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"content": "\u003cp>Dr. Grant Colfax, San Francisco’s Director of Public Health, is resigning.\u003c/p>\n\u003cp>Colfax led the department for six years under former \u003ca href=\"https://www.kqed.org/news/tag/london-breed\">Mayor London Breed\u003c/a>. During his tenure, the city faced multiple colliding health crises: the COVID-19 pandemic, a near-shuttered public hospital and an unprecedented overdose crisis.\u003c/p>\n\u003cp>“Throughout my tenure, we produced results, increased accountability and improved health equity while driving change,” Colfax said in a statement. “From Covid-19 to Mpox, the fentanyl crisis, to hiring a record number of nurses and passing two infrastructure bonds, we have built a stronger department.”\u003c/p>\n\u003cp>His departure marks the second major department head to leave since \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> was elected. \u003ca href=\"https://www.kqed.org/news/12018056/san-francisco-public-transit-boss-jeffrey-tumlin-to-resign\">Jeffrey Tumlin\u003c/a>, who previously led San Francisco’s Municipal Transportation Agency, announced he would not renew his contract after it expired in December.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Deputy Director Dr. Naveena Bobba will serve as acting director. Colfax’s last day is Feb. 7.\u003c/p>\n\u003cp>Lurie has not announced who will replace Bobba or Tumlin’s interim replacement, Julie Kirschbaum, the agency’s director of transit.\u003c/p>\n\u003cfigure id=\"attachment_12021881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021881\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Lurie addresses a crowd of hundreds for the first time as city mayor on Inauguration Day at Civic Center in San Francisco on Jan. 8, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“As Director of Health, Dr. Colfax contributed to saving the lives of San Franciscans during one of our city’s most challenging times. His dedication and work to the health and wellbeing of our city’s communities is remarkable,” Lurie said in a statement. “His leadership has enabled our recovery, and I thank him for his service to our city.”\u003c/p>\n\u003cp>Colfax, who started his medical career at San Francisco General Hospital, conducted HIV research for SFDPH earlier in his career and later served as an HIV/AIDS advisor for President Barack Obama.\u003c/p>\n\u003cp>San Francisco saw overdose rates soar in 2020 before peaking in 2023, as the city struggled to get housing and treatment for people struggling with substance use disorder. Since then, the city has expanded opioid disorder treatment options like buprenorphine, a medication that curbs opioid cravings and withdrawal.\u003c/p>\n\u003cp>[aside postID=news_12021879 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250105-LurieInaugurationCleanup-51-1020x1275.jpg']\u003c/p>\n\u003cp>In the last year, admissions to substance use residential treatment admissions have increased 35%, and both methadone starts and buprenorphine prescriptions are up 39% and 52%, respectively, in 2024 compared with 2023, according to the Department of Public Health.\u003c/p>\n\u003cp>More issues arose when San Francisco had to nearly close its largest public hospital, Laguna Honda, after on-site overdoses triggered inspections that the facility failed to pass. City leaders, including those in Washington, D.C., like Speaker Emerita Nancy Pelosi, rallied alongside Colfax to get the hospital, which has since been recertified, back on track.\u003c/p>\n\u003cp>“Dr. Colfax is an extraordinary public health leader,” Pelosi said in a statement. “From our city’s COVID response, to saving Laguna Honda hospital, to expanding primary care and treatment for substance use disorders, Dr. Colfax has led with a data driven, community-centered focus that benefits all San Franciscans.”\u003c/p>\n\u003cp>Despite those efforts, San Franciscans continued to see tragedy in their streets stemming from the overdose epidemic, though there were roughly \u003ca href=\"https://www.kqed.org/news/12018663/san-francisco-overdose-deaths-up-in-november-but-still-below-peak-last-year\">20% fewer overdose deaths last year than in 2023\u003c/a>.\u003c/p>\n\u003cp>In November, voters elected Lurie after he campaigned on a message to bring change and accountability to City Hall. Now in office, Lurie has \u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">started releasing plans\u003c/a> for how the city can more quickly set up emergency shelters and behavioral health beds.\u003c/p>\n\u003cp>So far, that’s involved asking the Board of Supervisors to \u003ca href=\"https://www.kqed.org/news/12021879/sf-mayor-lurie-launches-1st-legislative-push-fentanyl-emergency-response\">remove certain bureaucratic requirements\u003c/a> to speed up city contracts and permitting, and to waive rules around accepting private donations for services directly responding to overdoses, drug dealing and homelessness.\u003c/p>\n\u003cp>“We have accomplished much in the past six years, and there is no doubt that the dedicated, hard-working and compassionate staff at DPH will continue to deliver for San Francisco,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Deputy Director Dr. Naveena Bobba will serve as acting director. Colfax’s last day is Feb. 7.\u003c/p>\n\u003cp>Lurie has not announced who will replace Bobba or Tumlin’s interim replacement, Julie Kirschbaum, the agency’s director of transit.\u003c/p>\n\u003cfigure id=\"attachment_12021881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021881\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Lurie addresses a crowd of hundreds for the first time as city mayor on Inauguration Day at Civic Center in San Francisco on Jan. 8, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“As Director of Health, Dr. Colfax contributed to saving the lives of San Franciscans during one of our city’s most challenging times. His dedication and work to the health and wellbeing of our city’s communities is remarkable,” Lurie said in a statement. “His leadership has enabled our recovery, and I thank him for his service to our city.”\u003c/p>\n\u003cp>Colfax, who started his medical career at San Francisco General Hospital, conducted HIV research for SFDPH earlier in his career and later served as an HIV/AIDS advisor for President Barack Obama.\u003c/p>\n\u003cp>San Francisco saw overdose rates soar in 2020 before peaking in 2023, as the city struggled to get housing and treatment for people struggling with substance use disorder. Since then, the city has expanded opioid disorder treatment options like buprenorphine, a medication that curbs opioid cravings and withdrawal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the last year, admissions to substance use residential treatment admissions have increased 35%, and both methadone starts and buprenorphine prescriptions are up 39% and 52%, respectively, in 2024 compared with 2023, according to the Department of Public Health.\u003c/p>\n\u003cp>More issues arose when San Francisco had to nearly close its largest public hospital, Laguna Honda, after on-site overdoses triggered inspections that the facility failed to pass. City leaders, including those in Washington, D.C., like Speaker Emerita Nancy Pelosi, rallied alongside Colfax to get the hospital, which has since been recertified, back on track.\u003c/p>\n\u003cp>“Dr. Colfax is an extraordinary public health leader,” Pelosi said in a statement. “From our city’s COVID response, to saving Laguna Honda hospital, to expanding primary care and treatment for substance use disorders, Dr. Colfax has led with a data driven, community-centered focus that benefits all San Franciscans.”\u003c/p>\n\u003cp>Despite those efforts, San Franciscans continued to see tragedy in their streets stemming from the overdose epidemic, though there were roughly \u003ca href=\"https://www.kqed.org/news/12018663/san-francisco-overdose-deaths-up-in-november-but-still-below-peak-last-year\">20% fewer overdose deaths last year than in 2023\u003c/a>.\u003c/p>\n\u003cp>In November, voters elected Lurie after he campaigned on a message to bring change and accountability to City Hall. Now in office, Lurie has \u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">started releasing plans\u003c/a> for how the city can more quickly set up emergency shelters and behavioral health beds.\u003c/p>\n\u003cp>So far, that’s involved asking the Board of Supervisors to \u003ca href=\"https://www.kqed.org/news/12021879/sf-mayor-lurie-launches-1st-legislative-push-fentanyl-emergency-response\">remove certain bureaucratic requirements\u003c/a> to speed up city contracts and permitting, and to waive rules around accepting private donations for services directly responding to overdoses, drug dealing and homelessness.\u003c/p>\n\u003cp>“We have accomplished much in the past six years, and there is no doubt that the dedicated, hard-working and compassionate staff at DPH will continue to deliver for San Francisco,” Colfax said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Newly sworn-in \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> promised voters he would make big strides on San Francisco’s most pressing issues around homelessness and drugs. Now comes the heavy lifting.\u003c/p>\n\u003cp>On Tuesday, he’ll ask the Board of Supervisors to approve a handful of bureaucratic policy changes that he said will speed up permitting to build elements of his campaign platform, like opening 1,500 shelter beds in his first six months in office.\u003c/p>\n\u003cp>On the campaign trail, Lurie had vowed to declare a state of emergency around fentanyl. During his inaugural address on Wednesday, the mayor told the sun-kissed masses he is \u003ca href=\"https://www.kqed.org/news/12020848/now-sf-mayor-lurie-unveils-emergency-plans-drug-homelessness-crises\">introducing what he’s called “Fentanyl State of Emergency Ordinances”\u003c/a> — not exactly an emergency proclamation, but a legislative move that he’ll need supervisors to pass.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This will allow us to further surge resources and bypass the bureaucratic hurdles standing in the way of tackling this crisis,” Lurie said. Hinting at the clearance, he still needs to move forward on his idea, Lurie added: “I look forward to working with the incoming Board of Supervisors for their quick approval.”\u003c/p>\n\u003cp>Lurie’s “Fentanyl State of Emergency Ordinances” should not be confused with an official state of emergency, a specific legal action that can allow mayors to bypass regulations and bureaucracy in response to a disaster. The difference means Lurie has to get permission from colleagues to streamline these efforts since, legally, he can’t declare an emergency over fentanyl (or any other drug) specifically, \u003ca href=\"https://missionlocal.org/2024/11/san-francisco-has-no-idea-how-daniel-lurie-will-govern-does-he/\">\u003cem>Mission Local\u003c/em> reports\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12021881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021881\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Lurie addresses a crowd of hundreds for the first time as city mayor on Inauguration Day at Civic Center in San Francisco on Jan. 8, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Supervisor Bilal Mahmood represents the Tenderloin, where the majority of overdose deaths have occurred in recent years in San Francisco. He said he’s optimistic about the plan, which was still sparse on details as of Monday.\u003c/p>\n\u003cp>“It gives us the same powers we had during COVID to work with urgency to spin up new command centers and shelters and give us the personnel we need to shut down open-air drug markets,” Mahmood said.\u003c/p>\n\u003cp>If supervisors pass his legislative package, Lurie wants to first expand evening hours for the city’s Drug Market Agency Coordination Center — which targets outdoor drug users, drug dealers and illegal street vending — and asked the police chief to come up with a budget to make the effort permanent. He also wants to create a “Hospitality Zone Task Force,” essentially a police unit for the city’s tourist areas, including Union Square, Market Street and Moscone Center.\u003c/p>\n\u003cp>Lurie also wants to open up an additional 24/7 drop-off center for people experiencing a behavioral health crisis. In his speech last week, Lurie said the center would be “police-friendly” while serving as an alternative to overnight stays in jail or the city’s emergency rooms.\u003c/p>\n\u003cp>San Francisco already has several street intervention teams that respond to overdoses and other crises that police may be less equipped to handle. But the mayor also said he wants to streamline those initiatives — which could mean cuts or reorganization ahead.\u003c/p>\n\u003cp>“We currently have at least nine street teams operated by five different departments. Despite having made a vast investment of resources and personnel, no one thinks the current structure is working,” Lurie said. “Our first step in streamlining our crisis response is to mandate that all departments coordinate to build and maintain a single public-facing Street Conditions Dashboard.”\u003c/p>\n\u003ch2>Who’s paying?\u003c/h2>\n\u003cp>Lurie, an heir to the Levi Strauss fortune who ran an anti-poverty nonprofit but has no prior experience in elected office, said he wants to fund his ambitious promises using a mix of private and public funding.\u003c/p>\n\u003cp>“This authorization will fast track a public-private partnership to stand up temporary emergency shelter and address the homelessness crisis on our streets,” Lurie said last Wednesday. “It is time to move past the politics of demonizing each other on every single issue. It’s time to redefine how politics works in San Francisco.”\u003c/p>\n\u003cfigure id=\"attachment_12020807\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020807\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mayor-elect Daniel Lurie and his family serve food at St. Anthony’s Foundation, a nonprofit providing meals, medical care, clothing, shelter and addiction recovery in San Francisco, on Jan. 8, 2025, before his inauguration ceremony. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On the campaign trail, Lurie maintained a steadfast message that he would bring accountability and change to San Francisco as a political outsider with no ties to corruption scandals and other status quo operations in City Hall. But Lurie’s first major ask to his colleagues on the Board of Supervisors would essentially give supervisors less authority to block or approve contracts that departments will need to make in order to, for example, expand shelters and staff them.\u003c/p>\n\u003cp>A policy memo provided by the mayor’s office said the mayor would propose to “speed procurement processes by waiving code procurement rules for executing contracts and grants” and authorize the use of private funding in the form of behested payments, which are essentially donations. The city administrator and controller will also be tasked with reviewing and auditing the ordinances.\u003c/p>\n\u003cp>[aside postID=news_12020848 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250108_LurieInaugurationDay_GC_00196-1020x680.jpg']\u003c/p>\n\u003cp>“There are good reasons we have processes in place to avoid conflicts of interest and ethical problems. But with something this high profile, I have confidence in the fourth estate and city government that we can get this right,” said Supervisor Matt Dorsey, whose district includes the South of Market neighborhood. “Fentanyl is a moral emergency and personal to me as someone with experience recovering from drug addiction. We have an opportunity to bring solutions that are as big as the problem and surge resources where they are needed.”\u003c/p>\n\u003cp>The city has had a fraught relationship with behested payments in the past, however, and critics and government watchdogs say they can open the floodgates for corruption.\u003c/p>\n\u003cp>After a spiraling corruption scandal involving behested payments sent former Public Works head Mohammad Nuru to prison, San Francisco voters in June 2022 passed legislation that made it harder for city officials to solicit donations in an effort to limit misconduct.\u003c/p>\n\u003cp>The city can grant waivers to its behested payment laws, and it has done so several times already, including Mayor London Breed’s effort to fundraise for pandas at the city’s zoo and the city’s unsuccessfully attempt to open overdose prevention centers with private funding.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman, who recently was elected board president, didn’t comment on Lurie’s plan specifically since the legislation was still underway but said he supports giving the mayor more flexibility to carry out his platform.\u003c/p>\n\u003cp>“It is reasonable to ask private parties to contribute to the city’s efforts, and if people want to do it as a gift, that is laudable, and the mayor should have the authority to do that,” Mandelman said. “I think our behested payment restrictions are pretty cumbersome and hard for the mayor and BOS to navigate. I would be open to reforms of that.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This will allow us to further surge resources and bypass the bureaucratic hurdles standing in the way of tackling this crisis,” Lurie said. Hinting at the clearance, he still needs to move forward on his idea, Lurie added: “I look forward to working with the incoming Board of Supervisors for their quick approval.”\u003c/p>\n\u003cp>Lurie’s “Fentanyl State of Emergency Ordinances” should not be confused with an official state of emergency, a specific legal action that can allow mayors to bypass regulations and bureaucracy in response to a disaster. The difference means Lurie has to get permission from colleagues to streamline these efforts since, legally, he can’t declare an emergency over fentanyl (or any other drug) specifically, \u003ca href=\"https://missionlocal.org/2024/11/san-francisco-has-no-idea-how-daniel-lurie-will-govern-does-he/\">\u003cem>Mission Local\u003c/em> reports\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_12021881\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12021881\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/240108-LurieInaugurationDay-34_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Lurie addresses a crowd of hundreds for the first time as city mayor on Inauguration Day at Civic Center in San Francisco on Jan. 8, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Supervisor Bilal Mahmood represents the Tenderloin, where the majority of overdose deaths have occurred in recent years in San Francisco. He said he’s optimistic about the plan, which was still sparse on details as of Monday.\u003c/p>\n\u003cp>“It gives us the same powers we had during COVID to work with urgency to spin up new command centers and shelters and give us the personnel we need to shut down open-air drug markets,” Mahmood said.\u003c/p>\n\u003cp>If supervisors pass his legislative package, Lurie wants to first expand evening hours for the city’s Drug Market Agency Coordination Center — which targets outdoor drug users, drug dealers and illegal street vending — and asked the police chief to come up with a budget to make the effort permanent. He also wants to create a “Hospitality Zone Task Force,” essentially a police unit for the city’s tourist areas, including Union Square, Market Street and Moscone Center.\u003c/p>\n\u003cp>Lurie also wants to open up an additional 24/7 drop-off center for people experiencing a behavioral health crisis. In his speech last week, Lurie said the center would be “police-friendly” while serving as an alternative to overnight stays in jail or the city’s emergency rooms.\u003c/p>\n\u003cp>San Francisco already has several street intervention teams that respond to overdoses and other crises that police may be less equipped to handle. But the mayor also said he wants to streamline those initiatives — which could mean cuts or reorganization ahead.\u003c/p>\n\u003cp>“We currently have at least nine street teams operated by five different departments. Despite having made a vast investment of resources and personnel, no one thinks the current structure is working,” Lurie said. “Our first step in streamlining our crisis response is to mandate that all departments coordinate to build and maintain a single public-facing Street Conditions Dashboard.”\u003c/p>\n\u003ch2>Who’s paying?\u003c/h2>\n\u003cp>Lurie, an heir to the Levi Strauss fortune who ran an anti-poverty nonprofit but has no prior experience in elected office, said he wants to fund his ambitious promises using a mix of private and public funding.\u003c/p>\n\u003cp>“This authorization will fast track a public-private partnership to stand up temporary emergency shelter and address the homelessness crisis on our streets,” Lurie said last Wednesday. “It is time to move past the politics of demonizing each other on every single issue. It’s time to redefine how politics works in San Francisco.”\u003c/p>\n\u003cfigure id=\"attachment_12020807\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020807\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/250108-LurieInaugurationDay-10-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Mayor-elect Daniel Lurie and his family serve food at St. Anthony’s Foundation, a nonprofit providing meals, medical care, clothing, shelter and addiction recovery in San Francisco, on Jan. 8, 2025, before his inauguration ceremony. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On the campaign trail, Lurie maintained a steadfast message that he would bring accountability and change to San Francisco as a political outsider with no ties to corruption scandals and other status quo operations in City Hall. But Lurie’s first major ask to his colleagues on the Board of Supervisors would essentially give supervisors less authority to block or approve contracts that departments will need to make in order to, for example, expand shelters and staff them.\u003c/p>\n\u003cp>A policy memo provided by the mayor’s office said the mayor would propose to “speed procurement processes by waiving code procurement rules for executing contracts and grants” and authorize the use of private funding in the form of behested payments, which are essentially donations. The city administrator and controller will also be tasked with reviewing and auditing the ordinances.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There are good reasons we have processes in place to avoid conflicts of interest and ethical problems. But with something this high profile, I have confidence in the fourth estate and city government that we can get this right,” said Supervisor Matt Dorsey, whose district includes the South of Market neighborhood. “Fentanyl is a moral emergency and personal to me as someone with experience recovering from drug addiction. We have an opportunity to bring solutions that are as big as the problem and surge resources where they are needed.”\u003c/p>\n\u003cp>The city has had a fraught relationship with behested payments in the past, however, and critics and government watchdogs say they can open the floodgates for corruption.\u003c/p>\n\u003cp>After a spiraling corruption scandal involving behested payments sent former Public Works head Mohammad Nuru to prison, San Francisco voters in June 2022 passed legislation that made it harder for city officials to solicit donations in an effort to limit misconduct.\u003c/p>\n\u003cp>The city can grant waivers to its behested payment laws, and it has done so several times already, including Mayor London Breed’s effort to fundraise for pandas at the city’s zoo and the city’s unsuccessfully attempt to open overdose prevention centers with private funding.\u003c/p>\n\u003cp>Supervisor Rafael Mandelman, who recently was elected board president, didn’t comment on Lurie’s plan specifically since the legislation was still underway but said he supports giving the mayor more flexibility to carry out his platform.\u003c/p>\n\u003cp>“It is reasonable to ask private parties to contribute to the city’s efforts, and if people want to do it as a gift, that is laudable, and the mayor should have the authority to do that,” Mandelman said. “I think our behested payment restrictions are pretty cumbersome and hard for the mayor and BOS to navigate. I would be open to reforms of that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Santa Clara County Reaches ‘Definitive’ Deal to Buy East San José Hospital for $150 Million",
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"content": "\u003cp>Santa Clara County officials have reached a deal with the nation’s largest private hospital operator to purchase Regional Medical Center in East San José and fold it into the public health care system.\u003c/p>\n\u003cp>The county announced the “definitive agreement” on Monday afternoon, saying it would pay Nashville-based HCA Healthcare $150 million for the 258-bed hospital, with the deal set to close on April 1, pending regulatory approval.\u003c/p>\n\u003cp>The price and timeline details add clarity to the county’s rough plan to buy the facility, which it initially \u003ca href=\"https://www.kqed.org/news/12001214/santa-clara-county-plans-to-buy-east-san-jose-hospital-to-reverse-cuts-to-care\">announced in August\u003c/a>, following months of community outcry about major service cutbacks under HCA’s watch. The county has pledged to reverse those cuts.\u003c/p>\n\u003cp>“The scaling back of health services at RMC has hit East San José hard. The County’s purchase and saving of Regional Medical Center, located in the heart of one of the most marginalized and historically disadvantaged areas of our county, is essential to restore critical healthcare access,” county Supervisor Betty Duong, who represents the area, said in a statement. “I am so proud of our county staff and Board of Supervisors for making this happen, and I look forward to seeing full services return to Regional Medical Center as soon as possible.”\u003c/p>\n\u003cp>The deal comes a little less than a year after HCA announced its intention to make major service reductions at the hospital, which also houses the only trauma center on the east side of the county — setting off months of protests and demonstrations opposing the cuts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The company had previously planned to shutter the hospital’s trauma center, eliminate its severe heart attack services and reduce stroke services.\u003c/p>\n\u003cp>HCA partially backed off those plans in mid-July after a group of health care workers, community members, patient advocates and elected officials decried the cuts, alleging the company was prioritizing profit margins over people’s health.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=news_12015224,news_11999936,news_11996422]County officials warned, \u003ca href=\"https://files.santaclaracounty.gov/2024-05/impact-assessment-final.pdf?VersionId=76kKMmMNBS.DDrTkkIa.TB08YZkvCUqI\">in an April report\u003c/a>, that cutting services at the hospital could have a “cascading effect” on Santa Clara Valley Healthcare, placing undue pressure on the county public health system that already manages three hospitals and a series of clinics and health centers.\u003c/p>\n\u003cp>The company ultimately downgraded the facility’s trauma center, offering lower levels of care and relying more heavily on transferring patients to other facilities miles away.\u003c/p>\n\u003cp>It also trimmed its severe heart attack services instead of eliminating them altogether and reduced stroke services from “comprehensive” to just above “primary” levels.\u003c/p>\n\u003cp>The cuts at the hospital were “unacceptable,” Susan Ellenberg, president of the county Board of Supervisors, said in Monday’s statement.\u003c/p>\n\u003cp>“When the trauma center was downgraded, we immediately saw impacts at Valley Medical Center and other parts of our health system. We look forward to begin restoring lost services for the community on Day 1 of the deal closing,” she said.\u003c/p>\n\u003cp>In large part because of the cuts it made at Regional Medical Center, the HCA’s proposal to \u003ca href=\"https://www.kqed.org/news/12015224/san-jose-leaders-approve-new-good-samaritan-hospital-despite-community-concerns\">overhaul and expand Good Samaritan Hospital\u003c/a> in the San José’s West Valley area faced stiff opposition from residents and community advocates. However, the San José City Council ultimately approved the major development plan in November.\u003c/p>\n\u003cp>HCA “remains a strong community partner at Good Samaritan Hospital, and we look forward to continuing to provide the high-quality health care Santa Clara County deserves,” the company said in a statement.\u003c/p>\n\u003cp>Darcie Green, executive director of health nonprofit Latinas Contra Cancer, has been one of the most \u003ca href=\"https://www.kqed.org/news/11999936/cuts-at-east-san-jose-hospital-will-harm-vulnerable-residents-advocates-say\">vocal critics\u003c/a> of HCA’s recent cuts to hospital services.\u003c/p>\n\u003cp>The deal is “a monumental win for our community, ensuring that health care is accessible to everyone, not just those who can afford it,” Green told KQED.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“By bringing Regional Medical Center under public ownership, the county has prioritized people over profits and reaffirmed its commitment to equitable care for all residents,” she said. “This move represents a brighter future where no one is left behind in their time of need.”\u003c/p>\n\n",
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"excerpt": "The county on Monday announced plans to buy Regional Medical Center from Nashville-based HCA Healthcare, and fold the 258-bed hospital into its public health system later this year.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Santa Clara County officials have reached a deal with the nation’s largest private hospital operator to purchase Regional Medical Center in East San José and fold it into the public health care system.\u003c/p>\n\u003cp>The county announced the “definitive agreement” on Monday afternoon, saying it would pay Nashville-based HCA Healthcare $150 million for the 258-bed hospital, with the deal set to close on April 1, pending regulatory approval.\u003c/p>\n\u003cp>The price and timeline details add clarity to the county’s rough plan to buy the facility, which it initially \u003ca href=\"https://www.kqed.org/news/12001214/santa-clara-county-plans-to-buy-east-san-jose-hospital-to-reverse-cuts-to-care\">announced in August\u003c/a>, following months of community outcry about major service cutbacks under HCA’s watch. The county has pledged to reverse those cuts.\u003c/p>\n\u003cp>“The scaling back of health services at RMC has hit East San José hard. The County’s purchase and saving of Regional Medical Center, located in the heart of one of the most marginalized and historically disadvantaged areas of our county, is essential to restore critical healthcare access,” county Supervisor Betty Duong, who represents the area, said in a statement. “I am so proud of our county staff and Board of Supervisors for making this happen, and I look forward to seeing full services return to Regional Medical Center as soon as possible.”\u003c/p>\n\u003cp>The deal comes a little less than a year after HCA announced its intention to make major service reductions at the hospital, which also houses the only trauma center on the east side of the county — setting off months of protests and demonstrations opposing the cuts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The company had previously planned to shutter the hospital’s trauma center, eliminate its severe heart attack services and reduce stroke services.\u003c/p>\n\u003cp>HCA partially backed off those plans in mid-July after a group of health care workers, community members, patient advocates and elected officials decried the cuts, alleging the company was prioritizing profit margins over people’s health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>County officials warned, \u003ca href=\"https://files.santaclaracounty.gov/2024-05/impact-assessment-final.pdf?VersionId=76kKMmMNBS.DDrTkkIa.TB08YZkvCUqI\">in an April report\u003c/a>, that cutting services at the hospital could have a “cascading effect” on Santa Clara Valley Healthcare, placing undue pressure on the county public health system that already manages three hospitals and a series of clinics and health centers.\u003c/p>\n\u003cp>The company ultimately downgraded the facility’s trauma center, offering lower levels of care and relying more heavily on transferring patients to other facilities miles away.\u003c/p>\n\u003cp>It also trimmed its severe heart attack services instead of eliminating them altogether and reduced stroke services from “comprehensive” to just above “primary” levels.\u003c/p>\n\u003cp>The cuts at the hospital were “unacceptable,” Susan Ellenberg, president of the county Board of Supervisors, said in Monday’s statement.\u003c/p>\n\u003cp>“When the trauma center was downgraded, we immediately saw impacts at Valley Medical Center and other parts of our health system. We look forward to begin restoring lost services for the community on Day 1 of the deal closing,” she said.\u003c/p>\n\u003cp>In large part because of the cuts it made at Regional Medical Center, the HCA’s proposal to \u003ca href=\"https://www.kqed.org/news/12015224/san-jose-leaders-approve-new-good-samaritan-hospital-despite-community-concerns\">overhaul and expand Good Samaritan Hospital\u003c/a> in the San José’s West Valley area faced stiff opposition from residents and community advocates. However, the San José City Council ultimately approved the major development plan in November.\u003c/p>\n\u003cp>HCA “remains a strong community partner at Good Samaritan Hospital, and we look forward to continuing to provide the high-quality health care Santa Clara County deserves,” the company said in a statement.\u003c/p>\n\u003cp>Darcie Green, executive director of health nonprofit Latinas Contra Cancer, has been one of the most \u003ca href=\"https://www.kqed.org/news/11999936/cuts-at-east-san-jose-hospital-will-harm-vulnerable-residents-advocates-say\">vocal critics\u003c/a> of HCA’s recent cuts to hospital services.\u003c/p>\n\u003cp>The deal is “a monumental win for our community, ensuring that health care is accessible to everyone, not just those who can afford it,” Green told KQED.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“By bringing Regional Medical Center under public ownership, the county has prioritized people over profits and reaffirmed its commitment to equitable care for all residents,” she said. “This move represents a brighter future where no one is left behind in their time of need.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "3-things-that-folks-facing-los-angeles-fires-can-do-from-a-fellow-california-wildfire-survivor",
"title": "3 Things That Folks Facing Los Angeles Fires Can Do, From a Fellow California Wildfire Survivor",
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"headTitle": "3 Things That Folks Facing Los Angeles Fires Can Do, From a Fellow California Wildfire Survivor | KQED",
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"content": "\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”[aside label=\"Related Stories\" postID=\"news_12021019,news_12021150,news_12021308\"]Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "bird-flu-likely-found-san-francisco-child-california-cases-rise",
"title": "Bird Flu Likely Found in San Francisco Child as California Cases Rise",
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"headTitle": "Bird Flu Likely Found in San Francisco Child as California Cases Rise | KQED",
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"content": "\u003cp>A child in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is the city’s first presumptive person to test positive for bird flu.\u003c/p>\n\u003cp>The child experienced fever and eye inflammation but has since fully recovered without needing hospitalization. Initial tests at San Francisco’s public health laboratory were positive; confirmatory testing is pending at the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Health officials have not identified how the child could have contracted the virus.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State officials are working to contain the virus spreading through dairy farms and poultry facilities across California.\u003c/p>\n\u003cp>The San Francisco case brings \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">California’s total to 37\u003c/a> human bird flu infections this year. Most cases stem from direct contact with infected cattle.\u003c/p>\n\u003cp>“The risk to the general public remains low,” said Dr. Grant Colfax, San Francisco’s director of health, in a press release.\u003c/p>\n\u003cp>[aside postID=news_12019301 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/041620_Dairy-Worker_GETTY_CM_01-copy-1020x680.jpg']\u003c/p>\n\u003cp>He stressed that people rarely catch bird flu, and no person-to-person transmission has occurred during this outbreak in the U.S.\u003c/p>\n\u003cp>Still, he urged residents to avoid contact with sick or dead birds and stay away from unpasteurized dairy products. While agricultural officials say pasteurized milk remains safe, several raw milk products have been recalled across the state.\u003c/p>\n\u003cp>Gov. Gavin Newsom declared a state of emergency earlier this winter to boost containment efforts. The virus has now infected \u003ca href=\"https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html\">703 of the state’s more than 1,100 dairy facilities\u003c/a>, according to the California Department of Food and Agriculture.\u003c/p>\n\u003cp>Wastewater surveillance has detected the virus across the Bay Area, including in San Francisco, Napa and San José. Health officials advised residents to call 311 if they find dead birds, and they recommended anyone experiencing symptoms like eye redness, coughing, fatigue, or fever contact a healthcare provider.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "A child in San Francisco has tested positive for bird flu amid a widespread outbreak that has infected hundreds of dairy farms across California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A child in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is the city’s first presumptive person to test positive for bird flu.\u003c/p>\n\u003cp>The child experienced fever and eye inflammation but has since fully recovered without needing hospitalization. Initial tests at San Francisco’s public health laboratory were positive; confirmatory testing is pending at the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Health officials have not identified how the child could have contracted the virus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials are working to contain the virus spreading through dairy farms and poultry facilities across California.\u003c/p>\n\u003cp>The San Francisco case brings \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">California’s total to 37\u003c/a> human bird flu infections this year. Most cases stem from direct contact with infected cattle.\u003c/p>\n\u003cp>“The risk to the general public remains low,” said Dr. Grant Colfax, San Francisco’s director of health, in a press release.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He stressed that people rarely catch bird flu, and no person-to-person transmission has occurred during this outbreak in the U.S.\u003c/p>\n\u003cp>Still, he urged residents to avoid contact with sick or dead birds and stay away from unpasteurized dairy products. While agricultural officials say pasteurized milk remains safe, several raw milk products have been recalled across the state.\u003c/p>\n\u003cp>Gov. Gavin Newsom declared a state of emergency earlier this winter to boost containment efforts. The virus has now infected \u003ca href=\"https://www.cdfa.ca.gov/AHFSS/Animal_Health/HPAI.html\">703 of the state’s more than 1,100 dairy facilities\u003c/a>, according to the California Department of Food and Agriculture.\u003c/p>\n\u003cp>Wastewater surveillance has detected the virus across the Bay Area, including in San Francisco, Napa and San José. Health officials advised residents to call 311 if they find dead birds, and they recommended anyone experiencing symptoms like eye redness, coughing, fatigue, or fever contact a healthcare provider.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The federal Consumer Financial Protection Bureau on Tuesday issued new regulations barring medical debts from American credit reports, enacting a major new consumer protection just days before President Joe Biden is set to leave office.\u003c/p>\n\u003cp>The rules ban credit agencies from including medical debts on consumers’ credit reports and prohibit lenders from considering medical information in assessing borrowers.\u003c/p>\n\u003cp>These rules, which the federal watchdog agency \u003ca href=\"https://kffhealthnews.org/news/article/biden-administration-plan-remove-medical-debt-credit-scores/\">proposed in June\u003c/a>, could be reversed after President-elect Donald Trump takes office on Jan. 20. But by finalizing the regulations now, the CFPB effectively dared the incoming Trump administration and its Republican allies in Congress to undo rules that are broadly popular and could help millions of people who are burdened by medical debt.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“People who get sick shouldn’t have their financial future upended,” CFPB Director Rohit Chopra said in announcing the new rules. “The CFPB’s final rule will close a special carveout that has allowed debt collectors to abuse the credit reporting system to coerce people into paying medical bills they may not even owe.”\u003c/p>\n\u003cp>The regulations fulfill a pledge by the Biden administration to address the scourge of health care debt, a problem that touches \u003ca href=\"https://kffhealthnews.org/diagnosis-debt/\">an estimated 100 million Americans\u003c/a>, forcing many to make sacrifices such as limiting food, clothing, and other essentials.\u003c/p>\n\u003cp>Credit reporting, a threat that has been wielded by medical providers and debt collectors to get patients to pay their bills, is the most common collection tactic used by hospitals, \u003ca href=\"https://kffhealthnews.org/news/article/medical-debt-hospitals-sue-patients-threaten-credit-khn-investigation/\">a KFF Health News analysis\u003c/a> found.\u003c/p>\n\u003cp>The impact can be devastating, especially for those with large health care debts.\u003c/p>\n\u003cp>There is growing evidence, for example, that credit scores depressed by medical debt can \u003ca href=\"https://kffhealthnews.org/news/article/a-father-dreamed-of-a-home-for-his-family-medical-debt-nearly-pushed-them-onto-the-streets/\">threaten people’s access to housing\u003c/a> and drive homelessness. People with low credit scores can also have trouble getting a loan or can be forced to borrow at higher interest rates.[aside label=\"Related Stories\" postID=\"news_12019842,news_12002019\"]That has prompted states, including Colorado, New York and California, to enact legislation prohibiting medical debt from being included on residents’ credit reports or factored into their credit scores. Still, many patients and consumer advocates have pushed for a national ban.\u003c/p>\n\u003cp>The CFPB has estimated that the new credit reporting rule will boost the credit scores of people with medical debt on their credit reports by an average of 20 points.\u003c/p>\n\u003cp>However, the agency’s efforts to restrict medical debt collections have drawn fierce pushback from the collections industry. And the new rules will almost certainly be challenged in court.\u003c/p>\n\u003cp>Congressional Republicans have frequently criticized the watchdog agency. Last year, then-chair of the House Financial Services Committee Patrick McHenry (R-N.C.) labeled the CFPB’s medical debt proposal “regulatory overreach.”\u003c/p>\n\u003cp>More recently, billionaire Elon Musk, whom Trump has tapped to co-lead his initiative to shrink government, \u003ca href=\"https://x.com/elonmusk/status/1861644897490751865\">called for the elimination\u003c/a> of the watchdog agency. “Delete CFPB,” Musk posted on the social platform X.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The Trump administration could undo the new regulations issued by the Consumer Financial Protection Bureau, and Elon Musk has called for the 'deletion' of the CFPB.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The federal Consumer Financial Protection Bureau on Tuesday issued new regulations barring medical debts from American credit reports, enacting a major new consumer protection just days before President Joe Biden is set to leave office.\u003c/p>\n\u003cp>The rules ban credit agencies from including medical debts on consumers’ credit reports and prohibit lenders from considering medical information in assessing borrowers.\u003c/p>\n\u003cp>These rules, which the federal watchdog agency \u003ca href=\"https://kffhealthnews.org/news/article/biden-administration-plan-remove-medical-debt-credit-scores/\">proposed in June\u003c/a>, could be reversed after President-elect Donald Trump takes office on Jan. 20. But by finalizing the regulations now, the CFPB effectively dared the incoming Trump administration and its Republican allies in Congress to undo rules that are broadly popular and could help millions of people who are burdened by medical debt.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“People who get sick shouldn’t have their financial future upended,” CFPB Director Rohit Chopra said in announcing the new rules. “The CFPB’s final rule will close a special carveout that has allowed debt collectors to abuse the credit reporting system to coerce people into paying medical bills they may not even owe.”\u003c/p>\n\u003cp>The regulations fulfill a pledge by the Biden administration to address the scourge of health care debt, a problem that touches \u003ca href=\"https://kffhealthnews.org/diagnosis-debt/\">an estimated 100 million Americans\u003c/a>, forcing many to make sacrifices such as limiting food, clothing, and other essentials.\u003c/p>\n\u003cp>Credit reporting, a threat that has been wielded by medical providers and debt collectors to get patients to pay their bills, is the most common collection tactic used by hospitals, \u003ca href=\"https://kffhealthnews.org/news/article/medical-debt-hospitals-sue-patients-threaten-credit-khn-investigation/\">a KFF Health News analysis\u003c/a> found.\u003c/p>\n\u003cp>The impact can be devastating, especially for those with large health care debts.\u003c/p>\n\u003cp>There is growing evidence, for example, that credit scores depressed by medical debt can \u003ca href=\"https://kffhealthnews.org/news/article/a-father-dreamed-of-a-home-for-his-family-medical-debt-nearly-pushed-them-onto-the-streets/\">threaten people’s access to housing\u003c/a> and drive homelessness. People with low credit scores can also have trouble getting a loan or can be forced to borrow at higher interest rates.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That has prompted states, including Colorado, New York and California, to enact legislation prohibiting medical debt from being included on residents’ credit reports or factored into their credit scores. Still, many patients and consumer advocates have pushed for a national ban.\u003c/p>\n\u003cp>The CFPB has estimated that the new credit reporting rule will boost the credit scores of people with medical debt on their credit reports by an average of 20 points.\u003c/p>\n\u003cp>However, the agency’s efforts to restrict medical debt collections have drawn fierce pushback from the collections industry. And the new rules will almost certainly be challenged in court.\u003c/p>\n\u003cp>Congressional Republicans have frequently criticized the watchdog agency. Last year, then-chair of the House Financial Services Committee Patrick McHenry (R-N.C.) labeled the CFPB’s medical debt proposal “regulatory overreach.”\u003c/p>\n\u003cp>More recently, billionaire Elon Musk, whom Trump has tapped to co-lead his initiative to shrink government, \u003ca href=\"https://x.com/elonmusk/status/1861644897490751865\">called for the elimination\u003c/a> of the watchdog agency. “Delete CFPB,” Musk posted on the social platform X.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "bay-area-health-care-workers-protest-alleged-targeting-medical-facilities-gaza",
"title": "Bay Area Health Care Workers Protest Israel's Attacks on Gaza Hospitals",
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"content": "\u003cp>\u003cem>Updated 2:02 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Dozens of Bay Area health care workers rallied at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">San Francisco General Hospital\u003c/a> on Monday as part of a nationwide protest against the ongoing war in Gaza, accusing Israel of human rights violations and the deliberate targeting of medical workers and health care facilities.\u003c/p>\n\u003cp>Organized by the global coalition Doctors Against Genocide, the #SickFromGenocide day of action was meant to be a collective period of mourning and rest for medical workers affected by the events of the Israel-Hamas war and the harm being done to health care facilities, workers and patients in the Gaza Strip. Nearly a hundred people rallied in front of the hospital, playing music and holding banners with messages including “Our Taxes Turn Hospitals into Mass Graves” and “Healthcare Workers Demand: Free Palestine!”\u003c/p>\n\u003cp>In Gaza, medical workers are\u003ca href=\"https://news.un.org/en/story/2025/01/1158741\"> struggling\u003c/a> to keep up with high demand as the health care system sits on the brink of collapse, according to a report by United Nations News. Of the 36 hospitals in the region, only 16 remain operational after continual attacks by Israeli forces have left the rest essentially non-functional.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hospitals still in operation are also in dire need of medical supplies, food and other essentials.\u003c/p>\n\u003cp>“We’re now 450 days plus into this genocide and the destruction of health care infrastructure in Gaza with no end in sight,” said Jess Ghannam, medical staff member and president of Faculty and Staff for Justice in Palestine at UCSF. “The complicity of the U.S. government and the health care system here with turning a blind eye to the devastation to the health care infrastructure in Gaza needs to be called out.”\u003c/p>\n\u003cp>In December, Israeli forces raided the Kamal Adwan Hospital in North Gaza, forcing patients to temporarily relocate to other, less equipped medical centers. Kamal Adwan had been the last remaining hospital in North Gaza. The hospital’s director, Dr. Hussam Abu Safiya, was also arrested.\u003c/p>\n\u003cfigure id=\"attachment_12020487\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020487\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A sign that reads “STOP GENOCIDE” hangs above a rally of healthcare workers in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Abu Safiya is a pediatric intensive care doctor and a lead physician with MedGlobal, an international nonprofit that provides health care assistance and humanitarian aid.\u003c/p>\n\u003cp>According to the Israel Defense Forces, Abu Safiya was arrested and is being questioned about \u003ca href=\"https://x.com/LTC_Shoshani/status/1876273397203947857\">potential involvement\u003c/a> with terrorist groups, claims that remain unsubstantiated. His current whereabouts are still unknown, and several international groups including Physicians for Human Rights and the World Health Organization have called for his release.\u003c/p>\n\u003cp>Dr. Leigh Kimberg, a primary care physician at San Francisco General Hospital and a professor of medicine at UCSF, said Abu Safiya worked tirelessly to take care of his patients even while under threat. He was previously detained, questioned and released by Israeli forces, and still continued to serve at the hospital even while injured and mourning his son, who was killed in front of him in an Israeli strike.\u003c/p>\n\u003cp>“To accuse Palestinian health care workers who are themselves starving because they have access to no food and are providing the care that they were trained to give while under assault of anything other than being dedicated to their sacred oath to serve humanity is deeply offensive,” Kimberg said.\u003c/p>\n\u003cp>The IDF \u003ca href=\"https://www.idf.il/260609\">justified\u003c/a> its attack on the hospital by saying that Hamas militants were hiding at the site. The U.N. human rights chief has called that justification vague, broad and unsubstantiated.\u003c/p>\n\u003cfigure id=\"attachment_12020485\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020485\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kimberg added that Israeli forces have attacked both health care facilities and health care workers numerous times in the past and have previously attempted to justify such actions with similar unsubstantiated claims.\u003c/p>\n\u003cp>“Over 1,000 of our Palestinian health care colleagues have been murdered by Israeli forces. There are testimonies of health care workers being specifically targeted by Israeli forces,” Leigh said. “More than 450 of our Palestinian colleagues have been abducted from health care institutions and imprisoned.”\u003c/p>\n\u003cp>A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025.In San Francisco, many health care workers have already been vocal about their \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">support for the Palestinian people\u003c/a>.\u003c/p>\n\u003cp>“We’re here to come together in support of our colleagues in Gaza who continue to experience targeted attacks from Israeli forces as they try to attend to a population of people that have been genocided,” said Bridget Rochios, a midwife at San Francisco General Hospital and a nurse practitioner at UCSF. “When we get into health care, it’s because we really firmly believe in health equity and human rights for everyone, and that includes people in Gaza.”\u003c/p>\n\u003cp>[aside postID=news_12010352 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241012-WEST-BANK-AID-MD-11-KQED-1020x680.jpg']\u003c/p>\n\u003cp>At \u003ca href=\"https://www.kqed.org/news/12006193/ucsf-campus-faces-uproar-after-doctor-allegedly-targets-israeli-student-on-social-media\">UCSF\u003c/a>, several medical workers were placed on administrative leave or\u003ca href=\"https://theintercept.com/2024/11/19/ucsf-medical-palestine-speech/\"> received warnings \u003c/a>from colleagues and supervisors for wearing symbols of Palestinian solidarity or for speaking out against the war, Ghannam and Rochios told KQED at Monday’s rally.\u003c/p>\n\u003cp>The university declined to answer questions about the reprimands, saying the information was inaccurate.\u003c/p>\n\u003cp>Rochios, who spent a month in Gaza working at a maternity hospital, said she faced disciplinary action for wearing a watermelon pin and refusing to remove it. The fruit has become a symbol of Palestinian resistance.\u003c/p>\n\u003cp>When Rochios’ supervisors told her to remove the pin because it was making patients feel unsafe, she refused and was placed on administrative leave three times, she said. She is currently still on leave.\u003c/p>\n\u003cp>“Wearing the watermelon pin simply means that Palestinians have a right to exist. There’s nothing antisemitic about that,” Rochios said. “Palestinian people deserve to not be genocided. Every human being deserves to not be genocided.”\u003c/p>\n\u003cp>According to Dr. Karameh Kuemmerle, co-founder of Doctors Against Genocide and a pediatric neurologist at Boston Children’s Hospital, #SickFromGenocide is part of a larger movement on the part of health care workers to address the devastation in Gaza and U.S. funding for Israel. She said they will continue to push politicians and health care institutions to divest from Israel.\u003c/p>\n\u003cp>“The heroism of the medical community in Gaza is unparalleled,” Kuemmerle said. “We can only strive to be even close to how heroic they are.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Jan. 7: This story was updated with additional information about Dr. Hussam Abu Safiya, who was arrested by Israeli forces. An earlier version of the story cited the Israel Defense Forces, which suggested without evidence, that he was potentially involved with terrorist groups.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Bay Area Health Care Workers Protest Israel's Attacks on Gaza Hospitals | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 2:02 p.m. Tuesday\u003c/em>\u003c/p>\n\u003cp>Dozens of Bay Area health care workers rallied at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">San Francisco General Hospital\u003c/a> on Monday as part of a nationwide protest against the ongoing war in Gaza, accusing Israel of human rights violations and the deliberate targeting of medical workers and health care facilities.\u003c/p>\n\u003cp>Organized by the global coalition Doctors Against Genocide, the #SickFromGenocide day of action was meant to be a collective period of mourning and rest for medical workers affected by the events of the Israel-Hamas war and the harm being done to health care facilities, workers and patients in the Gaza Strip. Nearly a hundred people rallied in front of the hospital, playing music and holding banners with messages including “Our Taxes Turn Hospitals into Mass Graves” and “Healthcare Workers Demand: Free Palestine!”\u003c/p>\n\u003cp>In Gaza, medical workers are\u003ca href=\"https://news.un.org/en/story/2025/01/1158741\"> struggling\u003c/a> to keep up with high demand as the health care system sits on the brink of collapse, according to a report by United Nations News. Of the 36 hospitals in the region, only 16 remain operational after continual attacks by Israeli forces have left the rest essentially non-functional.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hospitals still in operation are also in dire need of medical supplies, food and other essentials.\u003c/p>\n\u003cp>“We’re now 450 days plus into this genocide and the destruction of health care infrastructure in Gaza with no end in sight,” said Jess Ghannam, medical staff member and president of Faculty and Staff for Justice in Palestine at UCSF. “The complicity of the U.S. government and the health care system here with turning a blind eye to the devastation to the health care infrastructure in Gaza needs to be called out.”\u003c/p>\n\u003cp>In December, Israeli forces raided the Kamal Adwan Hospital in North Gaza, forcing patients to temporarily relocate to other, less equipped medical centers. Kamal Adwan had been the last remaining hospital in North Gaza. The hospital’s director, Dr. Hussam Abu Safiya, was also arrested.\u003c/p>\n\u003cfigure id=\"attachment_12020487\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020487\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-32-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A sign that reads “STOP GENOCIDE” hangs above a rally of healthcare workers in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Abu Safiya is a pediatric intensive care doctor and a lead physician with MedGlobal, an international nonprofit that provides health care assistance and humanitarian aid.\u003c/p>\n\u003cp>According to the Israel Defense Forces, Abu Safiya was arrested and is being questioned about \u003ca href=\"https://x.com/LTC_Shoshani/status/1876273397203947857\">potential involvement\u003c/a> with terrorist groups, claims that remain unsubstantiated. His current whereabouts are still unknown, and several international groups including Physicians for Human Rights and the World Health Organization have called for his release.\u003c/p>\n\u003cp>Dr. Leigh Kimberg, a primary care physician at San Francisco General Hospital and a professor of medicine at UCSF, said Abu Safiya worked tirelessly to take care of his patients even while under threat. He was previously detained, questioned and released by Israeli forces, and still continued to serve at the hospital even while injured and mourning his son, who was killed in front of him in an Israeli strike.\u003c/p>\n\u003cp>“To accuse Palestinian health care workers who are themselves starving because they have access to no food and are providing the care that they were trained to give while under assault of anything other than being dedicated to their sacred oath to serve humanity is deeply offensive,” Kimberg said.\u003c/p>\n\u003cp>The IDF \u003ca href=\"https://www.idf.il/260609\">justified\u003c/a> its attack on the hospital by saying that Hamas militants were hiding at the site. The U.N. human rights chief has called that justification vague, broad and unsubstantiated.\u003c/p>\n\u003cfigure id=\"attachment_12020485\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12020485\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/20250106_SFGHRally_GC-23-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kimberg added that Israeli forces have attacked both health care facilities and health care workers numerous times in the past and have previously attempted to justify such actions with similar unsubstantiated claims.\u003c/p>\n\u003cp>“Over 1,000 of our Palestinian health care colleagues have been murdered by Israeli forces. There are testimonies of health care workers being specifically targeted by Israeli forces,” Leigh said. “More than 450 of our Palestinian colleagues have been abducted from health care institutions and imprisoned.”\u003c/p>\n\u003cp>A crowd gathers where health care workers rally in front of San Francisco General Hospital, after calling out sick, to protest against the war in Gaza, on Jan. 6, 2025.In San Francisco, many health care workers have already been vocal about their \u003ca href=\"https://www.kqed.org/news/12005478/university-of-california-is-accused-of-trying-to-silence-faculty-speech-about-war-in-gaza\">support for the Palestinian people\u003c/a>.\u003c/p>\n\u003cp>“We’re here to come together in support of our colleagues in Gaza who continue to experience targeted attacks from Israeli forces as they try to attend to a population of people that have been genocided,” said Bridget Rochios, a midwife at San Francisco General Hospital and a nurse practitioner at UCSF. “When we get into health care, it’s because we really firmly believe in health equity and human rights for everyone, and that includes people in Gaza.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At \u003ca href=\"https://www.kqed.org/news/12006193/ucsf-campus-faces-uproar-after-doctor-allegedly-targets-israeli-student-on-social-media\">UCSF\u003c/a>, several medical workers were placed on administrative leave or\u003ca href=\"https://theintercept.com/2024/11/19/ucsf-medical-palestine-speech/\"> received warnings \u003c/a>from colleagues and supervisors for wearing symbols of Palestinian solidarity or for speaking out against the war, Ghannam and Rochios told KQED at Monday’s rally.\u003c/p>\n\u003cp>The university declined to answer questions about the reprimands, saying the information was inaccurate.\u003c/p>\n\u003cp>Rochios, who spent a month in Gaza working at a maternity hospital, said she faced disciplinary action for wearing a watermelon pin and refusing to remove it. The fruit has become a symbol of Palestinian resistance.\u003c/p>\n\u003cp>When Rochios’ supervisors told her to remove the pin because it was making patients feel unsafe, she refused and was placed on administrative leave three times, she said. She is currently still on leave.\u003c/p>\n\u003cp>“Wearing the watermelon pin simply means that Palestinians have a right to exist. There’s nothing antisemitic about that,” Rochios said. “Palestinian people deserve to not be genocided. Every human being deserves to not be genocided.”\u003c/p>\n\u003cp>According to Dr. Karameh Kuemmerle, co-founder of Doctors Against Genocide and a pediatric neurologist at Boston Children’s Hospital, #SickFromGenocide is part of a larger movement on the part of health care workers to address the devastation in Gaza and U.S. funding for Israel. She said they will continue to push politicians and health care institutions to divest from Israel.\u003c/p>\n\u003cp>“The heroism of the medical community in Gaza is unparalleled,” Kuemmerle said. “We can only strive to be even close to how heroic they are.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Jan. 7: This story was updated with additional information about Dr. Hussam Abu Safiya, who was arrested by Israeli forces. An earlier version of the story cited the Israel Defense Forces, which suggested without evidence, that he was potentially involved with terrorist groups.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Almost Legalized Psychedelics. Now Supporters Are Looking for a Good Test Case",
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"headTitle": "California Almost Legalized Psychedelics. Now Supporters Are Looking for a Good Test Case | KQED",
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"content": "\u003cp>Last year was supposed to mark a milestone in the psychedelic movement. Lawmakers and advocates were set to make California the next frontier in allowing the use of “magic mushrooms.”\u003c/p>\n\u003cp>They were hopeful because Gov. Gavin Newsom in 2023 — after vetoing a bill that would have \u003ca href=\"https://www.nbcbayarea.com/news/california/california-gavin-newsom-vetoes-bill-psychedelic-mushrooms/3336358/\">decriminalized the possession of psychedelics\u003c/a> — asked legislators for a bill that would \u003ca href=\"https://calmatters.org/health/2024/02/psychedelic-therapy-legalize/\">prioritize the therapeutic promise\u003c/a> of these drugs.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, responded to Newsom’s request with a proposal that would have allowed for psilocybin and other hallucinogens to be \u003ca href=\"https://calmatters.org/digital-democracy/2024/02/wiener-waldron-psychedelic-alliance/\">ingested in a controlled setting\u003c/a> and under the supervision of licensed and trained facilitators.\u003c/p>\n\u003cp>But that bill, like three similar ones before it and after it, went nowhere. Skeptical lawmakers expressed concerns about funding, standing up a complex program and safety as they turned down the measures.\u003c/p>\n\u003cp>Undeterred, advocates now are regrouping to try again.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>What exactly a new legislative proposal would look like in California is still uncertain, advocates and lawmakers say. Most agree that getting something through in California will have to be more narrow than what’s been proposed in the past, and likely will be centered on providing access to veterans.\u003c/p>\n\u003cp>What’s most feasible is “some sort of pilot program, or something on a smaller scale to prove it out,” said Jesse Gould, founder and president of the Heroic Hearts Project, which has sponsored psychedelic proposals in California and other states. His nonprofit connects military veterans struggling with post-traumatic stress disorder with psychedelic programs in other countries.\u003c/p>\n\u003cp>Psychedelics remain illegal at the federal level, but voters in \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">two states have authorized them\u003c/a> for certain uses, and several California cities have passed measures decriminalizing them. President Joe Biden, in late 2023, signed a \u003ca href=\"https://www.militarytimes.com/newsletters/2023/12/15/first-ever-provision-for-psychedelic-studies-included-in-defense-bill/\">defense spending bill\u003c/a> that included money to study how psychedelic drugs could be used to treat veterans and military service members.\u003c/p>\n\u003cp>What Gould and other advocates envision as a first step for California might look like a proposal Sen. Josh Becker, a Democrat from Menlo Park and Sen. Brian Jones, a San Diego Republican, submitted last summer. Their bill, dubbed Heal Our Heroes Act, would have allowed the counties of San Diego, Santa Cruz and San Francisco to launch up to five centers each where licensed staff could facilitate psilocybin to veterans and former first responders over 21 who passed a screening test.\u003c/p>\n\u003cp>Their bill did not move forward, but their concept could return.\u003c/p>\n\u003cp>Prioritizing and limiting this experimental access to veterans and former first responders is the most responsible route, Jones said. He does not support decriminalizing psychedelics for recreational use.\u003c/p>\n\u003cp>“I want to serve our veterans who are suffering from these mental ailments and do everything we can so that they get the attention they need when they come home,” Jones said.\u003c/p>\n\u003cp>As of publication, Jones and Becker said they had not yet decided whether they’d re-introduce the Heal Our Heroes bill this year. Wiener’s office did not respond to requests for an interview.\u003c/p>\n\u003ch2>States legalize psychedelic therapies\u003c/h2>\n\u003cp>Approximately \u003ca href=\"https://www.rand.org/news/press/2024/06/27.html\">8 million Americans used psilocybin mushrooms\u003c/a> in 2023, according to RAND, a research organization, and \u003ca href=\"https://vcresearch.berkeley.edu/news/uc-berkeley-center-science-psychedelics-unveils-results-first-ever-berkeley-psychedelics\">a UC Berkeley poll showed that 61% of voters\u003c/a> support regulated therapeutic use of psychedelic substances.\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">at least 37 states\u003c/a> have introduced bills or ballot measures pertaining to psychedelics. These range from funding research to reducing penalties for possession. Not all proposals make it through, but some researchers predict this momentum will lead to changes in state laws over the next several years. One 2023 analysis published in the \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10069558/\">Journal for the American Medical Association Psychiatry\u003c/a> forecasted that a majority of states will have legalized psychedelics by 2037.\u003c/p>\n\u003cp>In the Golden State, drug reform advocacy groups and researchers have tried at least three times since 2022 to place psychedelic-related measures on the ballot but have failed to meet the signature-gathering deadlines.\u003c/p>\n\u003cp>Going to voters is expensive and a major undertaking with no guarantee. The ballot box strategy \u003ca href=\"https://www.nytimes.com/2023/01/03/health/psychedelic-drugs-mushrooms-oregon.html\">proved successful in Oregon\u003c/a> and \u003ca href=\"https://www.cpr.org/2023/06/21/colorado-psychedelic-law-for-psilocybin-mushrooms/\">Colorado\u003c/a>, where voters, in 2020 and 2022, approved measures to allow the facilitated use of psychedelics.\u003c/p>\n\u003cp>Voters in Massachusetts, however, \u003ca href=\"https://www.washingtonpost.com/elections/results/2024/11/05/massachusetts-question-4/\">recently rejected a measure\u003c/a> that would have allowed the state to legalize and regulate five plant-based psychedelics for people 21 and up.\u003c/p>\n\u003cp>Part of the issue with the Massachusetts ballot initiative was that it was too broad, said Jared Moffat, deputy policy director of New Approach, a political action committee dedicated to drug reform. Voters were confused about what exactly the measure would do and who it would apply to, he said. He didn’t view the measure’s failure as a sign that people would reject legalizing psychedelics for specific uses.\u003c/p>\n\u003cp>“I think that there’s still a ton of support for therapeutic access,” he said. “I think that people, broadly speaking, have a deep understanding that there is a mental health crisis and that the existing tools that we have help some people, but there are a lot of folks that aren’t being helped.”\u003c/p>\n\u003ch2>Veterans seeking new PTSD treatments\u003c/h2>\n\u003cp>Gould started his nonprofit, Heroic Hearts Project, after his own journey with PTSD led him to the Peruvian Amazon for nontraditional therapies.\u003c/p>\n\u003cp>Two years after leaving the military, Gould was diagnosed with PTSD. He was also dealing with the aftermath of a traumatic brain injury. The former Army Ranger sought therapy from the Department of Veterans Affairs, but even before he could see a therapist, he was being offered prescription drugs, he said.\u003c/p>\n\u003cp>“This didn’t seem like the first, next best step, and I was sort of disillusioned by what was offered,” Gould said. “It was just sort of an acquiescence of, ‘Oh yeah, you’re messed up, and you’re going to be messed up,’ as opposed to building tangible steps forward.”\u003c/p>\n\u003cp>Around the same time, he was hearing about \u003ca href=\"https://health.clevelandclinic.org/ayahuasca\">Ayahuasca\u003c/a> retreats in Peru. After lots of internet research and a leap of faith, Gould made the trip to Iquitos, a remote town in the northwestern part of the country. He described the experience as one of the most challenging things he’s ever done. Immediately after, he felt lighter, more at peace and more connected to everything around him, he said. In the following months, he noticed that the things that would trigger anxiety, hypervigilance or depression didn’t affect him to the same degree as before, he said.\u003c/p>\n\u003cp>Groups, including Heroic Hearts and Veterans Exploring Treatment Solutions (VETS), provide “healing grants” to veterans from across the country seeking to try guided psychedelic retreats in other countries. More recently, Heroic Hearts has also started helping vets access psychedelic programs in Oregon.\u003c/p>\n\u003cp>“There are a lot of veterans from California going to our retreats in Oregon,” Gould said. “I feel like if I was a politician in California, that’d be a little bit embarrassing.”\u003c/p>\n\u003cp>But demand currently outstrips the availability of these grants, said Khurshid Khoja, director of public policy at Veterans Exploring Treatment Solutions, an organization that focuses on veteran suicide prevention.\u003c/p>\n\u003cp>“We are saying no to a majority of the folks who are applying because we simply don’t have the funds to be able to send them,” Khoja said. “We try to identify folks who have tried everything at this point, and they need a Hail Mary because they are experiencing a suicidal ideation.”[aside tag=\"psychedelics\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Suicide is the \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2024/2024-Annual-Report-Part-2-of-2_508.pdf\">second leading cause of death (PDF)\u003c/a> for veterans under the age of 45, according to the U.S. Department of Veterans Affairs. In California, \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2022/2022_State_Data_Sheets_California_508.pdf\">449 veterans died by suicide in 2022 (PDF)\u003c/a>, the most recent federal data show. By some estimates, \u003ca href=\"https://www.rand.org/health-care/projects/navigating-mental-health-care-for-veterans/mental-health-issues.html\">1 in 5 U.S. veterans of Iraq and Afghanistan\u003c/a> experience PTSD and major depression.\u003c/p>\n\u003cp>The goal, Khoja said, is to get to a point where the U.S. Food and Drug Administration approves a psychedelic product for therapy that can be available and covered by the Department of Veterans Affairs, but in the meantime, Veterans Exploring Treatment Solutions is looking to states to create psychedelic programs.\u003c/p>\n\u003cp>One of the first things on advocates’ wishlist is a memorandum promising states that the federal government would not pursue charges in states that legalize and regulate psychedelics, said Sam Chapman, a political strategist and former campaign manager for Oregon’s measure that legalized psilocybin use there. The Obama administration issued that kind of guidance to states in 2013 with \u003ca href=\"https://www.washingtonpost.com/national/health-science/obama-administration-will-not-preempt-state-marijuana-laws--for-now/2013/08/29/b725bfd8-10bd-11e3-8cdd-bcdc09410972_story.html\">regard to marijuana\u003c/a>.\u003c/p>\n\u003cp>“The states are going to continue to lead,” Chapman said. “The states passing laws are the reason that the federal government will eventually get off the bench and do something.”\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": "Two states have legalized psychedelic therapies since 2020, and President Biden signed a law supporting studies of how they might help veterans. Proposals like those keep dying in California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last year was supposed to mark a milestone in the psychedelic movement. Lawmakers and advocates were set to make California the next frontier in allowing the use of “magic mushrooms.”\u003c/p>\n\u003cp>They were hopeful because Gov. Gavin Newsom in 2023 — after vetoing a bill that would have \u003ca href=\"https://www.nbcbayarea.com/news/california/california-gavin-newsom-vetoes-bill-psychedelic-mushrooms/3336358/\">decriminalized the possession of psychedelics\u003c/a> — asked legislators for a bill that would \u003ca href=\"https://calmatters.org/health/2024/02/psychedelic-therapy-legalize/\">prioritize the therapeutic promise\u003c/a> of these drugs.\u003c/p>\n\u003cp>Sen. Scott Wiener, a San Francisco Democrat, responded to Newsom’s request with a proposal that would have allowed for psilocybin and other hallucinogens to be \u003ca href=\"https://calmatters.org/digital-democracy/2024/02/wiener-waldron-psychedelic-alliance/\">ingested in a controlled setting\u003c/a> and under the supervision of licensed and trained facilitators.\u003c/p>\n\u003cp>But that bill, like three similar ones before it and after it, went nowhere. Skeptical lawmakers expressed concerns about funding, standing up a complex program and safety as they turned down the measures.\u003c/p>\n\u003cp>Undeterred, advocates now are regrouping to try again.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What exactly a new legislative proposal would look like in California is still uncertain, advocates and lawmakers say. Most agree that getting something through in California will have to be more narrow than what’s been proposed in the past, and likely will be centered on providing access to veterans.\u003c/p>\n\u003cp>What’s most feasible is “some sort of pilot program, or something on a smaller scale to prove it out,” said Jesse Gould, founder and president of the Heroic Hearts Project, which has sponsored psychedelic proposals in California and other states. His nonprofit connects military veterans struggling with post-traumatic stress disorder with psychedelic programs in other countries.\u003c/p>\n\u003cp>Psychedelics remain illegal at the federal level, but voters in \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">two states have authorized them\u003c/a> for certain uses, and several California cities have passed measures decriminalizing them. President Joe Biden, in late 2023, signed a \u003ca href=\"https://www.militarytimes.com/newsletters/2023/12/15/first-ever-provision-for-psychedelic-studies-included-in-defense-bill/\">defense spending bill\u003c/a> that included money to study how psychedelic drugs could be used to treat veterans and military service members.\u003c/p>\n\u003cp>What Gould and other advocates envision as a first step for California might look like a proposal Sen. Josh Becker, a Democrat from Menlo Park and Sen. Brian Jones, a San Diego Republican, submitted last summer. Their bill, dubbed Heal Our Heroes Act, would have allowed the counties of San Diego, Santa Cruz and San Francisco to launch up to five centers each where licensed staff could facilitate psilocybin to veterans and former first responders over 21 who passed a screening test.\u003c/p>\n\u003cp>Their bill did not move forward, but their concept could return.\u003c/p>\n\u003cp>Prioritizing and limiting this experimental access to veterans and former first responders is the most responsible route, Jones said. He does not support decriminalizing psychedelics for recreational use.\u003c/p>\n\u003cp>“I want to serve our veterans who are suffering from these mental ailments and do everything we can so that they get the attention they need when they come home,” Jones said.\u003c/p>\n\u003cp>As of publication, Jones and Becker said they had not yet decided whether they’d re-introduce the Heal Our Heroes bill this year. Wiener’s office did not respond to requests for an interview.\u003c/p>\n\u003ch2>States legalize psychedelic therapies\u003c/h2>\n\u003cp>Approximately \u003ca href=\"https://www.rand.org/news/press/2024/06/27.html\">8 million Americans used psilocybin mushrooms\u003c/a> in 2023, according to RAND, a research organization, and \u003ca href=\"https://vcresearch.berkeley.edu/news/uc-berkeley-center-science-psychedelics-unveils-results-first-ever-berkeley-psychedelics\">a UC Berkeley poll showed that 61% of voters\u003c/a> support regulated therapeutic use of psychedelic substances.\u003c/p>\n\u003cp>Since 2020, \u003ca href=\"https://psychedelicalpha.com/data/psychedelic-laws\">at least 37 states\u003c/a> have introduced bills or ballot measures pertaining to psychedelics. These range from funding research to reducing penalties for possession. Not all proposals make it through, but some researchers predict this momentum will lead to changes in state laws over the next several years. One 2023 analysis published in the \u003ca href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC10069558/\">Journal for the American Medical Association Psychiatry\u003c/a> forecasted that a majority of states will have legalized psychedelics by 2037.\u003c/p>\n\u003cp>In the Golden State, drug reform advocacy groups and researchers have tried at least three times since 2022 to place psychedelic-related measures on the ballot but have failed to meet the signature-gathering deadlines.\u003c/p>\n\u003cp>Going to voters is expensive and a major undertaking with no guarantee. The ballot box strategy \u003ca href=\"https://www.nytimes.com/2023/01/03/health/psychedelic-drugs-mushrooms-oregon.html\">proved successful in Oregon\u003c/a> and \u003ca href=\"https://www.cpr.org/2023/06/21/colorado-psychedelic-law-for-psilocybin-mushrooms/\">Colorado\u003c/a>, where voters, in 2020 and 2022, approved measures to allow the facilitated use of psychedelics.\u003c/p>\n\u003cp>Voters in Massachusetts, however, \u003ca href=\"https://www.washingtonpost.com/elections/results/2024/11/05/massachusetts-question-4/\">recently rejected a measure\u003c/a> that would have allowed the state to legalize and regulate five plant-based psychedelics for people 21 and up.\u003c/p>\n\u003cp>Part of the issue with the Massachusetts ballot initiative was that it was too broad, said Jared Moffat, deputy policy director of New Approach, a political action committee dedicated to drug reform. Voters were confused about what exactly the measure would do and who it would apply to, he said. He didn’t view the measure’s failure as a sign that people would reject legalizing psychedelics for specific uses.\u003c/p>\n\u003cp>“I think that there’s still a ton of support for therapeutic access,” he said. “I think that people, broadly speaking, have a deep understanding that there is a mental health crisis and that the existing tools that we have help some people, but there are a lot of folks that aren’t being helped.”\u003c/p>\n\u003ch2>Veterans seeking new PTSD treatments\u003c/h2>\n\u003cp>Gould started his nonprofit, Heroic Hearts Project, after his own journey with PTSD led him to the Peruvian Amazon for nontraditional therapies.\u003c/p>\n\u003cp>Two years after leaving the military, Gould was diagnosed with PTSD. He was also dealing with the aftermath of a traumatic brain injury. The former Army Ranger sought therapy from the Department of Veterans Affairs, but even before he could see a therapist, he was being offered prescription drugs, he said.\u003c/p>\n\u003cp>“This didn’t seem like the first, next best step, and I was sort of disillusioned by what was offered,” Gould said. “It was just sort of an acquiescence of, ‘Oh yeah, you’re messed up, and you’re going to be messed up,’ as opposed to building tangible steps forward.”\u003c/p>\n\u003cp>Around the same time, he was hearing about \u003ca href=\"https://health.clevelandclinic.org/ayahuasca\">Ayahuasca\u003c/a> retreats in Peru. After lots of internet research and a leap of faith, Gould made the trip to Iquitos, a remote town in the northwestern part of the country. He described the experience as one of the most challenging things he’s ever done. Immediately after, he felt lighter, more at peace and more connected to everything around him, he said. In the following months, he noticed that the things that would trigger anxiety, hypervigilance or depression didn’t affect him to the same degree as before, he said.\u003c/p>\n\u003cp>Groups, including Heroic Hearts and Veterans Exploring Treatment Solutions (VETS), provide “healing grants” to veterans from across the country seeking to try guided psychedelic retreats in other countries. More recently, Heroic Hearts has also started helping vets access psychedelic programs in Oregon.\u003c/p>\n\u003cp>“There are a lot of veterans from California going to our retreats in Oregon,” Gould said. “I feel like if I was a politician in California, that’d be a little bit embarrassing.”\u003c/p>\n\u003cp>But demand currently outstrips the availability of these grants, said Khurshid Khoja, director of public policy at Veterans Exploring Treatment Solutions, an organization that focuses on veteran suicide prevention.\u003c/p>\n\u003cp>“We are saying no to a majority of the folks who are applying because we simply don’t have the funds to be able to send them,” Khoja said. “We try to identify folks who have tried everything at this point, and they need a Hail Mary because they are experiencing a suicidal ideation.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Suicide is the \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2024/2024-Annual-Report-Part-2-of-2_508.pdf\">second leading cause of death (PDF)\u003c/a> for veterans under the age of 45, according to the U.S. Department of Veterans Affairs. In California, \u003ca href=\"https://www.mentalhealth.va.gov/docs/data-sheets/2022/2022_State_Data_Sheets_California_508.pdf\">449 veterans died by suicide in 2022 (PDF)\u003c/a>, the most recent federal data show. By some estimates, \u003ca href=\"https://www.rand.org/health-care/projects/navigating-mental-health-care-for-veterans/mental-health-issues.html\">1 in 5 U.S. veterans of Iraq and Afghanistan\u003c/a> experience PTSD and major depression.\u003c/p>\n\u003cp>The goal, Khoja said, is to get to a point where the U.S. Food and Drug Administration approves a psychedelic product for therapy that can be available and covered by the Department of Veterans Affairs, but in the meantime, Veterans Exploring Treatment Solutions is looking to states to create psychedelic programs.\u003c/p>\n\u003cp>One of the first things on advocates’ wishlist is a memorandum promising states that the federal government would not pursue charges in states that legalize and regulate psychedelics, said Sam Chapman, a political strategist and former campaign manager for Oregon’s measure that legalized psilocybin use there. The Obama administration issued that kind of guidance to states in 2013 with \u003ca href=\"https://www.washingtonpost.com/national/health-science/obama-administration-will-not-preempt-state-marijuana-laws--for-now/2013/08/29/b725bfd8-10bd-11e3-8cdd-bcdc09410972_story.html\">regard to marijuana\u003c/a>.\u003c/p>\n\u003cp>“The states are going to continue to lead,” Chapman said. “The states passing laws are the reason that the federal government will eventually get off the bench and do something.”\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": "the-medicine-my-ancestors-prayed-for-medi-cal-now-covers-native-american-healing-practices",
"title": "‘The Medicine My Ancestors Prayed For’: Medi-Cal Now Covers Native Healing Practices",
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"headTitle": "‘The Medicine My Ancestors Prayed For’: Medi-Cal Now Covers Native Healing Practices | KQED",
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"content": "\u003cp>Inside the Friendship House, a rhythmic drum beat fills the air as clients gather in a circle, chanting a Lakota battle song. For Priscilla Lenares, the sound transports her back 11 years to her own time as a patient at the Native-led recovery center in San Francisco.\u003c/p>\n\u003cp>“I remember hearing the drum for the first time, and tears fell from my eyes,” she recalled.\u003c/p>\n\u003cp>Today, Lenares’ life is on track, but her childhood in Bakersfield was marked by gangs, violence and pervasive substance use. She told KQED that her parents struggled with addiction, and by middle school, she was smoking methamphetamine on weekends. At 18, she was dealing drugs to support her habit. Over the next decade, Lenares cycled through 10 treatment programs before boarding an Amtrak train to San Francisco, a mother of three children, carrying nothing but hope that her time at the Friendship House would be different.\u003c/p>\n\u003cp>The treatment center is a unique in-patient program combining Western medicine, like individual counseling, with traditional healing practices like smudging. The staff treated Lenares like family, and she found solace in singing prayers in the sweat lodge.\u003c/p>\n\u003cp>This month, Medi-Cal began to support more people like her by expanding coverage to include traditional healing practices like music therapy, rituals and ceremonial dances.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The director of the federal Indian Health Service, Roselyn Tso, has praised these practices for helping people for generations and called them a “vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services announced the two-year pilot program as a response to the health challenges facing Native Americans, who suffer from some of the highest rates of addiction and overdose death in the country.\u003c/p>\n\u003cfigure id=\"attachment_12014198\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg\" alt=\"\" width=\"400\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1024x1536.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg 1333w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Priscilla Lenares, a former resident of Friendship House’s recovery treatment program, poses for a photo outside of the site, in San Francisco on Nov. 12, 2024. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates are optimistic that expanding Medi-Cal coverage will increase access to culturally appropriate care and allow facilities to expand. However, that will all hinge on reimbursal rates, which have yet to be released.\u003c/p>\n\u003cp>Historically, substance use treatment in the U.S. has relied on clinical approaches like medication-assisted treatment, behavioral therapy and standardized detox protocols. However, these methods often fall short when applied to Native American communities.\u003c/p>\n\u003cp>Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana, explains the difference. “Traditional practices are, by nature, holistic,” he said. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>Scientific research on these approaches remains limited, but preliminary studies suggest that integrating cultural practices into addiction treatment can lead to higher patient engagement and more positive recovery outcomes. Most existing evidence is qualitative, underscoring the need for more comprehensive research, which has lacked funding, according to Chase-Begay.\u003c/p>\n\u003cp>“What California is now covering under Medi-Cal is exactly what our Native communities have been asking to be covered for years,” Chase-Begay said. He believes this support could have potentially interrupted cycles of intergenerational trauma and substance use much earlier.\u003c/p>\n\u003cp>For Lenares, the Friendship House was more than a treatment center — it was a path to self-discovery. “I’m a woman who understands the medicine my ancestors prayed for,” she said. “A woman who knows her song. A woman who knows ceremony.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, Lenares volunteers at the Friendship House and works full-time for a domestic violence agency. Her story is a powerful testament to the potential for healing when culture and medicine intersect.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Inside the Friendship House, a rhythmic drum beat fills the air as clients gather in a circle, chanting a Lakota battle song. For Priscilla Lenares, the sound transports her back 11 years to her own time as a patient at the Native-led recovery center in San Francisco.\u003c/p>\n\u003cp>“I remember hearing the drum for the first time, and tears fell from my eyes,” she recalled.\u003c/p>\n\u003cp>Today, Lenares’ life is on track, but her childhood in Bakersfield was marked by gangs, violence and pervasive substance use. She told KQED that her parents struggled with addiction, and by middle school, she was smoking methamphetamine on weekends. At 18, she was dealing drugs to support her habit. Over the next decade, Lenares cycled through 10 treatment programs before boarding an Amtrak train to San Francisco, a mother of three children, carrying nothing but hope that her time at the Friendship House would be different.\u003c/p>\n\u003cp>The treatment center is a unique in-patient program combining Western medicine, like individual counseling, with traditional healing practices like smudging. The staff treated Lenares like family, and she found solace in singing prayers in the sweat lodge.\u003c/p>\n\u003cp>This month, Medi-Cal began to support more people like her by expanding coverage to include traditional healing practices like music therapy, rituals and ceremonial dances.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The director of the federal Indian Health Service, Roselyn Tso, has praised these practices for helping people for generations and called them a “vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003cp>The Centers for Medicare & Medicaid Services announced the two-year pilot program as a response to the health challenges facing Native Americans, who suffer from some of the highest rates of addiction and overdose death in the country.\u003c/p>\n\u003cfigure id=\"attachment_12014198\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12014198\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg\" alt=\"\" width=\"400\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED-1024x1536.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/20241112_TRADITIONALHEALING_GC-5-KQED.jpg 1333w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Priscilla Lenares, a former resident of Friendship House’s recovery treatment program, poses for a photo outside of the site, in San Francisco on Nov. 12, 2024. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates are optimistic that expanding Medi-Cal coverage will increase access to culturally appropriate care and allow facilities to expand. However, that will all hinge on reimbursal rates, which have yet to be released.\u003c/p>\n\u003cp>Historically, substance use treatment in the U.S. has relied on clinical approaches like medication-assisted treatment, behavioral therapy and standardized detox protocols. However, these methods often fall short when applied to Native American communities.\u003c/p>\n\u003cp>Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana, explains the difference. “Traditional practices are, by nature, holistic,” he said. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>Scientific research on these approaches remains limited, but preliminary studies suggest that integrating cultural practices into addiction treatment can lead to higher patient engagement and more positive recovery outcomes. Most existing evidence is qualitative, underscoring the need for more comprehensive research, which has lacked funding, according to Chase-Begay.\u003c/p>\n\u003cp>“What California is now covering under Medi-Cal is exactly what our Native communities have been asking to be covered for years,” Chase-Begay said. He believes this support could have potentially interrupted cycles of intergenerational trauma and substance use much earlier.\u003c/p>\n\u003cp>For Lenares, the Friendship House was more than a treatment center — it was a path to self-discovery. “I’m a woman who understands the medicine my ancestors prayed for,” she said. “A woman who knows her song. A woman who knows ceremony.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, Lenares volunteers at the Friendship House and works full-time for a domestic violence agency. Her story is a powerful testament to the potential for healing when culture and medicine intersect.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Norovirus levels in Bay Area wastewater are spiking as cases of the highly contagious stomach bug are on the rise this month, according to a Stanford-based monitoring system and data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>During the week of Dec. 5, the \u003ca href=\"https://www.cdc.gov/norovirus/php/reporting/norostat-data-table.html\">most recent data available from the CDC\u003c/a>, state health departments nationwide reported 91 new outbreaks — a 31% increase since the last reporting period a week earlier. It’s the highest number recorded for that week since 2012, topping the previous high mark of 65.\u003c/p>\n\u003cp>The virus, commonly known as the stomach flu, infects approximately 19 million to 21 million people in the U.S. each year, according to the CDC, and accounts for about 50% of all foodborne disease outbreaks. It can cause diarrhea, stomach pain, vomiting and nausea.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the Bay Area, the national rise coincides with spiking levels of norovirus in wastewater for some communities. Of the four sites that are tested for norovirus in the region, samples from three found that the virus levels have increased in wastewater.\u003c/p>\n\u003cp>Samples from WastewaterSCAN, a Stanford-based program that \u003ca href=\"https://www.kqed.org/news/11988972/bay-area-researchers-tracking-bird-flu-in-wastewater-see-no-evidence-of-spread-in-sf\">monitors diseases in local wastewater systems\u003c/a>, show that norovirus levels in wastewater in San José, Palo Alto and Santa Cruz have recorded some of the highest levels in nearly two years.\u003c/p>\n\u003cp>Santa Cruz’s samples, which come from the city’s wastewater treatment facility, reported the largest increase among the three since the beginning of October.\u003c/p>\n\u003cp>Since then, an elementary school closed following more than 90 cases of the virus, prompting a public health alert from the county. The number of cases later jumped to more than 210 countywide since mid-October, according to the county’s Health Services Agency.[aside postID=news_12017234 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/gettyimages-2164656715-1020x754.jpeg']Samples from wastewater facilities in San Francisco, San Rafael and Redwood City also showed elevated levels of the virus as recently as Dec. 29.\u003c/p>\n\u003cp>The virus is most likely to result in outbreaks between the months of November and April, according to the CDC, and is spread through close contact with sick people and contaminated food, water and surfaces.\u003c/p>\n\u003cp>Once infected, those who get sick typically recover in three days. However, the virus can still require medical care and is very rarely fatal for some, especially children under the age of 5 and adults 85 years or older. It causes an average of 900 deaths a year in the U.S.\u003c/p>\n\u003cp>To prevent the spread of the virus, the CDC recommends washing hands with soap and water for at least 20 seconds, especially after using the bathroom and before eating or handling food. Hand sanitizer does not work against norovirus, according to the CDC, and shouldn’t be used in place of handwashing.\u003c/p>\n\u003cp>Other recommendations include: washing laundry well with hot water, regularly sanitizing kitchen surfaces and utensils, washing fruits and vegetables, and thoroughly cooking shellfish and oysters.\u003c/p>\n\u003cp>\u003c/p>\n",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"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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"masters-of-scale": {
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},
"mindshift": {
"id": "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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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"link": "/radio/program/on-the-media",
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"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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