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"content": "\u003cp>As election results pointed to \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Donald Trump\u003c/a>‘s victory, Berkeley mother Katie Brooks found herself wrestling with both her toddler’s bedtime routine and her own rising panic. When tears overtook her, 5-year-old daughter Lucia crawled into her lap, offering the kind of comfort that \u003ca href=\"https://www.kqed.org/news/tag/kamala-harris\">Kamala Harris\u003c/a> supporters across the Bay Area ached for on election night.\u003c/p>\n\u003cp>“When I told Lucia ‘everything would be all right,’ I was lying,” Brooks admits, her voice catching. She says that Lucia was captivated by the historical possibilities of this election. When Brooks explained that a woman had never been president before, her daughter’s disbelief reflected the hopes of many who saw Harris’ candidacy as a chance to finally shatter the highest glass ceiling.\u003c/p>\n\u003cp>As \u003ca href=\"https://www.kqed.org/news/12013186/san-franciscans-react-trumps-win\">defeat crystallized into reality\u003c/a>, progressive mothers across the region not only mourned the unrealized prospect of a female president — they also confronted their growing fears that Trump will deliver on campaign promises to accelerate deportations, roll back environmental protections amid a climate crisis, and potentially dismantle LGBTQ+ rights. Now, on top of explaining an election loss, parents must also translate what they view as an existential threat to their communities’ core values.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gail Cornwall, who is raising five children in a blended San Francisco family, finds herself grappling with how Harris’ loss sends a gut-punching message to her daughters.\u003c/p>\n\u003cp>“With Hillary’s run, I felt like the prevailing message to girls was, ‘You can be president one day,’” Cornwall says. “Now, they are hearing, ‘You can try to be president, but you’ll never win, no matter how knowledgeable, or experienced, or hardworking or charismatic you are.'”\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results/president,Follow the results of the U.S. Presidential Election' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-Presidential-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Cornwall admits she’s walking a tricky line with her children. “I want the kids to know they’re safe, and not much will likely change in their lives, but also to recognize what a privilege that is,” she says.\u003c/p>\n\u003cp>She’s trying to help them grasp that other children’s lives will change dramatically and that their family has a responsibility to “help minimize the impact of a Trump presidency on marginalized communities.”\u003c/p>\n\u003cp>Christina Balch, a Berkeley educator and mother of a 6-year-old, carries a double burden: “What do I tell my high school students? 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I have to teach my son how to thrive in the world anyway.”\u003c/p>\n\u003cfigure id=\"attachment_12013391\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12013391\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01-1152x1536.jpg 1152w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/MomReaction01.jpg 1500w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Rose Medellín (right) voted alongside her 15-year-old son in San Francisco on Nov. 4, 2024. \u003ccite>(Courtesy of Rose Medellín)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In San Francisco, Rose Medellin couldn’t bring herself to get out of bed Wednesday morning, listening to her 15-year-old son’s television playing the news in the next room. Just the night before, she had stood proudly beside him at the polls. Now, less than 12 hours later, she struggled to find words of comfort. How could she explain a world that rewards the very behavior she had taught her three sons to reject?\u003c/p>\n\u003cp>But in a touching role reversal, it was her son who comforted her as she limped to his room and crawled into bed with him. “It’s going to be OK, Mom,” he whispered, hugging her tight. “We live in California.” His attempt to find hope — to push back his mother’s tears — reflected both the weight children now carry and their youthful optimism.\u003c/p>\n\u003cp>In Sacramento, Erin Gabel was speechless when her 10-year-old asked: “Why is it called a blue wall if it falls?” While her mind glitched on Humpty Dumpty references, all she could manage was, “I don’t know, buddy, but we need to figure that out for the next election.”\u003c/p>\n\u003cp>These parents (and kids) are obviously grieving but not in retreat. 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"content": "\u003cp>Former President Donald Trump’s election victory and coming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — potentially increasing the uninsured rate, while imposing new barriers to abortion and other reproductive care.\u003c/p>\n\u003cp>The reverberations will be felt far beyond Washington, D.C., and could include an erosion of the Affordable Care Act’s consumer protections, the imposition of work requirements in Medicaid and funding cuts to the safety net insurance, and challenges to federal agencies that safeguard public health.\u003c/p>\n\u003cp>Abortion restrictions may tighten nationwide with a possible effort to restrict the mailing of abortion medications.\u003c/p>\n\u003cp>And with the elevation of vaccine skeptic Robert F. Kennedy Jr. to Trump’s inner circle of advisers, public health interventions with rigorous scientific backing — whether fluoridating public water supplies or inoculating children — could come under fire.\u003c/p>\n\u003cp>Trump’s victory will give a far broader platform to skeptics and critics of federal health programs and actions. Public health authorities worry that in a worst case, the U.S. could see increases in preventable illnesses; a weakening of public confidence in established science; and debunked notions — such as a link between vaccines and autism — adopted as policy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Trump said in \u003ca href=\"https://www.nbcnews.com/politics/2024-election/trump-banning-vaccines-president-rfk-fluoride-rcna178570\">an NBC News interview\u003c/a> on Nov. 3 that he would “make a decision” about banning some vaccines, saying he would consult with Kennedy and calling him “a very talented guy.”\u003c/p>\n\u003cp>Here’s what’s known about how the Trump administration might do on several major issues in health care:\u003c/p>\n\u003ch2>Changes to Obamacare\u003c/h2>\n\u003cp>While Trump has said he will not try again to repeal the Affordable Care Act, his administration will face an immediate decision next year on whether to back an extension of enhanced premium subsidies for Obamacare insurance plans. Without the enhanced subsidies, \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">steep premium increases\u003c/a> causing lower enrollment are projected. The current uninsured rate, \u003ca href=\"https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf\">about 8%\u003c/a>, could rise.\u003c/p>\n\u003cp>Policy specifics have not moved far beyond the “concepts of a plan” Trump said he had during his debate with Harris, though Vice President-elect JD Vance later said the administration would seek to inject more competition into ACA marketplaces.\u003c/p>\n\u003cp>Republicans claimed a Senate majority, in addition to the White House, while control of the House is not yet resolved as of Wednesday afternoon.\u003c/p>\n\u003cp>[aside label=\"Live 2024 Election Results\" link1='https://www.kqed.org/elections/results,Follow results for every Bay Area race in the 2024 general election.' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/10/Aside-Results-California-2024-General-Election-1200x1200-1.png]\u003c/p>\n\u003cp>Polls show the ACA has \u003ca href=\"https://www.kff.org/affordable-care-act/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act/\">gained support among the public\u003c/a>, including provisions such as preexisting condition protections and allowing young people to stay on family health plans until they are 26.\u003c/p>\n\u003cp>Trump supporters and others who have worked in his administration say the former president wants to improve the law in ways that will lower costs. They say he has already shown he will be forceful when it comes to lowering high health care prices, pointing to efforts during his presidency to pioneer price transparency in medical costs.\u003c/p>\n\u003cp>“On affordability, I’d see him building on the first term,” said Brian Blase, who served as a Trump health adviser from 2017 to 2019. Relative to a Democratic administration, he said, there will be “much more focus” on “minimizing fraud and waste.”\u003c/p>\n\u003cp>Efforts to weaken the ACA could include slashing funds for enrollment outreach, enabling consumers to purchase more health plans that don’t comply with ACA consumer protections, and allowing insurers to charge sicker people higher premiums.\u003c/p>\n\u003cp>Democrats say they expect the worst.\u003c/p>\n\u003cp>“We know what their agenda is,” said Leslie Dach, executive chair of Protect Our Care, a health care policy and advocacy organization in Washington, D.C. He worked in the Obama administration helping to implement the ACA. “They’re going to raise costs for millions of Americans and rip coverage away from millions and, meanwhile, they will give tax breaks to rich people.”\u003c/p>\n\u003cp>Theo Merkel, director of the Private Health Reform Initiative at the right-leaning Paragon Health Institute, which Blase leads, said the enhanced ACA subsidies extended by the Inflation Reduction Act in 2022 do nothing to improve plans or lower premiums. He said they paper over the plans’ low value with larger government subsidies.\u003c/p>\n\u003ch2>Drug price negotiation\u003c/h2>\n\u003cp>Other Trump supporters say the president-elect may support preserving Medicare’s authority to negotiate drug prices, another provision of the IRA. Trump has championed reducing drug prices, and in 2020 advanced a test model that would have tied the prices of some drugs in Medicare to lower costs overseas, said Merkel, who worked in Trump’s first White House. The drug industry successfully sued to block the program.\u003c/p>\n\u003ch2>Leadership of health agencies\u003c/h2>\n\u003cp>Within Trump’s circles, some names have already been floated as possible leaders for the Department of Health and Human Services. They include former Louisiana Gov. Bobby Jindal and Seema Verma, who ran the Centers for Medicare & Medicaid Services during the Trump administration.\u003c/p>\n\u003cp>Kennedy, who suspended his independent presidential run and endorsed Trump, has told his supporters that Trump promised him control of HHS. Trump said publicly before Election Day that he would give Kennedy a big role in his administration, but he may have difficulty winning Senate confirmation for a Cabinet position.\u003c/p>\n\u003ch2>Cuts or restrictions on Medicaid\u003c/h2>\n\u003cp>While Trump has vowed to protect Medicare and said he supports funding home care benefits, he’s been less specific about his intentions for Medicaid, which provides coverage to lower-income and disabled people. Some health analysts expect the program will be especially vulnerable to spending cuts, which could help finance the extension of tax breaks that expire at the end of next year.\u003c/p>\n\u003cp>[aside label='More Election Coverage' tag='election-2024']\u003c/p>\n\u003cp>Possible changes include the imposition of work requirements on beneficiaries in some states. The administration and Republicans in Congress could also try to revamp the way Medicaid is funded. Now, the federal government pays states a variable percentage of program costs. Conservatives have long sought to cap the federal allotments to states, which critics say would lead to draconian cuts.\u003c/p>\n\u003cp>“Medicaid will be a big target in a Trump administration,” said Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News.\u003c/p>\n\u003ch2>Reproductive health\u003c/h2>\n\u003cp>Less clear is the potential future of reproductive health rights.\u003c/p>\n\u003cp>Trump has said decisions about abortion restrictions should be left to the states. Thirteen states ban abortion with few exceptions, while 28 others restrict the procedure based on gestational duration, \u003ca href=\"https://www.guttmacher.org/state-policy/explore/state-policies-abortion-bans#:~:text=shortly%20after%20birth.-,Highlights,bans%20based%20on%20gestational%20duration.\">according to the Guttmacher Institute\u003c/a>, a research and policy organization focused on advancing reproductive rights. Trump said before the election that he would not sign a national abortion ban.\u003c/p>\n\u003cp>State ballot measures to protect abortion rights were \u003ca href=\"https://www.npr.org/2024/11/06/g-s1-32962/abortion-rights-amendments-2024-election\">adopted in seven states\u003c/a>, including Missouri, which Trump won by about 18 points, according to preliminary AP reports. Abortion rights measures were rejected by voters in Florida and South Dakota.\u003c/p>\n\u003cp>Trump could move to restrict access to abortion medications, used in more than half of abortions, either by withdrawing the FDA’s authorization for the drugs or by enforcing a 19th-century law, the Comstock Act, that abortion opponents say bans their shipment. Trump has said he generally would not use the law to ban mail delivery of the drugs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Former President Donald Trump’s election victory and coming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — potentially increasing the uninsured rate, while imposing new barriers to abortion and other reproductive care.\u003c/p>\n\u003cp>The reverberations will be felt far beyond Washington, D.C., and could include an erosion of the Affordable Care Act’s consumer protections, the imposition of work requirements in Medicaid and funding cuts to the safety net insurance, and challenges to federal agencies that safeguard public health.\u003c/p>\n\u003cp>Abortion restrictions may tighten nationwide with a possible effort to restrict the mailing of abortion medications.\u003c/p>\n\u003cp>And with the elevation of vaccine skeptic Robert F. Kennedy Jr. to Trump’s inner circle of advisers, public health interventions with rigorous scientific backing — whether fluoridating public water supplies or inoculating children — could come under fire.\u003c/p>\n\u003cp>Trump’s victory will give a far broader platform to skeptics and critics of federal health programs and actions. Public health authorities worry that in a worst case, the U.S. could see increases in preventable illnesses; a weakening of public confidence in established science; and debunked notions — such as a link between vaccines and autism — adopted as policy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Trump said in \u003ca href=\"https://www.nbcnews.com/politics/2024-election/trump-banning-vaccines-president-rfk-fluoride-rcna178570\">an NBC News interview\u003c/a> on Nov. 3 that he would “make a decision” about banning some vaccines, saying he would consult with Kennedy and calling him “a very talented guy.”\u003c/p>\n\u003cp>Here’s what’s known about how the Trump administration might do on several major issues in health care:\u003c/p>\n\u003ch2>Changes to Obamacare\u003c/h2>\n\u003cp>While Trump has said he will not try again to repeal the Affordable Care Act, his administration will face an immediate decision next year on whether to back an extension of enhanced premium subsidies for Obamacare insurance plans. Without the enhanced subsidies, \u003ca href=\"https://www.kff.org/affordable-care-act/issue-brief/inflation-reduction-act-health-insurance-subsidies-what-is-their-impact-and-what-would-happen-if-they-expire/\">steep premium increases\u003c/a> causing lower enrollment are projected. The current uninsured rate, \u003ca href=\"https://aspe.hhs.gov/sites/default/files/documents/ee0475e44e27daef00155e95a24fd023/nhis-q1-2024-datapoint.pdf\">about 8%\u003c/a>, could rise.\u003c/p>\n\u003cp>Policy specifics have not moved far beyond the “concepts of a plan” Trump said he had during his debate with Harris, though Vice President-elect JD Vance later said the administration would seek to inject more competition into ACA marketplaces.\u003c/p>\n\u003cp>Republicans claimed a Senate majority, in addition to the White House, while control of the House is not yet resolved as of Wednesday afternoon.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Polls show the ACA has \u003ca href=\"https://www.kff.org/affordable-care-act/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act/\">gained support among the public\u003c/a>, including provisions such as preexisting condition protections and allowing young people to stay on family health plans until they are 26.\u003c/p>\n\u003cp>Trump supporters and others who have worked in his administration say the former president wants to improve the law in ways that will lower costs. They say he has already shown he will be forceful when it comes to lowering high health care prices, pointing to efforts during his presidency to pioneer price transparency in medical costs.\u003c/p>\n\u003cp>“On affordability, I’d see him building on the first term,” said Brian Blase, who served as a Trump health adviser from 2017 to 2019. Relative to a Democratic administration, he said, there will be “much more focus” on “minimizing fraud and waste.”\u003c/p>\n\u003cp>Efforts to weaken the ACA could include slashing funds for enrollment outreach, enabling consumers to purchase more health plans that don’t comply with ACA consumer protections, and allowing insurers to charge sicker people higher premiums.\u003c/p>\n\u003cp>Democrats say they expect the worst.\u003c/p>\n\u003cp>“We know what their agenda is,” said Leslie Dach, executive chair of Protect Our Care, a health care policy and advocacy organization in Washington, D.C. He worked in the Obama administration helping to implement the ACA. “They’re going to raise costs for millions of Americans and rip coverage away from millions and, meanwhile, they will give tax breaks to rich people.”\u003c/p>\n\u003cp>Theo Merkel, director of the Private Health Reform Initiative at the right-leaning Paragon Health Institute, which Blase leads, said the enhanced ACA subsidies extended by the Inflation Reduction Act in 2022 do nothing to improve plans or lower premiums. He said they paper over the plans’ low value with larger government subsidies.\u003c/p>\n\u003ch2>Drug price negotiation\u003c/h2>\n\u003cp>Other Trump supporters say the president-elect may support preserving Medicare’s authority to negotiate drug prices, another provision of the IRA. Trump has championed reducing drug prices, and in 2020 advanced a test model that would have tied the prices of some drugs in Medicare to lower costs overseas, said Merkel, who worked in Trump’s first White House. The drug industry successfully sued to block the program.\u003c/p>\n\u003ch2>Leadership of health agencies\u003c/h2>\n\u003cp>Within Trump’s circles, some names have already been floated as possible leaders for the Department of Health and Human Services. They include former Louisiana Gov. Bobby Jindal and Seema Verma, who ran the Centers for Medicare & Medicaid Services during the Trump administration.\u003c/p>\n\u003cp>Kennedy, who suspended his independent presidential run and endorsed Trump, has told his supporters that Trump promised him control of HHS. Trump said publicly before Election Day that he would give Kennedy a big role in his administration, but he may have difficulty winning Senate confirmation for a Cabinet position.\u003c/p>\n\u003ch2>Cuts or restrictions on Medicaid\u003c/h2>\n\u003cp>While Trump has vowed to protect Medicare and said he supports funding home care benefits, he’s been less specific about his intentions for Medicaid, which provides coverage to lower-income and disabled people. Some health analysts expect the program will be especially vulnerable to spending cuts, which could help finance the extension of tax breaks that expire at the end of next year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Possible changes include the imposition of work requirements on beneficiaries in some states. The administration and Republicans in Congress could also try to revamp the way Medicaid is funded. Now, the federal government pays states a variable percentage of program costs. Conservatives have long sought to cap the federal allotments to states, which critics say would lead to draconian cuts.\u003c/p>\n\u003cp>“Medicaid will be a big target in a Trump administration,” said Larry Levitt, executive vice president for health policy at KFF, a health information nonprofit that includes KFF Health News.\u003c/p>\n\u003ch2>Reproductive health\u003c/h2>\n\u003cp>Less clear is the potential future of reproductive health rights.\u003c/p>\n\u003cp>Trump has said decisions about abortion restrictions should be left to the states. Thirteen states ban abortion with few exceptions, while 28 others restrict the procedure based on gestational duration, \u003ca href=\"https://www.guttmacher.org/state-policy/explore/state-policies-abortion-bans#:~:text=shortly%20after%20birth.-,Highlights,bans%20based%20on%20gestational%20duration.\">according to the Guttmacher Institute\u003c/a>, a research and policy organization focused on advancing reproductive rights. Trump said before the election that he would not sign a national abortion ban.\u003c/p>\n\u003cp>State ballot measures to protect abortion rights were \u003ca href=\"https://www.npr.org/2024/11/06/g-s1-32962/abortion-rights-amendments-2024-election\">adopted in seven states\u003c/a>, including Missouri, which Trump won by about 18 points, according to preliminary AP reports. Abortion rights measures were rejected by voters in Florida and South Dakota.\u003c/p>\n\u003cp>Trump could move to restrict access to abortion medications, used in more than half of abortions, either by withdrawing the FDA’s authorization for the drugs or by enforcing a 19th-century law, the Comstock Act, that abortion opponents say bans their shipment. Trump has said he generally would not use the law to ban mail delivery of the drugs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Voters Approve Proposition 35, Choosing Medi-Cal Funding Over Budget Flexibility",
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"headTitle": "Voters Approve Proposition 35, Choosing Medi-Cal Funding Over Budget Flexibility | KQED",
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"content": "\u003cp>\u003cb>\u003ci>\u003ca href=\"https://www.kqed.org/liveblog/election-2024\">Follow KQED’s live blog for the latest election updates\u003c/a>\u003c/i>\u003c/b>\u003c/p>\n\u003cp>In essence, Proposition 35 promised to secure Medi-Cal funding but left voters to weigh the trade-offs of budget stability and flexibility.\u003c/p>\n\u003cp>Californians took that deal and passed it, cementing the state’s tax on managed-care organizations and directing an estimated $7 billion to $8 billion each year exclusively to Medi-Cal.\u003c/p>\n\u003cp>The funds are meant to improve access to primary care, specialty care, mental health services and prescription drugs, as well as enhance provider availability and reduce patient wait times.\u003c/p>\n\u003cp>Lawmakers, however, are limited in reassigning these funds, and the measure remains contingent on federal approval for continued matching funds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Associated Press called the race at 9:28 p.m. with 67.5% of voters approving.\u003c/p>\n\u003cp>Proponents of the measure quickly celebrated what they called an overwhelming victory. Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California and the campaign’s co-chair called it a “victory for patients across California” in a quickly emailed press release.\u003c/p>\n\u003cp>“Nearly 85% of patients at Planned Parenthood health centers rely on Medi-Cal for health insurance and now, with a dedicated source of funding for the program, there will be a future that provides more stability and expanded access to care for those who need it most,” she said. “Planned Parenthood is proud to have supported Prop. 35 to help achieve a more equitable health care delivery system that all Californians will benefit from.”\u003c/p>\n\u003cp>The No on Prop. 35 campaign released a statement that said the vote made it clear that Californians support the Medi-Cal program and “want to improve access to health care for the most vulnerable.”\u003c/p>\n\u003cp>“While we opposed Prop. 35 because of the details, state leaders now have a mandate to improve Medi-Cal and must fulfill that obligation,” the statement said.\u003c/p>\n\u003cp>Despite Proposition 35’s innocuous and seemingly straightforward title — “Provides permanent funding for Medi-Cal health care services” — the measure is one the most complex on California’s ballot. At its core is an obscure tax that most voters have never heard of. Basically, California levies a tax on managed-care organizations — otherwise known as health insurers like Anthem Blue Cross and Kaiser Permanente. The state uses the tax revenue to draw federal matching funds, effectively doubling its impact, and applies it toward Medi-Cal services.[aside label='More Election Coverage' tag='election-2024']Under the proposition, tax revenue from managed-care organizations would be strictly reserved for Medi-Cal, expanding access to services like mental health, primary care, and prescription drugs. Supporters argue this dedicated funding will improve access for the 2 in 5 Californians reliant on Medi-Cal, with funds directed to providers like hospitals and emergency services. With many patients currently facing prolonged wait times and few physicians accepting Medi-Cal’s lower reimbursement rates, proponents said it would help alleviate these pressures by increasing provider compensation.\u003c/p>\n\u003cp>However, critics warn that the proposition’s rigid spending mandates may constrain California’s fiscal flexibility, potentially intensifying the state’s budget challenges. The measure’s reliance on federal approval for matching funds also raises concerns, as changes to federal policy could jeopardize future funding.\u003c/p>\n\u003cp>Opponents argue that such budgeting restrictions should be managed by policymakers, who can adjust them as needed, rather than by voters through a ballot measure, which would be challenging to amend in future elections.\u003c/p>\n\u003cp>The proposition drew support from a broad coalition, including the California Democratic and Republican parties, health care associations, labor unions and Planned Parenthood.\u003c/p>\n\u003cp>Opposition comes from groups like the California Pan-Ethnic Health Network and the California Alliance of Retired Americans, who fear the financial risks and loss of budgetary adaptability.\u003c/p>\n\u003cp>Proposition 35 created unusual political devisions and its intricate funding mechanism and spending restrictions fragmented the medical community — even among those who share the same goals of improving health care access.\u003c/p>\n\u003cp>\u003c/p>\n",
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"title": "Voters Approve Proposition 35, Choosing Medi-Cal Funding Over Budget Flexibility | KQED",
"description": "Proposition 35 promised to secure Medi-Cal funding but left voters to weigh the trade-offs of budget stability and flexibility.",
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"headline": "Voters Approve Proposition 35, Choosing Medi-Cal Funding Over Budget Flexibility",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>\u003ci>\u003ca href=\"https://www.kqed.org/liveblog/election-2024\">Follow KQED’s live blog for the latest election updates\u003c/a>\u003c/i>\u003c/b>\u003c/p>\n\u003cp>In essence, Proposition 35 promised to secure Medi-Cal funding but left voters to weigh the trade-offs of budget stability and flexibility.\u003c/p>\n\u003cp>Californians took that deal and passed it, cementing the state’s tax on managed-care organizations and directing an estimated $7 billion to $8 billion each year exclusively to Medi-Cal.\u003c/p>\n\u003cp>The funds are meant to improve access to primary care, specialty care, mental health services and prescription drugs, as well as enhance provider availability and reduce patient wait times.\u003c/p>\n\u003cp>Lawmakers, however, are limited in reassigning these funds, and the measure remains contingent on federal approval for continued matching funds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Associated Press called the race at 9:28 p.m. with 67.5% of voters approving.\u003c/p>\n\u003cp>Proponents of the measure quickly celebrated what they called an overwhelming victory. Jodi Hicks, president and CEO of Planned Parenthood Affiliates of California and the campaign’s co-chair called it a “victory for patients across California” in a quickly emailed press release.\u003c/p>\n\u003cp>“Nearly 85% of patients at Planned Parenthood health centers rely on Medi-Cal for health insurance and now, with a dedicated source of funding for the program, there will be a future that provides more stability and expanded access to care for those who need it most,” she said. “Planned Parenthood is proud to have supported Prop. 35 to help achieve a more equitable health care delivery system that all Californians will benefit from.”\u003c/p>\n\u003cp>The No on Prop. 35 campaign released a statement that said the vote made it clear that Californians support the Medi-Cal program and “want to improve access to health care for the most vulnerable.”\u003c/p>\n\u003cp>“While we opposed Prop. 35 because of the details, state leaders now have a mandate to improve Medi-Cal and must fulfill that obligation,” the statement said.\u003c/p>\n\u003cp>Despite Proposition 35’s innocuous and seemingly straightforward title — “Provides permanent funding for Medi-Cal health care services” — the measure is one the most complex on California’s ballot. At its core is an obscure tax that most voters have never heard of. Basically, California levies a tax on managed-care organizations — otherwise known as health insurers like Anthem Blue Cross and Kaiser Permanente. The state uses the tax revenue to draw federal matching funds, effectively doubling its impact, and applies it toward Medi-Cal services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the proposition, tax revenue from managed-care organizations would be strictly reserved for Medi-Cal, expanding access to services like mental health, primary care, and prescription drugs. Supporters argue this dedicated funding will improve access for the 2 in 5 Californians reliant on Medi-Cal, with funds directed to providers like hospitals and emergency services. With many patients currently facing prolonged wait times and few physicians accepting Medi-Cal’s lower reimbursement rates, proponents said it would help alleviate these pressures by increasing provider compensation.\u003c/p>\n\u003cp>However, critics warn that the proposition’s rigid spending mandates may constrain California’s fiscal flexibility, potentially intensifying the state’s budget challenges. The measure’s reliance on federal approval for matching funds also raises concerns, as changes to federal policy could jeopardize future funding.\u003c/p>\n\u003cp>Opponents argue that such budgeting restrictions should be managed by policymakers, who can adjust them as needed, rather than by voters through a ballot measure, which would be challenging to amend in future elections.\u003c/p>\n\u003cp>The proposition drew support from a broad coalition, including the California Democratic and Republican parties, health care associations, labor unions and Planned Parenthood.\u003c/p>\n\u003cp>Opposition comes from groups like the California Pan-Ethnic Health Network and the California Alliance of Retired Americans, who fear the financial risks and loss of budgetary adaptability.\u003c/p>\n\u003cp>Proposition 35 created unusual political devisions and its intricate funding mechanism and spending restrictions fragmented the medical community — even among those who share the same goals of improving health care access.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "californian-votes-really-matter-what-the-election-could-mean-for-reproductive-health",
"title": "‘Californian Votes Really Matter’: What the Election Could Mean for Reproductive Health",
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"headTitle": "‘Californian Votes Really Matter’: What the Election Could Mean for Reproductive Health | KQED",
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"content": "\u003cp>Dr. Sophia Yen finds it difficult to talk about the future her daughters could face under a second Trump presidency without tearing up.\u003c/p>\n\u003cp>Yen, co-founder of an organization specializing in reproductive care, fears their access to such vital care could be further limited if former President Donald Trump wins the election. And she’s not alone.\u003c/p>\n\u003cp>“How do I get two girls through college?” Yen asked, pointing to the fact that \u003ca href=\"https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised%20Aggregate%20report%20%20and%20appendices%201-7_(01-16-2020_FINAL).pdf\">1 in 4 undergraduate women\u003c/a> have reported being sexually assaulted.\u003c/p>\n\u003cp>Nationwide, she said, reproductive rights have “already gone back. And we need to fix it.”\u003c/p>\n\u003cp>After the Supreme Court \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">overturned \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022, spurring some states to limit \u003ca href=\"https://www.kqed.org/news/tag/abortion\">access to abortion\u003c/a>, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2825201?guestAccessKey=e7e9550e-5563-4801-bc4f-b743bed9ccff&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=102124\">infant mortality rates increased\u003c/a> — in Texas, by \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/article-abstract/2819785\">as much as 13%\u003c/a>. Pinning down the \u003ca href=\"https://www.propublica.org/article/tracking-maternal-deaths-under-abortion-bans\">maternal mortality rate\u003c/a> is harder. According to \u003ca href=\"https://www.commonwealthfund.org/publications/scorecard/2024/jul/2024-state-scorecard-womens-health-and-reproductive-care\">a recent study\u003c/a> from the Commonwealth Fund, \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">women were more at risk\u003c/a> of dying at or around childbirth in \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">states with stricter abortion laws\u003c/a>. In Texas, the \u003ca href=\"https://www.nbcnews.com/health/womens-health/texas-abortion-ban-deaths-pregnant-women-sb8-analysis-rcna171631\">maternal mortality rate rose 56%\u003c/a> from 2019 to 2022, while nationally, it ticked up 11%, according to the research nonprofit Gender Equity Policy Institute.\u003c/p>\n\u003cp>According to a \u003ca href=\"https://news.gallup.com/poll/645836/record-share-electorate-pro-choice-voting.aspx\">Gallup Poll\u003c/a> released this summer, 54% of Americans identify as pro-choice, maintaining “historically high levels” of support for abortion rights since the overturning of \u003cem>Roe v. Wade\u003c/em>. And 32% of registered voters said they would only vote for a candidate that shared the same views as them on abortion, up 8 points since 2020.\u003c/p>\n\u003cp>In an election featuring two candidates with wildly differing views on abortion who are \u003ca href=\"https://www.reuters.com/world/us/harris-lead-over-trump-dwindles-single-point-44-43-reutersipsos-poll-finds-2024-10-29/\">polling extremely closely\u003c/a>, Bay Area residents and experts are left to wait and see what the future of healthcare holds.\u003c/p>\n\u003cp>Even though \u003ca href=\"https://abortion.ca.gov/your-rights/your-legal-right-to-an-abortion/index.html\">state laws\u003c/a> protect the right to an abortion in California, Yen — who is also a professor at Stanford Medical School — said the stakes are still high for abortion-rights voters in the Bay Area.\u003c/p>\n\u003cp>“For Californians, we think we’re protected,” she said. “But we’re not.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>What could reproductive health care look like under a second Trump term?\u003c/h2>\n\u003cp>Though the Dobbs decision, which overturned \u003cem>Roe v. Wade\u003c/em>, left it to \u003ca href=\"https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs\">states to regulate abortion\u003c/a>, Nancy Cohen of \u003ca href=\"https://thegepi.org/about/\">the Gender Equity Policy Institute\u003c/a> said, “A national abortion ban is absolutely coming” if Trump is elected a second time.\u003c/p>\n\u003cp>Project 2025 — \u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">a detailed, 900-page policy agenda for the next Republican presidency\u003c/a> authored and supported by Trump allies, former and current Trump staffers and his running mate JD Vance — has called for \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">a national database\u003c/a> where states would report abortions. Cohen described this proposal as “basically Big Brother.”[aside postID=news_11998288 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/GettyImages-2162596915-scaled.jpg']\u003c/p>\n\u003cp>Project 2025 also aims to revive parts of the \u003ca href=\"https://www.americanprogress.org/article/project-2025s-distortion-of-a-reconstruction-era-law-could-enact-a-national-abortion-ban/\">Comstock Act\u003c/a>, a law from the late 1800s that bans the mailing of \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-comstock-act-implications-for-abortion-care-nationwide/\">“obscene” items\u003c/a> such as \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/pill-anthony-comstocks-chastity-laws/\">contraceptives\u003c/a>. (The act faced intense criticism at the time and was restricted in 1930, but it was \u003ca href=\"https://time.com/7014473/comstock-act-project-2025/\">never fully repealed\u003c/a>. \u003cem>Roe v. Wade\u003c/em> overruled it, and when \u003cem>Roe v. Wade\u003c/em> was overturned, the Biden administration said it would \u003ca href=\"https://www.justice.gov/olc/opinion/application-comstock-act-mailing-prescription-drugs-can-be-used-abortions\">not apply\u003c/a> the Comstock Act.)\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless,” Cohen said. “Federal law will trump state protection.”\u003c/p>\n\u003cp>Another Trump term would mean he could \u003ca href=\"https://nysba.org/6-to-3-the-impact-of-the-supreme-courts-conservative-super-majority/\">appoint more conservative-leaning\u003c/a> Supreme Court justices and federal judges. \u003ca href=\"https://www.npr.org/2024/03/14/1238102768/fetal-personhood-alabama-ivf\">In states like Alabama\u003c/a>, Cohen noted, right-leaning judges have increasingly wielded arguments that personhood begins at conception.\u003c/p>\n\u003cp>“Something like that would outlaw the IUD,” she said.\u003c/p>\n\u003cp>“A lot of the anti-abortion movement believes that they should also \u003ca href=\"https://www.vox.com/24087411/anti-abortion-roe-dobbs-birth-control-contraception-ivf\">outlaw birth control\u003c/a>,” Cohen said. “So we are looking at really terrifying scenarios under a Trump presidency.”\u003c/p>\n\u003ch2>How the Supreme Court still has the final say\u003c/h2>\n\u003cp>Experts predict the \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">future of the judicial branch\u003c/a> will also be a political battle, depending on who wins the presidency and the Senate.\u003c/p>\n\u003cp>For example, if Kamala Harris is elected president but Republicans take control of the Senate, her administration is likely to struggle to get appointments to lower courts confirmed, \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">similar to Barack Obama’s term\u003c/a>.\u003c/p>\n\u003cp>Yen hopes that if there is \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">a Harris presidency\u003c/a>, Democrats would “become bold enough to balance the court” — \u003ca href=\"https://demandjustice.org/priorities/supreme-court-reform/\">a common call\u003c/a> from left-leaning advocates critical of lifetime appointments to the Supreme Court.\u003c/p>\n\u003cp>This summer, President Joe Biden \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">endorsed the idea of term limits\u003c/a> for justices in the country’s highest court. While Harris disavowed “\u003ca href=\"https://www.rutgers.edu/news/what-court-packing\">court-packing\u003c/a>,” she has called for \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">reforms in the Supreme Court\u003c/a>, citing a growing lack of trust in the judicial branch.\u003c/p>\n\u003cp>“The current people on the Supreme Court are not neutral on reproductive rights, are not neutral on abortion, not neutral on reproductive freedom, and seem to tend towards a theocracy,” Yen said.\u003c/p>\n\u003cfigure id=\"attachment_12012287\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012287\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Sophia Yen, an advocate of women’s health rights, wears a uterus necklace at her home in Los Altos on Nov. 1, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How reproductive rights show up in California’s local races\u003c/h2>\n\u003cp>Advocates stress that the stakes of reproductive health in the U.S. do not just lie with the executive office and the Supreme Court. Democrats need just \u003ca href=\"https://www.pbs.org/newshour/politics/how-democrats-could-take-the-house\">five seats to win control of the House\u003c/a>, and whether this happens “really depends on elections in California and New York,” Cohen said.\u003c/p>\n\u003cp>This summer, when Senate Republicans blocked \u003ca href=\"https://www.washingtonpost.com/politics/interactive/2024/06/05/senate-vote-right-to-contraception-act-birth-control-access/\">the Right to Contraception Act\u003c/a>, San Francisco Rep. Nancy Pelosi wrote in a statement that GOP resistance “should come as no surprise,” citing the 195 Republicans who voted against the House’s version of the act in 2022. Though eight House Republicans voted in favor of the act, \u003ca href=\"https://www.businessinsider.com/the-8-republicans-vote-to-protect-federal-right-to-contraception-2022-7\">none of them\u003c/a> were from California.\u003c/p>\n\u003cp>The California Republicans who voted against the 2022 act are up for reelection. They include \u003ca href=\"https://justfacts.votesmart.org/bill/33019/87001/26777/right-to-contraception-act#87001\">Rep. Ken Calvert\u003c/a>, who is facing a challenge from Democrat Will Rollins in Southern California’s Riverside County. (Calvert said he supported competing Republican-backed bills that \u003ca href=\"https://calvert.house.gov/media/press-releases/rep-calvert-votes-expand-access-contraceptives\">expanded contraceptive use\u003c/a> but kept protections for religious health care providers.)\u003c/p>\n\u003cp>In the Central Valley, Rep. David Valadao, who co-sponsored the \u003ca href=\"https://www.congress.gov/bill/117th-congress/house-bill/1011\">Life at Conception Act in 2022\u003c/a>, is running against Democrat Rudy Salas. The anti-abortion incumbent \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article294294674.html\">did not co-sponsor\u003c/a> the legislation again in 2023.\u003c/p>\n\u003cp>For Yen, these Democratic challengers “could help us gain control in the House for those that support reproductive rights, voting rights and \u003ca href=\"https://tennesseelookout.com/2022/08/26/jewish-congregations-mount-legal-challenges-to-state-abortion-bans/\">freedom of religion\u003c/a>.”\u003c/p>\n\u003cp>“For Californians who care about abortion rights and live in \u003ca href=\"https://calmatters.org/politics/elections/2024/10/california-abortion-election-congress/\">one of these districts\u003c/a>, it’s very important to look at their record and see a lot of them are obfuscating and outright lying about where they are on this issue,” Cohen said.\u003c/p>\n\u003cp>And at the local level, anti-abortion candidates for \u003ca href=\"https://www.kqed.org/news/11959451/culture-wars-escalate-as-state-takes-on-school-boards-over-lgbtq-rights\">school boards\u003c/a> and city councils could potentially also seek to enact “really extreme measures that are out of sync with Californians’ inclusive and pro-rights values,” Cohen said.\u003c/p>\n\u003cp>“Californian votes really matter.”\u003c/p>\n\u003cfigure id=\"attachment_11926872\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11926872\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg\" alt='A crowd of people gather holding signs with messages like, \"My body, my choice\" written on them in colorful marker.' width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people gather during a rally for abortion rights outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, as part of a nationwide response against the leaked draft of the Supreme Court’s decision that ultimately overturned Roe v. Wade. Recent polling shows 71% of Californians say they’ll vote yes on Proposition 1, which would enshrine abortion and contraception access into the state constitution. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>California abortion — for residents and visitors\u003c/h2>\n\u003cp>California has stronger protections for reproductive rights than much of the country, especially after voters added the right to an abortion to the state constitution in 2022.\u003c/p>\n\u003cp>However, reports have shown that people in the state’s rural areas have a hard time accessing care due to the lack of facilities nearby that \u003ca href=\"https://www.kqed.org/news/11934819/for-rural-californians-abortion-is-legal-but-its-not-always-accessible\">can perform abortions\u003c/a>. Last month, \u003ca href=\"https://www.kqed.org/news/12007119/california-sues-a-catholic-hospital-for-denying-patient-an-emergency-abortion\">the state sued a Catholic hospital\u003c/a> for refusing to perform an emergency abortion. The patient in question, Dr. Anna Nusslock, was rushed to another hospital for a life-saving surgery.\u003c/p>\n\u003cp>Just last week, the attorney general’s office found that Beverly Hills officials had \u003ca href=\"https://www.oag.ca.gov/news/press-releases/attorney-general-bonta-holds-beverly-hills-accountable-preventing-reproductive\">pressured a landlord\u003c/a> to prevent an abortion clinic from opening.[aside postID=news_12001799 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/031424_Kamala-Reproductive-Health_AP_CM_01-copy.jpg']\u003c/p>\n\u003cp>“It is troubling that, even here in California where access to reproductive healthcare is a constitutional right, Beverly Hills officials have taken actions reminiscent of those in extremist red states by illegally interfering with, and ultimately preventing a new reproductive healthcare clinic from opening,” Attorney General Rob Bonta said in a statement.\u003c/p>\n\u003cp>There is also the influx of \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-orange-san-bernardino/about-us/news/demand-has-quadrupled-at-some-california-abortion-clinics-since-roe-fell\">out-of-state patients\u003c/a> traveling to California for abortion care when access is restricted in their own states, leading to increased wait times and crowded clinics.\u003c/p>\n\u003cp>The Bay Area “provides care for the millions of women of reproductive age in the region” and out of state, Cohen said.\u003c/p>\n\u003cp>“But the system is a little stressed,” she said, \u003ca href=\"https://thegepi.org/gepi-sfdosw-report-bay-area-abortion-rights/\">citing the need\u003c/a> for “better coordination” and increased resources across the state.\u003c/p>\n\u003cp>Dr. Katherine Brown, medical director of the \u003ca href=\"https://obgyn.ucsf.edu/gynecology/katherine-brown-md-mas\">Black Wellness Clinic at UCSF\u003c/a>, said she and her colleagues have seen “people from all over the country more than we did before. We have patients coming from places like Texas, Oklahoma, Tennessee.”\u003c/p>\n\u003cp>“My patients already went through a lot prior to the Dobbs decision. But now, they have to go through a lot more hoops to even get the care that they need,” she said, noting the high costs of such cross-country travel.\u003c/p>\n\u003cp>“I always wonder about the people that don’t make it,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11974146\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974146\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg\" alt=\"Vice President Kamala Harris is pictured sitting in a yellow seat on a stage.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vice President Kamala Harris speaks during the ‘Fight for Reproductive Freedoms’ tour at Mexican Heritage Plaza in San José on Jan. 29, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could a Harris presidency look like when it comes to reproductive rights?\u003c/h2>\n\u003cp>As a California prosecutor, Harris had a strong record of \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">protecting abortion rights\u003c/a>. She has said that if she were to win the presidency, she would \u003ca href=\"https://time.com/7096543/kamala-harris-abortion-plan-2024/\">sign a bill\u003c/a> reinstating \u003cem>Roe’s\u003c/em> protections into law if Congress passes it. Harris could also use her authority to \u003ca href=\"https://www.npr.org/2024/10/31/g-s1-31186/up-first-newsletter-voter-fraud-conspiracy-theories-kamala-harris-donald-trump-abortion-policies\">strengthen privacy laws\u003c/a>, which could protect people with uteruses from being prosecuted.\u003c/p>\n\u003cp>Brown said there are opportunities with this election to amend the inequities that have faced some Americans. For example, she said \u003cem>Roe v. Wade\u003c/em> was “imperfect” — noting that \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">due to federal law\u003c/a>, many people on Medicaid could not have the costs of their abortion covered. (California’s version of the program, Medi-Cal, \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\">does cover abortion\u003c/a>, however.)\u003c/p>\n\u003cp>“Access to abortion needs to be a protected right no matter where you are,” she said. “Insurance needs to be able to cover it, no matter what type of insurance you have.”\u003c/p>\n\u003cp>While she is anxious for Election Day, she said she is also “guardedly hopeful.”\u003c/p>\n\u003cp>“We have the opportunity to move beyond \u003cem>Roe\u003c/em> and find something that’s better,” she said. “That really honors reproductive freedom, reproductive autonomy.”\u003c/p>\n\u003cp>“So that’s where I find my hope.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Even though California protects abortion rights, experts say the stakes for reproductive health care are high under a potential second Trump presidency. ",
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"title": "‘Californian Votes Really Matter’: What the Election Could Mean for Reproductive Health | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Sophia Yen finds it difficult to talk about the future her daughters could face under a second Trump presidency without tearing up.\u003c/p>\n\u003cp>Yen, co-founder of an organization specializing in reproductive care, fears their access to such vital care could be further limited if former President Donald Trump wins the election. And she’s not alone.\u003c/p>\n\u003cp>“How do I get two girls through college?” Yen asked, pointing to the fact that \u003ca href=\"https://www.aau.edu/sites/default/files/AAU-Files/Key-Issues/Campus-Safety/Revised%20Aggregate%20report%20%20and%20appendices%201-7_(01-16-2020_FINAL).pdf\">1 in 4 undergraduate women\u003c/a> have reported being sexually assaulted.\u003c/p>\n\u003cp>Nationwide, she said, reproductive rights have “already gone back. And we need to fix it.”\u003c/p>\n\u003cp>After the Supreme Court \u003ca href=\"https://www.kqed.org/news/11917776/supreme-court-overturns-roe-v-wade\">overturned \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022, spurring some states to limit \u003ca href=\"https://www.kqed.org/news/tag/abortion\">access to abortion\u003c/a>, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2825201?guestAccessKey=e7e9550e-5563-4801-bc4f-b743bed9ccff&utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=102124\">infant mortality rates increased\u003c/a> — in Texas, by \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/article-abstract/2819785\">as much as 13%\u003c/a>. Pinning down the \u003ca href=\"https://www.propublica.org/article/tracking-maternal-deaths-under-abortion-bans\">maternal mortality rate\u003c/a> is harder. According to \u003ca href=\"https://www.commonwealthfund.org/publications/scorecard/2024/jul/2024-state-scorecard-womens-health-and-reproductive-care\">a recent study\u003c/a> from the Commonwealth Fund, \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">women were more at risk\u003c/a> of dying at or around childbirth in \u003ca href=\"https://www.bloomberg.com/news/articles/2024-07-18/maternal-deaths-were-highest-in-states-that-restrict-abortion\">states with stricter abortion laws\u003c/a>. In Texas, the \u003ca href=\"https://www.nbcnews.com/health/womens-health/texas-abortion-ban-deaths-pregnant-women-sb8-analysis-rcna171631\">maternal mortality rate rose 56%\u003c/a> from 2019 to 2022, while nationally, it ticked up 11%, according to the research nonprofit Gender Equity Policy Institute.\u003c/p>\n\u003cp>According to a \u003ca href=\"https://news.gallup.com/poll/645836/record-share-electorate-pro-choice-voting.aspx\">Gallup Poll\u003c/a> released this summer, 54% of Americans identify as pro-choice, maintaining “historically high levels” of support for abortion rights since the overturning of \u003cem>Roe v. Wade\u003c/em>. And 32% of registered voters said they would only vote for a candidate that shared the same views as them on abortion, up 8 points since 2020.\u003c/p>\n\u003cp>In an election featuring two candidates with wildly differing views on abortion who are \u003ca href=\"https://www.reuters.com/world/us/harris-lead-over-trump-dwindles-single-point-44-43-reutersipsos-poll-finds-2024-10-29/\">polling extremely closely\u003c/a>, Bay Area residents and experts are left to wait and see what the future of healthcare holds.\u003c/p>\n\u003cp>Even though \u003ca href=\"https://abortion.ca.gov/your-rights/your-legal-right-to-an-abortion/index.html\">state laws\u003c/a> protect the right to an abortion in California, Yen — who is also a professor at Stanford Medical School — said the stakes are still high for abortion-rights voters in the Bay Area.\u003c/p>\n\u003cp>“For Californians, we think we’re protected,” she said. “But we’re not.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>What could reproductive health care look like under a second Trump term?\u003c/h2>\n\u003cp>Though the Dobbs decision, which overturned \u003cem>Roe v. Wade\u003c/em>, left it to \u003ca href=\"https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs\">states to regulate abortion\u003c/a>, Nancy Cohen of \u003ca href=\"https://thegepi.org/about/\">the Gender Equity Policy Institute\u003c/a> said, “A national abortion ban is absolutely coming” if Trump is elected a second time.\u003c/p>\n\u003cp>Project 2025 — \u003ca href=\"https://www.kqed.org/news/11998288/what-is-project-2025-donald-trump-heritage-foundation-director-steps-down\">a detailed, 900-page policy agenda for the next Republican presidency\u003c/a> authored and supported by Trump allies, former and current Trump staffers and his running mate JD Vance — has called for \u003ca href=\"https://calmatters.org/politics/2024/09/project2025-trump-california-abortion-surveillance/\">a national database\u003c/a> where states would report abortions. Cohen described this proposal as “basically Big Brother.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Project 2025 also aims to revive parts of the \u003ca href=\"https://www.americanprogress.org/article/project-2025s-distortion-of-a-reconstruction-era-law-could-enact-a-national-abortion-ban/\">Comstock Act\u003c/a>, a law from the late 1800s that bans the mailing of \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-comstock-act-implications-for-abortion-care-nationwide/\">“obscene” items\u003c/a> such as \u003ca href=\"https://www.pbs.org/wgbh/americanexperience/features/pill-anthony-comstocks-chastity-laws/\">contraceptives\u003c/a>. (The act faced intense criticism at the time and was restricted in 1930, but it was \u003ca href=\"https://time.com/7014473/comstock-act-project-2025/\">never fully repealed\u003c/a>. \u003cem>Roe v. Wade\u003c/em> overruled it, and when \u003cem>Roe v. Wade\u003c/em> was overturned, the Biden administration said it would \u003ca href=\"https://www.justice.gov/olc/opinion/application-comstock-act-mailing-prescription-drugs-can-be-used-abortions\">not apply\u003c/a> the Comstock Act.)\u003c/p>\n\u003cp>“States like California and New York that have constitutional protections for abortion rights and reproductive health care in general … those become meaningless,” Cohen said. “Federal law will trump state protection.”\u003c/p>\n\u003cp>Another Trump term would mean he could \u003ca href=\"https://nysba.org/6-to-3-the-impact-of-the-supreme-courts-conservative-super-majority/\">appoint more conservative-leaning\u003c/a> Supreme Court justices and federal judges. \u003ca href=\"https://www.npr.org/2024/03/14/1238102768/fetal-personhood-alabama-ivf\">In states like Alabama\u003c/a>, Cohen noted, right-leaning judges have increasingly wielded arguments that personhood begins at conception.\u003c/p>\n\u003cp>“Something like that would outlaw the IUD,” she said.\u003c/p>\n\u003cp>“A lot of the anti-abortion movement believes that they should also \u003ca href=\"https://www.vox.com/24087411/anti-abortion-roe-dobbs-birth-control-contraception-ivf\">outlaw birth control\u003c/a>,” Cohen said. “So we are looking at really terrifying scenarios under a Trump presidency.”\u003c/p>\n\u003ch2>How the Supreme Court still has the final say\u003c/h2>\n\u003cp>Experts predict the \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">future of the judicial branch\u003c/a> will also be a political battle, depending on who wins the presidency and the Senate.\u003c/p>\n\u003cp>For example, if Kamala Harris is elected president but Republicans take control of the Senate, her administration is likely to struggle to get appointments to lower courts confirmed, \u003ca href=\"https://www.npr.org/2024/10/30/nx-s1-5161578/supreme-court-harris-trump\">similar to Barack Obama’s term\u003c/a>.\u003c/p>\n\u003cp>Yen hopes that if there is \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">a Harris presidency\u003c/a>, Democrats would “become bold enough to balance the court” — \u003ca href=\"https://demandjustice.org/priorities/supreme-court-reform/\">a common call\u003c/a> from left-leaning advocates critical of lifetime appointments to the Supreme Court.\u003c/p>\n\u003cp>This summer, President Joe Biden \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">endorsed the idea of term limits\u003c/a> for justices in the country’s highest court. While Harris disavowed “\u003ca href=\"https://www.rutgers.edu/news/what-court-packing\">court-packing\u003c/a>,” she has called for \u003ca href=\"https://www.wsj.com/podcasts/opinion-potomac-watch/kamala-harris-wants-to-reform-the-supreme-court/af03b7fe-5e17-44de-ac6d-cd4d0c0e0a63\">reforms in the Supreme Court\u003c/a>, citing a growing lack of trust in the judicial branch.\u003c/p>\n\u003cp>“The current people on the Supreme Court are not neutral on reproductive rights, are not neutral on abortion, not neutral on reproductive freedom, and seem to tend towards a theocracy,” Yen said.\u003c/p>\n\u003cfigure id=\"attachment_12012287\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12012287\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/11/241101-REPROHEALTHCAREPROF-05-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Sophia Yen, an advocate of women’s health rights, wears a uterus necklace at her home in Los Altos on Nov. 1, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How reproductive rights show up in California’s local races\u003c/h2>\n\u003cp>Advocates stress that the stakes of reproductive health in the U.S. do not just lie with the executive office and the Supreme Court. Democrats need just \u003ca href=\"https://www.pbs.org/newshour/politics/how-democrats-could-take-the-house\">five seats to win control of the House\u003c/a>, and whether this happens “really depends on elections in California and New York,” Cohen said.\u003c/p>\n\u003cp>This summer, when Senate Republicans blocked \u003ca href=\"https://www.washingtonpost.com/politics/interactive/2024/06/05/senate-vote-right-to-contraception-act-birth-control-access/\">the Right to Contraception Act\u003c/a>, San Francisco Rep. Nancy Pelosi wrote in a statement that GOP resistance “should come as no surprise,” citing the 195 Republicans who voted against the House’s version of the act in 2022. Though eight House Republicans voted in favor of the act, \u003ca href=\"https://www.businessinsider.com/the-8-republicans-vote-to-protect-federal-right-to-contraception-2022-7\">none of them\u003c/a> were from California.\u003c/p>\n\u003cp>The California Republicans who voted against the 2022 act are up for reelection. They include \u003ca href=\"https://justfacts.votesmart.org/bill/33019/87001/26777/right-to-contraception-act#87001\">Rep. Ken Calvert\u003c/a>, who is facing a challenge from Democrat Will Rollins in Southern California’s Riverside County. (Calvert said he supported competing Republican-backed bills that \u003ca href=\"https://calvert.house.gov/media/press-releases/rep-calvert-votes-expand-access-contraceptives\">expanded contraceptive use\u003c/a> but kept protections for religious health care providers.)\u003c/p>\n\u003cp>In the Central Valley, Rep. David Valadao, who co-sponsored the \u003ca href=\"https://www.congress.gov/bill/117th-congress/house-bill/1011\">Life at Conception Act in 2022\u003c/a>, is running against Democrat Rudy Salas. The anti-abortion incumbent \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article294294674.html\">did not co-sponsor\u003c/a> the legislation again in 2023.\u003c/p>\n\u003cp>For Yen, these Democratic challengers “could help us gain control in the House for those that support reproductive rights, voting rights and \u003ca href=\"https://tennesseelookout.com/2022/08/26/jewish-congregations-mount-legal-challenges-to-state-abortion-bans/\">freedom of religion\u003c/a>.”\u003c/p>\n\u003cp>“For Californians who care about abortion rights and live in \u003ca href=\"https://calmatters.org/politics/elections/2024/10/california-abortion-election-congress/\">one of these districts\u003c/a>, it’s very important to look at their record and see a lot of them are obfuscating and outright lying about where they are on this issue,” Cohen said.\u003c/p>\n\u003cp>And at the local level, anti-abortion candidates for \u003ca href=\"https://www.kqed.org/news/11959451/culture-wars-escalate-as-state-takes-on-school-boards-over-lgbtq-rights\">school boards\u003c/a> and city councils could potentially also seek to enact “really extreme measures that are out of sync with Californians’ inclusive and pro-rights values,” Cohen said.\u003c/p>\n\u003cp>“Californian votes really matter.”\u003c/p>\n\u003cfigure id=\"attachment_11926872\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11926872\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg\" alt='A crowd of people gather holding signs with messages like, \"My body, my choice\" written on them in colorful marker.' width=\"1920\" height=\"1278\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/Prop1_KQED_AbortionRallySF-1536x1022.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hundreds of people gather during a rally for abortion rights outside the Phillip Burton Federal Building in San Francisco on May 3, 2022, as part of a nationwide response against the leaked draft of the Supreme Court’s decision that ultimately overturned Roe v. Wade. Recent polling shows 71% of Californians say they’ll vote yes on Proposition 1, which would enshrine abortion and contraception access into the state constitution. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>California abortion — for residents and visitors\u003c/h2>\n\u003cp>California has stronger protections for reproductive rights than much of the country, especially after voters added the right to an abortion to the state constitution in 2022.\u003c/p>\n\u003cp>However, reports have shown that people in the state’s rural areas have a hard time accessing care due to the lack of facilities nearby that \u003ca href=\"https://www.kqed.org/news/11934819/for-rural-californians-abortion-is-legal-but-its-not-always-accessible\">can perform abortions\u003c/a>. Last month, \u003ca href=\"https://www.kqed.org/news/12007119/california-sues-a-catholic-hospital-for-denying-patient-an-emergency-abortion\">the state sued a Catholic hospital\u003c/a> for refusing to perform an emergency abortion. The patient in question, Dr. Anna Nusslock, was rushed to another hospital for a life-saving surgery.\u003c/p>\n\u003cp>Just last week, the attorney general’s office found that Beverly Hills officials had \u003ca href=\"https://www.oag.ca.gov/news/press-releases/attorney-general-bonta-holds-beverly-hills-accountable-preventing-reproductive\">pressured a landlord\u003c/a> to prevent an abortion clinic from opening.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is troubling that, even here in California where access to reproductive healthcare is a constitutional right, Beverly Hills officials have taken actions reminiscent of those in extremist red states by illegally interfering with, and ultimately preventing a new reproductive healthcare clinic from opening,” Attorney General Rob Bonta said in a statement.\u003c/p>\n\u003cp>There is also the influx of \u003ca href=\"https://www.plannedparenthood.org/planned-parenthood-orange-san-bernardino/about-us/news/demand-has-quadrupled-at-some-california-abortion-clinics-since-roe-fell\">out-of-state patients\u003c/a> traveling to California for abortion care when access is restricted in their own states, leading to increased wait times and crowded clinics.\u003c/p>\n\u003cp>The Bay Area “provides care for the millions of women of reproductive age in the region” and out of state, Cohen said.\u003c/p>\n\u003cp>“But the system is a little stressed,” she said, \u003ca href=\"https://thegepi.org/gepi-sfdosw-report-bay-area-abortion-rights/\">citing the need\u003c/a> for “better coordination” and increased resources across the state.\u003c/p>\n\u003cp>Dr. Katherine Brown, medical director of the \u003ca href=\"https://obgyn.ucsf.edu/gynecology/katherine-brown-md-mas\">Black Wellness Clinic at UCSF\u003c/a>, said she and her colleagues have seen “people from all over the country more than we did before. We have patients coming from places like Texas, Oklahoma, Tennessee.”\u003c/p>\n\u003cp>“My patients already went through a lot prior to the Dobbs decision. But now, they have to go through a lot more hoops to even get the care that they need,” she said, noting the high costs of such cross-country travel.\u003c/p>\n\u003cp>“I always wonder about the people that don’t make it,” she added.\u003c/p>\n\u003cfigure id=\"attachment_11974146\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974146\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg\" alt=\"Vice President Kamala Harris is pictured sitting in a yellow seat on a stage.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/240129-KAMALA-HARRIS-SAN-JOSE-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Vice President Kamala Harris speaks during the ‘Fight for Reproductive Freedoms’ tour at Mexican Heritage Plaza in San José on Jan. 29, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>What could a Harris presidency look like when it comes to reproductive rights?\u003c/h2>\n\u003cp>As a California prosecutor, Harris had a strong record of \u003ca href=\"https://www.kqed.org/news/12001799/kamala-harris-put-abortion-at-the-center-of-the-election-what-her-california-record-shows\">protecting abortion rights\u003c/a>. She has said that if she were to win the presidency, she would \u003ca href=\"https://time.com/7096543/kamala-harris-abortion-plan-2024/\">sign a bill\u003c/a> reinstating \u003cem>Roe’s\u003c/em> protections into law if Congress passes it. Harris could also use her authority to \u003ca href=\"https://www.npr.org/2024/10/31/g-s1-31186/up-first-newsletter-voter-fraud-conspiracy-theories-kamala-harris-donald-trump-abortion-policies\">strengthen privacy laws\u003c/a>, which could protect people with uteruses from being prosecuted.\u003c/p>\n\u003cp>Brown said there are opportunities with this election to amend the inequities that have faced some Americans. For example, she said \u003cem>Roe v. Wade\u003c/em> was “imperfect” — noting that \u003ca href=\"https://www.kff.org/womens-health-policy/issue-brief/the-hyde-amendment-and-coverage-for-abortion-services-under-medicaid-in-the-post-roe-era/#:~:text=Starting%20in%201977%2C%20the%20Hyde,result%20from%20rape%20or%20incest.\">due to federal law\u003c/a>, many people on Medicaid could not have the costs of their abortion covered. (California’s version of the program, Medi-Cal, \u003ca href=\"https://mcweb.apps.prd.cammis.medi-cal.ca.gov/assets/26092CC9-AAAF-432E-A672-85D649215F8A/abort.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO\">does cover abortion\u003c/a>, however.)\u003c/p>\n\u003cp>“Access to abortion needs to be a protected right no matter where you are,” she said. “Insurance needs to be able to cover it, no matter what type of insurance you have.”\u003c/p>\n\u003cp>While she is anxious for Election Day, she said she is also “guardedly hopeful.”\u003c/p>\n\u003cp>“We have the opportunity to move beyond \u003cem>Roe\u003c/em> and find something that’s better,” she said. “That really honors reproductive freedom, reproductive autonomy.”\u003c/p>\n\u003cp>“So that’s where I find my hope.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Bird Flu Jumped From Cows to People. Now Advocates Want More Farmworkers Tested",
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"content": "\u003cp>In the heart of California’s dairy country, workers kitted in respirators, face shields and gloves are grappling with one of the largest bird flu outbreaks in history. California has reported 16 human cases of bird flu this month, and worker advocates say the state isn’t doing enough to protect dairy workers.\u003c/p>\n\u003cp>Only 39 people have been tested for H5N1, the strain of bird flu ravaging herds of cattle, according to the California Department of Public Health. California’s confirmed cases of sick workers account for almost \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">all of the country’s cattle-to-human transmissions\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Human cases in California have been mild, with no hospitalizations, officials say. Sick workers have reported \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">flu-like symptoms in addition to pink eye\u003c/a>. There have been no documented cases of human-to-human transmission, state health officials say, and the general public’s risk is low.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The current bird flu surveillance strategy places the majority of the responsibility on farmers to self-report disease among animals and employees, which is problematic, said Elizabeth Strater, a spokesperson for United Farm Workers.\u003c/p>\n\u003cp>“Workers are actively avoiding testing, I can assure you,” Strater said. “We have heard directly from farmworker communities and veterinarians that they can see that there are workers out there who are sick.”\u003c/p>\n\u003cp>Workers, who often have low income, can’t afford the 10-day isolation period with no pay if they are positive, Strater said.\u003c/p>\n\u003cp>Millions of poultry have been slaughtered since the virus first took hold in California farms two years ago, and this year, the highly transmissible virus jumped to cattle, posing a new threat to those who work with the animals.\u003c/p>\n\u003cp>Authorities have confirmed bird flu infections at 178 California dairies since it first emerged in August, according to the state Department of Food and Agriculture, and there is no sign of infections among cows slowing. The transmission from cows to humans is thought to occur through close and prolonged contact with sick animals.\u003c/p>\n\u003cp>“The most concerning data we have is how little data we have,” Strater said. “Hundreds of herds have tested positive, and the number of people tested is in the dozens — that’s a problem.”\u003c/p>\n\u003cp>Dr. Erica Pan, chief epidemiologist with the state health department, said about 20 to 30 people are screened weekly for various influenza variants, including bird flu, in the course of routine flu monitoring.\u003c/p>\n\u003cp>The difference between testing for bird flu and COVID-19, which requires widespread surveillance, Pan said, is that the eye needs to be swabbed, which must be done by a clinician.\u003c/p>\n\u003cp>“This is about looking for symptoms and then testing for them instead of testing people without symptoms,” Pan said.\u003c/p>\n\u003ch2>California distributes PPE for bird flu\u003c/h2>\n\u003cp>The state and local health departments are focusing on distributing protective gear and educating workers on how to use it, Pan said. More than 3.3 million pieces of PPE have been distributed to local health departments and farms, according to the state health department.\u003c/p>\n\u003cp>The state also deployed 5,000 doses of seasonal flu vaccine for farm workers. Although that vaccine won’t protect against bird flu, it reduces the chances of a severe coinfection.\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://kffhealthnews.org/news/article/bird-flu-farmworkers-emails-tracking-human-cases-obstacles-california/\">KFF Health News\u003c/a> reported that farmers in other states have refused to cooperate with local health departments and disease investigators.\u003c/p>\n\u003cp>Tricia Stever Blattler, executive director of the Tulare County Farm Bureau, said she has not heard of any instances of local employers refusing to cooperate with authorities.\u003c/p>\n\u003cp>\u003ca href=\"https://tchhsa.org/eng/public-health/avian-influenza-h5n1-bird-flu/\">Tulare County\u003c/a>, the nation’s largest milk producer, has been the epicenter of the outbreak among cattle and dairy workers, reporting the state’s first human cases in early October. Cases have since been reported in surrounding counties.\u003c/p>\n\u003cp>Early in October, when temperatures soared above 100 degrees, it was difficult to get workers to don additional protective equipment, said Stever Blattler, but that concern has abated with cooling temperatures.\u003c/p>\n\u003ch2>Dairies surprised by bird flu\u003c/h2>\n\u003cp>The severity of the disease for cattle and its rapid spread among herds caught the industry off-guard, Stever Blattler said, and has had “a huge economic ripple.”\u003c/p>\n\u003cp>“Our dairies are really trying to fast-track their learning on the situation,” Stever Blattler said. “They’re trying to create an appropriate and safe workplace, and they’re also trying to increase the care and monitoring of the cattle itself.”[aside label=\"Related Stories\" postID=\"news_12007854,news_11990735,news_11993547\"]Carrie Monteiro, a spokesperson for Tulare public health, said farmers in the county have cooperated with efforts to mitigate the spread of the virus.\u003c/p>\n\u003cp>“They really are reporting and making sure we’re getting the care to their workers and the medication to help their employees recover from this illness,” Monteiro said.\u003c/p>\n\u003cp>The county has increased its testing capacity to include 15 community doctors, although they are still relying on people with symptoms coming forward. If someone tests positive, they and their household are monitored for 10 days and given antiviral flu medication, Monteiro said.\u003c/p>\n\u003cp>Still, Strater said she’d like to see the state do more to assure farmworkers, who often work grueling jobs for low pay, that they will be compensated if they get sick on the job. Doing so would encourage workers to come forward if they are sick. The federal government has committed \u003ca href=\"https://www.hhs.gov/about/news/2024/10/24/usda-hhs-fact-sheet-biden-harris-administration-new-action-halt-spread-bird-flu-california-washington.html\">financial assistance to farmers\u003c/a> to help pay for lost milk, PPE and measures to prevent infection, but no such offerings have been made to workers.\u003c/p>\n\u003cp>According to the state Department of Industrial Relations, workers who get sick with bird flu qualify for workers’ compensation regardless of immigration status. Employers are required to give employees a workers’ compensation claim form, and they are also \u003ca href=\"https://www.dir.ca.gov/dosh/avian-flu/For-Employers.html\">required to report cases to the local health department\u003c/a>.\u003c/p>\n\u003cp>“I would like to see public health agencies working together with (industrial relations) and doing a push to reassure people to get tested,” Strater said. “If you test positive, all of your lost wages should be compensated by workers comp.”\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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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the heart of California’s dairy country, workers kitted in respirators, face shields and gloves are grappling with one of the largest bird flu outbreaks in history. California has reported 16 human cases of bird flu this month, and worker advocates say the state isn’t doing enough to protect dairy workers.\u003c/p>\n\u003cp>Only 39 people have been tested for H5N1, the strain of bird flu ravaging herds of cattle, according to the California Department of Public Health. California’s confirmed cases of sick workers account for almost \u003ca href=\"https://www.cdc.gov/bird-flu/situation-summary/index.html\">all of the country’s cattle-to-human transmissions\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Human cases in California have been mild, with no hospitalizations, officials say. Sick workers have reported \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/pages/Bird-Flu.aspx\">flu-like symptoms in addition to pink eye\u003c/a>. There have been no documented cases of human-to-human transmission, state health officials say, and the general public’s risk is low.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The current bird flu surveillance strategy places the majority of the responsibility on farmers to self-report disease among animals and employees, which is problematic, said Elizabeth Strater, a spokesperson for United Farm Workers.\u003c/p>\n\u003cp>“Workers are actively avoiding testing, I can assure you,” Strater said. “We have heard directly from farmworker communities and veterinarians that they can see that there are workers out there who are sick.”\u003c/p>\n\u003cp>Workers, who often have low income, can’t afford the 10-day isolation period with no pay if they are positive, Strater said.\u003c/p>\n\u003cp>Millions of poultry have been slaughtered since the virus first took hold in California farms two years ago, and this year, the highly transmissible virus jumped to cattle, posing a new threat to those who work with the animals.\u003c/p>\n\u003cp>Authorities have confirmed bird flu infections at 178 California dairies since it first emerged in August, according to the state Department of Food and Agriculture, and there is no sign of infections among cows slowing. The transmission from cows to humans is thought to occur through close and prolonged contact with sick animals.\u003c/p>\n\u003cp>“The most concerning data we have is how little data we have,” Strater said. “Hundreds of herds have tested positive, and the number of people tested is in the dozens — that’s a problem.”\u003c/p>\n\u003cp>Dr. Erica Pan, chief epidemiologist with the state health department, said about 20 to 30 people are screened weekly for various influenza variants, including bird flu, in the course of routine flu monitoring.\u003c/p>\n\u003cp>The difference between testing for bird flu and COVID-19, which requires widespread surveillance, Pan said, is that the eye needs to be swabbed, which must be done by a clinician.\u003c/p>\n\u003cp>“This is about looking for symptoms and then testing for them instead of testing people without symptoms,” Pan said.\u003c/p>\n\u003ch2>California distributes PPE for bird flu\u003c/h2>\n\u003cp>The state and local health departments are focusing on distributing protective gear and educating workers on how to use it, Pan said. More than 3.3 million pieces of PPE have been distributed to local health departments and farms, according to the state health department.\u003c/p>\n\u003cp>The state also deployed 5,000 doses of seasonal flu vaccine for farm workers. Although that vaccine won’t protect against bird flu, it reduces the chances of a severe coinfection.\u003c/p>\n\u003cp>Last week, \u003ca href=\"https://kffhealthnews.org/news/article/bird-flu-farmworkers-emails-tracking-human-cases-obstacles-california/\">KFF Health News\u003c/a> reported that farmers in other states have refused to cooperate with local health departments and disease investigators.\u003c/p>\n\u003cp>Tricia Stever Blattler, executive director of the Tulare County Farm Bureau, said she has not heard of any instances of local employers refusing to cooperate with authorities.\u003c/p>\n\u003cp>\u003ca href=\"https://tchhsa.org/eng/public-health/avian-influenza-h5n1-bird-flu/\">Tulare County\u003c/a>, the nation’s largest milk producer, has been the epicenter of the outbreak among cattle and dairy workers, reporting the state’s first human cases in early October. Cases have since been reported in surrounding counties.\u003c/p>\n\u003cp>Early in October, when temperatures soared above 100 degrees, it was difficult to get workers to don additional protective equipment, said Stever Blattler, but that concern has abated with cooling temperatures.\u003c/p>\n\u003ch2>Dairies surprised by bird flu\u003c/h2>\n\u003cp>The severity of the disease for cattle and its rapid spread among herds caught the industry off-guard, Stever Blattler said, and has had “a huge economic ripple.”\u003c/p>\n\u003cp>“Our dairies are really trying to fast-track their learning on the situation,” Stever Blattler said. “They’re trying to create an appropriate and safe workplace, and they’re also trying to increase the care and monitoring of the cattle itself.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Carrie Monteiro, a spokesperson for Tulare public health, said farmers in the county have cooperated with efforts to mitigate the spread of the virus.\u003c/p>\n\u003cp>“They really are reporting and making sure we’re getting the care to their workers and the medication to help their employees recover from this illness,” Monteiro said.\u003c/p>\n\u003cp>The county has increased its testing capacity to include 15 community doctors, although they are still relying on people with symptoms coming forward. If someone tests positive, they and their household are monitored for 10 days and given antiviral flu medication, Monteiro said.\u003c/p>\n\u003cp>Still, Strater said she’d like to see the state do more to assure farmworkers, who often work grueling jobs for low pay, that they will be compensated if they get sick on the job. Doing so would encourage workers to come forward if they are sick. The federal government has committed \u003ca href=\"https://www.hhs.gov/about/news/2024/10/24/usda-hhs-fact-sheet-biden-harris-administration-new-action-halt-spread-bird-flu-california-washington.html\">financial assistance to farmers\u003c/a> to help pay for lost milk, PPE and measures to prevent infection, but no such offerings have been made to workers.\u003c/p>\n\u003cp>According to the state Department of Industrial Relations, workers who get sick with bird flu qualify for workers’ compensation regardless of immigration status. Employers are required to give employees a workers’ compensation claim form, and they are also \u003ca href=\"https://www.dir.ca.gov/dosh/avian-flu/For-Employers.html\">required to report cases to the local health department\u003c/a>.\u003c/p>\n\u003cp>“I would like to see public health agencies working together with (industrial relations) and doing a push to reassure people to get tested,” Strater said. “If you test positive, all of your lost wages should be compensated by workers comp.”\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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"content": "\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>[aside label=\"2024 Bay Area Voter Guide\" link1='https://www.kqed.org/voterguide/bayarea,Learn about every single race and measure across the nine Bay Area counties' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/02/Aside-Bay-Area-Voter-Guide-2024-Primary-Election-1200x1200-1.png]\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.[aside postID=science_1995033 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/10/Claremont-Canyon-by-Fred-Rowe-East-Bay-Regional-Park-District-1020x574.jpg']\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>[aside postID=news_11764070]“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>[aside label='More Election Coverage' tag='election-2024']And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "thousands-of-uc-san-francisco-workers-are-preparing-to-strike",
"title": "Thousands of UC San Francisco Workers Are Preparing to Strike",
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"headTitle": "Thousands of UC San Francisco Workers Are Preparing to Strike | KQED",
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"content": "\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. If an agency attorney finds enough evidence of an unfair practice by UC, the agency would issue a \u003ca href=\"https://perb.ca.gov/how-to-file-an-unfair-practice-charge/\">complaint\u003c/a> and move the case to a settlement conference.\u003c/p>\n\u003cp>[aside postID=news_12007779 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241003-UCSF-CLINICAL-SOCIAL-WORKERS-MD-04-KQED.jpg']\u003c/p>\n\u003cp>Nationwide, short staffing is a common concern for hospital employees due to burnout and turnover, as many employers are generally opposed to investing more in their workforce because of the costs, according to Rebecca Givan, an associate professor of labor studies at Rutgers University.\u003c/p>\n\u003cp>“If they can get away with lower staffing levels, they can increase their revenue,” Givans, who has followed the health care industry for 25 years, said. “And so they would prefer to do that.”\u003c/p>\n\u003cp>The health care industry is very competitive and employers — even those in public and nonprofit institutions — are focused on revenue and minimizing costs. Employers tend to make investments they believe will help them compete for patients, Givans said.\u003c/p>\n\u003cp>“They have to be in that sort of arms race to have flashier buildings and more amenities and better branding and advertising campaigns — and all of those things which aren’t really directly related to patient care,” Givans said. “But that’s the health care economy that we’re in.”\u003c/p>\n\u003cp>Liz Perlman, executive director at AFSCME Local 3299, said UC is prioritizing raises for top executives and \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises#:~:text=University%20of%20California%20chancellors%20will,did%20not%20receive%20salary%20adjustments.\">chancellors\u003c/a> and the construction of new hospitals in San Francisco, Oakland, Sacramento, and elsewhere while keeping facilities dangerously understaffed and paying too little to many frontline staffers.\u003c/p>\n\u003cp>“Ultimately, we want more care. We want to provide more services,” Perlman said. “But the problem is, if you build buildings but you don’t take care of the people who work inside them, frankly, the buildings are worthless.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "More than 4,000 UCSF health care, research and technical employees voted to authorize a strike over short staffing, health care costs and delayed patient care.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Shawn Singh said he feels angry that the \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> hospital emergency room where he works is so understaffed that patients often wait too long to get a bed.\u003c/p>\n\u003cp>The UC San Francisco nurse case manager said he often assesses adults facing heart problems, kidney failure, septic shock and other life-threatening conditions as they lie on gurneys or sit in crowded hallways, denied the dignity of a private space.\u003c/p>\n\u003cp>“They’re in their most vulnerable moments with people walking by them in a hallway — in a public hall receiving care while they wait for a bed upstairs — because there is just not enough staff to be able to plan discharges for patients and make rooms available,” Singh, a 34-year-old San Jose native, said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the five years Singh has worked at UCSF, he said hiring and retention problems have worsened, squeezing overworked employees and delaying patient care. The university has largely ignored pleas to improve working conditions, including during current labor contract negotiations that started in June, Singh added.\u003c/p>\n\u003cp>He’s ready to strike as a last resort.\u003c/p>\n\u003cp>“I’m there to fight for my patients,” he said. “The university is not bargaining with us in good faith. They’re not going to the table with the sense of urgency that we want them to have to be able to hire more staff, retain staff.”\u003c/p>\n\u003cp>More than 4,000 health care, research and technical workers at UCSF authorized their union to call a strike over what they say is the university’s failure to bargain in good faith about short staffing and other top concerns. The members’ vote, which concluded Wednesday, passed with 98% support, according to the University Professional and Technical Employees Local 9119, which represents more than 19,000 physician assistants, optometrists, clinical lab scientists and other UC employees statewide.\u003c/p>\n\u003cp>The threat of a walkout at UCSF comes as 37,000 UC service and patient care workers with a separate union, the American Federation of State, County and Municipal Employees Local 3299, are also preparing for a potential statewide walkout. That strike authorization vote passed with 99% support, AFSCME said Thursday.\u003c/p>\n\u003cp>Both unions filed unfair labor practice charges with the California Public Employment Relations Board this month, alleging that the university has refused to provide essential job vacancy and financial data needed to assess the extent of staffing crisis and develop solutions in ongoing contract negotiations.\u003c/p>\n\u003cp>The charges maintain that the state’s \u003ca href=\"https://ucnet.universityofcalifornia.edu/employee-news/more-wins-for-uc-employees-in-2024/\">third-largest employer\u003c/a> has also acted illegally by announcing it intends to significantly increase employee health care costs, as outlined in an email to staffers, without negotiating over the changes. Health care workers said the move will exacerbate recruitment and retention issues.\u003c/p>\n\u003cfigure id=\"attachment_12011885\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12011885\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg\" alt=\"\" width=\"2000\" height=\"1156\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-800x462.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1020x590.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-160x92.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1536x888.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/3050240908_520abecbfb_o_qed-1920x1110.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The threat of a walkout at UCSF grew this week as two unions voted to authorize strikes.\u003c/figcaption>\u003c/figure>\n\u003cp>About 36% of UCSF employees said they felt burned out always or very often on the job, higher than the national health care average of 29%, according to a university staff survey last year. Patients spend an hour longer on average at the UCSF Medical Center emergency department where Singh works, compared to wait times at other large hospitals in the state and nationwide, according to \u003ca href=\"https://www.medicare.gov/care-compare/details/hospital/050454/view-all?city=San%20Francisco&state=CA&zipcode=\">Medicare.gov figures\u003c/a>.\u003c/p>\n\u003cp>Heather Hansen, a spokesperson for UC’s Office of the President, said the strike authorization votes by UPTE and AFSCME were disheartening but not surprising.\u003c/p>\n\u003cp>“It seems that no matter what we presented at the table, UPTE’s move towards a strike was a foregone conclusion,” Hansen said in a statement. “We are disappointed and hope UPTE can reconsider its position and continue earnestly bargaining towards a mutually beneficial agreement.”\u003c/p>\n\u003cp>She added that the university’s teams will keep bargaining across the system on proposals that include \u003ca href=\"https://ucnet.universityofcalifornia.edu/resources/employment-policies-contracts/negotiation-updates/upte-news/\">salary raises\u003c/a> for UPTE members of 5% in 2025, 3% in 2026 and 3% in 2027. UC has also offered to increase pay for AFSCME workers by 26% over a five-year contract, according to Hansen.\u003c/p>\n\u003cp>She said the university is working to produce information on vacancy rate and other data “on a rolling basis.” Hansen added that health insurance contribution rates for UPTE-represented employees are under negotiation, with UC \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor-news/upte-oct-3-4/\">offering credits\u003c/a> to help offset these costs, though the union considers them insufficient.\u003c/p>\n\u003cp>“Bad faith has a clear and legal definition under the Higher Education Employer-Employee Relations Act, and we look forward to the Public Employment Relations Board reviewing and determining the merits of the charge,” Hansen said.\u003c/p>\n\u003cp>UC’s response to those charges is due Nov. 27, after the university requested and received an extension, according to Felix De La Torre, general counsel with the California Public Employment Relations Board. If an agency attorney finds enough evidence of an unfair practice by UC, the agency would issue a \u003ca href=\"https://perb.ca.gov/how-to-file-an-unfair-practice-charge/\">complaint\u003c/a> and move the case to a settlement conference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nationwide, short staffing is a common concern for hospital employees due to burnout and turnover, as many employers are generally opposed to investing more in their workforce because of the costs, according to Rebecca Givan, an associate professor of labor studies at Rutgers University.\u003c/p>\n\u003cp>“If they can get away with lower staffing levels, they can increase their revenue,” Givans, who has followed the health care industry for 25 years, said. “And so they would prefer to do that.”\u003c/p>\n\u003cp>The health care industry is very competitive and employers — even those in public and nonprofit institutions — are focused on revenue and minimizing costs. Employers tend to make investments they believe will help them compete for patients, Givans said.\u003c/p>\n\u003cp>“They have to be in that sort of arms race to have flashier buildings and more amenities and better branding and advertising campaigns — and all of those things which aren’t really directly related to patient care,” Givans said. “But that’s the health care economy that we’re in.”\u003c/p>\n\u003cp>Liz Perlman, executive director at AFSCME Local 3299, said UC is prioritizing raises for top executives and \u003ca href=\"https://www.latimes.com/california/story/2024-09-20/uc-chancellors-get-big-raises#:~:text=University%20of%20California%20chancellors%20will,did%20not%20receive%20salary%20adjustments.\">chancellors\u003c/a> and the construction of new hospitals in San Francisco, Oakland, Sacramento, and elsewhere while keeping facilities dangerously understaffed and paying too little to many frontline staffers.\u003c/p>\n\u003cp>“Ultimately, we want more care. We want to provide more services,” Perlman said. “But the problem is, if you build buildings but you don’t take care of the people who work inside them, frankly, the buildings are worthless.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Santa Clara County officials are leading the way on a new state initiative to provide Medi-Cal benefits to people incarcerated in county lockups as they prepare to reenter society, part of an effort to improve health outcomes in underserved communities.\u003c/p>\n\u003cp>The \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">new program\u003c/a>, known as the Justice-Involved Reentry Initiative, is one part of the state’s push to better streamline and integrate Medi-Cal with other social and health services across California. Through the reentry program, people in jails and youth correctional facilities can now enroll in Medi-Cal 90 days before their release.\u003c/p>\n\u003cp>All counties in California must implement the program by October 2025, but Santa Clara County, along with Inyo and Yuba counties, were among the first to gain approval from the state to begin the work.\u003c/p>\n\u003cp>During the 90-day period, county health agencies, which oversee care for incarcerated people, can work with those preparing for reentry to develop plans for uninterrupted medical care and mental health support.\u003c/p>\n\u003cp>“This means that gains that were made while in custody through mental health services, drug addiction treatment and support for chronic health conditions will not be lost when people leave custody,” county Board of Supervisors President Susan Ellenberg said during a news conference on Tuesday, to mark the county enrolling more than 100 people in the program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“In short, this initiative will make these residents healthier and our entire community safer.”\u003c/p>\n\u003cp>Ellenberg said about 70% of people in county correctional facilities, a disproportionate number of whom are people of color, are struggling with chronic health issues, mental illness or substance-use disorders.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"medi-cal\"]“Very often, the triggering behavior or action that lands them in custody was one of those health-related issues or social determinants of health,” she said in an interview. “So being able to address those while they’re in custody is really significant, but only will have a lasting effect if we continue it.”\u003c/p>\n\u003cp>Program participants are also offered case management support for up to one year after their release to help navigate the complex web of available government, private market and nonprofit-provided services.\u003c/p>\n\u003cp>“The medical system, behavioral health systems, as well as connecting them to other services like housing, food, transportation, other things that you need, the fundamentals to be able to manage your health well,” Michelle de la Calle, director of system integration for Santa Clara Valley Healthcare, said in an interview.\u003c/p>\n\u003cp>Dr. Clifford Wang, the interim director of custody health services for the county, said people leaving county facilities would be given a supply of their medications in hand, as well as any needed medical equipment, such as walkers, canes or wheelchairs.\u003c/p>\n\u003cp>“Once you leave custody, you’re thinking about, ‘where am I going to live, where am I going to get my next meal,’ and you may not pick up your prescriptions,” Wang said. “So it’s a bridge, and it’s lessening the burden on them. One less thing they might have to worry about when they get out in the immediate sense.”\u003c/p>\n\u003cp>People who are trying to rebuild their lives face many challenges “including housing instability, homelessness and barriers to gainful employment,” said Ky Le, a deputy county executive.\u003c/p>\n\u003cp>Le said this latest initiative will augment the work the county has already done to provide reentry resource centers, employment programs and peer counseling services.\u003c/p>\n\u003cp>Ellenberg said she’s happy Santa Clara County is “at the vanguard again” for programs and initiatives that help “build a carceral system that is as least traumatizing as possible, as most rehabilitative as possible.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I look forward to learning about the lives that will be improved as a result of this program,” she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Santa Clara County officials are leading the way on a new state initiative to provide Medi-Cal benefits to people incarcerated in county lockups as they prepare to reenter society, part of an effort to improve health outcomes in underserved communities.\u003c/p>\n\u003cp>The \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">new program\u003c/a>, known as the Justice-Involved Reentry Initiative, is one part of the state’s push to better streamline and integrate Medi-Cal with other social and health services across California. Through the reentry program, people in jails and youth correctional facilities can now enroll in Medi-Cal 90 days before their release.\u003c/p>\n\u003cp>All counties in California must implement the program by October 2025, but Santa Clara County, along with Inyo and Yuba counties, were among the first to gain approval from the state to begin the work.\u003c/p>\n\u003cp>During the 90-day period, county health agencies, which oversee care for incarcerated people, can work with those preparing for reentry to develop plans for uninterrupted medical care and mental health support.\u003c/p>\n\u003cp>“This means that gains that were made while in custody through mental health services, drug addiction treatment and support for chronic health conditions will not be lost when people leave custody,” county Board of Supervisors President Susan Ellenberg said during a news conference on Tuesday, to mark the county enrolling more than 100 people in the program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Very often, the triggering behavior or action that lands them in custody was one of those health-related issues or social determinants of health,” she said in an interview. “So being able to address those while they’re in custody is really significant, but only will have a lasting effect if we continue it.”\u003c/p>\n\u003cp>Program participants are also offered case management support for up to one year after their release to help navigate the complex web of available government, private market and nonprofit-provided services.\u003c/p>\n\u003cp>“The medical system, behavioral health systems, as well as connecting them to other services like housing, food, transportation, other things that you need, the fundamentals to be able to manage your health well,” Michelle de la Calle, director of system integration for Santa Clara Valley Healthcare, said in an interview.\u003c/p>\n\u003cp>Dr. Clifford Wang, the interim director of custody health services for the county, said people leaving county facilities would be given a supply of their medications in hand, as well as any needed medical equipment, such as walkers, canes or wheelchairs.\u003c/p>\n\u003cp>“Once you leave custody, you’re thinking about, ‘where am I going to live, where am I going to get my next meal,’ and you may not pick up your prescriptions,” Wang said. “So it’s a bridge, and it’s lessening the burden on them. One less thing they might have to worry about when they get out in the immediate sense.”\u003c/p>\n\u003cp>People who are trying to rebuild their lives face many challenges “including housing instability, homelessness and barriers to gainful employment,” said Ky Le, a deputy county executive.\u003c/p>\n\u003cp>Le said this latest initiative will augment the work the county has already done to provide reentry resource centers, employment programs and peer counseling services.\u003c/p>\n\u003cp>Ellenberg said she’s happy Santa Clara County is “at the vanguard again” for programs and initiatives that help “build a carceral system that is as least traumatizing as possible, as most rehabilitative as possible.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I look forward to learning about the lives that will be improved as a result of this program,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The director of California’s mental health commission traveled to London this summer courtesy of a state vendor while he was helping to prevent a \u003ca href=\"https://sbud.senate.ca.gov/system/files/2024-06/all-departments-vote-only-items-05.30.2024-outcomes.pdf\">$360 million budget cut\u003c/a> that would have defunded the company’s contract.\u003c/p>\n\u003cp>Emails and calendars reviewed by KFF Health News show Toby Ewing, executive director of the Mental Health Services Oversight and Accountability Commission, made efforts to protect funding for Kooth, a London-based digital mental health company the state hired to develop a virtual tool to help tackle its youth mental health crisis. Ewing pressed key legislative staffers to maintain its contract, even as Democratic Gov. Gavin Newsom and lawmakers proposed cuts in the face of California’s $45 billion deficit.\u003c/p>\n\u003cp>When Ewing and three commissioners — Mara Madrigal-Weiss, the commission chair; Bill Brown; and Steve Carnevale — left for London in June, Ewing wasn’t sure whether he had saved Kooth’s funding. On the second day of their trip, \u003ca href=\"https://www.documentcloud.org/documents/25244584-copy-of-trailer-emails-2\">staff informed him\u003c/a> that lawmakers had \u003ca href=\"https://www.documentcloud.org/documents/25244583-copy-of-trailer-bills-email\">restored the money\u003c/a>.\u003c/p>\n\u003cp>A few days later, \u003ca href=\"https://www.documentcloud.org/documents/25244587-more-kooth-lobbying?responsive=1&title=1\">he emailed\u003c/a> Kooth Chief Operating Officer Kate Newhouse suggestions he had shared with Assembly and Senate staff to improve Kooth’s youth teletherapy app. “We expect you to be involved in whatever we dream up,” Ewing wrote to Newhouse in another email.\u003c/p>\n\u003cp>It’s unclear why Kooth picked up a $15,000 tab for state officials to travel to London. It’s also unclear why Ewing pushed to protect its app from a spending cut. The commission is a 16-member independent body appointed by various elected officials to help ensure funds from a millionaires tax are used appropriately and effectively by counties for mental health services. Kooth’s contract is with the Department of Health Care Services, which is separate from the commission.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='health']\u003c/p>\n\u003cp>Last year, Kooth signed a four-year contract worth \u003ca href=\"https://www.documentcloud.org/documents/25245478-kooth_contract_4260-2220555_final-1-5?responsive=1&title=1\">$271 \u003c/a>\u003cspan style=\"margin: 0px;padding: 0px\">\u003ca href=\"https://www.documentcloud.org/documents/25245478-kooth_contract_4260-2220555_final-1-5?responsive=1&title=1\" target=\"_blank\" rel=\"noopener\">million \u003c/a>to\u003c/span> \u003ca href=\"https://solunaapp.com/\">create Soluna\u003c/a>, a free mental health app for California users ages 13 to 25. The app, \u003ca href=\"https://www.hellobrightline.com/brightlifekids/\">along with another\u003c/a>, by the company Brightline, for younger users, launched in January to fill a need for young Californians and their families to access professional telehealth free of charge. It’s one component of Newsom’s \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf\">$4.7 billion\u003c/a> youth mental health plan.\u003c/p>\n\u003cp>Ewing, who reports to the commission, started in 2015 and earned $175,026 in 2023, according to \u003ca href=\"https://www.sacbee.com/news/databases/state-pay/article229468549.html\">The Sacramento Bee\u003c/a>. He was placed on \u003ca href=\"https://mhsoac.ca.gov/connect/commission-meetings/commission-meeting-september-11-2024/\">paid administrative leave\u003c/a> in September pending an investigation. Commission chief counsel Sandra Gallardo said the commission does not comment on personnel matters. Ewing did not respond to requests for comment.\u003c/p>\n\u003cp>Three commission employees filed whistleblower complaints against Ewing in September with the California State Auditor. They spoke with KFF Health News on the condition that their names not be used due to fears of workplace retaliation. They say Ewing’s conduct advancing a private company’s agenda as a public official crossed a line.\u003c/p>\n\u003cp>\u003ca href=\"https://mhsoac.ca.gov/wp-content/uploads/October-24_Agenda_Teleconference_FINAL.pdf\">The agenda\u003c/a> for Thursday’s commission meeting listed a personnel matter to be discussed in closed session. The whistleblowers said Ewing is the subject of the discussion.\u003c/p>\n\u003cp>Madrigal-Weiss said she couldn’t comment on Ewing’s actions. However, she said the commission supports virtual mental health resources for youth.\u003c/p>\n\u003cp>“These resources are less expensive and have proven valuable for youth, especially those who struggle to access services in typical brick-and-mortar spaces,” said Madrigal-Weiss, who is also executive director of student wellness and school culture for the San Diego County Office of Education.\u003c/p>\n\u003cp>Brown and Carnevale didn’t respond to requests for comment.\u003c/p>\n\u003cp>Kooth is committed to advancing youth access to behavioral health services, said Caroline Curran of Metis Communications, a public relations firm representing Kooth.\u003c/p>\n\u003cp>“As a leader in youth behavioral health services with over 20 years of experience in the United Kingdom and the United States, we regularly convene sector-leading organizations to facilitate learning through sharing expertise and diverse perspectives on youth behavioral health,” Curran said.\u003c/p>\n\u003cp>As KFF Health News \u003ca href=\"https://kffhealthnews.org/news/article/california-youth-teletherapy-apps-rollout-slow/\">reported in April\u003c/a>, the Kooth and Brightline app rollouts have been slow, with few children using them. In May, Newsom proposed a $140 million budget cut. DHCS Director Michelle Baass said in \u003ca href=\"https://digitaldemocracy.calmatters.org/hearings/257973\">a hearing\u003c/a> that it was due to low use but that the state expects more users to come on board over time, according to CalMatters’ Digital Democracy tool.\u003c/p>\n\u003cp>She told lawmakers on May 16 that roughly 20,000 of the state’s more than 12.6 million children and young adults had registered on the apps, and they had been used for only about 2,800 coaching sessions.\u003c/p>\n\u003cp>State Sen. Caroline Menjivar (D-Van Nuys) asked Baass at the hearing whether “there’s room to get out” of the contract altogether. Senators later \u003ca href=\"https://sbud.senate.ca.gov/system/files/2024-06/all-departments-vote-only-items-05.30.2024-outcomes.pdf\">voted unanimously\u003c/a> to cut the entire platform budget to save the state $360 million.\u003c/p>\n\u003cp>Ewing \u003ca href=\"https://www.documentcloud.org/documents/25245061-toby-kooth-text_redacted\">texted a colleague\u003c/a> on June 3: “Kooth is freaking out. Is the cut coming from the Admin or the Leg.? Do we know if it’s a done deal?”\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/25245061-toby-kooth-text_redacted\"]\u003c/p>\n\u003cp>State \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1465784&view=activity\">lobbying records\u003c/a> show Kooth has paid around $100,000 this year to the firm Capital Advocacy. At the same time, Ewing’s emails and calendars show that he pushed for Kooth’s funding to be retained. For instance, his June 4 calendar shows he was scheduled to \u003ca href=\"https://www.documentcloud.org/documents/25245592-kooth-toby-meeting-2?responsive=1&title=1\">meet with Laura Tully\u003c/a>, an executive from Kooth USA, at a coffee shop near the Capitol.\u003c/p>\n\u003cp>The next day, a whistleblower said, Ewing \u003ca href=\"https://www.documentcloud.org/documents/25245593-senate-meeting-1?responsive=1&title=1\">met with\u003c/a> key Senate staff members: Scott Ogus, deputy staff director of the Senate Budget and Fiscal Review Committee, and Marjorie Swartz, a consultant for Senate President Pro Tempore Mike McGuire. They said Ewing also discussed Kooth’s contract that week with Rosielyn Pulmano, a health policy consultant for Assembly Speaker Robert Rivas.\u003c/p>\n\u003cp>“Toby kept saying that ‘California has to have a digital strategy,’” recalled the whistleblower, who attended both meetings. “He kept pushing Marjorie and Scott, saying that he would give them ideas to make the platform better.”\u003c/p>\n\u003cp>Ewing \u003ca href=\"https://www.documentcloud.org/documents/25244582-copy-of-toby-kooth-suggestions-email?responsive=1&title=1\">emailed ideas\u003c/a> to the legislative aides on June 10 and 12.\u003c/p>\n\u003cp>About two weeks later, he and the commissioners left for the seven-day trip to the U.K. According to documents filed with the state \u003ca href=\"https://www.documentcloud.org/documents/25245068-london-fppc-801-payment-to-agency-report\">Fair Political Practices Commission\u003c/a>, receipts, and emails reviewed by KFF Health News, Kooth covered the costs of four-star hotels, meals, train tickets, and international flights.\u003c/p>\n\u003cp>Public disclosure forms show Kooth paid expenses for Ewing, Madrigal-Weiss, and Brown. The forms do not show the company paid for Carnevale’s travel.\u003c/p>\n\u003cp>Under California law, state officials generally must report travel payments to the FPPC, which Ewing and his fellow commissioners did.\u003c/p>\n\u003cp>Kooth postponed a mental health investment \u003ca href=\"https://www.documentcloud.org/documents/25244589-uk-brain-capital-summit\">conference in London\u003c/a> in June, emails and documents show, but then organized \u003ca href=\"https://www.documentcloud.org/documents/25246512-london-schedule-1\">new events\u003c/a> for the California commissioners to attend instead.\u003c/p>\n\u003cp>On May 23, Newhouse informed Carnevale and Ewing \u003ca href=\"https://www.documentcloud.org/documents/25244586-london-trip-postponement?responsive=1&title=1\">in an email\u003c/a> that Kooth needed to postpone the planned June event. Carnevale, a venture capitalist, described the news as “disappointing for all,” especially “because we have already booked trips, including family members of Commissioners who were planning to turn this into a holiday.”\u003c/p>\n\u003cp>Acknowledging the disruption, Newhouse told Carnevale that she “would like to think creatively as to whether we could try to arrange a meeting where you can talk about the CYBHI,” referring to Newsom’s Children and Youth Behavioral Health Initiative.\u003c/p>\n\u003cp>“I know, though, from our conversation, that we need to cover the ‘purpose’ of your trip and not sure what is possible or not,” she wrote.\u003c/p>\n\u003cp>Curran, the Kooth spokesperson, said the company “adapted by holding a knowledge exchange between representatives from international policy institutes, research foundations, and nonprofit organizations.”\u003c/p>\n\u003cp>Madrigal-Weiss defended the trip, which she said included meetings with “members of the government, service providers, education, and finance” who shared ideas on how “to enhance funds for public mental health needs” through private and philanthropic partnerships.\u003c/p>\n\u003cp>One of the whistleblowers said many of the commissioners back in California were not aware of the trip until their colleagues were halfway across the world. Sami Gallegos, a spokesperson for the California Health and Human Services Agency, said the Department of Health Care Services did not participate in the travel.\u003c/p>\n\u003cp>Ewing was put on leave before Kooth’s \u003ca href=\"https://www.linkedin.com/posts/mindspark360_brain-capital-uk-summit-ugcPost-7249487039157420032-wT6q/?utm_source=share&utm_medium=member_ios\">rescheduled conference\u003c/a> this month in London.\u003c/p>\n\u003cp>Although it’s not unusual for state officials to travel overseas — often on the dime of private entities — it doesn’t look good, said Sean McMorris, a government ethics expert with California Common Cause, a nonprofit government watchdog group.\u003c/p>\n\u003cp>“It looks like undue influence,” McMorris said. “I think a lot of people would view something like this as a way to curry favor. You can connect the dots.”\u003c/p>\n\u003cp>Kooth has similarly gifted travel to state officials in Pennsylvania, where it had a $3 million contract with 30 school districts. In each case, Kooth invited the officials to speak to highlight their work. Pennsylvania has informed Kooth it intends to terminate the contract.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Toby Ewing, executive director of the California Mental Health Services Oversight and Accountability Commission, is on administrative leave after emails show he fought to preserve the company's state contract and was then flown to their London offices.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The director of California’s mental health commission traveled to London this summer courtesy of a state vendor while he was helping to prevent a \u003ca href=\"https://sbud.senate.ca.gov/system/files/2024-06/all-departments-vote-only-items-05.30.2024-outcomes.pdf\">$360 million budget cut\u003c/a> that would have defunded the company’s contract.\u003c/p>\n\u003cp>Emails and calendars reviewed by KFF Health News show Toby Ewing, executive director of the Mental Health Services Oversight and Accountability Commission, made efforts to protect funding for Kooth, a London-based digital mental health company the state hired to develop a virtual tool to help tackle its youth mental health crisis. Ewing pressed key legislative staffers to maintain its contract, even as Democratic Gov. Gavin Newsom and lawmakers proposed cuts in the face of California’s $45 billion deficit.\u003c/p>\n\u003cp>When Ewing and three commissioners — Mara Madrigal-Weiss, the commission chair; Bill Brown; and Steve Carnevale — left for London in June, Ewing wasn’t sure whether he had saved Kooth’s funding. On the second day of their trip, \u003ca href=\"https://www.documentcloud.org/documents/25244584-copy-of-trailer-emails-2\">staff informed him\u003c/a> that lawmakers had \u003ca href=\"https://www.documentcloud.org/documents/25244583-copy-of-trailer-bills-email\">restored the money\u003c/a>.\u003c/p>\n\u003cp>A few days later, \u003ca href=\"https://www.documentcloud.org/documents/25244587-more-kooth-lobbying?responsive=1&title=1\">he emailed\u003c/a> Kooth Chief Operating Officer Kate Newhouse suggestions he had shared with Assembly and Senate staff to improve Kooth’s youth teletherapy app. “We expect you to be involved in whatever we dream up,” Ewing wrote to Newhouse in another email.\u003c/p>\n\u003cp>It’s unclear why Kooth picked up a $15,000 tab for state officials to travel to London. It’s also unclear why Ewing pushed to protect its app from a spending cut. The commission is a 16-member independent body appointed by various elected officials to help ensure funds from a millionaires tax are used appropriately and effectively by counties for mental health services. Kooth’s contract is with the Department of Health Care Services, which is separate from the commission.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Last year, Kooth signed a four-year contract worth \u003ca href=\"https://www.documentcloud.org/documents/25245478-kooth_contract_4260-2220555_final-1-5?responsive=1&title=1\">$271 \u003c/a>\u003cspan style=\"margin: 0px;padding: 0px\">\u003ca href=\"https://www.documentcloud.org/documents/25245478-kooth_contract_4260-2220555_final-1-5?responsive=1&title=1\" target=\"_blank\" rel=\"noopener\">million \u003c/a>to\u003c/span> \u003ca href=\"https://solunaapp.com/\">create Soluna\u003c/a>, a free mental health app for California users ages 13 to 25. The app, \u003ca href=\"https://www.hellobrightline.com/brightlifekids/\">along with another\u003c/a>, by the company Brightline, for younger users, launched in January to fill a need for young Californians and their families to access professional telehealth free of charge. It’s one component of Newsom’s \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf\">$4.7 billion\u003c/a> youth mental health plan.\u003c/p>\n\u003cp>Ewing, who reports to the commission, started in 2015 and earned $175,026 in 2023, according to \u003ca href=\"https://www.sacbee.com/news/databases/state-pay/article229468549.html\">The Sacramento Bee\u003c/a>. He was placed on \u003ca href=\"https://mhsoac.ca.gov/connect/commission-meetings/commission-meeting-september-11-2024/\">paid administrative leave\u003c/a> in September pending an investigation. Commission chief counsel Sandra Gallardo said the commission does not comment on personnel matters. Ewing did not respond to requests for comment.\u003c/p>\n\u003cp>Three commission employees filed whistleblower complaints against Ewing in September with the California State Auditor. They spoke with KFF Health News on the condition that their names not be used due to fears of workplace retaliation. They say Ewing’s conduct advancing a private company’s agenda as a public official crossed a line.\u003c/p>\n\u003cp>\u003ca href=\"https://mhsoac.ca.gov/wp-content/uploads/October-24_Agenda_Teleconference_FINAL.pdf\">The agenda\u003c/a> for Thursday’s commission meeting listed a personnel matter to be discussed in closed session. The whistleblowers said Ewing is the subject of the discussion.\u003c/p>\n\u003cp>Madrigal-Weiss said she couldn’t comment on Ewing’s actions. However, she said the commission supports virtual mental health resources for youth.\u003c/p>\n\u003cp>“These resources are less expensive and have proven valuable for youth, especially those who struggle to access services in typical brick-and-mortar spaces,” said Madrigal-Weiss, who is also executive director of student wellness and school culture for the San Diego County Office of Education.\u003c/p>\n\u003cp>Brown and Carnevale didn’t respond to requests for comment.\u003c/p>\n\u003cp>Kooth is committed to advancing youth access to behavioral health services, said Caroline Curran of Metis Communications, a public relations firm representing Kooth.\u003c/p>\n\u003cp>“As a leader in youth behavioral health services with over 20 years of experience in the United Kingdom and the United States, we regularly convene sector-leading organizations to facilitate learning through sharing expertise and diverse perspectives on youth behavioral health,” Curran said.\u003c/p>\n\u003cp>As KFF Health News \u003ca href=\"https://kffhealthnews.org/news/article/california-youth-teletherapy-apps-rollout-slow/\">reported in April\u003c/a>, the Kooth and Brightline app rollouts have been slow, with few children using them. In May, Newsom proposed a $140 million budget cut. DHCS Director Michelle Baass said in \u003ca href=\"https://digitaldemocracy.calmatters.org/hearings/257973\">a hearing\u003c/a> that it was due to low use but that the state expects more users to come on board over time, according to CalMatters’ Digital Democracy tool.\u003c/p>\n\u003cp>She told lawmakers on May 16 that roughly 20,000 of the state’s more than 12.6 million children and young adults had registered on the apps, and they had been used for only about 2,800 coaching sessions.\u003c/p>\n\u003cp>State Sen. Caroline Menjivar (D-Van Nuys) asked Baass at the hearing whether “there’s room to get out” of the contract altogether. Senators later \u003ca href=\"https://sbud.senate.ca.gov/system/files/2024-06/all-departments-vote-only-items-05.30.2024-outcomes.pdf\">voted unanimously\u003c/a> to cut the entire platform budget to save the state $360 million.\u003c/p>\n\u003cp>Ewing \u003ca href=\"https://www.documentcloud.org/documents/25245061-toby-kooth-text_redacted\">texted a colleague\u003c/a> on June 3: “Kooth is freaking out. Is the cut coming from the Admin or the Leg.? Do we know if it’s a done deal?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1465784&view=activity\">lobbying records\u003c/a> show Kooth has paid around $100,000 this year to the firm Capital Advocacy. At the same time, Ewing’s emails and calendars show that he pushed for Kooth’s funding to be retained. For instance, his June 4 calendar shows he was scheduled to \u003ca href=\"https://www.documentcloud.org/documents/25245592-kooth-toby-meeting-2?responsive=1&title=1\">meet with Laura Tully\u003c/a>, an executive from Kooth USA, at a coffee shop near the Capitol.\u003c/p>\n\u003cp>The next day, a whistleblower said, Ewing \u003ca href=\"https://www.documentcloud.org/documents/25245593-senate-meeting-1?responsive=1&title=1\">met with\u003c/a> key Senate staff members: Scott Ogus, deputy staff director of the Senate Budget and Fiscal Review Committee, and Marjorie Swartz, a consultant for Senate President Pro Tempore Mike McGuire. They said Ewing also discussed Kooth’s contract that week with Rosielyn Pulmano, a health policy consultant for Assembly Speaker Robert Rivas.\u003c/p>\n\u003cp>“Toby kept saying that ‘California has to have a digital strategy,’” recalled the whistleblower, who attended both meetings. “He kept pushing Marjorie and Scott, saying that he would give them ideas to make the platform better.”\u003c/p>\n\u003cp>Ewing \u003ca href=\"https://www.documentcloud.org/documents/25244582-copy-of-toby-kooth-suggestions-email?responsive=1&title=1\">emailed ideas\u003c/a> to the legislative aides on June 10 and 12.\u003c/p>\n\u003cp>About two weeks later, he and the commissioners left for the seven-day trip to the U.K. According to documents filed with the state \u003ca href=\"https://www.documentcloud.org/documents/25245068-london-fppc-801-payment-to-agency-report\">Fair Political Practices Commission\u003c/a>, receipts, and emails reviewed by KFF Health News, Kooth covered the costs of four-star hotels, meals, train tickets, and international flights.\u003c/p>\n\u003cp>Public disclosure forms show Kooth paid expenses for Ewing, Madrigal-Weiss, and Brown. The forms do not show the company paid for Carnevale’s travel.\u003c/p>\n\u003cp>Under California law, state officials generally must report travel payments to the FPPC, which Ewing and his fellow commissioners did.\u003c/p>\n\u003cp>Kooth postponed a mental health investment \u003ca href=\"https://www.documentcloud.org/documents/25244589-uk-brain-capital-summit\">conference in London\u003c/a> in June, emails and documents show, but then organized \u003ca href=\"https://www.documentcloud.org/documents/25246512-london-schedule-1\">new events\u003c/a> for the California commissioners to attend instead.\u003c/p>\n\u003cp>On May 23, Newhouse informed Carnevale and Ewing \u003ca href=\"https://www.documentcloud.org/documents/25244586-london-trip-postponement?responsive=1&title=1\">in an email\u003c/a> that Kooth needed to postpone the planned June event. Carnevale, a venture capitalist, described the news as “disappointing for all,” especially “because we have already booked trips, including family members of Commissioners who were planning to turn this into a holiday.”\u003c/p>\n\u003cp>Acknowledging the disruption, Newhouse told Carnevale that she “would like to think creatively as to whether we could try to arrange a meeting where you can talk about the CYBHI,” referring to Newsom’s Children and Youth Behavioral Health Initiative.\u003c/p>\n\u003cp>“I know, though, from our conversation, that we need to cover the ‘purpose’ of your trip and not sure what is possible or not,” she wrote.\u003c/p>\n\u003cp>Curran, the Kooth spokesperson, said the company “adapted by holding a knowledge exchange between representatives from international policy institutes, research foundations, and nonprofit organizations.”\u003c/p>\n\u003cp>Madrigal-Weiss defended the trip, which she said included meetings with “members of the government, service providers, education, and finance” who shared ideas on how “to enhance funds for public mental health needs” through private and philanthropic partnerships.\u003c/p>\n\u003cp>One of the whistleblowers said many of the commissioners back in California were not aware of the trip until their colleagues were halfway across the world. Sami Gallegos, a spokesperson for the California Health and Human Services Agency, said the Department of Health Care Services did not participate in the travel.\u003c/p>\n\u003cp>Ewing was put on leave before Kooth’s \u003ca href=\"https://www.linkedin.com/posts/mindspark360_brain-capital-uk-summit-ugcPost-7249487039157420032-wT6q/?utm_source=share&utm_medium=member_ios\">rescheduled conference\u003c/a> this month in London.\u003c/p>\n\u003cp>Although it’s not unusual for state officials to travel overseas — often on the dime of private entities — it doesn’t look good, said Sean McMorris, a government ethics expert with California Common Cause, a nonprofit government watchdog group.\u003c/p>\n\u003cp>“It looks like undue influence,” McMorris said. “I think a lot of people would view something like this as a way to curry favor. You can connect the dots.”\u003c/p>\n\u003cp>Kooth has similarly gifted travel to state officials in Pennsylvania, where it had a $3 million contract with 30 school districts. In each case, Kooth invited the officials to speak to highlight their work. Pennsylvania has informed Kooth it intends to terminate the contract.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Biden Administration Proposes New Rule to Make Over-the-Counter Birth Control Free",
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"content": "\u003cp>The Biden administration is proposing a rule that would expand access to contraceptive products, including making over-the-counter birth control and condoms free for the first time for women of reproductive age who have private health insurance.\u003c/p>\n\u003cp>Under the proposal by the U.S. Department of Health and Human Services (HHS), Labor Department and Treasury Department, which the administration announced on Monday, health insurance companies would be required to cover all recommended over-the-counter contraception products, such as condoms, spermicide and emergency contraception, without a prescription and at no cost, according to senior administration officials.\u003c/p>\n\u003cp>It would also require private health insurance providers to notify recipients about the covered over-the-counter products.\u003c/p>\n\u003cp>The proposed rule comes as the Biden administration seeks to expand access to contraceptives and as other reproductive health, including access to abortion, has become a central issue in the \u003ca href=\"https://www.npr.org/2024/09/20/g-s1-23971/harris-abortion-preventable-deaths-georgia\">2024 presidential election campaign\u003c/a>. Republican-led states have restricted access to abortion since the Supreme Court overturned Roe v. Wade in 2022. \u003ca href=\"https://www.npr.org/sections/health-shots/2024/05/22/1252771024/state-abortion-laws-2024-election\">About half of states\u003c/a> now ban or severely restrict abortion, which has coincided with \u003ca href=\"https://www.npr.org/transcripts/nx-s1-5020324\">steep declines\u003c/a> in prescriptions for birth control and emergency contraception in those states.\u003c/p>\n\u003cp>HHS Secretary Xavier Becerra said when health care insurers impose burdensome administrative or cost-sharing requirements for services, “access to contraceptives become even more difficult.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have heard from women who need a specific brand of birth control but the cost of their prescription isn’t covered by their health insurance. We have made clear that in all 50 states, the Affordable Care Act guarantees coverage of women’s preventive services without cost sharing, including all birth control methods approved by the Food and Drug Administration,” Becerra told reporters. “This proposed rule will build on the progress we have already made under the Affordable Care Act to help ensure that more women can access the contraceptive services they need without out-of-pocket costs.”\u003c/p>\n\u003cp>[aside label=\"more on reproductive health\" tag=\"reproductive-health\"]The products would be able to be accessed the same way prescription medicines are accessed, such as at the pharmacy counter, according to senior administration officials. Getting the products through reimbursement would also be an option, depending on the health insurance plan, officials said.\u003cbr>\nBirth control became available to those with insurance without a copay because of the Affordable Care Act, but that required a prescription.\u003c/p>\n\u003cp>In July 2023, a daily oral birth control pill, Opill, \u003ca href=\"https://www.npr.org/2023/07/13/1187460902/opill-fda-approve-otc-birth-control-pill\" target=\"1187460902\" rel=\"noopener\">became the first over-the-counter birth control pill\u003c/a> to be approved by the Food and Drug Administration. It became \u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\" target=\"1235404522\" rel=\"noopener\">available for purchase online\u003c/a> in March and can be purchased for $19.99.\u003c/p>\n\u003cp>The Biden administration in January \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2024/01/22/fact-sheet-white-house-task-force-on-reproductive-healthcare-access-announces-new-actions-and-marks-the-51st-anniversary-of-roe-v-wade/\">announced several actions\u003c/a> aimed at strengthening access to abortion and contraceptives, including the Office of Personnel Management issuing guidance to insurers that will expand access to contraception for federal workers, families and retirees.\u003c/p>\n\u003cp>There will be a comment period on the proposed rule, and if approved, it could go into effect in 2025, according to senior administration officials.\u003c/p>\n\u003cp>However, if former President Donald Trump wins the election, he could reverse the rule.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Sydney Lupkin and Bill Chappell contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Biden administration is proposing a rule that would expand access to contraceptive products, including making over-the-counter birth control and condoms free for the first time for women of reproductive age who have private health insurance.\u003c/p>\n\u003cp>Under the proposal by the U.S. Department of Health and Human Services (HHS), Labor Department and Treasury Department, which the administration announced on Monday, health insurance companies would be required to cover all recommended over-the-counter contraception products, such as condoms, spermicide and emergency contraception, without a prescription and at no cost, according to senior administration officials.\u003c/p>\n\u003cp>It would also require private health insurance providers to notify recipients about the covered over-the-counter products.\u003c/p>\n\u003cp>The proposed rule comes as the Biden administration seeks to expand access to contraceptives and as other reproductive health, including access to abortion, has become a central issue in the \u003ca href=\"https://www.npr.org/2024/09/20/g-s1-23971/harris-abortion-preventable-deaths-georgia\">2024 presidential election campaign\u003c/a>. Republican-led states have restricted access to abortion since the Supreme Court overturned Roe v. Wade in 2022. \u003ca href=\"https://www.npr.org/sections/health-shots/2024/05/22/1252771024/state-abortion-laws-2024-election\">About half of states\u003c/a> now ban or severely restrict abortion, which has coincided with \u003ca href=\"https://www.npr.org/transcripts/nx-s1-5020324\">steep declines\u003c/a> in prescriptions for birth control and emergency contraception in those states.\u003c/p>\n\u003cp>HHS Secretary Xavier Becerra said when health care insurers impose burdensome administrative or cost-sharing requirements for services, “access to contraceptives become even more difficult.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The products would be able to be accessed the same way prescription medicines are accessed, such as at the pharmacy counter, according to senior administration officials. Getting the products through reimbursement would also be an option, depending on the health insurance plan, officials said.\u003cbr>\nBirth control became available to those with insurance without a copay because of the Affordable Care Act, but that required a prescription.\u003c/p>\n\u003cp>In July 2023, a daily oral birth control pill, Opill, \u003ca href=\"https://www.npr.org/2023/07/13/1187460902/opill-fda-approve-otc-birth-control-pill\" target=\"1187460902\" rel=\"noopener\">became the first over-the-counter birth control pill\u003c/a> to be approved by the Food and Drug Administration. It became \u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\" target=\"1235404522\" rel=\"noopener\">available for purchase online\u003c/a> in March and can be purchased for $19.99.\u003c/p>\n\u003cp>The Biden administration in January \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2024/01/22/fact-sheet-white-house-task-force-on-reproductive-healthcare-access-announces-new-actions-and-marks-the-51st-anniversary-of-roe-v-wade/\">announced several actions\u003c/a> aimed at strengthening access to abortion and contraceptives, including the Office of Personnel Management issuing guidance to insurers that will expand access to contraception for federal workers, families and retirees.\u003c/p>\n\u003cp>There will be a comment period on the proposed rule, and if approved, it could go into effect in 2025, according to senior administration officials.\u003c/p>\n\u003cp>However, if former President Donald Trump wins the election, he could reverse the rule.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>NPR’s Sydney Lupkin and Bill Chappell contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "alameda-hospital-among-those-scrambling-to-meet-earthquake-retrofit-deadline",
"title": "Alameda Hospital Among Those Scrambling to Meet Earthquake Retrofit Deadline",
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"content": "\u003cp>More than half of the 410 hospitals in California have at least one building that likely wouldn’t be able to operate after a major earthquake hit their region, and with many institutions claiming they don’t have the money to meet a 2030 legal deadline for earthquake retrofits, the state is now granting relief to some while ramping up pressure on others to get the work done.\u003c/p>\n\u003cp>Gov. Gavin Newsom in September vetoed legislation championed by the California Hospital Association that would have allowed all hospitals to apply for an extension of the deadline for up to five years. Instead, the Democratic governor signed a more narrowly tailored bill that allows small, rural, or “distressed” hospitals to get an extension of up to three years.\u003c/p>\n\u003cp>“It’s an expensive thing and a complicated thing for hospitals — independent hospitals in particular,” said Elizabeth Mahler, an associate chief medical officer for Alameda Health System, which is undertaking a $25 million retrofit of its hospital in Alameda.\u003c/p>\n\u003cp>The debate over how seismically safe California hospitals should be dates to the 1971 Sylmar quake near Los Angeles, which prompted a law requiring new hospitals to be built to withstand an earthquake and continue operating. In 1994, after the magnitude 6.7 Northridge quake killed at least 57 people, lawmakers required existing facilities to be upgraded.\u003c/p>\n\u003cp>The two laws have left California hospitals with two sets of standards to meet. The first — which originally had a deadline of 2008 but was pushed to 2020 — required hospital buildings to stay standing after an earthquake. About 20 facilities have yet to meet that requirement for at least one of their buildings, although some have received extensions from the state.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many more — 674 buildings spread across 251 licensed hospitals — do not meet the second set of standards, which require hospital facilities to remain functional in the event of a major earthquake. That work is supposed to be done by 2030.\u003c/p>\n\u003cp>“The importance of it is hard to argue with,” said Jonathan Stewart, a professor at UCLA’s Samueli School of Engineering, citing a 2023 earthquake in Turkey that damaged or destroyed multiple hospitals. “There were a number of hospitals that were intact but not usable. That’s better than a collapsed structure. But still not what you need at a time of emergency like that.”\u003c/p>\n\u003cp>The influential hospital industry has unsuccessfully lobbied lawmakers for years to extend the 2030 deadline, though the state has granted various extensions to specific facilities. Newsom’s signature on one of the three bills addressing the issue this year represents a partial victory for the industry.\u003c/p>\n\u003cp>Hospital administrators have long complained about the steep cost of seismic retrofits.\u003c/p>\n\u003cp>“While hospitals are working to meet these requirements, many will simply not make the 2030 deadline and be forced by state law to close,” wrote Carmela Coyle, president and CEO of the California Hospital Association, in a letter to Newsom before he vetoed the CHA bill. A \u003ca href=\"https://www.rand.org/news/press/2019/03/28.html\">2019 Rand Corp. study\u003c/a> paid for by the CHA pinned the price of meeting the 2030 standards at between $34 billion and $143 billion statewide.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='health']\u003c/p>\n\u003cp>Labor unions representing nurses and other medical workers, however, say the hospitals have had plenty of time to get their buildings into compliance and that most have the money to do so.\u003c/p>\n\u003cp>“They’ve had 30 years to do this,” Cathy Kennedy, a nurse in Roseville and one of the presidents of the California Nurses Association, said in an interview prior to the governor’s action. “We are kicking the can down the road year after year, and unfortunately, lives are going to be lost.”\u003c/p>\n\u003cp>In his veto message on the CHA bill, Newsom wrote that a blanket five-year extension wasn’t justified and that any extension “should be limited in scope, granted only on a case-by-case basis to hospitals with demonstrated need and a clear path to compliance, and in combination with strong accountability and enforcement mechanisms.”\u003c/p>\n\u003cp>He also vetoed a bill directed specifically at helping several hospitals operated by Providence, a Catholic hospital chain.\u003c/p>\n\u003cp>But he signed a third bill, which allows small, rural, and “critical access” hospitals, and some others, to apply for a three-year extension and directs the Department of Health Care Access and Information to offer them “technical assistance” in meeting the deadline.\u003c/p>\n\u003cp>The state designates 37 hospitals as providing “critical access,” while 56 are considered “small,” meaning they have fewer than 50 beds, 59 are considered “rural,” and 32 are “district” hospitals, meaning special government entities fund them called “health care districts.” They can seek a three-year extension as long as they submit a seismic compliance plan and identify milestones for implementing it.\u003c/p>\n\u003cp>Debi Stebbins, executive director of the Alameda Health Care District, which owns the Alameda Hospital buildings, said small hospitals face a big challenge. Even though Alameda is very close to San Francisco and Oakland, the tunnels, bridges, and ferries that connect it to the mainland could easily be shut in an emergency, making the island’s hospital a lifeline.\u003c/p>\n\u003cp>“It’s an unfunded mandate,” Stebbins said of the state’s 2030 deadline.\u003c/p>\n\u003cp>The Rand study estimated the average cost of a retrofit at \u003ca href=\"https://www.rand.org/pubs/research_reports/RR3059.html\">more than $92 million\u003c/a> per building, but the amount could vary greatly depending on whether it’s a building that houses hospital beds.\u003c/p>\n\u003cp>Small and rural hospitals can get some aid from the state via grants financed by the California Electronic Cigarette Excise Tax, but HCAI spokesperson Andrew DiLuccia said it would yield just $2-3 million total annually. He added that the Small and Rural Hospital Relief Program has also received a one-time infusion of $50 million from a tax on health insurers to help with the seismic work.\u003c/p>\n\u003cp>Labor unions and critics of the extensions often point to the large profits that some hospitals reap: A California Health Care Foundation report published in August found that California’s hospitals made $3.2 billion in profit during the first quarter of 2024. The study notes that there “continues to be wide variation in financial performance among hospitals, with the bottom quartile showing a net income margin of -5%, compared to +13% for the top quartile.”\u003c/p>\n\u003cp>Stebbins has had to help her district figure out a plan.\u003c/p>\n\u003cfigure id=\"attachment_11937937\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937937\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-800x533.jpg\" alt='A beige building with \"Alameda Hospital\" written on it in blue lettering and a carpark in the foreground.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy.jpg 1568w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A view of Alameda Hospital, which serves the city of Alameda, on Jan. 3, 2023. Alameda Hospital sought a 2-year extension for seismic retrofits in 2022, but Gov. Gavin Newsom vetoed it. \u003ccite>(Martin do Nascimento for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After Newsom vetoed a bill in 2022 that would have granted an extension on the seismic retrofit deadline specifically for Alameda Hospital, the hospital system and its partner health care district used parcel tax money to help back \u003ca href=\"https://www.alamedahealthsystem.org/alameda-hospital-seismic-updates-and-faqs/\">a loan\u003c/a>.\u003c/p>\n\u003cp>The cost to retrofit will be about $25 million, and the system is also investing millions more into other projects, such as a new skilled nursing facility. The construction work is set to be completed in 2027.\u003c/p>\n\u003cp>“No one wants things crashing in an earthquake or anything else, but at the same time, it’s a burden,” Mahler, the Alameda Health System associate chief medical officer, said. “How do we make sure that they get what they need to stay open?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Alameda Health System's facility is among the California hospitals that would take major damage during a large earthquake, as state lawmakers pressure hospital systems to meet a 2030 deadline for retrofits.",
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"title": "Alameda Hospital Among Those Scrambling to Meet Earthquake Retrofit Deadline | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>More than half of the 410 hospitals in California have at least one building that likely wouldn’t be able to operate after a major earthquake hit their region, and with many institutions claiming they don’t have the money to meet a 2030 legal deadline for earthquake retrofits, the state is now granting relief to some while ramping up pressure on others to get the work done.\u003c/p>\n\u003cp>Gov. Gavin Newsom in September vetoed legislation championed by the California Hospital Association that would have allowed all hospitals to apply for an extension of the deadline for up to five years. Instead, the Democratic governor signed a more narrowly tailored bill that allows small, rural, or “distressed” hospitals to get an extension of up to three years.\u003c/p>\n\u003cp>“It’s an expensive thing and a complicated thing for hospitals — independent hospitals in particular,” said Elizabeth Mahler, an associate chief medical officer for Alameda Health System, which is undertaking a $25 million retrofit of its hospital in Alameda.\u003c/p>\n\u003cp>The debate over how seismically safe California hospitals should be dates to the 1971 Sylmar quake near Los Angeles, which prompted a law requiring new hospitals to be built to withstand an earthquake and continue operating. In 1994, after the magnitude 6.7 Northridge quake killed at least 57 people, lawmakers required existing facilities to be upgraded.\u003c/p>\n\u003cp>The two laws have left California hospitals with two sets of standards to meet. The first — which originally had a deadline of 2008 but was pushed to 2020 — required hospital buildings to stay standing after an earthquake. About 20 facilities have yet to meet that requirement for at least one of their buildings, although some have received extensions from the state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many more — 674 buildings spread across 251 licensed hospitals — do not meet the second set of standards, which require hospital facilities to remain functional in the event of a major earthquake. That work is supposed to be done by 2030.\u003c/p>\n\u003cp>“The importance of it is hard to argue with,” said Jonathan Stewart, a professor at UCLA’s Samueli School of Engineering, citing a 2023 earthquake in Turkey that damaged or destroyed multiple hospitals. “There were a number of hospitals that were intact but not usable. That’s better than a collapsed structure. But still not what you need at a time of emergency like that.”\u003c/p>\n\u003cp>The influential hospital industry has unsuccessfully lobbied lawmakers for years to extend the 2030 deadline, though the state has granted various extensions to specific facilities. Newsom’s signature on one of the three bills addressing the issue this year represents a partial victory for the industry.\u003c/p>\n\u003cp>Hospital administrators have long complained about the steep cost of seismic retrofits.\u003c/p>\n\u003cp>“While hospitals are working to meet these requirements, many will simply not make the 2030 deadline and be forced by state law to close,” wrote Carmela Coyle, president and CEO of the California Hospital Association, in a letter to Newsom before he vetoed the CHA bill. A \u003ca href=\"https://www.rand.org/news/press/2019/03/28.html\">2019 Rand Corp. study\u003c/a> paid for by the CHA pinned the price of meeting the 2030 standards at between $34 billion and $143 billion statewide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Labor unions representing nurses and other medical workers, however, say the hospitals have had plenty of time to get their buildings into compliance and that most have the money to do so.\u003c/p>\n\u003cp>“They’ve had 30 years to do this,” Cathy Kennedy, a nurse in Roseville and one of the presidents of the California Nurses Association, said in an interview prior to the governor’s action. “We are kicking the can down the road year after year, and unfortunately, lives are going to be lost.”\u003c/p>\n\u003cp>In his veto message on the CHA bill, Newsom wrote that a blanket five-year extension wasn’t justified and that any extension “should be limited in scope, granted only on a case-by-case basis to hospitals with demonstrated need and a clear path to compliance, and in combination with strong accountability and enforcement mechanisms.”\u003c/p>\n\u003cp>He also vetoed a bill directed specifically at helping several hospitals operated by Providence, a Catholic hospital chain.\u003c/p>\n\u003cp>But he signed a third bill, which allows small, rural, and “critical access” hospitals, and some others, to apply for a three-year extension and directs the Department of Health Care Access and Information to offer them “technical assistance” in meeting the deadline.\u003c/p>\n\u003cp>The state designates 37 hospitals as providing “critical access,” while 56 are considered “small,” meaning they have fewer than 50 beds, 59 are considered “rural,” and 32 are “district” hospitals, meaning special government entities fund them called “health care districts.” They can seek a three-year extension as long as they submit a seismic compliance plan and identify milestones for implementing it.\u003c/p>\n\u003cp>Debi Stebbins, executive director of the Alameda Health Care District, which owns the Alameda Hospital buildings, said small hospitals face a big challenge. Even though Alameda is very close to San Francisco and Oakland, the tunnels, bridges, and ferries that connect it to the mainland could easily be shut in an emergency, making the island’s hospital a lifeline.\u003c/p>\n\u003cp>“It’s an unfunded mandate,” Stebbins said of the state’s 2030 deadline.\u003c/p>\n\u003cp>The Rand study estimated the average cost of a retrofit at \u003ca href=\"https://www.rand.org/pubs/research_reports/RR3059.html\">more than $92 million\u003c/a> per building, but the amount could vary greatly depending on whether it’s a building that houses hospital beds.\u003c/p>\n\u003cp>Small and rural hospitals can get some aid from the state via grants financed by the California Electronic Cigarette Excise Tax, but HCAI spokesperson Andrew DiLuccia said it would yield just $2-3 million total annually. He added that the Small and Rural Hospital Relief Program has also received a one-time infusion of $50 million from a tax on health insurers to help with the seismic work.\u003c/p>\n\u003cp>Labor unions and critics of the extensions often point to the large profits that some hospitals reap: A California Health Care Foundation report published in August found that California’s hospitals made $3.2 billion in profit during the first quarter of 2024. The study notes that there “continues to be wide variation in financial performance among hospitals, with the bottom quartile showing a net income margin of -5%, compared to +13% for the top quartile.”\u003c/p>\n\u003cp>Stebbins has had to help her district figure out a plan.\u003c/p>\n\u003cfigure id=\"attachment_11937937\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11937937\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-800x533.jpg\" alt='A beige building with \"Alameda Hospital\" written on it in blue lettering and a carpark in the foreground.' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/01/010323-ALAMEDA-HOSPITAL-MHN-05-CM-2-copy.jpg 1568w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A view of Alameda Hospital, which serves the city of Alameda, on Jan. 3, 2023. Alameda Hospital sought a 2-year extension for seismic retrofits in 2022, but Gov. Gavin Newsom vetoed it. \u003ccite>(Martin do Nascimento for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After Newsom vetoed a bill in 2022 that would have granted an extension on the seismic retrofit deadline specifically for Alameda Hospital, the hospital system and its partner health care district used parcel tax money to help back \u003ca href=\"https://www.alamedahealthsystem.org/alameda-hospital-seismic-updates-and-faqs/\">a loan\u003c/a>.\u003c/p>\n\u003cp>The cost to retrofit will be about $25 million, and the system is also investing millions more into other projects, such as a new skilled nursing facility. The construction work is set to be completed in 2027.\u003c/p>\n\u003cp>“No one wants things crashing in an earthquake or anything else, but at the same time, it’s a burden,” Mahler, the Alameda Health System associate chief medical officer, said. “How do we make sure that they get what they need to stay open?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "californias-native-americans-can-soon-get-traditional-healing-covered-by-medi-cal",
"title": "California’s Native Americans Can Soon Get Traditional Healing Covered by Medi-Cal",
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"headTitle": "California’s Native Americans Can Soon Get Traditional Healing Covered by Medi-Cal | KQED",
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"content": "\u003cp>Emery Tahy of San Francisco knows firsthand the struggles of \u003ca href=\"https://www.kqed.org/news/tag/addiction-treatment\">addiction and recovery\u003c/a> — a journey that, for him, is intertwined with his experience as a Native American.\u003c/p>\n\u003cp>In his twenties, Tahy landed on the streets of Phoenix, battling severe depression and alcohol-induced seizures. About four years ago, Tahy said, he was on the brink of suicide when his siblings intervened and petitioned for court-ordered treatment.\u003c/p>\n\u003cp>While Tahy was detoxing in a psychiatric ward, he learned about the \u003ca href=\"https://www.friendshiphousesf.org/\">Friendship House\u003c/a>, a Native-led recovery treatment program in San Francisco. As soon as he was released from the Arizona hospital, he headed to California.\u003c/p>\n\u003cp>“I knew immediately that I was in the right place,” said Tahy, 43. “A traditional practitioner did prayers for me. They shared some songs with me. They put me in the sweat lodge, and I could identify with those ceremonies. And from that day moving forward, I was able to reconnect to my spiritual and cultural upbringing.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Now, for the first time, \u003ca href=\"https://www.kqed.org/news/tag/medi-cal\">Medi-Cal\u003c/a> is set to cover traditional health practices such as music therapy, sweat lodges and dancing to help the state’s Native American communities battle addiction to drugs and alcohol.\u003c/p>\n\u003cp>The Medi-Cal expansion will cover two new \u003ca href=\"https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ca-calaim-dmnstrn-appvl-10162024.pdf\" target=\"_blank\" rel=\"noopener\">categories of intervention\u003c/a>. People suffering from a substance use disorder can seek therapy from traditional healers who offer ceremonial rituals, or they can work with trusted figures within tribal communities, such as elected officials or spiritual leaders who offer psychological support, trauma counseling and recovery guidance.\u003c/p>\n\u003cp>California is home to the largest \u003ca href=\"https://www.kqed.org/news/tag/native-americans\">Native American\u003c/a> population in the U.S., and Gov. Gavin Newsom said in a press release announcing the expansion this week that the state is “committed to healing the \u003ca href=\"https://www.kqed.org/news/12009426/the-brutal-story-behind-californias-new-native-american-genocide-education-law\">historical wounds inflicted on tribes\u003c/a>, including the health disparities Native communities face.”\u003c/p>\n\u003cfigure id=\"attachment_12009971\" class=\"wp-caption alignright\" style=\"max-width: 1333px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12009971\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED.jpg\" alt=\"\" width=\"1333\" height=\"2000\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED.jpg 1333w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-1024x1536.jpg 1024w\" sizes=\"auto, (max-width: 1333px) 100vw, 1333px\">\u003cfigcaption class=\"wp-caption-text\">Emery Tahy found healing in the Friendship House, a Native-led recovery treatment program in San Francisco. \u003ccite>(Courtesy of Maira Garcia and AJ Aguilar/Native American Health Center)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tahy’s battle with alcoholism began when he was a small child. He said he took his first sip of beer when he was 4, surrounded by parents, uncles, aunts and grandparents who all drank heavily on the Navajo Nation.\u003c/p>\n\u003cp>“I’m a full-blooded American Indian,” Tahy said, recounting the difficulties he faced in his youth. “Growing up, I was subjected to a lot of prejudice, racism and segregation. I didn’t have any pride in who I was. I feel like drugs and alcohol were a way to cope with that shame. Alcohol helped me socialize and gave me courage.”\u003c/p>\n\u003cp>During his teenage years, Tahy drank and began dabbling in marijuana, cocaine and crystal meth. All the while, he said, his family instilled a meaningful relationship to his culture.\u003c/p>\n\u003cp>“I was always encouraged by my grandparents, on my mom’s side, to learn and be connected to traditional Navajo ways of life,” Tahy said. “There was a deep connection to family, land and ceremonial activities connected to seasonal changes.”\u003c/p>\n\u003cp>Tahy’s story is not unique. Native American communities suffer from some of the \u003ca href=\"https://americanaddictioncenters.org/addiction-statistics/native-americans\">highest rates\u003c/a> of substance abuse and overdose deaths in the country, and health experts have long argued that Western medicine alone cannot adequately treat substance use disorders in Native American populations.\u003c/p>\n\u003cp>The crisis is compounded by centuries of historical trauma, which is why the U.S. Centers for Medicare & Medicaid Services is also \u003ca href=\"https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-groundbreaking-action-expand-health-care-access-covering\">offering coverage\u003c/a> for tribal communities in Arizona, New Mexico and Oregon.\u003c/p>\n\u003cp>Roselyn Tso, who directs the federal Indian Health Service, has championed this work and said that “these practices have sustained our people’s health for generations and continue to serve as a vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003ch2>Bridging two worlds: Tradition and modern medicine\u003c/h2>\n\u003cp>While clinical approaches like detox, medication-assisted treatment and behavioral therapy are essential to treating substance use disorders, they often fail to address the cultural and spiritual needs of Native patients.\u003c/p>\n\u003cp>“Traditional practices are, by nature, holistic,” said Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>For years, healthcare practitioners dedicated to Indigenous communities struggled with the limitations of what insurance would cover. Medi-Cal, the state’s Medicaid program for low-income residents, reimburses for medical prescriptions or talk therapy, but traditional healing methods were often excluded from coverage, leaving many Native American patients without access to treatments that aligned with their cultural values.\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. “This kind of support, had it been in place, could have helped stop some intergenerational trauma and substance use years ago. I’m so thrilled that it’s in place now, but it’s long overdue.”\u003c/p>\n\u003cp>[aside postID=news_12009555 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241014-GREAT-REDWOOD-TRAIL-AW-01-1020x764.jpg']\u003c/p>\n\u003cp>\u003ca href=\"https://ncuih.org/wp-content/uploads/03.25.24-FINAL-design-of-2023-TH-Report.pdf\">Studies\u003c/a> have shown that integrating cultural practices into addiction treatment can lead to higher engagement and more positive recovery outcomes, though most of the current research is qualitative, not quantitative.\u003c/p>\n\u003cp>The new Medi-Cal policy is set to take effect next year, with Indian Health Service providers in qualifying counties able to request reimbursement for these services starting in January.\u003c/p>\n\u003cp>“It is vital that we honor our traditional ways of healing,” said Kiana Maillet, a licensed therapist in San Diego and a member of the Lone Pine Paiute-Shoshone Tribe. “Traditional healing is deeply ingrained in our cultures. Without it, we are missing a piece of who we are.”\u003c/p>\n\u003cp>As for Tahy, he hasn’t touched a drop of alcohol since starting therapy at Friendship House.\u003c/p>\n\u003cp>He now holds a full-time job as an evaluator for the Native American Health Center in San Francisco. Soon, he will complete a master’s degree in American Indian studies. And, a few months ago, he completed the San Francisco marathon.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Emery Tahy of San Francisco knows firsthand the struggles of \u003ca href=\"https://www.kqed.org/news/tag/addiction-treatment\">addiction and recovery\u003c/a> — a journey that, for him, is intertwined with his experience as a Native American.\u003c/p>\n\u003cp>In his twenties, Tahy landed on the streets of Phoenix, battling severe depression and alcohol-induced seizures. About four years ago, Tahy said, he was on the brink of suicide when his siblings intervened and petitioned for court-ordered treatment.\u003c/p>\n\u003cp>While Tahy was detoxing in a psychiatric ward, he learned about the \u003ca href=\"https://www.friendshiphousesf.org/\">Friendship House\u003c/a>, a Native-led recovery treatment program in San Francisco. As soon as he was released from the Arizona hospital, he headed to California.\u003c/p>\n\u003cp>“I knew immediately that I was in the right place,” said Tahy, 43. “A traditional practitioner did prayers for me. They shared some songs with me. They put me in the sweat lodge, and I could identify with those ceremonies. And from that day moving forward, I was able to reconnect to my spiritual and cultural upbringing.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now, for the first time, \u003ca href=\"https://www.kqed.org/news/tag/medi-cal\">Medi-Cal\u003c/a> is set to cover traditional health practices such as music therapy, sweat lodges and dancing to help the state’s Native American communities battle addiction to drugs and alcohol.\u003c/p>\n\u003cp>The Medi-Cal expansion will cover two new \u003ca href=\"https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ca-calaim-dmnstrn-appvl-10162024.pdf\" target=\"_blank\" rel=\"noopener\">categories of intervention\u003c/a>. People suffering from a substance use disorder can seek therapy from traditional healers who offer ceremonial rituals, or they can work with trusted figures within tribal communities, such as elected officials or spiritual leaders who offer psychological support, trauma counseling and recovery guidance.\u003c/p>\n\u003cp>California is home to the largest \u003ca href=\"https://www.kqed.org/news/tag/native-americans\">Native American\u003c/a> population in the U.S., and Gov. Gavin Newsom said in a press release announcing the expansion this week that the state is “committed to healing the \u003ca href=\"https://www.kqed.org/news/12009426/the-brutal-story-behind-californias-new-native-american-genocide-education-law\">historical wounds inflicted on tribes\u003c/a>, including the health disparities Native communities face.”\u003c/p>\n\u003cfigure id=\"attachment_12009971\" class=\"wp-caption alignright\" style=\"max-width: 1333px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12009971\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED.jpg\" alt=\"\" width=\"1333\" height=\"2000\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED.jpg 1333w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-800x1200.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-1020x1530.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-160x240.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/10/241017-EMERY-TAHY-PHOTO-KQED-1024x1536.jpg 1024w\" sizes=\"auto, (max-width: 1333px) 100vw, 1333px\">\u003cfigcaption class=\"wp-caption-text\">Emery Tahy found healing in the Friendship House, a Native-led recovery treatment program in San Francisco. \u003ccite>(Courtesy of Maira Garcia and AJ Aguilar/Native American Health Center)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Tahy’s battle with alcoholism began when he was a small child. He said he took his first sip of beer when he was 4, surrounded by parents, uncles, aunts and grandparents who all drank heavily on the Navajo Nation.\u003c/p>\n\u003cp>“I’m a full-blooded American Indian,” Tahy said, recounting the difficulties he faced in his youth. “Growing up, I was subjected to a lot of prejudice, racism and segregation. I didn’t have any pride in who I was. I feel like drugs and alcohol were a way to cope with that shame. Alcohol helped me socialize and gave me courage.”\u003c/p>\n\u003cp>During his teenage years, Tahy drank and began dabbling in marijuana, cocaine and crystal meth. All the while, he said, his family instilled a meaningful relationship to his culture.\u003c/p>\n\u003cp>“I was always encouraged by my grandparents, on my mom’s side, to learn and be connected to traditional Navajo ways of life,” Tahy said. “There was a deep connection to family, land and ceremonial activities connected to seasonal changes.”\u003c/p>\n\u003cp>Tahy’s story is not unique. Native American communities suffer from some of the \u003ca href=\"https://americanaddictioncenters.org/addiction-statistics/native-americans\">highest rates\u003c/a> of substance abuse and overdose deaths in the country, and health experts have long argued that Western medicine alone cannot adequately treat substance use disorders in Native American populations.\u003c/p>\n\u003cp>The crisis is compounded by centuries of historical trauma, which is why the U.S. Centers for Medicare & Medicaid Services is also \u003ca href=\"https://www.cms.gov/newsroom/press-releases/biden-harris-administration-takes-groundbreaking-action-expand-health-care-access-covering\">offering coverage\u003c/a> for tribal communities in Arizona, New Mexico and Oregon.\u003c/p>\n\u003cp>Roselyn Tso, who directs the federal Indian Health Service, has championed this work and said that “these practices have sustained our people’s health for generations and continue to serve as a vital link between culture, science and wellness in many of our communities.”\u003c/p>\n\u003ch2>Bridging two worlds: Tradition and modern medicine\u003c/h2>\n\u003cp>While clinical approaches like detox, medication-assisted treatment and behavioral therapy are essential to treating substance use disorders, they often fail to address the cultural and spiritual needs of Native patients.\u003c/p>\n\u003cp>“Traditional practices are, by nature, holistic,” said Damian Chase-Begay, a researcher focused on American Indian health at the University of Montana. “They are treating the person physically, mentally, spiritually and emotionally. They benefit the whole being, not just the physical symptoms.”\u003c/p>\n\u003cp>For years, healthcare practitioners dedicated to Indigenous communities struggled with the limitations of what insurance would cover. Medi-Cal, the state’s Medicaid program for low-income residents, reimburses for medical prescriptions or talk therapy, but traditional healing methods were often excluded from coverage, leaving many Native American patients without access to treatments that aligned with their cultural values.\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. “This kind of support, had it been in place, could have helped stop some intergenerational trauma and substance use years ago. I’m so thrilled that it’s in place now, but it’s long overdue.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://ncuih.org/wp-content/uploads/03.25.24-FINAL-design-of-2023-TH-Report.pdf\">Studies\u003c/a> have shown that integrating cultural practices into addiction treatment can lead to higher engagement and more positive recovery outcomes, though most of the current research is qualitative, not quantitative.\u003c/p>\n\u003cp>The new Medi-Cal policy is set to take effect next year, with Indian Health Service providers in qualifying counties able to request reimbursement for these services starting in January.\u003c/p>\n\u003cp>“It is vital that we honor our traditional ways of healing,” said Kiana Maillet, a licensed therapist in San Diego and a member of the Lone Pine Paiute-Shoshone Tribe. “Traditional healing is deeply ingrained in our cultures. Without it, we are missing a piece of who we are.”\u003c/p>\n\u003cp>As for Tahy, he hasn’t touched a drop of alcohol since starting therapy at Friendship House.\u003c/p>\n\u003cp>He now holds a full-time job as an evaluator for the Native American Health Center in San Francisco. Soon, he will complete a master’s degree in American Indian studies. And, a few months ago, he completed the San Francisco marathon.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"order": 9
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"id": "fresh-air",
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"order": 15
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"order": 18
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"source": "American Public Media"
},
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
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"meta": {
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"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
"id": "morning-edition",
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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": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"order": 11
},
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"on-the-media": {
"id": "on-the-media",
"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": {
"id": "pbs-newshour",
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"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"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.",
"airtime": "SUN 3pm-4pm",
"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
},
"link": "/podcasts/politicalbreakdown",
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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",
"subscribe": {
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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