protections in place when customer data is sold from one company to another, as is expected to happen during a bankruptcy proceeding. The privacy agreement between 23andMe and its customers, he said, only holds weight if the company continues to own the data.\u003c/p>\n\u003cp>But “if their assets get sold to a different company, the different company doesn’t necessarily have to follow the agreement,” he said, adding, in this case, the asset could be worth more if there are few privacy protections in place.\u003c/p>\n\u003cp>“And the asset being worth more is something bankruptcy courts are supposed to try to achieve,” he said.\u003c/p>\n\u003ch2>\u003ca id=\"Todeletegeneticdatafrom23andMe\">\u003c/a>To delete genetic data from 23andMe\u003c/h2>\n\u003col>\n\u003cli>Log into your 23andMe account on their website.\u003c/li>\n\u003cli>Go to the “Settings” section of your profile.\u003c/li>\n\u003cli>Scroll to a section labeled “23andMe Data” at the bottom of the page.\u003c/li>\n\u003cli>Click “View” next to “23andMe Data.”\u003c/li>\n\u003cli>Download your data: If you want a copy of your genetic data for personal storage, choose the option to download it to your device before proceeding.\u003c/li>\n\u003cli>Scroll to the “Delete Data” section.\u003c/li>\n\u003cli>Click “Permanently Delete Data.”\u003c/li>\n\u003c/ol>\n\u003cp>Confirm your request: You’ll receive an email from 23andMe; follow the link in the email to confirm your deletion request.\u003c/p>\n\u003ch2>To destroy your 23andMe test sample:\u003c/h2>\n\u003cp>If you previously opted to have your saliva sample and DNA stored by 23andMe but want to change that preference, you can do so from your account settings page under “Preferences.”\u003c/p>\n\u003ch2>To revoke permission for your genetic data to be used for research:\u003c/h2>\n\u003cp>If you previously consented to 23andMe and third-party researchers to use your genetic data and sample for research, you may withdraw consent from the account settings page under “Research and Product Consents.”\u003c/p>\n\u003cp>Under the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB41\">Genetic Information Privacy Act\u003c/a>, California consumers can delete their account and genetic data and have their biological sample destroyed. In addition, GIPA permits California consumers to revoke consent that they provided a genetic testing company to collect, use and disclose genetic data, as well as to store biological samples after the initial testing has been completed.\u003c/p>\n\u003cp>The \u003ca href=\"https://oag.ca.gov/privacy/ccpa\">Consumer Protection Act\u003c/a> also vests California consumers with the right to delete personal information, including genetic data, from businesses that collect personal information from the consumer.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from the Associated Press\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>BAKERSFIELD — Erlinda Carrillo is already exhausted by the first two months of \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump’s\u003c/a> second term.\u003c/p>\n\u003cp>Her daughter lost her job at a scientific research institute after the Trump administration canceled its government contract. She’s worried layoffs at the Department of Veterans Affairs will \u003ca href=\"https://www.kqed.org/news/12031166/federal-judge-in-sf-orders-trump-administration-to-reverse-mass-firings-at-6-agencies\">affect care for her brother\u003c/a>, a Vietnam War veteran. And she’s concerned about her Social Security benefits \u003ca href=\"https://www.npr.org/2025/03/22/nx-s1-5320263/social-security-administration-changes-identity-office\">amid cost-cutting\u003c/a> at the Social Security Administration.\u003c/p>\n\u003cp>“I’m tired of all of the backlash that we’re actually getting due to Donald Trump,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Carillo and her husband, Mitch, went looking for inspiration in the gym of a Bakersfield community center, \u003ca href=\"https://www.kqed.org/news/12032453/rep-ro-khanna-on-how-democrats-should-fight-back\">where Rep. Ro Khanna\u003c/a> held a town hall meeting on Sunday — hundreds of miles from his Silicon Valley district.\u003c/p>\n\u003cp>It was part of a day-long barnstorming tour of meetings in three districts represented by California Republicans for Khanna, a Democrat. Khanna mocked Republicans for not holding in-person town halls and denounced the GOP budget framework that could set the table for cuts to Medicaid.\u003c/p>\n\u003cfigure id=\"attachment_12032694\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032694 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Audrey Chavez (center) listens at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He also got a taste of the rising frustration among Democratic voters who have criticized party leaders for lacking vitality and vision in their response to Trump.\u003c/p>\n\u003cp>Dispirited Democrats made up much of the crowd in Bakersfield. They \u003ca href=\"https://www.npr.org/2025/03/13/nx-s1-5327600/house-democrats-outrage-spending\">reserved particular criticism\u003c/a> for Senate Minority Leader Chuck Schumer, who led nine Democrats in voting for a Republican-authored budget resolution to avoid a government shutdown earlier this month.\u003c/p>\n\u003cp>“When is the Democratic Party going to set aside its peacetime leaders and bring up some wartime leaders?” Darren Bly asked Khanna. “Because that’s what we need.”[aside postID=news_12032453 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1394023104-1020x680.jpg']Khanna reiterated his stance that the party’s “old guard needs to step aside,” and said, “If the party is letting us down, it’s time to rebuild the party.”\u003c/p>\n\u003cp>“If you are not fighting and marching and organizing, then you don’t understand the moment,” he continued. “We need Democratic leaders who are going to be with the people in the fight.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/25597409-nbc-march-2025-poll/?q=stick&mode=document#document/p16\">recent NBC poll\u003c/a> found that 20% of Democratic voters have negative views of the party. Unlike in 2017, when most Democratic voters hoped their party would pursue compromise and consensus in Congress, the survey found 65% of Democratic voters want House Democrats to stick to their positions, even if it leads to gridlock in Washington.\u003c/p>\n\u003cp>“That’s what we want to see,” said Mitch Carillo, pointing to Khanna as he paced the makeshift stage answering questions. “They were mentioning the old guard in the Democratic Party, and they’ve done some really great things, but it’s time to step aside and let’s let this younger generation come in and see what they can do.”\u003c/p>\n\u003cp>“Because the Republicans aren’t playing fair, they’re not playing by the rule book, I mean, whatever it takes to win, they’ll do,” Carillo added. “The Democrats don’t have an answer for that. I think people like Ro Khanna do have an answer.”\u003c/p>\n\u003cfigure id=\"attachment_12032696\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032696\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From center right) Connie Wright, Sally MacGuire and Ali Ramirez applaud and cheer at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the short-term, Khanna is hoping strategic organizing efforts can strong-arm the Republican votes needed to block potential cuts to Medicaid, which covers health care for Americans with low incomes, disabilities or who live in nursing homes. His choice of the 22nd District was no accident: Two-thirds of residents receive health coverage through Medicaid, according to the California Budget & Policy Center.\u003c/p>\n\u003cp>“We need three Republicans — three Republicans — to prevent the cuts to Medicaid,” Khanna told the crowd on Sunday.\u003c/p>\n\u003cp>The district’s representative, David Valadao, said in a speech on the House floor last month that he has heard from many constituents “who tell me the only way they can afford health care is through programs like Medicaid.”\u003c/p>\n\u003cp>“I will not support a final reconciliation bill that risks leaving them behind,” he said.\u003c/p>\n\u003cfigure id=\"attachment_12032695\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032695 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dawna Sodders-Simpson holds a sign at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As part of a budget roadmap that will allow the party to renew their 2017 tax cut law, Republicans set a target of $880 billion in cuts to programs under the House Committee on Energy and Commerce. An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis released\u003c/a> by the nonpartisan Congressional Budget Office found that it would be impossible for Republicans to achieve that benchmark without cutting Medicaid, which accounts for $8.2 trillion of the $8.8 trillion in spending under that committee’s jurisdiction.\u003c/p>\n\u003cp>Russell Paul, a doctor in Bakersfield, said it would be heartbreaking if cuts led to patients being unable to afford care.\u003c/p>\n\u003cp>Paul, who was invited to the town hall by a coworker, heaped his own share of criticism on the Democratic Party.\u003c/p>\n\u003cp>“When we get young people like [Alexandria Ocasio-Cortez] or very progressive people like Bernie Sanders speaking truth to power, we try to marginalize them so we seem more mainstream,” he said. “This is sort of my start in becoming more active and trying to push back against what’s going on in our country.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"headline": "Frustrated Democrats Push for ‘Wartime Leaders’ at Bakersfield Town Hall",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>BAKERSFIELD — Erlinda Carrillo is already exhausted by the first two months of \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">President Donald Trump’s\u003c/a> second term.\u003c/p>\n\u003cp>Her daughter lost her job at a scientific research institute after the Trump administration canceled its government contract. She’s worried layoffs at the Department of Veterans Affairs will \u003ca href=\"https://www.kqed.org/news/12031166/federal-judge-in-sf-orders-trump-administration-to-reverse-mass-firings-at-6-agencies\">affect care for her brother\u003c/a>, a Vietnam War veteran. And she’s concerned about her Social Security benefits \u003ca href=\"https://www.npr.org/2025/03/22/nx-s1-5320263/social-security-administration-changes-identity-office\">amid cost-cutting\u003c/a> at the Social Security Administration.\u003c/p>\n\u003cp>“I’m tired of all of the backlash that we’re actually getting due to Donald Trump,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Carillo and her husband, Mitch, went looking for inspiration in the gym of a Bakersfield community center, \u003ca href=\"https://www.kqed.org/news/12032453/rep-ro-khanna-on-how-democrats-should-fight-back\">where Rep. Ro Khanna\u003c/a> held a town hall meeting on Sunday — hundreds of miles from his Silicon Valley district.\u003c/p>\n\u003cp>It was part of a day-long barnstorming tour of meetings in three districts represented by California Republicans for Khanna, a Democrat. Khanna mocked Republicans for not holding in-person town halls and denounced the GOP budget framework that could set the table for cuts to Medicaid.\u003c/p>\n\u003cfigure id=\"attachment_12032694\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032694 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-12-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Audrey Chavez (center) listens at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He also got a taste of the rising frustration among Democratic voters who have criticized party leaders for lacking vitality and vision in their response to Trump.\u003c/p>\n\u003cp>Dispirited Democrats made up much of the crowd in Bakersfield. They \u003ca href=\"https://www.npr.org/2025/03/13/nx-s1-5327600/house-democrats-outrage-spending\">reserved particular criticism\u003c/a> for Senate Minority Leader Chuck Schumer, who led nine Democrats in voting for a Republican-authored budget resolution to avoid a government shutdown earlier this month.\u003c/p>\n\u003cp>“When is the Democratic Party going to set aside its peacetime leaders and bring up some wartime leaders?” Darren Bly asked Khanna. “Because that’s what we need.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Khanna reiterated his stance that the party’s “old guard needs to step aside,” and said, “If the party is letting us down, it’s time to rebuild the party.”\u003c/p>\n\u003cp>“If you are not fighting and marching and organizing, then you don’t understand the moment,” he continued. “We need Democratic leaders who are going to be with the people in the fight.”\u003c/p>\n\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/25597409-nbc-march-2025-poll/?q=stick&mode=document#document/p16\">recent NBC poll\u003c/a> found that 20% of Democratic voters have negative views of the party. Unlike in 2017, when most Democratic voters hoped their party would pursue compromise and consensus in Congress, the survey found 65% of Democratic voters want House Democrats to stick to their positions, even if it leads to gridlock in Washington.\u003c/p>\n\u003cp>“That’s what we want to see,” said Mitch Carillo, pointing to Khanna as he paced the makeshift stage answering questions. “They were mentioning the old guard in the Democratic Party, and they’ve done some really great things, but it’s time to step aside and let’s let this younger generation come in and see what they can do.”\u003c/p>\n\u003cp>“Because the Republicans aren’t playing fair, they’re not playing by the rule book, I mean, whatever it takes to win, they’ll do,” Carillo added. “The Democrats don’t have an answer for that. I think people like Ro Khanna do have an answer.”\u003c/p>\n\u003cfigure id=\"attachment_12032696\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12032696\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-14-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(From center right) Connie Wright, Sally MacGuire and Ali Ramirez applaud and cheer at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In the short-term, Khanna is hoping strategic organizing efforts can strong-arm the Republican votes needed to block potential cuts to Medicaid, which covers health care for Americans with low incomes, disabilities or who live in nursing homes. His choice of the 22nd District was no accident: Two-thirds of residents receive health coverage through Medicaid, according to the California Budget & Policy Center.\u003c/p>\n\u003cp>“We need three Republicans — three Republicans — to prevent the cuts to Medicaid,” Khanna told the crowd on Sunday.\u003c/p>\n\u003cp>The district’s representative, David Valadao, said in a speech on the House floor last month that he has heard from many constituents “who tell me the only way they can afford health care is through programs like Medicaid.”\u003c/p>\n\u003cp>“I will not support a final reconciliation bill that risks leaving them behind,” he said.\u003c/p>\n\u003cfigure id=\"attachment_12032695\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12032695 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250323-DEM-TOWN-HALLS-MD-13-KQED-1-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dawna Sodders-Simpson holds a sign at a town hall meeting with Rep. Ro Khanna at the MLK Community Center in Bakersfield on March 23, 2025. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As part of a budget roadmap that will allow the party to renew their 2017 tax cut law, Republicans set a target of $880 billion in cuts to programs under the House Committee on Energy and Commerce. An \u003ca href=\"https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf\">analysis released\u003c/a> by the nonpartisan Congressional Budget Office found that it would be impossible for Republicans to achieve that benchmark without cutting Medicaid, which accounts for $8.2 trillion of the $8.8 trillion in spending under that committee’s jurisdiction.\u003c/p>\n\u003cp>Russell Paul, a doctor in Bakersfield, said it would be heartbreaking if cuts led to patients being unable to afford care.\u003c/p>\n\u003cp>Paul, who was invited to the town hall by a coworker, heaped his own share of criticism on the Democratic Party.\u003c/p>\n\u003cp>“When we get young people like [Alexandria Ocasio-Cortez] or very progressive people like Bernie Sanders speaking truth to power, we try to marginalize them so we seem more mainstream,” he said. “This is sort of my start in becoming more active and trying to push back against what’s going on in our country.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Martinez Residents Call for Delayed Reopening of Refinery After Massive Fire",
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"content": "\u003cp>Martinez residents used words like “traumatized” and “terrorized” to describe living through \u003ca href=\"https://www.kqed.org/news/12025377/huge-martinez-refinery-fire-renews-neighbors-fear-frustration\">the East Bay refinery fire\u003c/a> that broke out on Feb. 1, sending a column of black smoke hundreds of feet above the city.\u003c/p>\n\u003cp>At a town hall meeting last week, residents recounted watching from their driveways as flames and smoke licked over pipelines at the Martinez Refining Co. amid a roar that sounded like a jet taking off. Some who feared a catastrophic explosion or \u003ca href=\"https://www.kqed.org/news/12026572/10-days-after-martinez-refinery-fire-new-details-toxic-chemicals-released\">toxic release\u003c/a> said they fled the city with their families and pets.\u003c/p>\n\u003cp>Those worst-case scenarios didn’t materialize.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At the March 13 meeting, regulators told around 200 residents who attended that first responders and refinery crews contained the fire within several hours; that six workers who received first aid hadn’t sustained serious injuries; that the smoke that contained hazardous and cancer-causing chemicals blew away from densely populated neighborhoods and that preliminary air, water and soil testing detected no excessive levels of toxic chemicals.\u003c/p>\n\u003cp>But those preliminary findings did little to assuage residents’ anger over the fire, leading some to question the refinery’s plan to reopen in April before investigations into the fire’s cause and the consequences for workers, residents and the environment are complete.\u003c/p>\n\u003cp>The fire was the latest in a series of major incidents since 2020 that have fueled widespread criticism and fostered mistrust in the community.\u003c/p>\n\u003cp>On Nov. 24, 2022, the refinery released a cloud of spent catalyst that blanked the town in a powdery white substance that looked like ash. The refinery operator failed to notify regulators on time and issued conflicting information about the material released.[aside postID=news_12026572 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250203_MartinezRefineryFolo_GC-46-1020x680.jpg']On July 11, 2023, and Oct. 6, 2023, the refinery unintentionally released petroleum coke dust — a refining byproduct that looks like soot and is made up of particulate matter that can irritate lungs.\u003c/p>\n\u003cp>“Clearly, the refinery does not care about any of the penalties associated with their violations if these types of situations keep happening,” said Elizabeth Butler, who has lived in Martinez for more than a decade.\u003c/p>\n\u003cp>“What if there was an explosion? Martinez would be gone,” Butler continued.\u003c/p>\n\u003cp>“How is anyone in this room supposed to have any amount of hope moving forward?” said Justin Gomez, an activist with local watchdog group Healthy Martinez. “The policies as they exist now, whether it’s the industrial safety ordinance, whether it’s the state investigations — it doesn’t seem like there’s any lever that can be pulled that will disincentivize this insanity that’s happening over and over again.”\u003c/p>\n\u003cp>The Martinez Refining Co. took over operations in 2020 after New Jersey-based parent company PBF Energy purchased the facility from Shell. The Bay Area Air District has issued 173 notice of violation tickets to the refinery since MRC began operations and is working with the Contra Costa County District Attorney’s Office on an enforcement case for “nearly all” of the outstanding violations.\u003c/p>\n\u003cp>Refinery manager Dan Ingram told town hall attendees that the company prioritizes worker and community safety and that it has invested hundreds of millions of dollars in environmental and safety compliance and other regulatory requirements.\u003c/p>\n\u003cp>“We have lots of policies, procedures, things to prevent accidents like this from occurring,” Ingram said. “We need to finish the root-cause investigation so we can understand exactly what took place here, so we can work to prevent it in the future.”\u003c/p>\n\u003cp>He added, “That is our commitment to this community: to work night and day until we understand it and we can work to prevent it.”\u003c/p>\n\u003cp>Ingram said only the refinery units undamaged by the fire will resume fuel production next month. Damaged units will require an estimated $30 million to repair but should be running again in September.\u003c/p>\n\u003cp>Community advocates say the reopening of the refinery should be contingent upon the completion of all the investigations into the root cause of the fire, whether any safety regulations were violated and whether toxicology reports point to any long-term health effects.\u003c/p>\n\u003cp>The company said its root-cause investigation should be completed by the end of March.\u003c/p>\n\u003cp>Nicole Heath, the county’s director of Hazardous Materials Programs, said the agency hopes to hire a company to complete an independent investigation into the cause of the fire by the end of April.\u003c/p>\n\u003cp>Contra Costa Health will retain oversight of the refinery and ensure that the company conducts a pre-startup safety review for each production unit they plan to restart.\u003c/p>\n\u003cp>In a\u003ca href=\"https://www.cchealth.org/home/showpublisheddocument/31645/638779686790030000\"> letter\u003c/a> to refinery officials earlier this week, Heath said oversight will continue “until safe startup of the refinery.”\u003c/p>\n\u003cp>Heath said her agency is giving added scrutiny to the refinery’s recovery due to the severity of the Feb. 1 incident and past safety incidents at the facility.\u003c/p>\n\u003cp>“The fire was classified as a major chemical accident or release, posing a serious threat to workers, residents and the environment,” Heath added. “Given the refinery’s history of safety incidents, Contra Costa Health is taking proactive steps to ensure compliance with all state and local regulations.”\u003c/p>\n\u003cp>The Bay Area Air District has issued three notices of violation to PBF Energy in connection with the fire, citing it as a public nuisance and for excessive smoke and soot fallout.\u003c/p>\n\u003cp>“ This was a serious event, but it was not captured by nearby air pollution monitors because of the favorable meteorological conditions,” air district senior spokesperson Viet Tran said at the town hall.\u003c/p>\n\u003cp>Tran emphasized that the number of notices does not indicate the level of fines likely to be issued.\u003c/p>\n\u003cp>“ We consider the extent, duration, harm and other factors in assessing penalties,” he said. “We are continuing to investigate, and additional violations are possible.”\u003c/p>\n\u003cp>The air board will have final results from air samples by the end of March.\u003c/p>\n\u003cp>Cal/OSHA declined to comment on its ongoing investigation into the Feb. 1 fire. The agency has up to six months to issue citations.\u003c/p>\n\u003cp>“We’ve had numerous town halls, numerous meetings, both big public meetings and small meetings, asking for change and improvement,” Martinez Mayor Brianne Zorn told KQED after the town hall, noting that moving the needle will require county regulators to exercise their full oversight powers.\u003c/p>\n\u003cp>“The industrial safety ordinance gives them quite a few powers to do quite a few things after incidents and major chemical releases that they may not have taken advantage of after the spent catalyst release or the coke dust incidents,” Zorn said.\u003c/p>\n\u003cp>Shanelle Scales-Preston, a Contra Costa Board of Supervisors member whose district includes Martinez, convened last week’s town hall. She told residents she’s identified one power the county hasn’t used in relation to the Martinez refinery: a full facility audit that would allow the county to assess the safety and compliance of every unit in the facility, as well as safety procedures and training.\u003c/p>\n\u003cp>“ We’re going to make sure we’re on-site and make sure they’re doing everything they need to do,” Scales said. “ We want to make sure you’re safe.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Martinez residents used words like “traumatized” and “terrorized” to describe living through \u003ca href=\"https://www.kqed.org/news/12025377/huge-martinez-refinery-fire-renews-neighbors-fear-frustration\">the East Bay refinery fire\u003c/a> that broke out on Feb. 1, sending a column of black smoke hundreds of feet above the city.\u003c/p>\n\u003cp>At a town hall meeting last week, residents recounted watching from their driveways as flames and smoke licked over pipelines at the Martinez Refining Co. amid a roar that sounded like a jet taking off. Some who feared a catastrophic explosion or \u003ca href=\"https://www.kqed.org/news/12026572/10-days-after-martinez-refinery-fire-new-details-toxic-chemicals-released\">toxic release\u003c/a> said they fled the city with their families and pets.\u003c/p>\n\u003cp>Those worst-case scenarios didn’t materialize.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the March 13 meeting, regulators told around 200 residents who attended that first responders and refinery crews contained the fire within several hours; that six workers who received first aid hadn’t sustained serious injuries; that the smoke that contained hazardous and cancer-causing chemicals blew away from densely populated neighborhoods and that preliminary air, water and soil testing detected no excessive levels of toxic chemicals.\u003c/p>\n\u003cp>But those preliminary findings did little to assuage residents’ anger over the fire, leading some to question the refinery’s plan to reopen in April before investigations into the fire’s cause and the consequences for workers, residents and the environment are complete.\u003c/p>\n\u003cp>The fire was the latest in a series of major incidents since 2020 that have fueled widespread criticism and fostered mistrust in the community.\u003c/p>\n\u003cp>On Nov. 24, 2022, the refinery released a cloud of spent catalyst that blanked the town in a powdery white substance that looked like ash. The refinery operator failed to notify regulators on time and issued conflicting information about the material released.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>On July 11, 2023, and Oct. 6, 2023, the refinery unintentionally released petroleum coke dust — a refining byproduct that looks like soot and is made up of particulate matter that can irritate lungs.\u003c/p>\n\u003cp>“Clearly, the refinery does not care about any of the penalties associated with their violations if these types of situations keep happening,” said Elizabeth Butler, who has lived in Martinez for more than a decade.\u003c/p>\n\u003cp>“What if there was an explosion? Martinez would be gone,” Butler continued.\u003c/p>\n\u003cp>“How is anyone in this room supposed to have any amount of hope moving forward?” said Justin Gomez, an activist with local watchdog group Healthy Martinez. “The policies as they exist now, whether it’s the industrial safety ordinance, whether it’s the state investigations — it doesn’t seem like there’s any lever that can be pulled that will disincentivize this insanity that’s happening over and over again.”\u003c/p>\n\u003cp>The Martinez Refining Co. took over operations in 2020 after New Jersey-based parent company PBF Energy purchased the facility from Shell. The Bay Area Air District has issued 173 notice of violation tickets to the refinery since MRC began operations and is working with the Contra Costa County District Attorney’s Office on an enforcement case for “nearly all” of the outstanding violations.\u003c/p>\n\u003cp>Refinery manager Dan Ingram told town hall attendees that the company prioritizes worker and community safety and that it has invested hundreds of millions of dollars in environmental and safety compliance and other regulatory requirements.\u003c/p>\n\u003cp>“We have lots of policies, procedures, things to prevent accidents like this from occurring,” Ingram said. “We need to finish the root-cause investigation so we can understand exactly what took place here, so we can work to prevent it in the future.”\u003c/p>\n\u003cp>He added, “That is our commitment to this community: to work night and day until we understand it and we can work to prevent it.”\u003c/p>\n\u003cp>Ingram said only the refinery units undamaged by the fire will resume fuel production next month. Damaged units will require an estimated $30 million to repair but should be running again in September.\u003c/p>\n\u003cp>Community advocates say the reopening of the refinery should be contingent upon the completion of all the investigations into the root cause of the fire, whether any safety regulations were violated and whether toxicology reports point to any long-term health effects.\u003c/p>\n\u003cp>The company said its root-cause investigation should be completed by the end of March.\u003c/p>\n\u003cp>Nicole Heath, the county’s director of Hazardous Materials Programs, said the agency hopes to hire a company to complete an independent investigation into the cause of the fire by the end of April.\u003c/p>\n\u003cp>Contra Costa Health will retain oversight of the refinery and ensure that the company conducts a pre-startup safety review for each production unit they plan to restart.\u003c/p>\n\u003cp>In a\u003ca href=\"https://www.cchealth.org/home/showpublisheddocument/31645/638779686790030000\"> letter\u003c/a> to refinery officials earlier this week, Heath said oversight will continue “until safe startup of the refinery.”\u003c/p>\n\u003cp>Heath said her agency is giving added scrutiny to the refinery’s recovery due to the severity of the Feb. 1 incident and past safety incidents at the facility.\u003c/p>\n\u003cp>“The fire was classified as a major chemical accident or release, posing a serious threat to workers, residents and the environment,” Heath added. “Given the refinery’s history of safety incidents, Contra Costa Health is taking proactive steps to ensure compliance with all state and local regulations.”\u003c/p>\n\u003cp>The Bay Area Air District has issued three notices of violation to PBF Energy in connection with the fire, citing it as a public nuisance and for excessive smoke and soot fallout.\u003c/p>\n\u003cp>“ This was a serious event, but it was not captured by nearby air pollution monitors because of the favorable meteorological conditions,” air district senior spokesperson Viet Tran said at the town hall.\u003c/p>\n\u003cp>Tran emphasized that the number of notices does not indicate the level of fines likely to be issued.\u003c/p>\n\u003cp>“ We consider the extent, duration, harm and other factors in assessing penalties,” he said. “We are continuing to investigate, and additional violations are possible.”\u003c/p>\n\u003cp>The air board will have final results from air samples by the end of March.\u003c/p>\n\u003cp>Cal/OSHA declined to comment on its ongoing investigation into the Feb. 1 fire. The agency has up to six months to issue citations.\u003c/p>\n\u003cp>“We’ve had numerous town halls, numerous meetings, both big public meetings and small meetings, asking for change and improvement,” Martinez Mayor Brianne Zorn told KQED after the town hall, noting that moving the needle will require county regulators to exercise their full oversight powers.\u003c/p>\n\u003cp>“The industrial safety ordinance gives them quite a few powers to do quite a few things after incidents and major chemical releases that they may not have taken advantage of after the spent catalyst release or the coke dust incidents,” Zorn said.\u003c/p>\n\u003cp>Shanelle Scales-Preston, a Contra Costa Board of Supervisors member whose district includes Martinez, convened last week’s town hall. She told residents she’s identified one power the county hasn’t used in relation to the Martinez refinery: a full facility audit that would allow the county to assess the safety and compliance of every unit in the facility, as well as safety procedures and training.\u003c/p>\n\u003cp>“ We’re going to make sure we’re on-site and make sure they’re doing everything they need to do,” Scales said. “ We want to make sure you’re safe.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Updated 11:15 a.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>This article was \u003ca href=\"https://publichealthwatch.org/2025/03/18/california-metal-shredding-lead-waste/\">originally published\u003c/a> by \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>The engine from Oakland Fire Department’s Station Number 2 had rolled out to \u003ca href=\"https://www.kqed.org/news/11958816/alameda-county-das-office-wants-your-help-investigating-schnitzer-steel-fire\">Schnitzer Steel\u003c/a> before, but this call was different.\u003c/p>\n\u003cp>It wasn’t the typical smoldering nugget of debris. Instead, smoke was billowing from a massive pile of scrap as flames shot outward from an orange glow deep within.\u003c/p>\n\u003cp>Lt. Eduardo Ibarra was on that engine, the first to respond to the metal shredder’s bayside yard that night in August 2023. He guessed the burning pile was close to the size of a football field, 50 to 70 feet high in places.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We knew that we were gonna be there for a long time,” Ibarra told an Alameda County criminal grand jury, according to a transcript of the proceedings obtained by Public Health Watch.\u003c/p>\n\u003cp>The glowing core — the seat, the origin of the fire — proved hard to reach, with the scrap piled up near the back fence. Fire crews struggled to maneuver their trucks and hoses around the mound, and it soon became clear that something inside was volatile.\u003c/p>\n\u003cp>Hours after the first fire truck arrived, repeated explosions sent hot metal sizzling through the air. At one point, an oval piece of metal about two feet long and four feet wide flew over the heads of Ibarra and his crew, landing on a discarded Bay Area Rapid Transit car, where it burned through the roof and started another fire.\u003c/p>\n\u003cfigure id=\"attachment_12031598\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12031598\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-800x1066.jpg\" alt=\"\" width=\"800\" height=\"1066\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-800x1066.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1536x2048.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-scaled.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lt. Eduardo Ibarra can see the Schnitzer Steel facility from Oakland Fire Department Station 2, which took the call to respond to a fire in 2023. \u003ccite>(Molly Peterson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The explosions [are] not something that we deal with all the time,” Ibarra later told Public Health Watch. “We do deal with explosions from, like propane tanks and things like that, RV fires and things of that nature. But we never deal with explosions of this caliber on a regular basis.”\u003c/p>\n\u003cp>Ibarra’s sworn testimony and the testimony of others recorded in the 2,700-page grand jury transcript provide new details about the fire and its aftermath.\u003c/p>\n\u003cp>Public Health Watch also reviewed hundreds of pages of additional documents obtained under the California Public Records Act that recounted what state and local regulators have done — and what they haven’t — to keep the public safe over the years.\u003c/p>\n\u003cp>The new details raise questions about California’s oversight of the metal shredding industry and the potential health hazards posed by the toxic and airborne metals and other pollutants that drift off the property.\u003c/p>\n\u003cp>About 23,000 people live in West Oakland within a mile of the Schnitzer site, and thousands more live downwind.\u003c/p>\n\u003cp>The company, which has since been renamed Radius Recycling, and two employees were later charged with up to 10 separate environmental felonies and misdemeanors.\u003c/p>\n\u003cp>The charges include felony violations of the state’s health and safety code between 2021 and 2023, as well as conspiracy to destroy evidence, reckless handling of hazardous waste and negligently emitting air contaminants. The company and both employees pleaded not guilty in December.\u003c/p>\n\u003cp>Radius Recycling did not respond to requests for comment from Public Health Watch, before the article published, but the company has defended its business and the metal shredding industry as a way to produce steel — a construction staple — with a small or neutral carbon footprint that can help mitigate climate change and meet regulatory requirements for greener building.\u003c/p>\n\u003cp>On Tuesday, after the story published, the company issued a statement to Public Health Watch via email, complaining that allegations raised in the story, based on grand jury testimony and multiple other sources, were false.[aside postID=news_11996994 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/012_KQED_SchnitzerSteelPortofOakland_03082022_qed-1020x679.jpg']“Radius Recycling remains committed to safety, environmental compliance, and transparency,” according to the statement from Eric Potashner, the chief sustainability officer. “Following the fire at our Oakland facility, we worked closely with the District Attorney’s Office and multiple regulatory agencies — including the California Department of Toxic Substances Control and the Bay Area Air Quality Management District — who were on-site immediately.”\u003c/p>\n\u003cp>“Our operations follow strict environmental regulations, and we remain fully confident that the facts will demonstrate Radius Recycling’s continued prioritization of public safety and compliance with the law,” Potashner said.\u003c/p>\n\u003cp>The statement also challenged some of the testimony presented to the grand jury that later issued the indictments, saying the company had alerted officials it would immediately shred the evidence from the fire and that no one objected.\u003c/p>\n\u003cp>“As part of standard fire prevention protocol, we proactively informed regulators that we would begin shredding the burned material that day to eliminate any risk of reignition. No agency or regulator objected to this process,” according to the statement.\u003c/p>\n\u003cp>Then-District Attorney Pamela Price called the criminal charges “historic.”\u003c/p>\n\u003cp>“We believe Radius has often shrugged off the regulations when it was convenient to them, treating minor administrative penalties and fines as the cost of doing business,” Price said at the time the indictment was handed down.\u003c/p>\n\u003cp>Regulators, it appears, also fell down on the job.\u003c/p>\n\u003cfigure id=\"attachment_12031603\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031603\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">6231 Schnitzer Steel workers use cranes to pull metal out of the smoky mound after a fire started deep in a pile of scrap on Aug. 9, 2023. \u003ccite>(Courtesy Oakland Fire Department)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Oversight of the metal shredding industry has repeatedly faltered. Over the years, the state has granted exemptions from a key rule, missed a deadline for drafting new regulations and avoided enforcement of existing laws, either through lack of resources or lack of effort.\u003c/p>\n\u003cp>Along the way, decades of poorly coordinated efforts among a host of public agencies have enabled — and in some cases exacerbated — problems across the industry, Public Health Watch learned.\u003c/p>\n\u003cp>“There’s multiple agencies in charge of making sure industry complies with relevant laws, but these agencies have failed to actually do the job of enforcing those laws,” said Karen Chen, an attorney with the Natural Resources Defense Council, which has filed friend-of-the-court briefs in support of stricter enforcement.\u003c/p>\n\u003cp>“In the meantime, real people suffer irreversible health harms while [the state Department of Toxic Substances Control] waits to truly do its job and enforce the hazardous waste control law,” Chen said. “In turn, metal shredders get to skirt regulations in order to make a buck.”\u003c/p>\n\u003cp>\u003cem>Read the full story at \u003ca href=\"https://publichealthwatch.org/2025/03/18/california-metal-shredding-lead-waste/\">Public Health Watch\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 11:15 a.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>This article was \u003ca href=\"https://publichealthwatch.org/2025/03/18/california-metal-shredding-lead-waste/\">originally published\u003c/a> by \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>The engine from Oakland Fire Department’s Station Number 2 had rolled out to \u003ca href=\"https://www.kqed.org/news/11958816/alameda-county-das-office-wants-your-help-investigating-schnitzer-steel-fire\">Schnitzer Steel\u003c/a> before, but this call was different.\u003c/p>\n\u003cp>It wasn’t the typical smoldering nugget of debris. Instead, smoke was billowing from a massive pile of scrap as flames shot outward from an orange glow deep within.\u003c/p>\n\u003cp>Lt. Eduardo Ibarra was on that engine, the first to respond to the metal shredder’s bayside yard that night in August 2023. He guessed the burning pile was close to the size of a football field, 50 to 70 feet high in places.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We knew that we were gonna be there for a long time,” Ibarra told an Alameda County criminal grand jury, according to a transcript of the proceedings obtained by Public Health Watch.\u003c/p>\n\u003cp>The glowing core — the seat, the origin of the fire — proved hard to reach, with the scrap piled up near the back fence. Fire crews struggled to maneuver their trucks and hoses around the mound, and it soon became clear that something inside was volatile.\u003c/p>\n\u003cp>Hours after the first fire truck arrived, repeated explosions sent hot metal sizzling through the air. At one point, an oval piece of metal about two feet long and four feet wide flew over the heads of Ibarra and his crew, landing on a discarded Bay Area Rapid Transit car, where it burned through the roof and started another fire.\u003c/p>\n\u003cfigure id=\"attachment_12031598\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12031598\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-800x1066.jpg\" alt=\"\" width=\"800\" height=\"1066\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-800x1066.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-1536x2048.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Ibarra-scaled.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Lt. Eduardo Ibarra can see the Schnitzer Steel facility from Oakland Fire Department Station 2, which took the call to respond to a fire in 2023. \u003ccite>(Molly Peterson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The explosions [are] not something that we deal with all the time,” Ibarra later told Public Health Watch. “We do deal with explosions from, like propane tanks and things like that, RV fires and things of that nature. But we never deal with explosions of this caliber on a regular basis.”\u003c/p>\n\u003cp>Ibarra’s sworn testimony and the testimony of others recorded in the 2,700-page grand jury transcript provide new details about the fire and its aftermath.\u003c/p>\n\u003cp>Public Health Watch also reviewed hundreds of pages of additional documents obtained under the California Public Records Act that recounted what state and local regulators have done — and what they haven’t — to keep the public safe over the years.\u003c/p>\n\u003cp>The new details raise questions about California’s oversight of the metal shredding industry and the potential health hazards posed by the toxic and airborne metals and other pollutants that drift off the property.\u003c/p>\n\u003cp>About 23,000 people live in West Oakland within a mile of the Schnitzer site, and thousands more live downwind.\u003c/p>\n\u003cp>The company, which has since been renamed Radius Recycling, and two employees were later charged with up to 10 separate environmental felonies and misdemeanors.\u003c/p>\n\u003cp>The charges include felony violations of the state’s health and safety code between 2021 and 2023, as well as conspiracy to destroy evidence, reckless handling of hazardous waste and negligently emitting air contaminants. The company and both employees pleaded not guilty in December.\u003c/p>\n\u003cp>Radius Recycling did not respond to requests for comment from Public Health Watch, before the article published, but the company has defended its business and the metal shredding industry as a way to produce steel — a construction staple — with a small or neutral carbon footprint that can help mitigate climate change and meet regulatory requirements for greener building.\u003c/p>\n\u003cp>On Tuesday, after the story published, the company issued a statement to Public Health Watch via email, complaining that allegations raised in the story, based on grand jury testimony and multiple other sources, were false.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Radius Recycling remains committed to safety, environmental compliance, and transparency,” according to the statement from Eric Potashner, the chief sustainability officer. “Following the fire at our Oakland facility, we worked closely with the District Attorney’s Office and multiple regulatory agencies — including the California Department of Toxic Substances Control and the Bay Area Air Quality Management District — who were on-site immediately.”\u003c/p>\n\u003cp>“Our operations follow strict environmental regulations, and we remain fully confident that the facts will demonstrate Radius Recycling’s continued prioritization of public safety and compliance with the law,” Potashner said.\u003c/p>\n\u003cp>The statement also challenged some of the testimony presented to the grand jury that later issued the indictments, saying the company had alerted officials it would immediately shred the evidence from the fire and that no one objected.\u003c/p>\n\u003cp>“As part of standard fire prevention protocol, we proactively informed regulators that we would begin shredding the burned material that day to eliminate any risk of reignition. No agency or regulator objected to this process,” according to the statement.\u003c/p>\n\u003cp>Then-District Attorney Pamela Price called the criminal charges “historic.”\u003c/p>\n\u003cp>“We believe Radius has often shrugged off the regulations when it was convenient to them, treating minor administrative penalties and fines as the cost of doing business,” Price said at the time the indictment was handed down.\u003c/p>\n\u003cp>Regulators, it appears, also fell down on the job.\u003c/p>\n\u003cfigure id=\"attachment_12031603\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031603\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3.jpg\" alt=\"\" width=\"2000\" height=\"1500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PHW-Photo-3-1920x1440.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">6231 Schnitzer Steel workers use cranes to pull metal out of the smoky mound after a fire started deep in a pile of scrap on Aug. 9, 2023. \u003ccite>(Courtesy Oakland Fire Department)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Oversight of the metal shredding industry has repeatedly faltered. Over the years, the state has granted exemptions from a key rule, missed a deadline for drafting new regulations and avoided enforcement of existing laws, either through lack of resources or lack of effort.\u003c/p>\n\u003cp>Along the way, decades of poorly coordinated efforts among a host of public agencies have enabled — and in some cases exacerbated — problems across the industry, Public Health Watch learned.\u003c/p>\n\u003cp>“There’s multiple agencies in charge of making sure industry complies with relevant laws, but these agencies have failed to actually do the job of enforcing those laws,” said Karen Chen, an attorney with the Natural Resources Defense Council, which has filed friend-of-the-court briefs in support of stricter enforcement.\u003c/p>\n\u003cp>“In the meantime, real people suffer irreversible health harms while [the state Department of Toxic Substances Control] waits to truly do its job and enforce the hazardous waste control law,” Chen said. “In turn, metal shredders get to skirt regulations in order to make a buck.”\u003c/p>\n\u003cp>\u003cem>Read the full story at \u003ca href=\"https://publichealthwatch.org/2025/03/18/california-metal-shredding-lead-waste/\">Public Health Watch\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The California health care program that covers almost 15 million people is costing more money than Gov. Gavin Newsom projected, creating a \u003ca href=\"https://calmatters.org/tag/california-budget/\">new budget problem\u003c/a> in a lean year.\u003c/p>\n\u003cp>Now his administration is borrowing $3.4 billion from the state’s general fund to cover the unexpected cost increase. It’s unclear when the administration plans to restore the money.\u003c/p>\n\u003cp>The administration acknowledged that more people are enrolled in the program than the state anticipated, and that the state is spending $2.7 billion more than it planned on coverage expansions for immigrants without legal status.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Roughly 1.6 million immigrants without legal status are enrolled in \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a>, according to state data. The program is a lifeline to people who traditionally have not had access to health insurance, and California is one of six states that \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/press-release/more-states-are-providing-fully-state-funded-health-coverage-to-some-individuals-regardless-of-immigration-status/\">offer coverage to immigrant adults \u003c/a>regardless of whether they are in the country legally.\u003c/p>\n\u003cp>Senate Minority Leader Brian Jones said Newsom has overpromised and under-delivered on health care at a time when all Californians are struggling to afford the cost of living in the state.\u003c/p>\n\u003cp>“Democrats and the governor are picking priorities, and they’re prioritizing people that have come into our country illegally over people who immigrated here legally, people that are citizens,” Jones said.\u003c/p>\n\u003cp>The state’s Medi-Cal expansion for undocumented immigrants costs about $8.5 billion from the state general fund annually, according to \u003ca href=\"https://calmatters.digitaldemocracy.org/hearings/258448\">a recent budget hearing\u003c/a>.\u003c/p>\n\u003cp>“If we weren’t spending eight-and-a-half billion dollars on illegal immigrants, we wouldn’t need to borrow $3.4 billion to cover the difference,” Jones said.\u003c/p>\n\u003cp>H.D. Palmer, a spokesperson for the state’s finance department, acknowledged that the rise in spending is partially attributable to higher-than-projected costs associated with larger enrollment numbers for California’s undocumented population. In January,\u003cstrong> \u003c/strong>the \u003ca href=\"https://www.dhcs.ca.gov/Documents/Budget-Highlights/DHCS-FY-2025-26-Governors-Budget-Highlights.pdf\">Department of Health Care Services (PDF)\u003c/a>, which oversees Medi-Cal, estimated California is spending $2.7 billion beyond what it budgeted due to the cost of covering care and prescriptions for newly enrolled immigrants.\u003c/p>\n\u003cp>But immigrants aren’t the only population that is using Medi-Cal more than the state expected.\u003c/p>\n\u003cp>California’s Medi-Cal population in general ballooned during the COVID-19 pandemic when the federal government temporarily suspended income eligibility checks to keep people insured during the national emergency. Before the pandemic about 13 million people used Medi-Cal. That number peaked at 15.6 million in 2023 when \u003ca href=\"https://www.chcf.org/collection/medi-cal-end-public-health-emergency/#:~:text=The%20requirement%20ended%20on%20March,Californians%20may%20leave%20the%20program.\">eligibility checks resumed\u003c/a>. Today 14.9 million people are enrolled, according to \u003ca href=\"https://lao.ca.gov/Publications/Report/5010\">state data\u003c/a>.[aside postID=news_12022068 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/GettyImages-536950177-1020x680.jpg']The Legislative Analyst’s Office has also noted \u003ca href=\"https://lao.ca.gov/reports/2025/5010/Understanding-Recent-Increases-Medi-Cal-Senior-Caseload-030525.pdf\">a 40% growth over the last four years (PDF)\u003c/a> in the number of seniors enrolled in Medi-Cal. While seniors make up only about 10% of the program’s enrollees, they account for a large part of the program’s spending because benefits such as long-term care are among the most expensive.\u003c/p>\n\u003cp>Medi-Cal spends about $15,000 a year per senior. That compares to the $8,000 a year the program spends on average on other enrollees.\u003c/p>\n\u003cp>Newsom’s office said these issues are neither new nor unique to California. Medi-Cal is California’s version of Medicaid, the federal-state program that provides health coverage nationwide to low-income households.\u003c/p>\n\u003cp>“Rising Medicaid costs are a national challenge, affecting both red and blue states alike,” Elana Ross, a spokesperson for the governor’s office, said in an email.\u003c/p>\n\u003ch2>Democrats pledge to protect immigrant health care\u003c/h2>\n\u003cp>Sen. Roger Niello, a long-time critic of the state’s closed-door budgeting process, which is typically hashed out between Democratic leaders and the governor, acknowledged that other factors like senior enrollment and high drug costs could be contributing to the high expenses. He said Republicans are worried about increasing spending on immigrant health care.\u003c/p>\n\u003cp>The Republican from Roseville criticized the lack of transparency from Newsom’s finance department.\u003c/p>\n\u003cp>“The completely opaque nature of the request, which says nothing about any of that, is entirely inappropriate,” Niello said.\u003c/p>\n\u003cfigure id=\"attachment_12031546\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031546\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Roger Niello holds a news conference in the rotunda of the state Capitol in Sacramento on March 13, 2025. Niello requested more transparency from Gov. Newsom as to why the state needs $3.5 billion to keep Medi-Cal solvent. \u003ccite>(Fred Greaves for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Democratic lawmakers said they need more information about what exactly is behind the unexpected spending increases, but pushed back on the idea that the state would need to roll back coverage for its undocumented population.\u003c/p>\n\u003cp>“Immigrant workers and families, who pay billions in taxes, deserve access to care, and I am proud to protect California’s progress expanding Medi-Cal,” Assembly Speaker Robert Rivas said in a statement. “There are tough choices ahead, and Assembly Democrats will closely examine any proposal from the governor. But let’s be clear: We will not roll over and leave our immigrants behind.”[aside postID=news_12029294 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/072820-Doctor-Pediatrician-Kid-GETTY-CM-01-copy-1020x680.jpg']Immigrants lacking permanent status contribute approximately \u003ca href=\"https://calbudgetcenter.org/news/new-study-undocumented-immigrants-contribute-8-5-billion-in-california-taxes-a-year/\">$8.5 billion in state and local taxes a year\u003c/a>, according to an analysis by the California Budget and Policy Center, a nonprofit research group. That’s about the same amount it’s costing the state to give them Medi-Cal.\u003c/p>\n\u003cp>State lawmakers first allowed undocumented children to enroll in Medi-Cal in 2016 under Gov. Jerry Brown. Since then Newsom has approved adding young adults up to age 25 in 2020 and older adults and seniors in 2022. Adults ages 26–49 were the final group added in 2024. Throughout those years, even \u003ca href=\"https://calmatters.org/health/2024/01/undocumented-health-care-politics/\">some Republican lawmakers supported covering this population.\u003c/a>\u003c/p>\n\u003cp>“The Republicans need to take a better and keen-eyed look at the timeline associated with those expansions,” said Assemblymember Mia Bonta, an Oakland Democrat who leads the Health Committee. “For them to just try to play the blame game and put it all at the feet of California values to ensure that we have universal health coverage for all with this particular age group being included is just specious.”\u003c/p>\n\u003ch2>Billions more in potential Medicaid cuts\u003c/h2>\n\u003cp>Assemblymember Dawn Addis, who chairs a budget subcommittee on health, said she will be questioning Newsom officials closely about the spending increase in an upcoming hearing.\u003c/p>\n\u003cp>“We really need to understand the details of what the Department of Finance is saying, what the executive is seeing, and how they’re calculating this information,” Addis, a Democrat from San Luis Obispo, said.\u003c/p>\n\u003cp>Addis emphasized that the biggest threat to Medi-Cal right now is coming from the federal government.\u003c/p>\n\u003cp>House Republicans recently voted to advance a proposal that could result in cuts of \u003ca href=\"https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/\">$880 billion to a group of programs\u003c/a>, largely Medicaid, over the next 10 years. The California Budget and Policy Center has estimated that the proposals currently at play in Congress could translate into annual losses of $10 billion to $20 billion a year for the state.\u003c/p>\n\u003cp>“The reason why it’s so important for us to fight back against cuts at the federal level to Medicaid is because there is no easy or painless solution to fill that budget hole,” said Amanda McAllister-Wallner, interim executive director of Health Access California.\u003c/p>\n\u003cp>Health Access California along with the California Immigrant Policy Center spearheaded the campaign nearly a decade ago to insure all immigrants in the state.\u003c/p>\n\u003cp>McAllister-Wallner said it was unfair and unreasonable to pin the state budget shortfall on the immigrant expansions. Over the same time period, the state has added benefits, such as \u003ca href=\"https://www.chcf.org/wp-content/uploads/2023/08/MediCalExplainedNewServicesGlance20202023.pdf\">doula services and family therapy (PDF)\u003c/a>, and invested heavily in reforming the system through a multibillion-dollar initiative called CalAIM.\u003c/p>\n\u003cp>“Those changes that we’ve made in Medi-Cal made the program stronger (and) have made the state healthier,” McAllister-Wallner said.\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Alexei Koseff contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The California health care program that covers almost 15 million people is costing more money than Gov. Gavin Newsom projected, creating a \u003ca href=\"https://calmatters.org/tag/california-budget/\">new budget problem\u003c/a> in a lean year.\u003c/p>\n\u003cp>Now his administration is borrowing $3.4 billion from the state’s general fund to cover the unexpected cost increase. It’s unclear when the administration plans to restore the money.\u003c/p>\n\u003cp>The administration acknowledged that more people are enrolled in the program than the state anticipated, and that the state is spending $2.7 billion more than it planned on coverage expansions for immigrants without legal status.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Roughly 1.6 million immigrants without legal status are enrolled in \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal\u003c/a>, according to state data. The program is a lifeline to people who traditionally have not had access to health insurance, and California is one of six states that \u003ca href=\"https://www.kff.org/racial-equity-and-health-policy/press-release/more-states-are-providing-fully-state-funded-health-coverage-to-some-individuals-regardless-of-immigration-status/\">offer coverage to immigrant adults \u003c/a>regardless of whether they are in the country legally.\u003c/p>\n\u003cp>Senate Minority Leader Brian Jones said Newsom has overpromised and under-delivered on health care at a time when all Californians are struggling to afford the cost of living in the state.\u003c/p>\n\u003cp>“Democrats and the governor are picking priorities, and they’re prioritizing people that have come into our country illegally over people who immigrated here legally, people that are citizens,” Jones said.\u003c/p>\n\u003cp>The state’s Medi-Cal expansion for undocumented immigrants costs about $8.5 billion from the state general fund annually, according to \u003ca href=\"https://calmatters.digitaldemocracy.org/hearings/258448\">a recent budget hearing\u003c/a>.\u003c/p>\n\u003cp>“If we weren’t spending eight-and-a-half billion dollars on illegal immigrants, we wouldn’t need to borrow $3.4 billion to cover the difference,” Jones said.\u003c/p>\n\u003cp>H.D. Palmer, a spokesperson for the state’s finance department, acknowledged that the rise in spending is partially attributable to higher-than-projected costs associated with larger enrollment numbers for California’s undocumented population. In January,\u003cstrong> \u003c/strong>the \u003ca href=\"https://www.dhcs.ca.gov/Documents/Budget-Highlights/DHCS-FY-2025-26-Governors-Budget-Highlights.pdf\">Department of Health Care Services (PDF)\u003c/a>, which oversees Medi-Cal, estimated California is spending $2.7 billion beyond what it budgeted due to the cost of covering care and prescriptions for newly enrolled immigrants.\u003c/p>\n\u003cp>But immigrants aren’t the only population that is using Medi-Cal more than the state expected.\u003c/p>\n\u003cp>California’s Medi-Cal population in general ballooned during the COVID-19 pandemic when the federal government temporarily suspended income eligibility checks to keep people insured during the national emergency. Before the pandemic about 13 million people used Medi-Cal. That number peaked at 15.6 million in 2023 when \u003ca href=\"https://www.chcf.org/collection/medi-cal-end-public-health-emergency/#:~:text=The%20requirement%20ended%20on%20March,Californians%20may%20leave%20the%20program.\">eligibility checks resumed\u003c/a>. Today 14.9 million people are enrolled, according to \u003ca href=\"https://lao.ca.gov/Publications/Report/5010\">state data\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Legislative Analyst’s Office has also noted \u003ca href=\"https://lao.ca.gov/reports/2025/5010/Understanding-Recent-Increases-Medi-Cal-Senior-Caseload-030525.pdf\">a 40% growth over the last four years (PDF)\u003c/a> in the number of seniors enrolled in Medi-Cal. While seniors make up only about 10% of the program’s enrollees, they account for a large part of the program’s spending because benefits such as long-term care are among the most expensive.\u003c/p>\n\u003cp>Medi-Cal spends about $15,000 a year per senior. That compares to the $8,000 a year the program spends on average on other enrollees.\u003c/p>\n\u003cp>Newsom’s office said these issues are neither new nor unique to California. Medi-Cal is California’s version of Medicaid, the federal-state program that provides health coverage nationwide to low-income households.\u003c/p>\n\u003cp>“Rising Medicaid costs are a national challenge, affecting both red and blue states alike,” Elana Ross, a spokesperson for the governor’s office, said in an email.\u003c/p>\n\u003ch2>Democrats pledge to protect immigrant health care\u003c/h2>\n\u003cp>Sen. Roger Niello, a long-time critic of the state’s closed-door budgeting process, which is typically hashed out between Democratic leaders and the governor, acknowledged that other factors like senior enrollment and high drug costs could be contributing to the high expenses. He said Republicans are worried about increasing spending on immigrant health care.\u003c/p>\n\u003cp>The Republican from Roseville criticized the lack of transparency from Newsom’s finance department.\u003c/p>\n\u003cp>“The completely opaque nature of the request, which says nothing about any of that, is entirely inappropriate,” Niello said.\u003c/p>\n\u003cfigure id=\"attachment_12031546\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12031546\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/031327_Niello-MediCal_FG_CM_05-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Roger Niello holds a news conference in the rotunda of the state Capitol in Sacramento on March 13, 2025. Niello requested more transparency from Gov. Newsom as to why the state needs $3.5 billion to keep Medi-Cal solvent. \u003ccite>(Fred Greaves for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Democratic lawmakers said they need more information about what exactly is behind the unexpected spending increases, but pushed back on the idea that the state would need to roll back coverage for its undocumented population.\u003c/p>\n\u003cp>“Immigrant workers and families, who pay billions in taxes, deserve access to care, and I am proud to protect California’s progress expanding Medi-Cal,” Assembly Speaker Robert Rivas said in a statement. “There are tough choices ahead, and Assembly Democrats will closely examine any proposal from the governor. But let’s be clear: We will not roll over and leave our immigrants behind.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Immigrants lacking permanent status contribute approximately \u003ca href=\"https://calbudgetcenter.org/news/new-study-undocumented-immigrants-contribute-8-5-billion-in-california-taxes-a-year/\">$8.5 billion in state and local taxes a year\u003c/a>, according to an analysis by the California Budget and Policy Center, a nonprofit research group. That’s about the same amount it’s costing the state to give them Medi-Cal.\u003c/p>\n\u003cp>State lawmakers first allowed undocumented children to enroll in Medi-Cal in 2016 under Gov. Jerry Brown. Since then Newsom has approved adding young adults up to age 25 in 2020 and older adults and seniors in 2022. Adults ages 26–49 were the final group added in 2024. Throughout those years, even \u003ca href=\"https://calmatters.org/health/2024/01/undocumented-health-care-politics/\">some Republican lawmakers supported covering this population.\u003c/a>\u003c/p>\n\u003cp>“The Republicans need to take a better and keen-eyed look at the timeline associated with those expansions,” said Assemblymember Mia Bonta, an Oakland Democrat who leads the Health Committee. “For them to just try to play the blame game and put it all at the feet of California values to ensure that we have universal health coverage for all with this particular age group being included is just specious.”\u003c/p>\n\u003ch2>Billions more in potential Medicaid cuts\u003c/h2>\n\u003cp>Assemblymember Dawn Addis, who chairs a budget subcommittee on health, said she will be questioning Newsom officials closely about the spending increase in an upcoming hearing.\u003c/p>\n\u003cp>“We really need to understand the details of what the Department of Finance is saying, what the executive is seeing, and how they’re calculating this information,” Addis, a Democrat from San Luis Obispo, said.\u003c/p>\n\u003cp>Addis emphasized that the biggest threat to Medi-Cal right now is coming from the federal government.\u003c/p>\n\u003cp>House Republicans recently voted to advance a proposal that could result in cuts of \u003ca href=\"https://calmatters.org/health/2025/02/medicaid-medi-cal-trump-cuts/\">$880 billion to a group of programs\u003c/a>, largely Medicaid, over the next 10 years. The California Budget and Policy Center has estimated that the proposals currently at play in Congress could translate into annual losses of $10 billion to $20 billion a year for the state.\u003c/p>\n\u003cp>“The reason why it’s so important for us to fight back against cuts at the federal level to Medicaid is because there is no easy or painless solution to fill that budget hole,” said Amanda McAllister-Wallner, interim executive director of Health Access California.\u003c/p>\n\u003cp>Health Access California along with the California Immigrant Policy Center spearheaded the campaign nearly a decade ago to insure all immigrants in the state.\u003c/p>\n\u003cp>McAllister-Wallner said it was unfair and unreasonable to pin the state budget shortfall on the immigrant expansions. Over the same time period, the state has added benefits, such as \u003ca href=\"https://www.chcf.org/wp-content/uploads/2023/08/MediCalExplainedNewServicesGlance20202023.pdf\">doula services and family therapy (PDF)\u003c/a>, and invested heavily in reforming the system through a multibillion-dollar initiative called CalAIM.\u003c/p>\n\u003cp>“Those changes that we’ve made in Medi-Cal made the program stronger (and) have made the state healthier,” McAllister-Wallner said.\u003c/p>\n\u003cp>\u003cem>CalMatters reporter Alexei Koseff contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As transit workers in the South Bay \u003ca href=\"https://www.kqed.org/news/12031387/newsom-should-intervene-in-vta-strike-expert-says\">continue their historic strike for a fifth straight day\u003c/a>, a unionized group of Santa Clara County medical employees is threatening a work stoppage of their own later this month.\u003c/p>\n\u003cp>Hundreds of workers represented by the Engineers and Scientists of California Local 20 say they plan to hold an unfair labor practice strike from March 24 through 26 to push back against what they call “bad faith” negotiating by the county during long-running contract talks.\u003c/p>\n\u003cp>The union includes clinical lab scientists, microbiologists and medical lab technicians who work at the Santa Clara County-run Valley Medical Center and O’Connor Hospital in San José, as well as St. Louise Regional Hospital in Gilroy, and county public health labs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Our members have given us the mandate to insist on good faith bargaining so we can continue to deliver quality patient care and reject the County’s effort to forcibly waive our rights,” Jaspal Sandhu, a clinical lab scientist at Valley Medical, said in a statement from the union.\u003c/p>\n\u003cp>Sandhu is also a member of the negotiating team for the workers. “We remain committed to working towards reaching a fair agreement but will strike if necessary to try to put an end to the county’s bad faith,” he said.\u003c/p>\n\u003cp>The union has been negotiating with the county for their next contract since July 2024, and their previous contract expired in September.[aside postID=news_12021981 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/240613-REGIONALMED-JG-1-1020x680.jpg']The union alleges the county has refused to explain its proposals asking union members to give up the right to future negotiations over working conditions and the right to “take collective action to improve patient care,” the statement from the union said.\u003c/p>\n\u003cp>The union also said the county has threatened “to unilaterally impose these waivers of rights in violation of the law.”\u003c/p>\n\u003cp>Santa Clara County, in a statement to KQED, said it is committed to finalizing a contract with the union that is fair for the workers, the county and its residents.\u003c/p>\n\u003cp>“Reaching a financially sustainable agreement is critical given the current financial challenges facing local governments,” the statement said.\u003c/p>\n\u003cp>The two sides were having mediated negotiations on Friday, but it’s unclear if a deal is expected to be reached soon.\u003c/p>\n\u003cp>The county said its health care system “will make the necessary preparations to ensure that all critical lab work can proceed so that our patients can receive the compassionate and critical care that they need” in the event of a strike.\u003c/p>\n\u003cp>Joana Santos, a clinical lab scientist at St. Louise, said in the union statement that the county’s proposals could put “patient safety at risk by allowing managers to move workers between highly specialized worksites without their input.”\u003c/p>\n\u003cp>“Our patients deserve better, for they trust us with our health,” Santos said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As transit workers in the South Bay \u003ca href=\"https://www.kqed.org/news/12031387/newsom-should-intervene-in-vta-strike-expert-says\">continue their historic strike for a fifth straight day\u003c/a>, a unionized group of Santa Clara County medical employees is threatening a work stoppage of their own later this month.\u003c/p>\n\u003cp>Hundreds of workers represented by the Engineers and Scientists of California Local 20 say they plan to hold an unfair labor practice strike from March 24 through 26 to push back against what they call “bad faith” negotiating by the county during long-running contract talks.\u003c/p>\n\u003cp>The union includes clinical lab scientists, microbiologists and medical lab technicians who work at the Santa Clara County-run Valley Medical Center and O’Connor Hospital in San José, as well as St. Louise Regional Hospital in Gilroy, and county public health labs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The union alleges the county has refused to explain its proposals asking union members to give up the right to future negotiations over working conditions and the right to “take collective action to improve patient care,” the statement from the union said.\u003c/p>\n\u003cp>The union also said the county has threatened “to unilaterally impose these waivers of rights in violation of the law.”\u003c/p>\n\u003cp>Santa Clara County, in a statement to KQED, said it is committed to finalizing a contract with the union that is fair for the workers, the county and its residents.\u003c/p>\n\u003cp>“Reaching a financially sustainable agreement is critical given the current financial challenges facing local governments,” the statement said.\u003c/p>\n\u003cp>The two sides were having mediated negotiations on Friday, but it’s unclear if a deal is expected to be reached soon.\u003c/p>\n\u003cp>The county said its health care system “will make the necessary preparations to ensure that all critical lab work can proceed so that our patients can receive the compassionate and critical care that they need” in the event of a strike.\u003c/p>\n\u003cp>Joana Santos, a clinical lab scientist at St. Louise, said in the union statement that the county’s proposals could put “patient safety at risk by allowing managers to move workers between highly specialized worksites without their input.”\u003c/p>\n\u003cp>“Our patients deserve better, for they trust us with our health,” Santos said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "j-sei-home-closes-after-30-years-leaving-bay-area-japanese-seniors-in-need",
"title": "J-Sei Home Closes After 30 Years, Leaving Bay Area Japanese Seniors in Need",
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"content": "\u003cp>\u003cem>\u003cstrong>[This is the second story of a two-part project that explores the influence and importance of culture in end-of-life care. \u003ca href=\"https://www.kqed.org/news/12027418/japanese-american-seniors-caregivers-say-goodbye-j-sei-home\">Part one was published Sunday\u003c/a>.]\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>In late January, about a hundred people — mostly East Bay \u003ca href=\"https://www.kqed.org/news/12021919/bay-area-japanese-americans-draw-on-wwii-trauma-resist-deportation-threats\">Japanese American\u003c/a> community members — gathered at Sycamore Congregational Church in El Cerrito to honor Ruth Sato Fukuchi.\u003c/p>\n\u003cp>Fukuchi, a former microbiologist, was remembered for her youthful spirit and for being a consummate learner, even late in life. When she was in her mid-70s, she picked up the ukulele and played with the Sentimental Strummers band for seven years.\u003c/p>\n\u003cp>Fukuchi was 90 when she passed away in December at J-Sei Home, a small, tight-knit senior residential care facility in Hayward where she had performed with her ukulele group before she moved in herself in 2021.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For decades, Bay Area Japanese American families have sought culturally sensitive senior care facilities like J-Sei Home for aging loved ones. Community members said that about a decade ago, there were approximately 10 Japanese senior care homes in the region. Today, that number has declined by about half.\u003c/p>\n\u003cp>The most recent closure came in January, when the last residents of J-Sei Home moved out, and the facility permanently closed its doors after 30 years of operation.\u003c/p>\n\u003cfigure id=\"attachment_12030308\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030308\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregiver Hiroko Okamoto wheels Ruth Fukuchi away as she waves goodbye to the birds in the yard at J-Sei Home in Hayward in February 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A majority of the displaced residents were Japanese Americans in their 90s and had cognitive impairment.\u003c/p>\n\u003cp>“J-Sei Home was a very special place. The caregivers treated each resident like family,” said Matt Fukuchi, Fukuchi’s son, during his closing remarks at the memorial. “The quality of life that she had the last couple of years, she couldn’t have gotten that anywhere else.”\u003c/p>\n\u003cp>Families like the Fukuchis appreciated how their loved ones were cared for at J-Sei Home. They had tender caregivers who spoke Japanese. They ate familiar comfort foods like miso soup and pickled vegetables, and they participated in daily activities such as drum circles and singing Japanese songs.\u003c/p>\n\u003cfigure id=\"attachment_12027414\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027414\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Grace Aikawa looks around at her empty room at her new care facility in Castro Valley in December. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Diane Wong, the executive director of J-Sei, an Emeryville-based Japanese American community organization that primarily serves seniors, said the decision to close their Hayward facility, one of its core services, was difficult but necessary.\u003c/p>\n\u003cp>“For the past 13, 14 years, we could never break even,” she said. “We weren’t getting enough people into the facility, costs are rising, and so we could see the future.”\u003c/p>\n\u003cp>In addition to financial challenges — notably, increased costs in staffing — Wong said that J-Sei Home’s closure could be attributed to significant demographic changes as the Japanese American population has become more diverse and acculturated.\u003c/p>\n\u003cfigure id=\"attachment_12030305\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030305\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Grace Aikawa eats a turkey sandwich for lunch at the dining hall of her new care facility in Castro Valley. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_12030309\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030309\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo.jpg\" alt=\"\" width=\"2000\" height=\"660\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-800x264.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1020x337.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1536x507.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1920x634.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(Left) A plate of Osechi Ryori is on the menu for Oshogatsu, or Japanese New Year, at J Sei Home in January 2024. Each part of the osechi meal symbolizes good fortune and luck for the coming year. (Right) Sawako Issacs guides Kazue Granich’s hand to her mug at J Sei Home. At J-Sei Home residents would often look after the other residents when caregivers were busy. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After World War II, Bay Area Japanese American organizations formed to serve first-generation Japanese immigrants or the Issei generation.\u003c/p>\n\u003cp>Today, they’re at a crossroads because the needs of the community have shifted, forcing some organizations to adapt their original missions and shrinking certain services that used to be critical lifelines for the community.\u003c/p>\n\u003ch2>A comfortable place to age\u003c/h2>\n\u003cp>J-Sei Home’s origin traces back to two youth-led organizations that later merged to become J-Sei: East Bay Japanese for Action and East Bay Issei Housing, which were founded in the 1970s by the Sansei, or second-generation Japanese Americans.\u003c/p>\n\u003cp>Young Japanese American student activists in the Bay Area recognized the need for targeted social services for their immigrant elders. They were inspired by the community activism of the late 1960s when the \u003ca href=\"https://www.kqed.org/news/11830384/how-the-longest-student-strike-in-u-s-history-created-ethnic-studies\">Third World Liberation Front student strikes\u003c/a> established ethnic studies departments at UC Berkeley and San Francisco State University.\u003c/p>\n\u003cfigure id=\"attachment_12030268\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030268\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">East Bay Japanese for Action organizers meet with community leaders to discuss needs of seniors, organizing of future events, community support and how to proceed with an organization in Oakland in 1971. From left are: Murayo Sawai, Tad Hirota, Dennis Yotsuya, Peter Horikoshi and Janice Nakao. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There was still a lot of racism and distrust,” Wong said. “A lot of young people involved saw their family members who needed help.”\u003c/p>\n\u003cp>Peter Horikoshi said that learning Asian American history as a UC Berkeley undergraduate and witnessing the groundswell of student movements opened his eyes to his own community’s needs.\u003c/p>\n\u003cp>“We clearly saw that we had a lot in common with African Americans, Latinos and Native Americans,” said Horikoshi, a 73-year-old Alameda resident, adding that he and his peers particularly \u003ca href=\"https://www.kqed.org/arts/13867337/the-black-panther-partys-free-breakfast-program-a-50-year-old-blueprint\">drew inspiration from the Black Panther Party\u003c/a>. “They were offering free [breakfast] for kids and really trying to help out their communities, and we thought that’s a good model to follow.”\u003c/p>\n\u003cfigure id=\"attachment_12030269\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030269\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L-160x107.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dennis Yotsuya, left, leads a craft session on making ribbon fish at the Berkeley Senior Center in 1971. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_12030270\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030270 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo.jpg\" alt=\"\" width=\"2000\" height=\"665\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-800x266.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1020x339.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1536x511.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1920x638.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(Left) PJ Hirabayashi (then Nakanishi), center, stands with Peter Horikoshi, left, playing a guitar wearing an anti-nuclear weapons headband that reads, “No More Hiroshima Nagasaki,” circa 1970s. (Right) A picnic of the Japanese American Issei community. \u003ccite>(Courtesy of Tets Maniwa)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Horikoshi was a founding member of EBJA, which began planning field trips for seniors in 1971, including ferry rides to Angel Island and picnics at Lake Temescal in Oakland.\u003c/p>\n\u003cp>Many of the elders who participated were survivors of \u003ca href=\"https://www.kqed.org/news/12021919/bay-area-japanese-americans-draw-on-wwii-trauma-resist-deportation-threats\">World War II incarceration\u003c/a>. Some were war brides, Japanese immigrant women who had married American servicemen and left their country and families behind. The women faced language barriers and social isolation, even within the Japanese community.\u003c/p>\n\u003cp>“We heard these stories over and over about how they worked so hard when they first came over,” Horikoshi said. “The Japanese American-established organizations at that time were really not doing that much for them either, and so we thought, ‘We’re young, and we have the time.’”\u003c/p>\n\u003cp>The East Bay Japanese American population was much more spread out compared to San Francisco, where Japantown served as a community anchor. In the East Bay, Japanese temples and churches were the community’s key congregation points until student activists united the organizations around the common cause of helping immigrant seniors.\u003c/p>\n\u003cfigure id=\"attachment_12030323\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030323\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984.jpg\" alt=\"\" width=\"2000\" height=\"1382\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-800x553.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1020x705.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1536x1061.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1920x1327.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The East Bay Issei Terrace dedication ceremony was held in Hayward in November 1984. The project was a collaboration of East Bay Japanese for Action, East Bay Issei Housing and Eden Housing, Inc. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The young organizers established Japanese American senior community centers in Berkeley, El Cerrito and Hayward. EBJA organizers also created bilingual services to help Japanese seniors navigate health and social programs. They began a meal program where seniors would enjoy lunches and socialize.\u003c/p>\n\u003cp>Then, the students turned to another critical need: housing.\u003c/p>\n\u003cp>In 1978, EBIH was formed to address housing security for Japanese seniors. Wong said community members complained that while there were some senior homes available, “the language, food and activities just didn’t mesh or feel comfortable for people.” Having lived through the racism of World War II, the seniors sought a safe and comfortable place to age.\u003c/p>\n\u003cp>“The whole approach of the work is to create something where people’s histories are celebrated, their sense of being is honored,” Wong said.\u003c/p>\n\u003cfigure id=\"attachment_12027449\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027449\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Japanese-imported roof at J-Sei Home in Hayward, California, on Thursday, Oct. 31, 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robert Sakai, one of EBIH’s co-founders, became aware of the lack of community housing for Japanese seniors when his mother’s friend had a hard time finding a place to live. As a young real estate lawyer, he met with other concerned organizers and formed EBIH to consolidate resources to establish a senior housing program.\u003c/p>\n\u003cp>“We felt that we needed to recruit the JACL chapters and Japanese American churches in Alameda and Contra Costa counties,” Sakai said, referring to the Japanese American Citizens League. “As far as I know, that was the first time that the East Bay Japanese American community was united to work on anything, much less a single real estate project.”\u003c/p>\n\u003cp>Sakai and others recruited 23 Japanese American organizations to raise money to purchase a property in Hayward, which became an affordable senior housing site that was designed and tailored for low-income Japanese elders. Years later, the group purchased a smaller ranch-style home across the street to address the needs of Japanese seniors who could not live independently. In 1994, the building that became J-Sei Home opened.\u003c/p>\n\u003ch2>‘The family’s getting smaller’\u003c/h2>\n\u003cp>When vascular dementia and other medical issues led Fukuchi to require extensive assisted living services in 2021, J-Sei Home was an obvious choice. Multiple generations of the Fukuchi family had already been active in the J-Sei community. Fukuchi participated in the organization’s social activities, and her husband, Tak, was a driver for J-Sei’s meal delivery program.\u003c/p>\n\u003cp>The exorbitant costs and burden of round-the-clock senior caregiving can be overwhelming for any family member, especially when the senior’s quality of life depends on access to familiar cultural comforts.\u003c/p>\n\u003cfigure id=\"attachment_12030312\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030312\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The onset of dementia and other medical issues required Ruth Fukuchi’s family to seek an assisted living alternative for her. Her family was already connected to the J-Sei community. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cathy Fukuchi-Wong, Fukuchi’s daughter, said she’s eternally grateful that the J-Sei Home caregivers could provide for her mother in ways she could not.\u003c/p>\n\u003cp>“My mom did express several times that she wanted to come live with me. But the reality is, there’s no way we could’ve done that because she needed so much care,” Fukuchi-Wong said.\u003c/p>\n\u003cp>Fukuchi lived at J-Sei Home for three years. Her daughter said the personalized caregiving provided by the staff allowed her to enjoy her mother and be present. Fukuchi had almost daily visits from her son, Matt Fukuchi, and Fukuchi-Wong, who commuted to Hayward from their respective homes in San Ramon and Marin.\u003c/p>\n\u003cp>While he sympathizes with J-Sei Home’s financial concerns, Matt Fukuchi said he was upset initially when he learned of the decision to close.\u003c/p>\n\u003cfigure id=\"attachment_12030314\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030314\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Cathy Fukuchi-Wong reads Vogue with her mother, Ruth, at J-Sei Home in February 2024. Fukuchi-Wong said that the J-Sei Home caregivers could provide for her mother in ways she could not. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I was wondering why they didn’t try to find someone else to operate it because it seemed like there were families that were interested in having their parents go to J-Sei,” he said.\u003c/p>\n\u003cp>But Wong asserts there’s been declining interest in J-Sei Home in recent years. She cited an organizational survey that was sent to over 550 active J-Sei members in 2024, which gauged whether they needed a facility like J-Sei Home in the future. A majority said no.\u003c/p>\n\u003cp>Wong said J-Sei is now focusing on home delivery meals to address food security for Asian seniors in the East Bay and providing more support for family caregivers. She said the shift makes sense to meet the community’s current needs.\u003c/p>\n\u003cp>[aside postID=news_11952398 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/06/Screen-Shot-2023-05-30-at-4.19.34-PM-1020x571.png']\u003c/p>\n\u003cp>“The cost factor is going to be a big challenge for society in general,” Wong said, referring to senior care. “How are we going to do this at home? What’s the role of the family? We know that public systems of funding aren’t really keeping up with the need.”\u003c/p>\n\u003cp>Families said that J-Sei Home’s costs were significantly more affordable compared to other traditional care homes. Fukuchi-Wong told KQED that the direct, culturally sensitive care her mother received was “a steal” for what they paid.\u003c/p>\n\u003cp>After J-Sei announced the closure, residents and their families were given about five months to find an alternate facility. Before her mother’s death, Fukuchi-Wong anxiously toured homes around the Bay Area.\u003c/p>\n\u003cp>“I hit the bricks,” said Fukuchi-Wong, who described the search to find a facility similar to J-Sei Home as a struggle. “Some of those places are pretty ragged and so it was hard to see some of the conditions where these people lived.”\u003c/p>\n\u003cfigure id=\"attachment_12030315\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030315\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregiver Amparo Chow helps Kazue Granich rise from her seat at J-Sei Home in Hayward on Nov. 14, 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fukuchi-Wong said her mother needed to engage in social activities and eat traditional foods that would suit her appetite. Fukuchi-Wong’s first choice was Kimochi Home in San Mateo, another Japanese culturally sensitive senior care home, but there was a 40-person waiting list.\u003c/p>\n\u003cp>Fukuchi noticed that her J-Sei Home friends were starting to move out. Caregivers and families shared emotional and tearful goodbyes as residents left.\u003c/p>\n\u003cp>“The family’s getting smaller,” Fukuchi, who began eating less and sleeping more, said to her daughter.\u003c/p>\n\u003cp>She was one of the last residents at the facility before she passed away.\u003c/p>\n\u003cfigure id=\"attachment_12030306\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030306\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Charles Granich, right, shows his mother, Kazue Granich, left, her room at her new care home, RN3 Loving Care Homes, a senior assisted living facility in the El Cerrito hills in December 2024.\u003c/figcaption>\u003c/figure>\n\u003cp>Ron Salvador, the former administrator of J-Sei Home, spoke to KQED about a week after J-Sei announced the home’s closure. He expressed concern about the future care of the residents. He said that at J-Sei Home, the caregiver-to-resident ratio was almost one-to-one.\u003c/p>\n\u003cp>“It’s just sad when you see a specialty facility like this close down. It affects the whole community,” Salvador told KQED in October. “We’re worried about [the residents] because they became a family here.”\u003c/p>\n\u003cp>J-Sei assisted residents as they searched for new facilities and navigated moving logistics. By January, most of them had moved into traditional assisted living facilities.\u003c/p>\n\u003cp>At 101, Kazue Granich was J-Sei Home’s oldest resident and lived there for over seven years. Though she was mostly quiet, she was known for being the loudest karaoke singer. She relocated to RN3 Loving Care Homes, a senior assisted living facility in the El Cerrito hills.\u003c/p>\n\u003cp>While visiting her mother’s new home from out of town, Granich’s daughter, Sandy Granich, told a KQED reporter that Granich appeared to be skinnier and not as talkative as she used to be. One of her brothers, who is local and visits more often, had warned Sandy that their mother had grown quieter and more listless since leaving J-Sei Home.\u003c/p>\n\u003cp>When asked how the facility compared to J-Sei Home, Sandy Granich said, “I feel like there was more camaraderie over there,” as she scanned RN3’s living room where other nearby residents sat quietly and alone.\u003c/p>\n\u003ch2>A niche in the world of senior care\u003c/h2>\n\u003cp>On a recent morning in San Francisco, a dozen seniors — most of them in their 90s — played a bean bag toss game, cheering for one another as part of their daily 10 a.m. activity at Kimochi Home’s Japantown location. The Japanese senior care facility opened in 1983, about a decade before J-Sei Home.\u003c/p>\n\u003cp>The seniors sat in a circle, and one by one — with the help of staff members and a volunteer — they shuffled or pushed their walkers to the center of the circle to play.\u003c/p>\n\u003cfigure id=\"attachment_12028194\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Residents participate in a game at Kimochi Home, a senior living community in San Francisco’s Japantown neighborhood, February 2025. Established in 1971, Kimochi provides programs and services to Bay Area seniors, honoring the Japanese tradition of respect and care for elders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Rooting each other on during the activities and building that sense of community … that’s really important and the foundation of what Kimochi Home wanted to be,” said Linda Ishii, the home’s director of residential services.\u003c/p>\n\u003cp>Ishii is a San Francisco Japantown native who has worked with Kimochi for over two decades. She said the seniors at Kimochi Home are mostly Nisei, or second generation, and Shin-Issei, Japanese immigrants who arrived in the U.S. after World War II. The oldest Kimochi resident is 106.\u003c/p>\n\u003cp>The two-story building is cozy and light-filled. There is a dedicated space for activities and exercise, TV lounges play Japanese-language programming and the walls are adorned with traditional Japanese decorations.\u003c/p>\n\u003cfigure id=\"attachment_12028199\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028199\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kimochi Home is located in San Francisco’s Japantown neighborhood. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Most of the residents are Japanese, but Ishii said Kimochi occasionally has residents who are Black, Latino, Filipino and other races and ethnicities. Though the focus of Kimochi Home is providing care for Japanese and Japanese Americans, Ishii said any senior can benefit from their care.\u003c/p>\n\u003cp>“That is our niche in the whole world of senior care,” Ishii said. “It is focused on the care their loved one is receiving and if they’re going to feel comfortable within the space.”\u003c/p>\n\u003cp>She said she was saddened to learn of J-Sei Home’s recent closure and provided tours to a few of the families looking for a new home for their seniors.\u003c/p>\n\u003cp>“It’s always a loss to the community as a whole to have such a well-established home close,” Ishii said.\u003c/p>\n\u003cfigure id=\"attachment_12028196\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028196\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Residents participate in Radio Taiso, an exercise routine practiced in Japan, at Kimochi Home where the focus is providing care for Japanese and Japanese Americans. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After their morning activity, the seniors transitioned to chair exercises, where they watched \u003cem>Radio Taiso\u003c/em>, a Japanese exercise program on TV. The residents alternated between seated stretches and raising their arms in unison until it was time for lunch.\u003c/p>\n\u003cp>The residents slowly made their way to the dining room, shuffling down a hallway in a line, some with their walkers, as staff members waited patiently nearby to assist as needed.\u003c/p>\n\u003cp>“Nothing moves fast around here,” Ishii said with a laugh. “There will come a time when they can no longer do it, so it takes them a while to get down the hall, but they’re doing it. That’s the most important thing, to let them have the ability to know that they can do it.”\u003c/p>\n\u003cfigure id=\"attachment_12028198\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Linda Ishii, director of residential services, speaks with a resident at Kimochi Home, where “[n]othing moves fast,” she said. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Like J-Sei Home, Kimochi Home also faces rising costs and staffing challenges that were accelerated during the pandemic. She said keeping the home afloat is a balancing act because the facility is dedicated to keeping rates low to remain accessible to the community. Costs are out-of-pocket at Kimochi Home, as they were for J-Sei Home.\u003c/p>\n\u003cp>Ishii said that she still fields calls daily from families who are looking for a place for their Japanese elders. There are dozens of people on waitlists for both Kimochi Home locations.\u003c/p>\n\u003cp>Ishii remains committed to her work, which she said is her way of giving back to elders who “paved the way for us to be here.”\u003c/p>\n\u003cp>She considers it her responsibility.\u003c/p>\n\u003cp>“If we see that we’re not getting contacted by families and seniors anymore, then it’s time to look at something else or try to transform to a different program … but I’m hoping that’s many, many, many years down the road.”\u003c/p>\n\u003cp>\u003cem>Photographer \u003ca href=\"https://www.julianayamada.com/\">Juliana Yamada\u003c/a> contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Sensitive senior care options for Bay Area Japanese American families are dwindling. A decade ago, there were about 10 facilities in the region. Only half remain. ",
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"title": "J-Sei Home Closes After 30 Years, Leaving Bay Area Japanese Seniors in Need | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003cstrong>[This is the second story of a two-part project that explores the influence and importance of culture in end-of-life care. \u003ca href=\"https://www.kqed.org/news/12027418/japanese-american-seniors-caregivers-say-goodbye-j-sei-home\">Part one was published Sunday\u003c/a>.]\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>In late January, about a hundred people — mostly East Bay \u003ca href=\"https://www.kqed.org/news/12021919/bay-area-japanese-americans-draw-on-wwii-trauma-resist-deportation-threats\">Japanese American\u003c/a> community members — gathered at Sycamore Congregational Church in El Cerrito to honor Ruth Sato Fukuchi.\u003c/p>\n\u003cp>Fukuchi, a former microbiologist, was remembered for her youthful spirit and for being a consummate learner, even late in life. When she was in her mid-70s, she picked up the ukulele and played with the Sentimental Strummers band for seven years.\u003c/p>\n\u003cp>Fukuchi was 90 when she passed away in December at J-Sei Home, a small, tight-knit senior residential care facility in Hayward where she had performed with her ukulele group before she moved in herself in 2021.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For decades, Bay Area Japanese American families have sought culturally sensitive senior care facilities like J-Sei Home for aging loved ones. Community members said that about a decade ago, there were approximately 10 Japanese senior care homes in the region. Today, that number has declined by about half.\u003c/p>\n\u003cp>The most recent closure came in January, when the last residents of J-Sei Home moved out, and the facility permanently closed its doors after 30 years of operation.\u003c/p>\n\u003cfigure id=\"attachment_12030308\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030308\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_086-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregiver Hiroko Okamoto wheels Ruth Fukuchi away as she waves goodbye to the birds in the yard at J-Sei Home in Hayward in February 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A majority of the displaced residents were Japanese Americans in their 90s and had cognitive impairment.\u003c/p>\n\u003cp>“J-Sei Home was a very special place. The caregivers treated each resident like family,” said Matt Fukuchi, Fukuchi’s son, during his closing remarks at the memorial. “The quality of life that she had the last couple of years, she couldn’t have gotten that anywhere else.”\u003c/p>\n\u003cp>Families like the Fukuchis appreciated how their loved ones were cared for at J-Sei Home. They had tender caregivers who spoke Japanese. They ate familiar comfort foods like miso soup and pickled vegetables, and they participated in daily activities such as drum circles and singing Japanese songs.\u003c/p>\n\u003cfigure id=\"attachment_12027414\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027414\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20241215-JSEI-JY-917-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Grace Aikawa looks around at her empty room at her new care facility in Castro Valley in December. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Diane Wong, the executive director of J-Sei, an Emeryville-based Japanese American community organization that primarily serves seniors, said the decision to close their Hayward facility, one of its core services, was difficult but necessary.\u003c/p>\n\u003cp>“For the past 13, 14 years, we could never break even,” she said. “We weren’t getting enough people into the facility, costs are rising, and so we could see the future.”\u003c/p>\n\u003cp>In addition to financial challenges — notably, increased costs in staffing — Wong said that J-Sei Home’s closure could be attributed to significant demographic changes as the Japanese American population has become more diverse and acculturated.\u003c/p>\n\u003cfigure id=\"attachment_12030305\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030305\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241215-JSEI-JY-1224-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Grace Aikawa eats a turkey sandwich for lunch at the dining hall of her new care facility in Castro Valley. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_12030309\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030309\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo.jpg\" alt=\"\" width=\"2000\" height=\"660\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-800x264.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1020x337.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1536x507.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_036_duo-1920x634.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(Left) A plate of Osechi Ryori is on the menu for Oshogatsu, or Japanese New Year, at J Sei Home in January 2024. Each part of the osechi meal symbolizes good fortune and luck for the coming year. (Right) Sawako Issacs guides Kazue Granich’s hand to her mug at J Sei Home. At J-Sei Home residents would often look after the other residents when caregivers were busy. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After World War II, Bay Area Japanese American organizations formed to serve first-generation Japanese immigrants or the Issei generation.\u003c/p>\n\u003cp>Today, they’re at a crossroads because the needs of the community have shifted, forcing some organizations to adapt their original missions and shrinking certain services that used to be critical lifelines for the community.\u003c/p>\n\u003ch2>A comfortable place to age\u003c/h2>\n\u003cp>J-Sei Home’s origin traces back to two youth-led organizations that later merged to become J-Sei: East Bay Japanese for Action and East Bay Issei Housing, which were founded in the 1970s by the Sansei, or second-generation Japanese Americans.\u003c/p>\n\u003cp>Young Japanese American student activists in the Bay Area recognized the need for targeted social services for their immigrant elders. They were inspired by the community activism of the late 1960s when the \u003ca href=\"https://www.kqed.org/news/11830384/how-the-longest-student-strike-in-u-s-history-created-ethnic-studies\">Third World Liberation Front student strikes\u003c/a> established ethnic studies departments at UC Berkeley and San Francisco State University.\u003c/p>\n\u003cfigure id=\"attachment_12030268\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030268\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Community-Meeting-Tad-Hirota-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">East Bay Japanese for Action organizers meet with community leaders to discuss needs of seniors, organizing of future events, community support and how to proceed with an organization in Oakland in 1971. From left are: Murayo Sawai, Tad Hirota, Dennis Yotsuya, Peter Horikoshi and Janice Nakao. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There was still a lot of racism and distrust,” Wong said. “A lot of young people involved saw their family members who needed help.”\u003c/p>\n\u003cp>Peter Horikoshi said that learning Asian American history as a UC Berkeley undergraduate and witnessing the groundswell of student movements opened his eyes to his own community’s needs.\u003c/p>\n\u003cp>“We clearly saw that we had a lot in common with African Americans, Latinos and Native Americans,” said Horikoshi, a 73-year-old Alameda resident, adding that he and his peers particularly \u003ca href=\"https://www.kqed.org/arts/13867337/the-black-panther-partys-free-breakfast-program-a-50-year-old-blueprint\">drew inspiration from the Black Panther Party\u003c/a>. “They were offering free [breakfast] for kids and really trying to help out their communities, and we thought that’s a good model to follow.”\u003c/p>\n\u003cfigure id=\"attachment_12030269\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030269\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Berkeley-Center-Ribbon-Fish-L-160x107.jpg 160w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dennis Yotsuya, left, leads a craft session on making ribbon fish at the Berkeley Senior Center in 1971. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cfigure id=\"attachment_12030270\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030270 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo.jpg\" alt=\"\" width=\"2000\" height=\"665\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-800x266.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1020x339.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-160x53.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1536x511.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/PICT1424_duo-1920x638.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">(Left) PJ Hirabayashi (then Nakanishi), center, stands with Peter Horikoshi, left, playing a guitar wearing an anti-nuclear weapons headband that reads, “No More Hiroshima Nagasaki,” circa 1970s. (Right) A picnic of the Japanese American Issei community. \u003ccite>(Courtesy of Tets Maniwa)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Horikoshi was a founding member of EBJA, which began planning field trips for seniors in 1971, including ferry rides to Angel Island and picnics at Lake Temescal in Oakland.\u003c/p>\n\u003cp>Many of the elders who participated were survivors of \u003ca href=\"https://www.kqed.org/news/12021919/bay-area-japanese-americans-draw-on-wwii-trauma-resist-deportation-threats\">World War II incarceration\u003c/a>. Some were war brides, Japanese immigrant women who had married American servicemen and left their country and families behind. The women faced language barriers and social isolation, even within the Japanese community.\u003c/p>\n\u003cp>“We heard these stories over and over about how they worked so hard when they first came over,” Horikoshi said. “The Japanese American-established organizations at that time were really not doing that much for them either, and so we thought, ‘We’re young, and we have the time.’”\u003c/p>\n\u003cp>The East Bay Japanese American population was much more spread out compared to San Francisco, where Japantown served as a community anchor. In the East Bay, Japanese temples and churches were the community’s key congregation points until student activists united the organizations around the common cause of helping immigrant seniors.\u003c/p>\n\u003cfigure id=\"attachment_12030323\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030323\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984.jpg\" alt=\"\" width=\"2000\" height=\"1382\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-800x553.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1020x705.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-160x111.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1536x1061.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/Issei-Terrace-Dedication-2-Nov-4-1984-1920x1327.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The East Bay Issei Terrace dedication ceremony was held in Hayward in November 1984. The project was a collaboration of East Bay Japanese for Action, East Bay Issei Housing and Eden Housing, Inc. \u003ccite>(Courtesy of J-Sei Home)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The young organizers established Japanese American senior community centers in Berkeley, El Cerrito and Hayward. EBJA organizers also created bilingual services to help Japanese seniors navigate health and social programs. They began a meal program where seniors would enjoy lunches and socialize.\u003c/p>\n\u003cp>Then, the students turned to another critical need: housing.\u003c/p>\n\u003cp>In 1978, EBIH was formed to address housing security for Japanese seniors. Wong said community members complained that while there were some senior homes available, “the language, food and activities just didn’t mesh or feel comfortable for people.” Having lived through the racism of World War II, the seniors sought a safe and comfortable place to age.\u003c/p>\n\u003cp>“The whole approach of the work is to create something where people’s histories are celebrated, their sense of being is honored,” Wong said.\u003c/p>\n\u003cfigure id=\"attachment_12027449\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12027449\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/jsei_JY_317-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Japanese-imported roof at J-Sei Home in Hayward, California, on Thursday, Oct. 31, 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robert Sakai, one of EBIH’s co-founders, became aware of the lack of community housing for Japanese seniors when his mother’s friend had a hard time finding a place to live. As a young real estate lawyer, he met with other concerned organizers and formed EBIH to consolidate resources to establish a senior housing program.\u003c/p>\n\u003cp>“We felt that we needed to recruit the JACL chapters and Japanese American churches in Alameda and Contra Costa counties,” Sakai said, referring to the Japanese American Citizens League. “As far as I know, that was the first time that the East Bay Japanese American community was united to work on anything, much less a single real estate project.”\u003c/p>\n\u003cp>Sakai and others recruited 23 Japanese American organizations to raise money to purchase a property in Hayward, which became an affordable senior housing site that was designed and tailored for low-income Japanese elders. Years later, the group purchased a smaller ranch-style home across the street to address the needs of Japanese seniors who could not live independently. In 1994, the building that became J-Sei Home opened.\u003c/p>\n\u003ch2>‘The family’s getting smaller’\u003c/h2>\n\u003cp>When vascular dementia and other medical issues led Fukuchi to require extensive assisted living services in 2021, J-Sei Home was an obvious choice. Multiple generations of the Fukuchi family had already been active in the J-Sei community. Fukuchi participated in the organization’s social activities, and her husband, Tak, was a driver for J-Sei’s meal delivery program.\u003c/p>\n\u003cp>The exorbitant costs and burden of round-the-clock senior caregiving can be overwhelming for any family member, especially when the senior’s quality of life depends on access to familiar cultural comforts.\u003c/p>\n\u003cfigure id=\"attachment_12030312\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030312\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_083-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The onset of dementia and other medical issues required Ruth Fukuchi’s family to seek an assisted living alternative for her. Her family was already connected to the J-Sei community. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cathy Fukuchi-Wong, Fukuchi’s daughter, said she’s eternally grateful that the J-Sei Home caregivers could provide for her mother in ways she could not.\u003c/p>\n\u003cp>“My mom did express several times that she wanted to come live with me. But the reality is, there’s no way we could’ve done that because she needed so much care,” Fukuchi-Wong said.\u003c/p>\n\u003cp>Fukuchi lived at J-Sei Home for three years. Her daughter said the personalized caregiving provided by the staff allowed her to enjoy her mother and be present. Fukuchi had almost daily visits from her son, Matt Fukuchi, and Fukuchi-Wong, who commuted to Hayward from their respective homes in San Ramon and Marin.\u003c/p>\n\u003cp>While he sympathizes with J-Sei Home’s financial concerns, Matt Fukuchi said he was upset initially when he learned of the decision to close.\u003c/p>\n\u003cfigure id=\"attachment_12030314\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030314\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_099-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Cathy Fukuchi-Wong reads Vogue with her mother, Ruth, at J-Sei Home in February 2024. Fukuchi-Wong said that the J-Sei Home caregivers could provide for her mother in ways she could not. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I was wondering why they didn’t try to find someone else to operate it because it seemed like there were families that were interested in having their parents go to J-Sei,” he said.\u003c/p>\n\u003cp>But Wong asserts there’s been declining interest in J-Sei Home in recent years. She cited an organizational survey that was sent to over 550 active J-Sei members in 2024, which gauged whether they needed a facility like J-Sei Home in the future. A majority said no.\u003c/p>\n\u003cp>Wong said J-Sei is now focusing on home delivery meals to address food security for Asian seniors in the East Bay and providing more support for family caregivers. She said the shift makes sense to meet the community’s current needs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The cost factor is going to be a big challenge for society in general,” Wong said, referring to senior care. “How are we going to do this at home? What’s the role of the family? We know that public systems of funding aren’t really keeping up with the need.”\u003c/p>\n\u003cp>Families said that J-Sei Home’s costs were significantly more affordable compared to other traditional care homes. Fukuchi-Wong told KQED that the direct, culturally sensitive care her mother received was “a steal” for what they paid.\u003c/p>\n\u003cp>After J-Sei announced the closure, residents and their families were given about five months to find an alternate facility. Before her mother’s death, Fukuchi-Wong anxiously toured homes around the Bay Area.\u003c/p>\n\u003cp>“I hit the bricks,” said Fukuchi-Wong, who described the search to find a facility similar to J-Sei Home as a struggle. “Some of those places are pretty ragged and so it was hard to see some of the conditions where these people lived.”\u003c/p>\n\u003cfigure id=\"attachment_12030315\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030315\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/jsei_JY_326-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Caregiver Amparo Chow helps Kazue Granich rise from her seat at J-Sei Home in Hayward on Nov. 14, 2024. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Fukuchi-Wong said her mother needed to engage in social activities and eat traditional foods that would suit her appetite. Fukuchi-Wong’s first choice was Kimochi Home in San Mateo, another Japanese culturally sensitive senior care home, but there was a 40-person waiting list.\u003c/p>\n\u003cp>Fukuchi noticed that her J-Sei Home friends were starting to move out. Caregivers and families shared emotional and tearful goodbyes as residents left.\u003c/p>\n\u003cp>“The family’s getting smaller,” Fukuchi, who began eating less and sleeping more, said to her daughter.\u003c/p>\n\u003cp>She was one of the last residents at the facility before she passed away.\u003c/p>\n\u003cfigure id=\"attachment_12030306\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030306\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20241219-JSEI-JY-314-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Charles Granich, right, shows his mother, Kazue Granich, left, her room at her new care home, RN3 Loving Care Homes, a senior assisted living facility in the El Cerrito hills in December 2024.\u003c/figcaption>\u003c/figure>\n\u003cp>Ron Salvador, the former administrator of J-Sei Home, spoke to KQED about a week after J-Sei announced the home’s closure. He expressed concern about the future care of the residents. He said that at J-Sei Home, the caregiver-to-resident ratio was almost one-to-one.\u003c/p>\n\u003cp>“It’s just sad when you see a specialty facility like this close down. It affects the whole community,” Salvador told KQED in October. “We’re worried about [the residents] because they became a family here.”\u003c/p>\n\u003cp>J-Sei assisted residents as they searched for new facilities and navigated moving logistics. By January, most of them had moved into traditional assisted living facilities.\u003c/p>\n\u003cp>At 101, Kazue Granich was J-Sei Home’s oldest resident and lived there for over seven years. Though she was mostly quiet, she was known for being the loudest karaoke singer. She relocated to RN3 Loving Care Homes, a senior assisted living facility in the El Cerrito hills.\u003c/p>\n\u003cp>While visiting her mother’s new home from out of town, Granich’s daughter, Sandy Granich, told a KQED reporter that Granich appeared to be skinnier and not as talkative as she used to be. One of her brothers, who is local and visits more often, had warned Sandy that their mother had grown quieter and more listless since leaving J-Sei Home.\u003c/p>\n\u003cp>When asked how the facility compared to J-Sei Home, Sandy Granich said, “I feel like there was more camaraderie over there,” as she scanned RN3’s living room where other nearby residents sat quietly and alone.\u003c/p>\n\u003ch2>A niche in the world of senior care\u003c/h2>\n\u003cp>On a recent morning in San Francisco, a dozen seniors — most of them in their 90s — played a bean bag toss game, cheering for one another as part of their daily 10 a.m. activity at Kimochi Home’s Japantown location. The Japanese senior care facility opened in 1983, about a decade before J-Sei Home.\u003c/p>\n\u003cp>The seniors sat in a circle, and one by one — with the help of staff members and a volunteer — they shuffled or pushed their walkers to the center of the circle to play.\u003c/p>\n\u003cfigure id=\"attachment_12028194\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028194\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-07-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Residents participate in a game at Kimochi Home, a senior living community in San Francisco’s Japantown neighborhood, February 2025. Established in 1971, Kimochi provides programs and services to Bay Area seniors, honoring the Japanese tradition of respect and care for elders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Rooting each other on during the activities and building that sense of community … that’s really important and the foundation of what Kimochi Home wanted to be,” said Linda Ishii, the home’s director of residential services.\u003c/p>\n\u003cp>Ishii is a San Francisco Japantown native who has worked with Kimochi for over two decades. She said the seniors at Kimochi Home are mostly Nisei, or second generation, and Shin-Issei, Japanese immigrants who arrived in the U.S. after World War II. The oldest Kimochi resident is 106.\u003c/p>\n\u003cp>The two-story building is cozy and light-filled. There is a dedicated space for activities and exercise, TV lounges play Japanese-language programming and the walls are adorned with traditional Japanese decorations.\u003c/p>\n\u003cfigure id=\"attachment_12028199\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028199\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-26-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Kimochi Home is located in San Francisco’s Japantown neighborhood. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Most of the residents are Japanese, but Ishii said Kimochi occasionally has residents who are Black, Latino, Filipino and other races and ethnicities. Though the focus of Kimochi Home is providing care for Japanese and Japanese Americans, Ishii said any senior can benefit from their care.\u003c/p>\n\u003cp>“That is our niche in the whole world of senior care,” Ishii said. “It is focused on the care their loved one is receiving and if they’re going to feel comfortable within the space.”\u003c/p>\n\u003cp>She said she was saddened to learn of J-Sei Home’s recent closure and provided tours to a few of the families looking for a new home for their seniors.\u003c/p>\n\u003cp>“It’s always a loss to the community as a whole to have such a well-established home close,” Ishii said.\u003c/p>\n\u003cfigure id=\"attachment_12028196\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028196\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-17-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Residents participate in Radio Taiso, an exercise routine practiced in Japan, at Kimochi Home where the focus is providing care for Japanese and Japanese Americans. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After their morning activity, the seniors transitioned to chair exercises, where they watched \u003cem>Radio Taiso\u003c/em>, a Japanese exercise program on TV. The residents alternated between seated stretches and raising their arms in unison until it was time for lunch.\u003c/p>\n\u003cp>The residents slowly made their way to the dining room, shuffling down a hallway in a line, some with their walkers, as staff members waited patiently nearby to assist as needed.\u003c/p>\n\u003cp>“Nothing moves fast around here,” Ishii said with a laugh. “There will come a time when they can no longer do it, so it takes them a while to get down the hall, but they’re doing it. That’s the most important thing, to let them have the ability to know that they can do it.”\u003c/p>\n\u003cfigure id=\"attachment_12028198\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250220-ClosingJSei-20-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Linda Ishii, director of residential services, speaks with a resident at Kimochi Home, where “[n]othing moves fast,” she said. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Like J-Sei Home, Kimochi Home also faces rising costs and staffing challenges that were accelerated during the pandemic. She said keeping the home afloat is a balancing act because the facility is dedicated to keeping rates low to remain accessible to the community. Costs are out-of-pocket at Kimochi Home, as they were for J-Sei Home.\u003c/p>\n\u003cp>Ishii said that she still fields calls daily from families who are looking for a place for their Japanese elders. There are dozens of people on waitlists for both Kimochi Home locations.\u003c/p>\n\u003cp>Ishii remains committed to her work, which she said is her way of giving back to elders who “paved the way for us to be here.”\u003c/p>\n\u003cp>She considers it her responsibility.\u003c/p>\n\u003cp>“If we see that we’re not getting contacted by families and seniors anymore, then it’s time to look at something else or try to transform to a different program … but I’m hoping that’s many, many, many years down the road.”\u003c/p>\n\u003cp>\u003cem>Photographer \u003ca href=\"https://www.julianayamada.com/\">Juliana Yamada\u003c/a> contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-has-a-lot-to-lose-if-trump-slashes-medicaid-seniors-kids-could-face-coverage-cuts",
"title": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts",
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"headTitle": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts | KQED",
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"content": "\u003cp>Perhaps no state has more to lose than California in the federal budget proposal House Republicans passed this week.\u003c/p>\n\u003cp>That spending plan sets up significant cuts to Medicaid, the health insurance program for people with low income. California has taken just about every route and opportunity to expand the Medicaid program. Today, 14.9 million Californians are enrolled in it, and federal funding cuts would almost certainly roll back services and coverage for some of them.\u003c/p>\n\u003cp>Looking for a way to offset the cost of extending President Donald Trump’s 2017 tax cuts, the House advanced a bill Tuesday that directs the Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years. Those cuts, budget and health policy experts say, would largely have to come from Medicaid, also known as \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal in California\u003c/a>.\u003c/p>\n\u003cp>The Senate voted for its own, narrower budget bill last week. Next, both chambers have to work out their differences and agree on one budget.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>At this point, it’s not clear which Medicaid services would be cut or how many people exactly would lose coverage because lawmakers can hit the spending reductions in a number of ways.\u003c/p>\n\u003cp>Still, enrollees, health advocates and providers in California and across the country are now grappling with what the cuts would mean for them and the people they care for. In press conferences and online meetings, they’ve called the proposed cuts a “five-alarm fire” and Republicans’ vote “the ultimate betrayal” of their constituents.\u003c/p>\n\u003cp>Their outcries echo the first Trump administration, when in 2017 House Republicans voted to repeal the Affordable Care Act. The law ultimately survived, but that health care vote \u003ca href=\"https://calmatters.org/politics/2018/11/hidden-dem-shifts-beneath-blue-wave-california/\">helped stir up the “blue wave”\u003c/a> that flipped Republican House seats in the 2018 election.\u003c/p>\n\u003cp>“These cuts would rip care away from children, seniors, disabled Californians, and more while raising costs for everyone, all to give tax breaks to the ultra-wealthy,” Amanda McAllister-Wallner, interim executive director of Health Access California, a health consumer advocacy group, said in a statement following the House vote. “This is just the beginning — we will be pushing our California congress members at every turn to put the health of their constituents first.”\u003c/p>\n\u003cp>Medicaid is the backbone of California’s social safety net. It covers half of all children and 40% of all births. It \u003ca href=\"https://www.medicare.gov/coverage/long-term-care\">also covers long-term care\u003c/a> services for seniors and disabled people.\u003c/p>\n\u003cp>Since 2014, the state \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">has expanded the program big time\u003c/a> — first to more adults allowed in the Medicaid expansion under the Affordable Care Act, and gradually to low-income immigrants, regardless of their legal status. Cuts to the scale that Republicans in Congress are proposing, advocates and providers say, would be harmful across the board.\u003c/p>\n\u003cp>Hospitals, doctors and \u003ca href=\"https://news.santaclaracounty.gov/statement-county-executive-james-r-williams-impact-proposed-federal-funding-cuts-santa-clara-county\">county officials\u003c/a> are also speaking out against the proposed cuts because Medicaid is a key payer, especially for those located in rural areas or communities with high poverty rates. If these facilities can’t keep their doors open, entire communities, not just people enrolled in Medicaid, could lose access.\u003c/p>\n\u003cp>House Speaker Mike Johnson, a Louisiana Republican, has said savings could be accomplished through eliminating Medicaid fraud and waste — although that would only get Republicans so far. \u003ca href=\"https://www.washingtonpost.com/politics/2025/02/26/republicans-could-be-touching-third-rail-medicaid/\">Johnson has cited about $50 billion in alleged fraud\u003c/a>, a small slice of the GOP’s goal total, the Washington Post reports.\u003c/p>\n\u003ch2>Cuts would leave big budget hole for state\u003c/h2>\n\u003cp>Medicaid accounts for a significant portion of states’ budgets. The program is jointly funded by the federal government and states, meaning federal cuts would leave major budget gaps that would force reductions in services and enrollment, and also could trigger cuts to other state programs. California’s budget includes \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">$161 billion for Medi-Cal (PDF)\u003c/a>, of which more than half is paid for with federal funds.\u003c/p>\n\u003cp>Based on proposals that Republicans in Congress are considering, \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">California could lose $10 billion to $20 billion a year\u003c/a>, the California Budget Policy Center estimates.\u003c/p>\n\u003cfigure id=\"attachment_12029304\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029304\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Speaker of the House Mike Johnson speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on Feb. 20, 2025. \u003ccite>(Jack Gruber/USA TODAY via Reuters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A big question mark is how exactly Congress will meet its savings goal — Republican lawmakers have floated a number of proposals, but it’s unclear yet what could stick.\u003c/p>\n\u003cp>They’ve proposed imposing work requirements, for example. The idea behind that is enrollment would drop as people who don’t meet the requirements get kicked off the program. But the spending reductions from such a policy would not get Republicans all the way to their target, said Edwin Park, a research professor at the Georgetown University McCourt School of Public Policy.\u003c/p>\n\u003cp>A second proposal would require restructuring the program so that instead of the federal government paying states a fixed percentage of Medicaid costs, it could set a spending cap per enrollee.\u003c/p>\n\u003cp>Under the Affordable Care Act, California opened up its Medi-Cal roll to low-income adults who had previously not been covered. The federal government pays California 90% of the cost for this expansion group — \u003ca href=\"https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=2&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\">that’s up from the state’s 50% regular match rate\u003c/a>. Republicans may also choose to eliminate the increased match rate for adults covered under this expansion.\u003c/p>\n\u003cp>“One reason that these types of cuts are popular among federal policy makers is because…it really allows the blame to be placed on governors and state legislatures,” Park said. “The federal government is cutting federal funding, making it harder for states to finance their share of the cost of Medicaid, but it’s not actually saying ‘You have to cut eligibility in this way or cut provider rates in this way.’”\u003c/p>\n\u003cp>“It’s really, ‘States, you figure it out, you have to balance your budget,’” Park added. “And you know, there’s only three choices: higher taxes, cutting the rest of the budget, which is primarily education in California, and then, most likely, really dramatically cutting Medi-Cal in the state.”\u003c/p>\n\u003ch2>Coverage for seniors and people with disabilities\u003c/h2>\n\u003cp>President Trump and Republicans have promised to not touch seniors’ Medicare, but millions of seniors also rely on Medicaid. In California, about 2.2 million seniors and people with disabilities are enrolled in Medi-Cal, according to data from the state’s Department of Health Care Services.\u003c/p>\n\u003cp>Traditional Medicare does not cover services including dental, vision and hearing benefits. Seniors typically have to buy into a Medicare Advantage plan to get that covered. Low-income seniors in California can access those services with no or at a low-cost through Medi-Cal.[aside label=\"Related Stories\" postID=\"news_12022068,forum_2010101908967,news_12028454\"]\u003cbr>\nNursing home stays and in-home care are also largely covered by Medicaid. Nationally, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/\">about 6 in 10 nursing home residents\u003c/a> are covered by Medicaid, according to an analysis by KFF, a health polling and research organization.\u003c/p>\n\u003cp>“Medicare has huge gaps in coverage and Medicare is really expensive,” said Amber Christ, managing director of health advocacy at Justice in Aging, which advocates on behalf of older adults. “It is Medicaid, not Medicare, that is the primary payer of long-term care in this country.”\u003c/p>\n\u003cp>Because of their high needs, seniors and people with disabilities are the most costly population. In California, they make up about \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/SPD-Final-Evaluation-Report.pdf\">15% of the people enrolled in Medi-Cal (PDF)\u003c/a>, but account for roughly half of all the program’s spending.\u003c/p>\n\u003cp>“So if the state wants to go where the money is, that’s seniors and people with disabilities. That’s long-term care, nursing home care, community-based services,” said Park. To protect the coverage of this population, he said, the state would have to consider potentially making larger cuts for other groups of people.\u003c/p>\n\u003ch2>A safety net for California kids\u003c/h2>\n\u003cp>More than 5 million kids in California are insured through Medi-Cal and the accompanying \u003ca href=\"https://www.medicaid.gov/chip/index.html\">Children’s Health Insurance Program\u003c/a>. It pays for their preventive care, such as immunizations and screenings, but it also covers support services, such as counseling and therapy. For about 160,000 children in the foster care system and who have been adopted, it also pays for an array of social services.\u003c/p>\n\u003cp>Getting kids insured has long been a priority for California. When the state began expanding Medi-Cal to undocumented people in 2016, children were first in line.\u003c/p>\n\u003cp>Perhaps less known is that Medi-Cal is also a big player in services provided at schools. It helps fund services and equipment for students with disabilities, such as hearing aids and specialty transportation. It reimburses school districts for certain providers, including psychologists and social workers, for example. Across the state, some districts also provide physical and mental health care to children and their families through school-based health centers that also draw down on Medi-Cal funding.\u003c/p>\n\u003cp>“The rates of depression and anxiety among youth are rising at alarming rates, and for many, Medi-Cal services are their only option for care,” said Michele Cantwell-Copher, the Fresno County Superintendent of Schools, on a media call with advocates and parents on Thursday. “Ensuring that children have access to the mental health support they need is critical to their well-being and their success in schools.”\u003c/p>\n\u003cp>Medi-Cal is a keystone program for many kids but also for their birthing parent — it pays for about 40% of the state’s births. California offers coverage for pregnant people at slightly higher income levels than the regular cut-off, allowing more to qualify. It provides coverage during their pregnancy and 12 months postpartum, paying for standard obstetric visits, prescriptions, laboratory services, doula services and hospital care.\u003c/p>\n\u003cp>“If we want kids to have a healthy start, that means making sure that their birthing parent has access to health care,” said Mike Odeh, health policy director at Children Now. “Those early years really are important for both babies and parents. There are a lot of services in that time period that really are critical, and any reduction in those services could have very bad effects.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Almost 15 million Californians have health care coverage through Medi-Cal, a program that stands to lose billions of dollars if Republicans follow through on proposed cuts.",
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"title": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts | KQED",
"description": "Almost 15 million Californians have health care coverage through Medi-Cal, a program that stands to lose billions of dollars if Republicans follow through on proposed cuts.",
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"headline": "California Has a Lot to Lose if Trump Slashes Medicaid. Seniors, Kids Could Face Coverage Cuts",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>, CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Perhaps no state has more to lose than California in the federal budget proposal House Republicans passed this week.\u003c/p>\n\u003cp>That spending plan sets up significant cuts to Medicaid, the health insurance program for people with low income. California has taken just about every route and opportunity to expand the Medicaid program. Today, 14.9 million Californians are enrolled in it, and federal funding cuts would almost certainly roll back services and coverage for some of them.\u003c/p>\n\u003cp>Looking for a way to offset the cost of extending President Donald Trump’s 2017 tax cuts, the House advanced a bill Tuesday that directs the Energy and Commerce Committee to find $880 billion in spending cuts over the next 10 years. Those cuts, budget and health policy experts say, would largely have to come from Medicaid, also known as \u003ca href=\"https://calmatters.org/tag/medi-cal/\">Medi-Cal in California\u003c/a>.\u003c/p>\n\u003cp>The Senate voted for its own, narrower budget bill last week. Next, both chambers have to work out their differences and agree on one budget.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At this point, it’s not clear which Medicaid services would be cut or how many people exactly would lose coverage because lawmakers can hit the spending reductions in a number of ways.\u003c/p>\n\u003cp>Still, enrollees, health advocates and providers in California and across the country are now grappling with what the cuts would mean for them and the people they care for. In press conferences and online meetings, they’ve called the proposed cuts a “five-alarm fire” and Republicans’ vote “the ultimate betrayal” of their constituents.\u003c/p>\n\u003cp>Their outcries echo the first Trump administration, when in 2017 House Republicans voted to repeal the Affordable Care Act. The law ultimately survived, but that health care vote \u003ca href=\"https://calmatters.org/politics/2018/11/hidden-dem-shifts-beneath-blue-wave-california/\">helped stir up the “blue wave”\u003c/a> that flipped Republican House seats in the 2018 election.\u003c/p>\n\u003cp>“These cuts would rip care away from children, seniors, disabled Californians, and more while raising costs for everyone, all to give tax breaks to the ultra-wealthy,” Amanda McAllister-Wallner, interim executive director of Health Access California, a health consumer advocacy group, said in a statement following the House vote. “This is just the beginning — we will be pushing our California congress members at every turn to put the health of their constituents first.”\u003c/p>\n\u003cp>Medicaid is the backbone of California’s social safety net. It covers half of all children and 40% of all births. It \u003ca href=\"https://www.medicare.gov/coverage/long-term-care\">also covers long-term care\u003c/a> services for seniors and disabled people.\u003c/p>\n\u003cp>Since 2014, the state \u003ca href=\"https://calmatters.org/explainers/california-health-care-coverage/\">has expanded the program big time\u003c/a> — first to more adults allowed in the Medicaid expansion under the Affordable Care Act, and gradually to low-income immigrants, regardless of their legal status. Cuts to the scale that Republicans in Congress are proposing, advocates and providers say, would be harmful across the board.\u003c/p>\n\u003cp>Hospitals, doctors and \u003ca href=\"https://news.santaclaracounty.gov/statement-county-executive-james-r-williams-impact-proposed-federal-funding-cuts-santa-clara-county\">county officials\u003c/a> are also speaking out against the proposed cuts because Medicaid is a key payer, especially for those located in rural areas or communities with high poverty rates. If these facilities can’t keep their doors open, entire communities, not just people enrolled in Medicaid, could lose access.\u003c/p>\n\u003cp>House Speaker Mike Johnson, a Louisiana Republican, has said savings could be accomplished through eliminating Medicaid fraud and waste — although that would only get Republicans so far. \u003ca href=\"https://www.washingtonpost.com/politics/2025/02/26/republicans-could-be-touching-third-rail-medicaid/\">Johnson has cited about $50 billion in alleged fraud\u003c/a>, a small slice of the GOP’s goal total, the Washington Post reports.\u003c/p>\n\u003ch2>Cuts would leave big budget hole for state\u003c/h2>\n\u003cp>Medicaid accounts for a significant portion of states’ budgets. The program is jointly funded by the federal government and states, meaning federal cuts would leave major budget gaps that would force reductions in services and enrollment, and also could trigger cuts to other state programs. California’s budget includes \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/Enacted/BudgetSummary/HealthandHumanServices.pdf\">$161 billion for Medi-Cal (PDF)\u003c/a>, of which more than half is paid for with federal funds.\u003c/p>\n\u003cp>Based on proposals that Republicans in Congress are considering, \u003ca href=\"https://calbudgetcenter.org/resources/california-at-risk-proposed-federal-funding-cuts-jeopardize-key-services/\">California could lose $10 billion to $20 billion a year\u003c/a>, the California Budget Policy Center estimates.\u003c/p>\n\u003cfigure id=\"attachment_12029304\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029304\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg\" alt=\"\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/022625-Mike-Johnson-REUTERS-CM-01-copy-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">Speaker of the House Mike Johnson speaks at the Conservative Political Action Conference (CPAC) at the Gaylord National Resort and Convention Center in National Harbor, Maryland on Feb. 20, 2025. \u003ccite>(Jack Gruber/USA TODAY via Reuters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A big question mark is how exactly Congress will meet its savings goal — Republican lawmakers have floated a number of proposals, but it’s unclear yet what could stick.\u003c/p>\n\u003cp>They’ve proposed imposing work requirements, for example. The idea behind that is enrollment would drop as people who don’t meet the requirements get kicked off the program. But the spending reductions from such a policy would not get Republicans all the way to their target, said Edwin Park, a research professor at the Georgetown University McCourt School of Public Policy.\u003c/p>\n\u003cp>A second proposal would require restructuring the program so that instead of the federal government paying states a fixed percentage of Medicaid costs, it could set a spending cap per enrollee.\u003c/p>\n\u003cp>Under the Affordable Care Act, California opened up its Medi-Cal roll to low-income adults who had previously not been covered. The federal government pays California 90% of the cost for this expansion group — \u003ca href=\"https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=2&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\">that’s up from the state’s 50% regular match rate\u003c/a>. Republicans may also choose to eliminate the increased match rate for adults covered under this expansion.\u003c/p>\n\u003cp>“One reason that these types of cuts are popular among federal policy makers is because…it really allows the blame to be placed on governors and state legislatures,” Park said. “The federal government is cutting federal funding, making it harder for states to finance their share of the cost of Medicaid, but it’s not actually saying ‘You have to cut eligibility in this way or cut provider rates in this way.’”\u003c/p>\n\u003cp>“It’s really, ‘States, you figure it out, you have to balance your budget,’” Park added. “And you know, there’s only three choices: higher taxes, cutting the rest of the budget, which is primarily education in California, and then, most likely, really dramatically cutting Medi-Cal in the state.”\u003c/p>\n\u003ch2>Coverage for seniors and people with disabilities\u003c/h2>\n\u003cp>President Trump and Republicans have promised to not touch seniors’ Medicare, but millions of seniors also rely on Medicaid. In California, about 2.2 million seniors and people with disabilities are enrolled in Medi-Cal, according to data from the state’s Department of Health Care Services.\u003c/p>\n\u003cp>Traditional Medicare does not cover services including dental, vision and hearing benefits. Seniors typically have to buy into a Medicare Advantage plan to get that covered. Low-income seniors in California can access those services with no or at a low-cost through Medi-Cal.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nNursing home stays and in-home care are also largely covered by Medicaid. Nationally, \u003ca href=\"https://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/\">about 6 in 10 nursing home residents\u003c/a> are covered by Medicaid, according to an analysis by KFF, a health polling and research organization.\u003c/p>\n\u003cp>“Medicare has huge gaps in coverage and Medicare is really expensive,” said Amber Christ, managing director of health advocacy at Justice in Aging, which advocates on behalf of older adults. “It is Medicaid, not Medicare, that is the primary payer of long-term care in this country.”\u003c/p>\n\u003cp>Because of their high needs, seniors and people with disabilities are the most costly population. In California, they make up about \u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Documents/SPD-Final-Evaluation-Report.pdf\">15% of the people enrolled in Medi-Cal (PDF)\u003c/a>, but account for roughly half of all the program’s spending.\u003c/p>\n\u003cp>“So if the state wants to go where the money is, that’s seniors and people with disabilities. That’s long-term care, nursing home care, community-based services,” said Park. To protect the coverage of this population, he said, the state would have to consider potentially making larger cuts for other groups of people.\u003c/p>\n\u003ch2>A safety net for California kids\u003c/h2>\n\u003cp>More than 5 million kids in California are insured through Medi-Cal and the accompanying \u003ca href=\"https://www.medicaid.gov/chip/index.html\">Children’s Health Insurance Program\u003c/a>. It pays for their preventive care, such as immunizations and screenings, but it also covers support services, such as counseling and therapy. For about 160,000 children in the foster care system and who have been adopted, it also pays for an array of social services.\u003c/p>\n\u003cp>Getting kids insured has long been a priority for California. When the state began expanding Medi-Cal to undocumented people in 2016, children were first in line.\u003c/p>\n\u003cp>Perhaps less known is that Medi-Cal is also a big player in services provided at schools. It helps fund services and equipment for students with disabilities, such as hearing aids and specialty transportation. It reimburses school districts for certain providers, including psychologists and social workers, for example. Across the state, some districts also provide physical and mental health care to children and their families through school-based health centers that also draw down on Medi-Cal funding.\u003c/p>\n\u003cp>“The rates of depression and anxiety among youth are rising at alarming rates, and for many, Medi-Cal services are their only option for care,” said Michele Cantwell-Copher, the Fresno County Superintendent of Schools, on a media call with advocates and parents on Thursday. “Ensuring that children have access to the mental health support they need is critical to their well-being and their success in schools.”\u003c/p>\n\u003cp>Medi-Cal is a keystone program for many kids but also for their birthing parent — it pays for about 40% of the state’s births. California offers coverage for pregnant people at slightly higher income levels than the regular cut-off, allowing more to qualify. It provides coverage during their pregnancy and 12 months postpartum, paying for standard obstetric visits, prescriptions, laboratory services, doula services and hospital care.\u003c/p>\n\u003cp>“If we want kids to have a healthy start, that means making sure that their birthing parent has access to health care,” said Mike Odeh, health policy director at Children Now. “Those early years really are important for both babies and parents. There are a lot of services in that time period that really are critical, and any reduction in those services could have very bad effects.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "has-your-walgreens-in-san-francisco-closed-heres-where-your-prescriptions-will-go",
"title": "Where to Get Prescriptions After Walgreens Closes in San Francisco",
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"headTitle": "Where to Get Prescriptions After Walgreens Closes in San Francisco | KQED",
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"content": "\u003cp>For years, Eileen Norman has relied on her neighborhood Walgreens at 5300 Third St. in San Francisco’s Bayview-Hunters Point. There, she picked up prescriptions for her family, who have multiple disabilities.\u003c/p>\n\u003cp>“We would be at that pharmacy two to three times a month to pick up necessary medications that we rely on,” she said.\u003c/p>\n\u003cp>Norman is among thousands of San Franciscans whose medical routines have been upended this week by the sudden closure of 11 Walgreens stores around the city — considered the latest and biggest wave of store closures the city has seen in recent years.\u003c/p>\n\u003ch2>Which Walgreens stores have closed?\u003c/h2>\n\u003cp>The 11 San Francisco Walgreens stores that closed this week, between Feb. 24 and 27, are located at:\u003c/p>\n\u003cul>\n\u003cli>1201 Taraval St.\u003c/li>\n\u003cli>3201 Divisadero St.\u003c/li>\n\u003cli>1363 Divisadero St.\u003c/li>\n\u003cli>825 Market St.\u003c/li>\n\u003cli>1750 Noriega St.\u003c/li>\n\u003cli>5280 Geary Blvd.\u003c/li>\n\u003cli>1301 Franklin St.\u003c/li>\n\u003cli>1189 Potrero Ave.\u003c/li>\n\u003cli>135 Powell St.\u003c/li>\n\u003cli>1630 Ocean Ave.\u003c/li>\n\u003cli>5300 Third St.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>\u003ca href=\"#closed\">Jump to: If my Walgreens store just closed, where do I go for my prescriptions?\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Walgreens at 5300 Third St. — the last one in Bayview-Hunters Point — closed Thursday. A previous Walgreens store, at 3801 Third St., had closed in 2019.\u003c/p>\n\u003cp>These Bayview-Hunters Point stores fall under District 10, represented by San Francisco Supervisor Shamann Walton. The other closure in his area is at 1189 Potrero Ave., located just next to Zuckerberg San Francisco General Hospital.\u003c/p>\n\u003cp>According to a January statement from Supervisor Walton’s office, his office met with a Walgreens representative who informed them “that these closures are final, with no room for negotiation to secure an extension.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Residents in the Richmond District, which lost a Walgreens store in 2021, also brace for a closure at 17th and Geary Boulevard, housed in a shopping plaza. This leaves the Outer Richmond neighborhood with a lone Walgreens at 25 Point Lobos Ave.\u003c/p>\n\u003cp>Connie Chan, who represents the Richmond District on the San Francisco Board of Supervisors, called it a “blow” to the community.\u003c/p>\n\u003cp>“Losing this one more Walgreens, it’s definitely a challenge for us,” she said.\u003c/p>\n\u003cp>Only one store that was originally slated for closure this week — at 1524 Polk St. — has remained open following a review of the store’s “current financial performance,” according to Walgreens spokesperson Marty Maloney.\u003c/p>\n\u003ch2>Why is Walgreens closing all these stores in San Francisco?\u003c/h2>\n\u003cp>Last year, \u003ca href=\"https://www.npr.org/2024/10/15/nx-s1-5153532/walgreens-closing-1200-stores\">Walgreens announced its plans to close 1,200 stores nationwide\u003c/a> in an effort to cut costs and remain viable in the face of online competitors, like Amazon, and declining prescription drug payments.\u003c/p>\n\u003cp>Maloney told KQED that the company’s retail pharmacy business “is central to our go-forward business strategy” but that “increased regulatory and reimbursement pressures are weighing on our ability to cover the costs associated with rent, staffing, and supply needs.”\u003c/p>\n\u003cp>“It is never an easy decision to close a store,” Maloney said. “We know that our stores are important to the communities that we serve, and therefore do everything possible to improve the store performance.”\u003c/p>\n\u003cp>Susan Bonilla, CEO of the California Pharmacists Association, said part of the problem has to do with the increasing role of \u003ca href=\"https://www.kqed.org/news/12002132/these-middlemen-say-they-keep-drug-prices-low-california-lawmakers-dont-buy-it\">pharmacy benefit managers\u003c/a> (PBMs) — the “middlemen” that determine the benefit of medications through employer medical insurance plans.\u003c/p>\n\u003cp>[aside postID=news_12002132]“PBMs are methodically under-reimbursing any pharmacy that is not their own pharmacy on the medications, so the pharmacies are running at a deficit,” Bonilla said. “They will pay one cost to get that medication into the pharmacy. Then, the PBM will reimburse it below [this] cost of acquisition.”\u003c/p>\n\u003cp>This means that “on many prescriptions, grocery stores and places, like Walgreens, they are literally losing money,” Bonilla said.\u003c/p>\n\u003cp>In response, San Francisco State Sen. Scott Wiener has \u003ca href=\"https://legiscan.com/CA/text/SB41/id/3030090#:~:text=This%20bill%20would%20prohibit%20a,for%20the%20prescription%20drug%2C%20and\">introduced legislation that would regulate PBMs in California\u003c/a>. However, Gov. Gavin Newsom vetoed Wiener’s related bill last year, and past legislative attempts associated with PBMs have failed, too.\u003c/p>\n\u003cp>In 2021, Walgreens blamed “organized retail crime” for the company’s decision to close five San Francisco stores in 2021. An analysis of San Francisco Police Department data later found that \u003ca href=\"https://www.sfchronicle.com/sf/article/Is-shoplifting-forcing-Walgreens-to-cut-back-in-16536960.php\">other factors were likely to have also played a role\u003c/a>, including competition from online shopping, reduced foot traffic and an oversaturation of Walgreens locations within the city.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.nytimes.com/2023/01/06/business/walgreens-shoplifting.html\">Maybe we cried too much last year\u003c/a>,” James Kehoe, chief financial officer for Walgreens, said in a 2024 earnings call, admitting that the company may have overstated how much theft actually happened.\u003c/p>\n\u003ch2>What are the impacts on communities when pharmacies close like this?\u003c/h2>\n\u003cp>“Pharmacy deserts” are a growing problem in California and around the country, Bonilla said.\u003c/p>\n\u003cp>Nationally, an estimated nearly 16 million people in the U.S. live in such pharmacy deserts. According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11034534/\">2024 study that sought to define pharmacy deserts\u003c/a> in the absence of a national map, the states with the highest number of adults living in pharmacy deserts are California, Florida and Texas — which are also states with large populations.\u003c/p>\n\u003cp>The study also focused on the socioeconomic characteristics of pharmacy deserts and found that the people living in them are often marginalized groups who have historically faced structural barriers to health care.\u003c/p>\n\u003cfigure id=\"attachment_12028984\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028984\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Walgreens pharmacy, located at the intersection of High Street and MacArthur Blvd in Oakland, was also scheduled for closure. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The people who face the greatest challenges when a neighborhood pharmacy closes are typically seniors and people with disabilities, who may have to then travel further to their nearest pharmacy, Walgreens customer Eileen Norman said. She is also the executive director of San Francisco In-Home Supportive Services Public Authority, the Medi-Cal program that helps older adults and people with disabilities to live in the community independently and offer services at home.\u003c/p>\n\u003cp>“It tends to be a full-time job to be someone with a disability,” Norman said — “to have to constantly manage these types of cuts in services and reconfiguration of services and bureaucratic red tape that sometimes limits people’s ability to access the services that they need.”\u003c/p>\n\u003cp>While Norman said she’s grateful that she has a car and can choose where to pick up her prescriptions, she’s nonetheless worried about the lack of access for folks who don’t have the same resources.\u003c/p>\n\u003cp>“Sometimes whatever is closest is what you’re going to have to go with, and that’s not necessarily fair,” Norman said.\u003c/p>\n\u003cp>[aside postID=news_12028730]Supervisor Walton has echoed these concerns, citing the closures disproportionately affecting low-income residents and highlighting the barriers that the neighborhoods in his district face to basic services.\u003c/p>\n\u003cp>It’s not just about prescriptions either, said Ria Rosenthal, who’s in her 80s and lives in downtown San Francisco. She said she used the now-shuttered Walgreens at 135 Powell St. as a general store and a place to build community.\u003c/p>\n\u003cp>Rosenthal also expressed her concern about the impacts of these closures on the stores’ staff — in particular for the friend she said has now lost her position at the Powell Street Walgreens.\u003c/p>\n\u003cp>“For years, I go there,” Rosenthal said. “I had just bought us lunch.”\u003c/p>\n\u003cp>In October, when Walgreens announced the mass closures, the company said it would “redeploy” the majority of affected workers.\u003cbr>\n\u003ca id=\"closed\">\u003c/a>\u003c/p>\n\u003ch2>If my Walgreens just closed, where do I go now for my prescriptions?\u003c/h2>\n\u003cp>KQED reached out to Walgreens, and Maloney, the company spokesperson, provided the following list of San Francisco stores where prescriptions have automatically transferred to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>1201 Taraval St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/kZC6vcaHJbZfSbGk9\">3001 Taraval St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>3201 Divisadero St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/xotincTqFkHAnj5V7\">2141 Chestnut St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1363 Divisadero St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/79y1nqfjuTQGDKDr7\">1899 Fillmore St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>825 Market St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/vurSJDuEKbmnG9A49\">1301 Market St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1750 Noriega St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/43mWufJRJkBPgsbR8\">2050 Irving St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>5280 Geary Blvd. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/Lne7P4uQjWPxei5h9\">25 Point Lobos Ave. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1301 Franklin St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/vurSJDuEKbmnG9A49\">1301 Market St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1189 Potrero Ave. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/E2A2zqj4AEMqUms86\">2690 Mission St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>135 Powell St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/VR6oo4aP7rpG8YdK7\">459 Powell St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1630 Ocean Ave. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/mS49MfCsaenGrs999\">200 W Portal Ave. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>5300 Third St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/ntr6v5YuRENQ7Gd38\">2494 San Bruno Ave. Walgreens\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>It’s nonetheless best to also call your closest open Walgreens to verify your prescriptions before making any in-person journey. You can also specify a different Walgreens pharmacy that fits your needs or opt to have your prescriptions transferred altogether to another pharmacy company.\u003c/p>\n\u003cp>“Our next closest Walgreens is in a neighborhood that is very small. So we’re going to make sure that we’re going to [another] facility that can take on the extra caseload,” Norman said.\u003c/p>\n\u003ch2>If you’re a Walgreens customer, what else can you do to navigate these closures?\u003c/h2>\n\u003cp>Bonilla urges people to consider doing business at independent pharmacies instead of big companies like Walgreens or CVS.\u003c/p>\n\u003cp>She said like any small business, independent pharmacies need support — but they can also foster deep relationships and provide more attention to their customers.\u003c/p>\n\u003cp>“You’re going to help retain the infrastructure of pharmacy as an essential part of our healthcare system,” she said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12028730/san-francisco-examine-co-op-model-pharmacies-across-city-shutter\">Supervisors Chan and Jackie Fielder are both exploring alternatives\u003c/a> to give people options beyond corporations like Walgreens. These efforts include legislation that would boost local neighborhood pharmacies.\u003c/p>\n\u003cp>\u003cem>KQED’s Adhiti Bandlamudi, Carlos Cabrera-Lomelí and Dana Cronin contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For years, Eileen Norman has relied on her neighborhood Walgreens at 5300 Third St. in San Francisco’s Bayview-Hunters Point. There, she picked up prescriptions for her family, who have multiple disabilities.\u003c/p>\n\u003cp>“We would be at that pharmacy two to three times a month to pick up necessary medications that we rely on,” she said.\u003c/p>\n\u003cp>Norman is among thousands of San Franciscans whose medical routines have been upended this week by the sudden closure of 11 Walgreens stores around the city — considered the latest and biggest wave of store closures the city has seen in recent years.\u003c/p>\n\u003ch2>Which Walgreens stores have closed?\u003c/h2>\n\u003cp>The 11 San Francisco Walgreens stores that closed this week, between Feb. 24 and 27, are located at:\u003c/p>\n\u003cul>\n\u003cli>1201 Taraval St.\u003c/li>\n\u003cli>3201 Divisadero St.\u003c/li>\n\u003cli>1363 Divisadero St.\u003c/li>\n\u003cli>825 Market St.\u003c/li>\n\u003cli>1750 Noriega St.\u003c/li>\n\u003cli>5280 Geary Blvd.\u003c/li>\n\u003cli>1301 Franklin St.\u003c/li>\n\u003cli>1189 Potrero Ave.\u003c/li>\n\u003cli>135 Powell St.\u003c/li>\n\u003cli>1630 Ocean Ave.\u003c/li>\n\u003cli>5300 Third St.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>\u003ca href=\"#closed\">Jump to: If my Walgreens store just closed, where do I go for my prescriptions?\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Walgreens at 5300 Third St. — the last one in Bayview-Hunters Point — closed Thursday. A previous Walgreens store, at 3801 Third St., had closed in 2019.\u003c/p>\n\u003cp>These Bayview-Hunters Point stores fall under District 10, represented by San Francisco Supervisor Shamann Walton. The other closure in his area is at 1189 Potrero Ave., located just next to Zuckerberg San Francisco General Hospital.\u003c/p>\n\u003cp>According to a January statement from Supervisor Walton’s office, his office met with a Walgreens representative who informed them “that these closures are final, with no room for negotiation to secure an extension.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Residents in the Richmond District, which lost a Walgreens store in 2021, also brace for a closure at 17th and Geary Boulevard, housed in a shopping plaza. This leaves the Outer Richmond neighborhood with a lone Walgreens at 25 Point Lobos Ave.\u003c/p>\n\u003cp>Connie Chan, who represents the Richmond District on the San Francisco Board of Supervisors, called it a “blow” to the community.\u003c/p>\n\u003cp>“Losing this one more Walgreens, it’s definitely a challenge for us,” she said.\u003c/p>\n\u003cp>Only one store that was originally slated for closure this week — at 1524 Polk St. — has remained open following a review of the store’s “current financial performance,” according to Walgreens spokesperson Marty Maloney.\u003c/p>\n\u003ch2>Why is Walgreens closing all these stores in San Francisco?\u003c/h2>\n\u003cp>Last year, \u003ca href=\"https://www.npr.org/2024/10/15/nx-s1-5153532/walgreens-closing-1200-stores\">Walgreens announced its plans to close 1,200 stores nationwide\u003c/a> in an effort to cut costs and remain viable in the face of online competitors, like Amazon, and declining prescription drug payments.\u003c/p>\n\u003cp>Maloney told KQED that the company’s retail pharmacy business “is central to our go-forward business strategy” but that “increased regulatory and reimbursement pressures are weighing on our ability to cover the costs associated with rent, staffing, and supply needs.”\u003c/p>\n\u003cp>“It is never an easy decision to close a store,” Maloney said. “We know that our stores are important to the communities that we serve, and therefore do everything possible to improve the store performance.”\u003c/p>\n\u003cp>Susan Bonilla, CEO of the California Pharmacists Association, said part of the problem has to do with the increasing role of \u003ca href=\"https://www.kqed.org/news/12002132/these-middlemen-say-they-keep-drug-prices-low-california-lawmakers-dont-buy-it\">pharmacy benefit managers\u003c/a> (PBMs) — the “middlemen” that determine the benefit of medications through employer medical insurance plans.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“PBMs are methodically under-reimbursing any pharmacy that is not their own pharmacy on the medications, so the pharmacies are running at a deficit,” Bonilla said. “They will pay one cost to get that medication into the pharmacy. Then, the PBM will reimburse it below [this] cost of acquisition.”\u003c/p>\n\u003cp>This means that “on many prescriptions, grocery stores and places, like Walgreens, they are literally losing money,” Bonilla said.\u003c/p>\n\u003cp>In response, San Francisco State Sen. Scott Wiener has \u003ca href=\"https://legiscan.com/CA/text/SB41/id/3030090#:~:text=This%20bill%20would%20prohibit%20a,for%20the%20prescription%20drug%2C%20and\">introduced legislation that would regulate PBMs in California\u003c/a>. However, Gov. Gavin Newsom vetoed Wiener’s related bill last year, and past legislative attempts associated with PBMs have failed, too.\u003c/p>\n\u003cp>In 2021, Walgreens blamed “organized retail crime” for the company’s decision to close five San Francisco stores in 2021. An analysis of San Francisco Police Department data later found that \u003ca href=\"https://www.sfchronicle.com/sf/article/Is-shoplifting-forcing-Walgreens-to-cut-back-in-16536960.php\">other factors were likely to have also played a role\u003c/a>, including competition from online shopping, reduced foot traffic and an oversaturation of Walgreens locations within the city.\u003c/p>\n\u003cp>“\u003ca href=\"https://www.nytimes.com/2023/01/06/business/walgreens-shoplifting.html\">Maybe we cried too much last year\u003c/a>,” James Kehoe, chief financial officer for Walgreens, said in a 2024 earnings call, admitting that the company may have overstated how much theft actually happened.\u003c/p>\n\u003ch2>What are the impacts on communities when pharmacies close like this?\u003c/h2>\n\u003cp>“Pharmacy deserts” are a growing problem in California and around the country, Bonilla said.\u003c/p>\n\u003cp>Nationally, an estimated nearly 16 million people in the U.S. live in such pharmacy deserts. According to a \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC11034534/\">2024 study that sought to define pharmacy deserts\u003c/a> in the absence of a national map, the states with the highest number of adults living in pharmacy deserts are California, Florida and Texas — which are also states with large populations.\u003c/p>\n\u003cp>The study also focused on the socioeconomic characteristics of pharmacy deserts and found that the people living in them are often marginalized groups who have historically faced structural barriers to health care.\u003c/p>\n\u003cfigure id=\"attachment_12028984\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12028984\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241204-Pharmacy-Closings-DMB-0254_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Walgreens pharmacy, located at the intersection of High Street and MacArthur Blvd in Oakland, was also scheduled for closure. \u003ccite>(David M. Barreda/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The people who face the greatest challenges when a neighborhood pharmacy closes are typically seniors and people with disabilities, who may have to then travel further to their nearest pharmacy, Walgreens customer Eileen Norman said. She is also the executive director of San Francisco In-Home Supportive Services Public Authority, the Medi-Cal program that helps older adults and people with disabilities to live in the community independently and offer services at home.\u003c/p>\n\u003cp>“It tends to be a full-time job to be someone with a disability,” Norman said — “to have to constantly manage these types of cuts in services and reconfiguration of services and bureaucratic red tape that sometimes limits people’s ability to access the services that they need.”\u003c/p>\n\u003cp>While Norman said she’s grateful that she has a car and can choose where to pick up her prescriptions, she’s nonetheless worried about the lack of access for folks who don’t have the same resources.\u003c/p>\n\u003cp>“Sometimes whatever is closest is what you’re going to have to go with, and that’s not necessarily fair,” Norman said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Supervisor Walton has echoed these concerns, citing the closures disproportionately affecting low-income residents and highlighting the barriers that the neighborhoods in his district face to basic services.\u003c/p>\n\u003cp>It’s not just about prescriptions either, said Ria Rosenthal, who’s in her 80s and lives in downtown San Francisco. She said she used the now-shuttered Walgreens at 135 Powell St. as a general store and a place to build community.\u003c/p>\n\u003cp>Rosenthal also expressed her concern about the impacts of these closures on the stores’ staff — in particular for the friend she said has now lost her position at the Powell Street Walgreens.\u003c/p>\n\u003cp>“For years, I go there,” Rosenthal said. “I had just bought us lunch.”\u003c/p>\n\u003cp>In October, when Walgreens announced the mass closures, the company said it would “redeploy” the majority of affected workers.\u003cbr>\n\u003ca id=\"closed\">\u003c/a>\u003c/p>\n\u003ch2>If my Walgreens just closed, where do I go now for my prescriptions?\u003c/h2>\n\u003cp>KQED reached out to Walgreens, and Maloney, the company spokesperson, provided the following list of San Francisco stores where prescriptions have automatically transferred to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>1201 Taraval St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/kZC6vcaHJbZfSbGk9\">3001 Taraval St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>3201 Divisadero St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/xotincTqFkHAnj5V7\">2141 Chestnut St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1363 Divisadero St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/79y1nqfjuTQGDKDr7\">1899 Fillmore St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>825 Market St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/vurSJDuEKbmnG9A49\">1301 Market St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1750 Noriega St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/43mWufJRJkBPgsbR8\">2050 Irving St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>5280 Geary Blvd. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/Lne7P4uQjWPxei5h9\">25 Point Lobos Ave. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1301 Franklin St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/vurSJDuEKbmnG9A49\">1301 Market St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1189 Potrero Ave. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/E2A2zqj4AEMqUms86\">2690 Mission St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>135 Powell St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/VR6oo4aP7rpG8YdK7\">459 Powell St. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>1630 Ocean Ave. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/mS49MfCsaenGrs999\">200 W Portal Ave. Walgreens\u003c/a>\u003c/li>\n\u003cli>\u003cstrong>5300 Third St. Walgreens\u003c/strong>: Prescriptions automatically transferred to \u003ca href=\"https://maps.app.goo.gl/ntr6v5YuRENQ7Gd38\">2494 San Bruno Ave. Walgreens\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>It’s nonetheless best to also call your closest open Walgreens to verify your prescriptions before making any in-person journey. You can also specify a different Walgreens pharmacy that fits your needs or opt to have your prescriptions transferred altogether to another pharmacy company.\u003c/p>\n\u003cp>“Our next closest Walgreens is in a neighborhood that is very small. So we’re going to make sure that we’re going to [another] facility that can take on the extra caseload,” Norman said.\u003c/p>\n\u003ch2>If you’re a Walgreens customer, what else can you do to navigate these closures?\u003c/h2>\n\u003cp>Bonilla urges people to consider doing business at independent pharmacies instead of big companies like Walgreens or CVS.\u003c/p>\n\u003cp>She said like any small business, independent pharmacies need support — but they can also foster deep relationships and provide more attention to their customers.\u003c/p>\n\u003cp>“You’re going to help retain the infrastructure of pharmacy as an essential part of our healthcare system,” she said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/12028730/san-francisco-examine-co-op-model-pharmacies-across-city-shutter\">Supervisors Chan and Jackie Fielder are both exploring alternatives\u003c/a> to give people options beyond corporations like Walgreens. These efforts include legislation that would boost local neighborhood pharmacies.\u003c/p>\n\u003cp>\u003cem>KQED’s Adhiti Bandlamudi, Carlos Cabrera-Lomelí and Dana Cronin contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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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": "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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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"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.",
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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.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"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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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
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