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"content": "\u003cp>In a major move to preserve critical health care support for tens of thousands of residents, Santa Clara County plans to purchase Regional Medical Center, a privately owned hospital in East San José.\u003c/p>\n\u003cp>County officials on Wednesday announced a tentative agreement to pursue buying the facility for $175 million from its ownership, HCA Healthcare, the largest hospital corporation in the country. The agreement follows months of \u003ca href=\"https://www.kqed.org/news/11999936/cuts-at-east-san-jose-hospital-will-harm-vulnerable-residents-advocates-say\">protests against the company\u003c/a> for cutting trauma center, stroke and heart attack services at the hospital to save costs.\u003c/p>\n\u003cp>The deal would bring the hospital under the wing of Santa Clara Valley Healthcare, the public health system run by the county that already includes three hospitals and a series of clinics and health centers across the county.\u003c/p>\n\u003cp>“Making Regional Medical Center part of Santa Clara Valley Healthcare’s network of hospitals and clinics will ensure that East San José and the surrounding community continue to have access to top-notch Level II trauma, comprehensive stroke, specialized heart attack, and ultimately, labor and delivery care,” County Executive James Williams said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The county said due diligence and a formal purchase agreement need to be hammered out, with HCA and the county hoping to complete the transaction in the first quarter of 2025.\u003c/p>\n\u003cp>The announcement by the county comes a little more than five years after the county completed its takeover of O’Connor Hospital in San José, St. Louise Regional Hospital in Gilroy, and the De Paul medical facility in Morgan Hill, now called VHC Morgan Hill, from the struggling Verity Health Systems in 2019.\u003c/p>\n\u003cp>It will also bring Regional Medical Center back into the realm of a public benefit facility. The hospital was previously run by a not-for-profit organization, Alexian Brothers when it was purchased by HCA Healthcare more than 20 years ago.\u003c/p>\n\u003cp>[aside label='More South Bay Coverage' tag='south-bay']\u003c/p>\n\u003cp>In February, Nashville-based HCA Healthcare announced it planned to close Regional Medical Center’s trauma center, completely eliminate its severe heart attack services and reduce stroke services on Aug. 12.\u003c/p>\n\u003cp>The company \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">backed off those plans in mid-July\u003c/a> after a coalition of medical workers, including some doctors and nurses from the hospital, as well as community members, patient advocates and elected officials, \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">raised alarms in a series of rallies and demonstrations\u003c/a> at HCA hospitals.\u003c/p>\n\u003cp>Instead, the hospital downgraded its trauma center from a Level II to a Level III — something advocates said was a threat to patient safety because it offers lower levels of care, doesn’t require specialists to be on-site around the clock, and leans more on transferring patients with serious needs to other facilities after stabilizing them.\u003c/p>\n\u003cp>Instead of eliminating its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks, it trimmed those services. One of the cuts targeted the hospital’s catheterization laboratory, where cardiologists insert catheters to help diagnose heart issues. On Aug. 12, it went from being an around-the-clock lab to daytime only.\u003c/p>\n\u003cp>Stroke services were set to be reduced from “comprehensive” to just above “primary” levels, though the company said the facility would still be able to serve 97% of patients.\u003c/p>\n\u003cfigure id=\"attachment_12001277\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12001277\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County CEO James Williams (at podium) is surrounded by county officials and medical professionals during a press conference about the county’s plan to purchase Regional Medical Center on Aug. 21. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A county report in April said Regional Medical Center was the only trauma center and only comprehensive stroke center on the county’s east side and that the reduction of services could have a “cascading effect” on the entire county health care system, as other facilities would have to pick up the slack.\u003c/p>\n\u003cp>The delayed access to care could potentially increase deaths and other poor health outcomes and could have a “disproportionate impact on communities of color and lower-income communities in East San José.”\u003c/p>\n\u003cp>Williams said that in addition to eventually restoring the services that were cut earlier this month, the county intends to also bring back labor and delivery services, which HCA cut from Regional in 2020. However, the lower level of services put in place on Aug. 12 will remain in the interim, a hospital official said.\u003c/p>\n\u003cp>“We have served this community for over 25 years. We’ve invested over $500 million in capital improvements at Regional Medical Center, and we believe this is the best path forward for our organization,” HCA Healthcare Far West Division President Jackie Van Blaricum said.\u003c/p>\n\u003ch2>Reduction in services pushed county action\u003c/h2>\n\u003cp>The cuts at Regional Medical Center were far from HCA Healthcare’s first foray into reducing services in the city.\u003c/p>\n\u003cp>In 2004, shortly after purchasing the downtown San José Medical Center, the company shuttered that hospital, which included a trauma center, and consolidated services into Regional Medical Center.\u003c/p>\n\u003cp>Santa Clara County Board of Supervisors President Susan Ellenberg said the county wasn’t looking to expand its hospital system, but alarms were raised after HCA cut labor and delivery services during the pandemic.\u003c/p>\n\u003cp>“When Regional Medical Center started and then continued to decrease critical services for our East San José residents, ultimately we got to the point where it felt irresponsible to allow them to continue to deplete care in this very high-need population without stepping in,” Ellenberg said.\u003c/p>\n\u003cp>“It reminded us of a similar pattern with San José Medical Center, where HCA discontinued one practice after another that they felt was not sufficiently profitable and ultimately closed down that entire center. We didn’t want to see that happen again,” she said.\u003c/p>\n\u003cp>Because the hospital was previously a not-for-profit facility, coalition members, including high-ranking local and state-level politicians, \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\">called on Attorney General Rob Bonta and Gov. Gavin Newsom to intervene\u003c/a> in the planned closures and cuts, though none of those efforts had yet panned out.\u003c/p>\n\u003cp>Critics of the company say that HCA prioritizes profits over people and has taken issue with a planned major expansion of HCA’s Good Samaritan Hospital on the west side of San José near Los Gatos.\u003c/p>\n\u003cfigure id=\"attachment_12000977\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000977\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks during a rally outside of Regional Medical Center in East San José on May 24. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the elected officials leading the charge against HCA’s cuts was Supervisor Cindy Chavez.\u003c/p>\n\u003cp>“I am really hopeful that this means that the services that our entire community, and specifically the East Side, need so desperately, will be protected into the future,” Chavez told KQED. “I am really grateful that the community raised their voices and really were heard. I really can’t express enough how life-saving this step is for our entire community.”\u003c/p>\n\u003cp>Supervisor Sylvia Arenas, who grew up in East San José, said the working-class East Side community deserves equitable health care access.\u003c/p>\n\u003cp>“These are our folks who are working maybe two jobs, children who are maybe living in poverty,” Arenas said. “When emergencies surge, you really need to have the highest level of care available to you, the closest available to you. And that’s what the county is hoping to do with this agreement.”\u003c/p>\n\u003cfigure id=\"attachment_12001279\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12001279\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Sylvia Arenas speaks at a press conference about the county’s plan to purchase Regional Medical Center, a privately owned hospital in East San José, in San José on Aug. 21. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Williams, the county CEO, acknowledged that the county just earlier this year closed a $250 million budget deficit.\u003c/p>\n\u003cp>He said the county will be able to cover the cost of the purchase of Regional with a “significant” reimbursement the county recently received from the Federal Emergency Management Agency for its pandemic-related expenditures, though he didn’t offer details. The county could also issue lease revenue bonds using Regional as collateral to help fund the purchase, he said.\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In February, Nashville-based HCA Healthcare announced it planned to close Regional Medical Center’s trauma center, completely eliminate its severe heart attack services and reduce stroke services on Aug. 12.\u003c/p>\n\u003cp>The company \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">backed off those plans in mid-July\u003c/a> after a coalition of medical workers, including some doctors and nurses from the hospital, as well as community members, patient advocates and elected officials, \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">raised alarms in a series of rallies and demonstrations\u003c/a> at HCA hospitals.\u003c/p>\n\u003cp>Instead, the hospital downgraded its trauma center from a Level II to a Level III — something advocates said was a threat to patient safety because it offers lower levels of care, doesn’t require specialists to be on-site around the clock, and leans more on transferring patients with serious needs to other facilities after stabilizing them.\u003c/p>\n\u003cp>Instead of eliminating its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks, it trimmed those services. One of the cuts targeted the hospital’s catheterization laboratory, where cardiologists insert catheters to help diagnose heart issues. On Aug. 12, it went from being an around-the-clock lab to daytime only.\u003c/p>\n\u003cp>Stroke services were set to be reduced from “comprehensive” to just above “primary” levels, though the company said the facility would still be able to serve 97% of patients.\u003c/p>\n\u003cfigure id=\"attachment_12001277\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12001277\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-1-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County CEO James Williams (at podium) is surrounded by county officials and medical professionals during a press conference about the county’s plan to purchase Regional Medical Center on Aug. 21. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A county report in April said Regional Medical Center was the only trauma center and only comprehensive stroke center on the county’s east side and that the reduction of services could have a “cascading effect” on the entire county health care system, as other facilities would have to pick up the slack.\u003c/p>\n\u003cp>The delayed access to care could potentially increase deaths and other poor health outcomes and could have a “disproportionate impact on communities of color and lower-income communities in East San José.”\u003c/p>\n\u003cp>Williams said that in addition to eventually restoring the services that were cut earlier this month, the county intends to also bring back labor and delivery services, which HCA cut from Regional in 2020. However, the lower level of services put in place on Aug. 12 will remain in the interim, a hospital official said.\u003c/p>\n\u003cp>“We have served this community for over 25 years. We’ve invested over $500 million in capital improvements at Regional Medical Center, and we believe this is the best path forward for our organization,” HCA Healthcare Far West Division President Jackie Van Blaricum said.\u003c/p>\n\u003ch2>Reduction in services pushed county action\u003c/h2>\n\u003cp>The cuts at Regional Medical Center were far from HCA Healthcare’s first foray into reducing services in the city.\u003c/p>\n\u003cp>In 2004, shortly after purchasing the downtown San José Medical Center, the company shuttered that hospital, which included a trauma center, and consolidated services into Regional Medical Center.\u003c/p>\n\u003cp>Santa Clara County Board of Supervisors President Susan Ellenberg said the county wasn’t looking to expand its hospital system, but alarms were raised after HCA cut labor and delivery services during the pandemic.\u003c/p>\n\u003cp>“When Regional Medical Center started and then continued to decrease critical services for our East San José residents, ultimately we got to the point where it felt irresponsible to allow them to continue to deplete care in this very high-need population without stepping in,” Ellenberg said.\u003c/p>\n\u003cp>“It reminded us of a similar pattern with San José Medical Center, where HCA discontinued one practice after another that they felt was not sufficiently profitable and ultimately closed down that entire center. We didn’t want to see that happen again,” she said.\u003c/p>\n\u003cp>Because the hospital was previously a not-for-profit facility, coalition members, including high-ranking local and state-level politicians, \u003ca href=\"https://www.kqed.org/news/11987665/advocates-urge-state-to-intervene-in-closure-of-san-jose-trauma-center\">called on Attorney General Rob Bonta and Gov. Gavin Newsom to intervene\u003c/a> in the planned closures and cuts, though none of those efforts had yet panned out.\u003c/p>\n\u003cp>Critics of the company say that HCA prioritizes profits over people and has taken issue with a planned major expansion of HCA’s Good Samaritan Hospital on the west side of San José near Los Gatos.\u003c/p>\n\u003cfigure id=\"attachment_12000977\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000977\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1.jpg\" alt=\"\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240524-REGIONALMEDICAL-JG-6_scr-1-160x107.jpg 160w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks during a rally outside of Regional Medical Center in East San José on May 24. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of the elected officials leading the charge against HCA’s cuts was Supervisor Cindy Chavez.\u003c/p>\n\u003cp>“I am really hopeful that this means that the services that our entire community, and specifically the East Side, need so desperately, will be protected into the future,” Chavez told KQED. “I am really grateful that the community raised their voices and really were heard. I really can’t express enough how life-saving this step is for our entire community.”\u003c/p>\n\u003cp>Supervisor Sylvia Arenas, who grew up in East San José, said the working-class East Side community deserves equitable health care access.\u003c/p>\n\u003cp>“These are our folks who are working maybe two jobs, children who are maybe living in poverty,” Arenas said. “When emergencies surge, you really need to have the highest level of care available to you, the closest available to you. And that’s what the county is hoping to do with this agreement.”\u003c/p>\n\u003cfigure id=\"attachment_12001279\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12001279\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240821-RMCPURCHASE-JG-4-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Sylvia Arenas speaks at a press conference about the county’s plan to purchase Regional Medical Center, a privately owned hospital in East San José, in San José on Aug. 21. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Williams, the county CEO, acknowledged that the county just earlier this year closed a $250 million budget deficit.\u003c/p>\n\u003cp>He said the county will be able to cover the cost of the purchase of Regional with a “significant” reimbursement the county recently received from the Federal Emergency Management Agency for its pandemic-related expenditures, though he didn’t offer details. The county could also issue lease revenue bonds using Regional as collateral to help fund the purchase, he said.\u003c/p>\n\u003cp>\u003cem>This story has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A bill that would have expanded California’s air-quality monitoring system to include more refineries was vetoed by Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a>, who cited concerns on Monday about local control and high implementation costs in the decision. Groups supporting the bill, however, say these reasons “aren’t supported by the facts.”\u003c/p>\n\u003cp>SB 674, introduced by state Sen. Lena Gonzalez (D-Long Beach), would have expanded the statewide requirement for real-time air monitoring along the fencelines of petroleum refineries to sites producing biofuel and other pollutants. It also would have required that communities near refineries, including at the Chevron Refinery in Richmond, \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">where air quality has been notoriously poor\u003c/a>, receive a notification when pollutants were above specified thresholds and required efforts to remedy poor conditions.\u003c/p>\n\u003cp>Newsom told state representatives in a letter on Monday that he could not sign the bill, writing that there was no state funding available for reimbursements to the refineries implementing the systems in the event that it might be needed. The program put the cost burden on refineries, who would have paid through a series of fees over multiple years.\u003c/p>\n\u003cp>Two of three air quality districts where the refineries are located, the Bay Area and South Coast Air Quality Management District, which represents Southern California, supported the bill, according to Oscar Espino-Padron, a senior attorney at Earthjustice. He said the entities would have remained “empowered to implement [its] measures and to exercise their discretion to tailor this monitoring program based on when it’s appropriate in their jurisdictions.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s really a setback, not only for air quality but also for community safety,” Espino-Padron told KQED.\u003c/p>\n\u003cp>“These are inherently dangerous operations that are prone to explosions and fires. Communities are being deprived of real-time data about issues that are occurring at refineries and giving them an opportunity to protect their families and take proper precautions.”\u003c/p>\n\u003cp>There are 19 refineries in California, all of which are located in counties that received failing grades for particulate matter pollution on the American Lung Association’s State of the Air Report Card in 2022, according to a Senate floor analysis of the now-killed bill.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11996994 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/07/012_KQED_SchnitzerSteelPortofOakland_03082022_qed-1020x679.jpg']\u003c/span>\u003c/p>\n\u003cp>This pollution, which consists of fine particles (PM2.5) and larger ones (PM10), is \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">associated with a wide range\u003c/a> of lung, heart and other chronic health problems.\u003c/p>\n\u003cp>Communities of color disproportionately live in the areas around the state’s refineries. The Senate floor analysis also stated that, on average, over 70% of people living within 5 miles of the sites are people of color.\u003c/p>\n\u003cp>Around Richmond’s refinery, that percentage is more than 80%.\u003c/p>\n\u003cp>The veto comes a week after the Richmond City Council \u003ca href=\"https://www.kqed.org/news/12000170/richmond-drops-bid-for-chevron-refinery-tax-in-550-million-deal-with-company\">killed a bill for the November ballot\u003c/a> that would have proposed a tax on the Chevron refinery. Instead, city officials reached a more than $500 million settlement agreement with the company. Richmond officials said the agreement was a win in the long-standing fight to get compensation from Chevron for the effects that pollution has on the city’s residents.\u003c/p>\n\u003cp>While Newsom’s decision ended a two-year community effort to increase refineries’ monitoring and reporting requirements, Espino-Padron said Earthjustice would “continue to work on holding this industry accountable and ensuring that communities are protected.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "SB 674 would have expanded the statewide requirement for real-time air monitoring along the fence lines of petroleum refineries to sites producing biofuel and other pollutants.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A bill that would have expanded California’s air-quality monitoring system to include more refineries was vetoed by Gov. \u003ca href=\"https://www.kqed.org/news/tag/gavin-newsom\">Gavin Newsom\u003c/a>, who cited concerns on Monday about local control and high implementation costs in the decision. Groups supporting the bill, however, say these reasons “aren’t supported by the facts.”\u003c/p>\n\u003cp>SB 674, introduced by state Sen. Lena Gonzalez (D-Long Beach), would have expanded the statewide requirement for real-time air monitoring along the fencelines of petroleum refineries to sites producing biofuel and other pollutants. It also would have required that communities near refineries, including at the Chevron Refinery in Richmond, \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">where air quality has been notoriously poor\u003c/a>, receive a notification when pollutants were above specified thresholds and required efforts to remedy poor conditions.\u003c/p>\n\u003cp>Newsom told state representatives in a letter on Monday that he could not sign the bill, writing that there was no state funding available for reimbursements to the refineries implementing the systems in the event that it might be needed. The program put the cost burden on refineries, who would have paid through a series of fees over multiple years.\u003c/p>\n\u003cp>Two of three air quality districts where the refineries are located, the Bay Area and South Coast Air Quality Management District, which represents Southern California, supported the bill, according to Oscar Espino-Padron, a senior attorney at Earthjustice. He said the entities would have remained “empowered to implement [its] measures and to exercise their discretion to tailor this monitoring program based on when it’s appropriate in their jurisdictions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s really a setback, not only for air quality but also for community safety,” Espino-Padron told KQED.\u003c/p>\n\u003cp>“These are inherently dangerous operations that are prone to explosions and fires. Communities are being deprived of real-time data about issues that are occurring at refineries and giving them an opportunity to protect their families and take proper precautions.”\u003c/p>\n\u003cp>There are 19 refineries in California, all of which are located in counties that received failing grades for particulate matter pollution on the American Lung Association’s State of the Air Report Card in 2022, according to a Senate floor analysis of the now-killed bill.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>This pollution, which consists of fine particles (PM2.5) and larger ones (PM10), is \u003ca href=\"https://www.kqed.org/news/11975650/bay-air-district-hails-decisive-victory-in-battle-to-cut-refinery-pollution\">associated with a wide range\u003c/a> of lung, heart and other chronic health problems.\u003c/p>\n\u003cp>Communities of color disproportionately live in the areas around the state’s refineries. The Senate floor analysis also stated that, on average, over 70% of people living within 5 miles of the sites are people of color.\u003c/p>\n\u003cp>Around Richmond’s refinery, that percentage is more than 80%.\u003c/p>\n\u003cp>The veto comes a week after the Richmond City Council \u003ca href=\"https://www.kqed.org/news/12000170/richmond-drops-bid-for-chevron-refinery-tax-in-550-million-deal-with-company\">killed a bill for the November ballot\u003c/a> that would have proposed a tax on the Chevron refinery. Instead, city officials reached a more than $500 million settlement agreement with the company. Richmond officials said the agreement was a win in the long-standing fight to get compensation from Chevron for the effects that pollution has on the city’s residents.\u003c/p>\n\u003cp>While Newsom’s decision ended a two-year community effort to increase refineries’ monitoring and reporting requirements, Espino-Padron said Earthjustice would “continue to work on holding this industry accountable and ensuring that communities are protected.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/shossaini\">Sara Hossaini\u003c/a> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Water at 22 Oakland Schools Tested High for Lead. It’s No Surprise, Parents and Teachers Say",
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"headTitle": "Water at 22 Oakland Schools Tested High for Lead. It’s No Surprise, Parents and Teachers Say | KQED",
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"content": "\u003cp>As staff welcomed students back to Frick United Academy of Language in \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> on Monday, they received concerning information — five water sources at their school contained unsafe levels of lead.\u003c/p>\n\u003cp>Ella Every-Wortman, who teaches eighth-grade English at Frick, said they were confused and frustrated.\u003c/p>\n\u003cp>Their two immediate concerns were “first, our safety, and second, how this lapse in communication and complete systems failure had happened,” Every-Wortman said. “The testing was done in April. The information was released in April. So why, as a school site, were we not receiving this information until August?”\u003c/p>\n\u003cp>Twenty-two campuses in the Oakland Unified School District were contacted this week regarding elevated lead levels, according to district spokesperson John Sasaki.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The district has been “aggressive” in testing water since 2017, he said, but “in this case, we were aggressive about the testing but were not as efficient at communicating in the ways we should have been,” referring to the tests done in April. “That’s something we are working on as an organization.”\u003c/p>\n\u003cp>On Tuesday morning, parents and community members at the schools received messages from the district, multiple of which have been viewed by KQED, notifying them of the testing and ensuring that the affected water sources were not accessible. Forty schools’ water has been tested, and Sasaki said the number with elevated lead in at least one source could be higher than 22.\u003c/p>\n\u003cp>Every-Wortman brought their concerns to a school board meeting on Wednesday, where they said the lead levels in one of the tested water sources at Frick was 51 parts per billion. Sasaki could not confirm any levels but said that the testing data would be made publicly available.\u003c/p>\n\u003cp>The Oakland school board’s maximum allowable level is 5 parts per billion, while the state and federal standard is 15 parts per billion.\u003c/p>\n\u003cp>The affected campuses had water sources that tested above the board’s maximum allowable level during routine testing over recent months.\u003c/p>\n\u003cp>In its letter to parents and community members, the district said its buildings and grounds team was installing new filters on every fixture that showed elevated levels of lead or replacing the fixtures and some of the attached piping.\u003c/p>\n\u003cp>Nate Landry, whose daughter began at Edna Brewer Middle School this week, said that when they got the notice, their reaction “unfortunately was not one of surprise.” Other parents gathered at a parent-teacher-student association coffee meeting on Friday shared similar sentiments.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11999998 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/20240604_FloodedSchool-17_qed-1020x680.jpg']\u003c/span>\u003c/p>\n\u003cp>Multiple pointed to the lead previously identified in water sources at McClymonds High School, where elevated levels were reported in 2016. Over the next few years, 22 more schools were found to have at least one tap with lead levels above 15 parts per billion, according to \u003ca href=\"https://www.ktvu.com/news/lead-found-under-blacktop-at-two-oakland-schools\">KTVU\u003c/a>. In 2019, lead was also found under the blacktop at two schools in the district.\u003c/p>\n\u003cp>“This was a predictable problem,” Every-Wortman said. “We have many facilities in this district that were built prior to 1980. They have a high likelihood of containing lead.”\u003c/p>\n\u003cp>Brewer was built in \u003ca href=\"https://www.oaklandedfund.org/wp-content/uploads/2021/07/Edna-Brewer.pdf\">1913\u003c/a>, and a building at Frick was constructed in \u003ca href=\"https://abitofhistory.site/2019/10/08/oakland-schools-then-and-now-part-1/\">1927\u003c/a>.\u003c/p>\n\u003cp>Oakland Superintendent Kyla Johnson-Trammell is expected to give an update on the district’s progress in addressing the affected water fixtures at the next school board meeting on Aug. 28.\u003c/p>\n\u003cp>“Each fixture will be tested again after our staff installs the new filters to ensure they comply with our safety standards. We expect the work to be completed over the next several weeks,” the letter sent to Frick parents reads.\u003c/p>\n\u003cp>One Brewer mom said her kids only use the school’s filtered “FloWater” stations, which the district’s letter said are safe to drink and located on each campus. Most parents KQED spoke with said they were having their children bring water from home — and don’t really worry about them using the water on campus.\u003c/p>\n\u003cp>One parent lovingly said their daughter “isn’t the queen of hydration.”\u003c/p>\n\u003cp>With a laugh, Brewer mom, Stefanie Moser, said, “I can’t get [my son] to refill his water bottle during the day.”\u003c/p>\n\u003cp>“We want the kids to be safe, and we want them to be healthy, and we obviously want the staff to be safe and healthy too because they are drinking the same water out of the pipes,” she continued. “I’m glad that they’ve got a mitigation plan in place and that they’re going to work on it and get it fixed.”\u003c/p>\n\u003cp>Staff and parents said they hope the district will make it a priority to ensure that the water on campus does not contain lead, but Brewer employee Dinah Despenza said there was “nothing” the district could do that would make her feel comfortable drinking the school’s water.\u003c/p>\n\u003cp>“I just wash my hands in it, that’s all.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/afinney\">Annelise Finney\u003c/a> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As staff welcomed students back to Frick United Academy of Language in \u003ca href=\"https://www.kqed.org/news/tag/oakland\">Oakland\u003c/a> on Monday, they received concerning information — five water sources at their school contained unsafe levels of lead.\u003c/p>\n\u003cp>Ella Every-Wortman, who teaches eighth-grade English at Frick, said they were confused and frustrated.\u003c/p>\n\u003cp>Their two immediate concerns were “first, our safety, and second, how this lapse in communication and complete systems failure had happened,” Every-Wortman said. “The testing was done in April. The information was released in April. So why, as a school site, were we not receiving this information until August?”\u003c/p>\n\u003cp>Twenty-two campuses in the Oakland Unified School District were contacted this week regarding elevated lead levels, according to district spokesperson John Sasaki.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The district has been “aggressive” in testing water since 2017, he said, but “in this case, we were aggressive about the testing but were not as efficient at communicating in the ways we should have been,” referring to the tests done in April. “That’s something we are working on as an organization.”\u003c/p>\n\u003cp>On Tuesday morning, parents and community members at the schools received messages from the district, multiple of which have been viewed by KQED, notifying them of the testing and ensuring that the affected water sources were not accessible. Forty schools’ water has been tested, and Sasaki said the number with elevated lead in at least one source could be higher than 22.\u003c/p>\n\u003cp>Every-Wortman brought their concerns to a school board meeting on Wednesday, where they said the lead levels in one of the tested water sources at Frick was 51 parts per billion. Sasaki could not confirm any levels but said that the testing data would be made publicly available.\u003c/p>\n\u003cp>The Oakland school board’s maximum allowable level is 5 parts per billion, while the state and federal standard is 15 parts per billion.\u003c/p>\n\u003cp>The affected campuses had water sources that tested above the board’s maximum allowable level during routine testing over recent months.\u003c/p>\n\u003cp>In its letter to parents and community members, the district said its buildings and grounds team was installing new filters on every fixture that showed elevated levels of lead or replacing the fixtures and some of the attached piping.\u003c/p>\n\u003cp>Nate Landry, whose daughter began at Edna Brewer Middle School this week, said that when they got the notice, their reaction “unfortunately was not one of surprise.” Other parents gathered at a parent-teacher-student association coffee meeting on Friday shared similar sentiments.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Multiple pointed to the lead previously identified in water sources at McClymonds High School, where elevated levels were reported in 2016. Over the next few years, 22 more schools were found to have at least one tap with lead levels above 15 parts per billion, according to \u003ca href=\"https://www.ktvu.com/news/lead-found-under-blacktop-at-two-oakland-schools\">KTVU\u003c/a>. In 2019, lead was also found under the blacktop at two schools in the district.\u003c/p>\n\u003cp>“This was a predictable problem,” Every-Wortman said. “We have many facilities in this district that were built prior to 1980. They have a high likelihood of containing lead.”\u003c/p>\n\u003cp>Brewer was built in \u003ca href=\"https://www.oaklandedfund.org/wp-content/uploads/2021/07/Edna-Brewer.pdf\">1913\u003c/a>, and a building at Frick was constructed in \u003ca href=\"https://abitofhistory.site/2019/10/08/oakland-schools-then-and-now-part-1/\">1927\u003c/a>.\u003c/p>\n\u003cp>Oakland Superintendent Kyla Johnson-Trammell is expected to give an update on the district’s progress in addressing the affected water fixtures at the next school board meeting on Aug. 28.\u003c/p>\n\u003cp>“Each fixture will be tested again after our staff installs the new filters to ensure they comply with our safety standards. We expect the work to be completed over the next several weeks,” the letter sent to Frick parents reads.\u003c/p>\n\u003cp>One Brewer mom said her kids only use the school’s filtered “FloWater” stations, which the district’s letter said are safe to drink and located on each campus. Most parents KQED spoke with said they were having their children bring water from home — and don’t really worry about them using the water on campus.\u003c/p>\n\u003cp>One parent lovingly said their daughter “isn’t the queen of hydration.”\u003c/p>\n\u003cp>With a laugh, Brewer mom, Stefanie Moser, said, “I can’t get [my son] to refill his water bottle during the day.”\u003c/p>\n\u003cp>“We want the kids to be safe, and we want them to be healthy, and we obviously want the staff to be safe and healthy too because they are drinking the same water out of the pipes,” she continued. “I’m glad that they’ve got a mitigation plan in place and that they’re going to work on it and get it fixed.”\u003c/p>\n\u003cp>Staff and parents said they hope the district will make it a priority to ensure that the water on campus does not contain lead, but Brewer employee Dinah Despenza said there was “nothing” the district could do that would make her feel comfortable drinking the school’s water.\u003c/p>\n\u003cp>“I just wash my hands in it, that’s all.”\u003c/p>\n\u003cp>\u003cem>KQED’s \u003ca href=\"https://www.kqed.org/author/afinney\">Annelise Finney\u003c/a> contributed to this report. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "uninsured-experts-explain-how-to-get-your-free-covid-shot-before-the-money-runs-out",
"title": "Uninsured? Experts Explain How to Get Your Free COVID Shot Before the Money Runs Out",
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"headTitle": "Uninsured? Experts Explain How to Get Your Free COVID Shot Before the Money Runs Out | KQED",
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"content": "\u003cp>The federal program that funds free COVID-19 vaccines for people without health insurance is ending several months earlier than expected — and uninsured people are now being told it could be their last chance to seek out a free shot before the money runs out for good.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2023/p0914-uninsured-vaccination.html\">The Bridge Access Program was launched\u003c/a> by the Centers for Disease Control and Prevention (CDC) in September 2023 to provide free COVID-19 vaccinations to the estimated 25 million to 30 million adults in the U.S. without health insurance. The funds were previously forecast to last until December and would have made COVID-19 vaccines accessible to uninsured people through the brunt of another winter respiratory virus season.\u003c/p>\n\u003cp>However, after March \u003ca href=\"https://www.pbs.org/newshour/health/this-covid-vaccine-program-offered-a-bridge-to-uninsured-adults-and-then-the-funding-crumbled\">negotiations in Congress resulted in $4.3 billion being withdrawn from the Department of Health and Human Services’ COVID-19 fund\u003c/a>, the program is instead ending this month, months ahead of schedule.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#location\">Jump to: Where can I still find a free COVID vaccine if I’m uninsured?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The CDC has not given a firm deadline for the end of the program beyond “August 2024” and has yet to respond to KQED’s request for more specific details.\u003c/p>\n\u003cp>However, in a statement, the California Department of Public Health said that the program is \u003ca href=\"https://www.fda.gov/vaccines-blood-biologics/updated-covid-19-vaccines-use-united-states-beginning-fall-2024\">“scheduled to end when the new 2024–25 COVID-19 vaccines are approved by the federal government.\u003c/a>” According to drug manufacturers Pfizer and Moderna, these updated fall COVID-19 vaccines, which will be targeted to the latest variants, \u003ca href=\"https://www.forbes.com/sites/ariannajohnson/2024/08/05/updated-covid-vaccines-are-coming-effectiveness-whos-eligible-and-more/\">could be ready as early as this month\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Finding locations that offer free COVID-19 shots has also become more difficult for those without insurance, even though the Bridge Access Program funding is technically still in place. The CDC’s online vaccine locator tool, which previously offered people a way to search for nearby vaccination sites and filter by whether they were participating in the program, has now been removed from \u003ca href=\"http://vaccines.gov\">vaccines.gov\u003c/a>.\u003c/p>\n\u003cp>A message on that site now states that the vaccine locator will be replaced with a pharmacy lookup tool that “will be added once 2024–25 flu and COVID-19 vaccines become widely available.” However, the site does not currently appear to offer any way to find free vaccination locations.\u003c/p>\n\u003cp>Keep reading for what to know about COVID-19 shots for uninsured people, or\u003cstrong>\u003ca href=\"#location\"> jump straight to how to find a free vaccine if you don’t have health insurance.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003cstrong>As funding dries up, clinics are left scrambling \u003c/strong>\u003c/h2>\n\u003cp>“We didn’t get any specific advance notice of exactly when it was going to be happening,” said Dr. Michael Stacey, chief medical officer at LifeLong Medical Care — one of the community clinics that’s been offering free COVID-19 shots to uninsured people through the Bridge Access Program. “Our notification came along with the rest of the rest of the world.”\u003c/p>\n\u003cp>The federal program launched when the commercial health care market began taking over COVID-19 vaccine distribution from the federal government, which had until then made the vaccines free to everyone, regardless of insurance. This means that, like the flu shot, a person’s COVID-19 vaccine is now either paid for under their health insurance plan if they have one or through a sizable out-of-pocket payment. At CVS, for instance, \u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine\">a COVID-19 vaccine costs $190.99 if you don’t have any insurance\u003c/a>.\u003c/p>\n\u003cp>The Bridge Access Program was one of the few remaining sources of pandemic-era funding to offer COVID-19 care to “the most vulnerable in the community,” said Stacey, who noted that the timing is particularly unfortunate due to \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">the ongoing nationwide summer surge in infections\u003c/a>.\u003c/p>\n\u003cp>Uninsured children, ages 18 and under, can still get free COVID-19 vaccines and other free immunizations as part of \u003ca href=\"https://www.cdc.gov/vaccines-for-children/about/index.html\">the Vaccines for Children Program\u003c/a>.\u003c/p>\n\u003cp>During a visit this week to the Petaluma Health Center — one of the clinics still offering free COVID-19 shots for uninsured people — U.S. Secretary of Health and Human Services Xavier Becerra said he “believe[d] the clinics, the community health centers will continue to have shots” after the program’s funding ends. However, he did not offer any specifics on how the clinics could continue to offer them.\u003c/p>\n\u003cp>Locations like the Petaluma Health Center say they are now seeking grants, along with county and state funding, to make sure they can keep offering free vaccines.\u003c/p>\n\u003ch2>\u003cstrong>Should uninsured people seek a free shot ASAP before the funding runs out?\u003c/strong>\u003c/h2>\n\u003cp>For Stacey, of Lifelong Medical Care, the answer is simple: Yes. “For those that don’t have insurance, try to get the vaccine now before the [Bridge Access] program ends,” he said.\u003c/p>\n\u003cp>“We’re plugging ahead in these last days that we have to be able to vaccinate the uninsured as much as we can before the program actually shuts off,” Stacey said.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, echoed that, telling KQED by email that it’s “100% true that uninsured people should try to get the vaccine now, given the uncertainty of what will happen in the fall” regarding the program’s funding.\u003c/p>\n\u003cp>[aside label=\"More on covid treatment\" postID=\"news_11973108,news_11987343,news_11968709\"]\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">The COVID-19 vaccine that’s currently available\u003c/a> has been around since September 2023 (and this spring, \u003ca href=\"https://www.kqed.org/news/11977786/a-new-covid-vaccine-dose-is-now-available-for-people-age-65-and-older-where-can-you-find-a-shot-near-you\">an extra shot of the vaccine formulation\u003c/a> was recommended for people age 65 and older.) The \u003ca href=\"https://www.fda.gov/vaccines-blood-biologics/updated-covid-19-vaccines-use-united-states-beginning-fall-2024\">new, updated COVID-19 vaccine targeted to the latest variants\u003c/a> is scheduled for release this fall, with \u003ca href=\"https://www.forbes.com/sites/ariannajohnson/2024/08/05/updated-covid-vaccines-are-coming-effectiveness-whos-eligible-and-more/\">Pfizer and Moderna both saying their vaccines could be ready as early as this month\u003c/a>.\u003c/p>\n\u003cp>But Chin-Hong said that just because a new vaccine is expected soon, uninsured people shouldn’t be dissuaded from getting the current vaccine for free now — not just because the money for free shots is about to run out, but also because it’s not necessarily the best idea to get the new shot the minute it’s released anyway.\u003c/p>\n\u003cp>Even though the CDC recommends waiting two months between COVID-19 shots, “you won’t want to get the vaccine when it comes out immediately anyway as it is meant for the expected onslaught of cases in the winter,” Chin-Hong said. “Get it too soon, and your maximal antibodies will peak before you need it.”\u003c/p>\n\u003cp>And amid current high infection rates, there’s data to indicate that the available COVID-19 vaccine still offers good protection against the latest variants causing this surge, even though it was originally targeted to older variants, Chin-Hong said.\u003c/p>\n\u003cp>“The superpower of the vaccine is to protect against serious disease, hospitalization and death,” he said. “And for that, even the [current] XBB.1.5 booster will perform spectacularly well.”\u003c/p>\n\u003cp>Getting the current COVID-19 vaccine now for free might also buy uninsured people some time — and extra immunity — as public health agencies work out how to continue extending access to them, Chin-Hong said.\u003c/p>\n\u003cp>“Uninsured people who get the vaccine now can rest assured that the vaccine will likely protect against serious disease for at least a year,” he said. “So even if there are problems with getting the new vaccine in the fall, I feel comfortable that many of those can take this immune system reminder to carry them through the winter reasonably well.”\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"location\">\u003c/a>How can I find a free COVID shot ASAP if I’m uninsured?\u003c/strong>\u003c/h2>\n\u003cp>Like many aspects of finding COVID-19 care at this stage of the pandemic, even finding a location that offers free COVID-19 vaccines to uninsured people through the Bridge Access Program has become more difficult — especially since the CDC removed its online vaccine locator tool, which showed all Bridge Access Program sites from \u003ca href=\"http://vaccines.gov\">vaccines.gov\u003c/a>.\u003c/p>\n\u003cp>So, if you’re uninsured and want to find a free COVID-19 shot as soon as possible before the program funding runs out, here’s a selection of options. Unfortunately, a number of them now require proactive research and action.\u003c/p>\n\u003cp>\u003cstrong>Use the state’s My Turn Vaccine Locator\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">This online tool from the California Department of Public Health\u003c/a> allows you to filter by vaccine type and insurance status. However, this tool does not show every single vaccination site that may offer free shots through the Bridge Access Program for those without insurance. For example, it only returns two clinics that offer COVID-19 shots to uninsured people within 50 miles of San Francisco (in Napa and San Jose).\u003c/p>\n\u003cp>\u003cstrong>Find a community health center through the U.S. Department of Health and Human Services (HHS)\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://findahealthcenter.hrsa.gov/\">HHS has a map tool showing community health centers \u003c/a>that \u003cem>may \u003c/em>offer free COVID-19 shots for uninsured people. After you search for a nearby location, contact that center directly to ask if it’s offering no-insurance COVID-19 shots for free through the Bridge Access Program.\u003c/p>\n\u003cp>The San Francisco Department of Public Health (SFDPH) also said that\u003ca href=\"https://www.sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\"> its AITC Immunization and Travel Clinic provides the COVID-19 vaccine to uninsured people\u003c/a>, although the agency notes that “people outside of San Francisco are encouraged to contact their local health department to find a vaccine near them.” The clinic is located at 101 Grove Street, Room 102, and appointments are required: call 415-554-2625 for hours and availability.\u003c/p>\n\u003cp>SFDPH also recommends that \u003ca href=\"https://www.sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\">uninsured people visit the appointment-only San Francisco Free Clinic \u003c/a>(4900 California St.; call 415-750-9894 for hours and availability). But when you call, check if you need to be an SF resident to receive a free COVID-19 vaccine.\u003c/p>\n\u003cp>\u003cstrong>Reach out to your local pharmacy\u003c/strong>\u003c/p>\n\u003cp>Both the California Department of Public Health and SFDPH recommend you directly contact pharmacies near you to ask if they have COVID-19 vaccines in stock and whether they’re offering those shots for free through the Bridge Access Program.\u003c/p>\n\u003cp>Remember to be \u003cem>really \u003c/em>careful and confirm repeatedly that any shot will actually be free, as the \u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine\">out-of-pocket cost can be steep. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Reach out to your local health department\u003c/strong>\u003c/p>\n\u003cp>Contact your city or county’s public health department to ask if they’re still offering free COVID-19 vaccines to people without insurance through the Bridge Access Program or otherwise. The following links may also provide information on community clinics offering vaccines — just be sure to stress you don’t have insurance and are looking for free shots.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/vaccines\">Alameda County COVID-19 vaccination \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/\">City of Berkeley COVID-19 vaccination \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cchealth.org/health-and-safety-information/communicable-disease-program/covid-19/covid-vaccine\">Contra Costa COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/vaccinefinder\">Marin County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3096/Vaccination\">Napa County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\">San Francisco COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/coronavirus\">San Mateo County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.santaclaracounty.gov/programs-and-services/pharmacy-and-vaccination-services/covid-testing-vaccines-and-treatment\">Santa Clara County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://solanocounty.com/depts/ph/default.asp\">Solano County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/covid-19/vaccines\">Sonoma County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>What will happen with free COVID vaccinations for uninsured people in the long run?\u003c/h2>\n\u003cp>It’s still unclear.\u003c/p>\n\u003cp>In a recent statement, the California Department of Public Health said they are “exploring options to continue to support COVID-19 vaccine access after the end of the BAP program for uninsured and underinsured adults, including limited federal and state funding sources,” and that vaccine manufacturers “may also develop patient assistance programs.”\u003c/p>\n\u003cp>The agency, it said, “remains committed to monitoring vaccine access options for vulnerable populations, including uninsured adults and will share relevant information as it becomes available.”\u003c/p>\n\u003cp>Stacey, of Lifelong Medical Care, said that in the absence of official guidance, clinics like his are “going to work on seeing what we can do to get funding and get resources to be able to continue, hopefully in the near future, to be able to provide the vaccines to the uninsured again.”\u003c/p>\n\u003cp>“We are trying to figure out how we can get funding or be able to purchase at least a limited supply of vaccines that we can use for those who are experiencing homelessness,” he said. “We don’t have a solution to that right now. Not only are the vaccines not being provided to us through this program, but the cost of the vaccines has also gone up.”\u003c/p>\n\u003cp>Chin-Hong, of UCSF, is optimistic that in the fall, Bay Area and statewide public health officials “will likely find a way to get the new COVID vaccine into uninsured arms” since he’s found those agencies “generally more forward-thinking” and willing to “provide more safety net programs than many other areas in the country.”\u003c/p>\n\u003cp>“However,” he said, “it will take some time for these programs to roll out smoothly.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Spencer Whitney and Danielle Venton. \u003c/em>\u003c/p>\n\n",
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"excerpt": "The federal program that funds free COVID-19 vaccines for those without health insurance is ending several months earlier than expected — and medical experts are advising uninsured people to get their shots before the money runs out for good.",
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"title": "Uninsured? Experts Explain How to Get Your Free COVID Shot Before the Money Runs Out | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The federal program that funds free COVID-19 vaccines for people without health insurance is ending several months earlier than expected — and uninsured people are now being told it could be their last chance to seek out a free shot before the money runs out for good.\u003c/p>\n\u003cp>\u003ca href=\"https://www.cdc.gov/media/releases/2023/p0914-uninsured-vaccination.html\">The Bridge Access Program was launched\u003c/a> by the Centers for Disease Control and Prevention (CDC) in September 2023 to provide free COVID-19 vaccinations to the estimated 25 million to 30 million adults in the U.S. without health insurance. The funds were previously forecast to last until December and would have made COVID-19 vaccines accessible to uninsured people through the brunt of another winter respiratory virus season.\u003c/p>\n\u003cp>However, after March \u003ca href=\"https://www.pbs.org/newshour/health/this-covid-vaccine-program-offered-a-bridge-to-uninsured-adults-and-then-the-funding-crumbled\">negotiations in Congress resulted in $4.3 billion being withdrawn from the Department of Health and Human Services’ COVID-19 fund\u003c/a>, the program is instead ending this month, months ahead of schedule.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#location\">Jump to: Where can I still find a free COVID vaccine if I’m uninsured?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>The CDC has not given a firm deadline for the end of the program beyond “August 2024” and has yet to respond to KQED’s request for more specific details.\u003c/p>\n\u003cp>However, in a statement, the California Department of Public Health said that the program is \u003ca href=\"https://www.fda.gov/vaccines-blood-biologics/updated-covid-19-vaccines-use-united-states-beginning-fall-2024\">“scheduled to end when the new 2024–25 COVID-19 vaccines are approved by the federal government.\u003c/a>” According to drug manufacturers Pfizer and Moderna, these updated fall COVID-19 vaccines, which will be targeted to the latest variants, \u003ca href=\"https://www.forbes.com/sites/ariannajohnson/2024/08/05/updated-covid-vaccines-are-coming-effectiveness-whos-eligible-and-more/\">could be ready as early as this month\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Finding locations that offer free COVID-19 shots has also become more difficult for those without insurance, even though the Bridge Access Program funding is technically still in place. The CDC’s online vaccine locator tool, which previously offered people a way to search for nearby vaccination sites and filter by whether they were participating in the program, has now been removed from \u003ca href=\"http://vaccines.gov\">vaccines.gov\u003c/a>.\u003c/p>\n\u003cp>A message on that site now states that the vaccine locator will be replaced with a pharmacy lookup tool that “will be added once 2024–25 flu and COVID-19 vaccines become widely available.” However, the site does not currently appear to offer any way to find free vaccination locations.\u003c/p>\n\u003cp>Keep reading for what to know about COVID-19 shots for uninsured people, or\u003cstrong>\u003ca href=\"#location\"> jump straight to how to find a free vaccine if you don’t have health insurance.\u003c/a>\u003c/strong>\u003c/p>\n\u003ch2>\u003cstrong>As funding dries up, clinics are left scrambling \u003c/strong>\u003c/h2>\n\u003cp>“We didn’t get any specific advance notice of exactly when it was going to be happening,” said Dr. Michael Stacey, chief medical officer at LifeLong Medical Care — one of the community clinics that’s been offering free COVID-19 shots to uninsured people through the Bridge Access Program. “Our notification came along with the rest of the rest of the world.”\u003c/p>\n\u003cp>The federal program launched when the commercial health care market began taking over COVID-19 vaccine distribution from the federal government, which had until then made the vaccines free to everyone, regardless of insurance. This means that, like the flu shot, a person’s COVID-19 vaccine is now either paid for under their health insurance plan if they have one or through a sizable out-of-pocket payment. At CVS, for instance, \u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine\">a COVID-19 vaccine costs $190.99 if you don’t have any insurance\u003c/a>.\u003c/p>\n\u003cp>The Bridge Access Program was one of the few remaining sources of pandemic-era funding to offer COVID-19 care to “the most vulnerable in the community,” said Stacey, who noted that the timing is particularly unfortunate due to \u003ca href=\"https://www.kqed.org/news/11987343/covid-bay-area-wastewater-variant-symptoms-isolation-guidance\">the ongoing nationwide summer surge in infections\u003c/a>.\u003c/p>\n\u003cp>Uninsured children, ages 18 and under, can still get free COVID-19 vaccines and other free immunizations as part of \u003ca href=\"https://www.cdc.gov/vaccines-for-children/about/index.html\">the Vaccines for Children Program\u003c/a>.\u003c/p>\n\u003cp>During a visit this week to the Petaluma Health Center — one of the clinics still offering free COVID-19 shots for uninsured people — U.S. Secretary of Health and Human Services Xavier Becerra said he “believe[d] the clinics, the community health centers will continue to have shots” after the program’s funding ends. However, he did not offer any specifics on how the clinics could continue to offer them.\u003c/p>\n\u003cp>Locations like the Petaluma Health Center say they are now seeking grants, along with county and state funding, to make sure they can keep offering free vaccines.\u003c/p>\n\u003ch2>\u003cstrong>Should uninsured people seek a free shot ASAP before the funding runs out?\u003c/strong>\u003c/h2>\n\u003cp>For Stacey, of Lifelong Medical Care, the answer is simple: Yes. “For those that don’t have insurance, try to get the vaccine now before the [Bridge Access] program ends,” he said.\u003c/p>\n\u003cp>“We’re plugging ahead in these last days that we have to be able to vaccinate the uninsured as much as we can before the program actually shuts off,” Stacey said.\u003c/p>\n\u003cp>Dr. Peter Chin-Hong, an infectious disease expert at UCSF, echoed that, telling KQED by email that it’s “100% true that uninsured people should try to get the vaccine now, given the uncertainty of what will happen in the fall” regarding the program’s funding.\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://www.kqed.org/news/11960630/free-new-covid-vaccine-near-me-2023\">The COVID-19 vaccine that’s currently available\u003c/a> has been around since September 2023 (and this spring, \u003ca href=\"https://www.kqed.org/news/11977786/a-new-covid-vaccine-dose-is-now-available-for-people-age-65-and-older-where-can-you-find-a-shot-near-you\">an extra shot of the vaccine formulation\u003c/a> was recommended for people age 65 and older.) The \u003ca href=\"https://www.fda.gov/vaccines-blood-biologics/updated-covid-19-vaccines-use-united-states-beginning-fall-2024\">new, updated COVID-19 vaccine targeted to the latest variants\u003c/a> is scheduled for release this fall, with \u003ca href=\"https://www.forbes.com/sites/ariannajohnson/2024/08/05/updated-covid-vaccines-are-coming-effectiveness-whos-eligible-and-more/\">Pfizer and Moderna both saying their vaccines could be ready as early as this month\u003c/a>.\u003c/p>\n\u003cp>But Chin-Hong said that just because a new vaccine is expected soon, uninsured people shouldn’t be dissuaded from getting the current vaccine for free now — not just because the money for free shots is about to run out, but also because it’s not necessarily the best idea to get the new shot the minute it’s released anyway.\u003c/p>\n\u003cp>Even though the CDC recommends waiting two months between COVID-19 shots, “you won’t want to get the vaccine when it comes out immediately anyway as it is meant for the expected onslaught of cases in the winter,” Chin-Hong said. “Get it too soon, and your maximal antibodies will peak before you need it.”\u003c/p>\n\u003cp>And amid current high infection rates, there’s data to indicate that the available COVID-19 vaccine still offers good protection against the latest variants causing this surge, even though it was originally targeted to older variants, Chin-Hong said.\u003c/p>\n\u003cp>“The superpower of the vaccine is to protect against serious disease, hospitalization and death,” he said. “And for that, even the [current] XBB.1.5 booster will perform spectacularly well.”\u003c/p>\n\u003cp>Getting the current COVID-19 vaccine now for free might also buy uninsured people some time — and extra immunity — as public health agencies work out how to continue extending access to them, Chin-Hong said.\u003c/p>\n\u003cp>“Uninsured people who get the vaccine now can rest assured that the vaccine will likely protect against serious disease for at least a year,” he said. “So even if there are problems with getting the new vaccine in the fall, I feel comfortable that many of those can take this immune system reminder to carry them through the winter reasonably well.”\u003c/p>\n\u003ch2>\u003cstrong>\u003ca id=\"location\">\u003c/a>How can I find a free COVID shot ASAP if I’m uninsured?\u003c/strong>\u003c/h2>\n\u003cp>Like many aspects of finding COVID-19 care at this stage of the pandemic, even finding a location that offers free COVID-19 vaccines to uninsured people through the Bridge Access Program has become more difficult — especially since the CDC removed its online vaccine locator tool, which showed all Bridge Access Program sites from \u003ca href=\"http://vaccines.gov\">vaccines.gov\u003c/a>.\u003c/p>\n\u003cp>So, if you’re uninsured and want to find a free COVID-19 shot as soon as possible before the program funding runs out, here’s a selection of options. Unfortunately, a number of them now require proactive research and action.\u003c/p>\n\u003cp>\u003cstrong>Use the state’s My Turn Vaccine Locator\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://myturn.ca.gov/vaccinelocator.html\">This online tool from the California Department of Public Health\u003c/a> allows you to filter by vaccine type and insurance status. However, this tool does not show every single vaccination site that may offer free shots through the Bridge Access Program for those without insurance. For example, it only returns two clinics that offer COVID-19 shots to uninsured people within 50 miles of San Francisco (in Napa and San Jose).\u003c/p>\n\u003cp>\u003cstrong>Find a community health center through the U.S. Department of Health and Human Services (HHS)\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://findahealthcenter.hrsa.gov/\">HHS has a map tool showing community health centers \u003c/a>that \u003cem>may \u003c/em>offer free COVID-19 shots for uninsured people. After you search for a nearby location, contact that center directly to ask if it’s offering no-insurance COVID-19 shots for free through the Bridge Access Program.\u003c/p>\n\u003cp>The San Francisco Department of Public Health (SFDPH) also said that\u003ca href=\"https://www.sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\"> its AITC Immunization and Travel Clinic provides the COVID-19 vaccine to uninsured people\u003c/a>, although the agency notes that “people outside of San Francisco are encouraged to contact their local health department to find a vaccine near them.” The clinic is located at 101 Grove Street, Room 102, and appointments are required: call 415-554-2625 for hours and availability.\u003c/p>\n\u003cp>SFDPH also recommends that \u003ca href=\"https://www.sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\">uninsured people visit the appointment-only San Francisco Free Clinic \u003c/a>(4900 California St.; call 415-750-9894 for hours and availability). But when you call, check if you need to be an SF resident to receive a free COVID-19 vaccine.\u003c/p>\n\u003cp>\u003cstrong>Reach out to your local pharmacy\u003c/strong>\u003c/p>\n\u003cp>Both the California Department of Public Health and SFDPH recommend you directly contact pharmacies near you to ask if they have COVID-19 vaccines in stock and whether they’re offering those shots for free through the Bridge Access Program.\u003c/p>\n\u003cp>Remember to be \u003cem>really \u003c/em>careful and confirm repeatedly that any shot will actually be free, as the \u003ca href=\"https://www.cvs.com/immunizations/covid-19-vaccine\">out-of-pocket cost can be steep. \u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Reach out to your local health department\u003c/strong>\u003c/p>\n\u003cp>Contact your city or county’s public health department to ask if they’re still offering free COVID-19 vaccines to people without insurance through the Bridge Access Program or otherwise. The following links may also provide information on community clinics offering vaccines — just be sure to stress you don’t have insurance and are looking for free shots.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid-19.acgov.org/vaccines\">Alameda County COVID-19 vaccination \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cityofberkeley.info/covid19-vaccine/\">City of Berkeley COVID-19 vaccination \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cchealth.org/health-and-safety-information/communicable-disease-program/covid-19/covid-vaccine\">Contra Costa COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://coronavirus.marinhhs.org/vaccinefinder\">Marin County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.countyofnapa.org/3096/Vaccination\">Napa County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sf.gov/get-vaccinated-against-covid-19-flu-and-rsv\">San Francisco COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.smchealth.org/coronavirus\">San Mateo County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://publichealth.santaclaracounty.gov/programs-and-services/pharmacy-and-vaccination-services/covid-testing-vaccines-and-treatment\">Santa Clara County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://solanocounty.com/depts/ph/default.asp\">Solano County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/public-health/disease-control/covid-19/vaccines\">Sonoma County COVID-19 vaccination\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2>What will happen with free COVID vaccinations for uninsured people in the long run?\u003c/h2>\n\u003cp>It’s still unclear.\u003c/p>\n\u003cp>In a recent statement, the California Department of Public Health said they are “exploring options to continue to support COVID-19 vaccine access after the end of the BAP program for uninsured and underinsured adults, including limited federal and state funding sources,” and that vaccine manufacturers “may also develop patient assistance programs.”\u003c/p>\n\u003cp>The agency, it said, “remains committed to monitoring vaccine access options for vulnerable populations, including uninsured adults and will share relevant information as it becomes available.”\u003c/p>\n\u003cp>Stacey, of Lifelong Medical Care, said that in the absence of official guidance, clinics like his are “going to work on seeing what we can do to get funding and get resources to be able to continue, hopefully in the near future, to be able to provide the vaccines to the uninsured again.”\u003c/p>\n\u003cp>“We are trying to figure out how we can get funding or be able to purchase at least a limited supply of vaccines that we can use for those who are experiencing homelessness,” he said. “We don’t have a solution to that right now. Not only are the vaccines not being provided to us through this program, but the cost of the vaccines has also gone up.”\u003c/p>\n\u003cp>Chin-Hong, of UCSF, is optimistic that in the fall, Bay Area and statewide public health officials “will likely find a way to get the new COVID vaccine into uninsured arms” since he’s found those agencies “generally more forward-thinking” and willing to “provide more safety net programs than many other areas in the country.”\u003c/p>\n\u003cp>“However,” he said, “it will take some time for these programs to roll out smoothly.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s Spencer Whitney and Danielle Venton. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Santa Clara County reported its first \u003ca href=\"https://www.kqed.org/news/tag/west-nile-virus\">West Nile virus\u003c/a> death of the year on Wednesday, coming after mosquitos with the disease were found last month.\u003c/p>\n\u003cp>Two human cases of West Nile virus have been reported in the county so far in August, including one immunocompromised person who died at a hospital after experiencing symptoms. The other person is recovering at home after being hospitalized, according to a statement from the Department of Public Health.\u003c/p>\n\u003cp>“The risk of serious illness from West Nile virus is low for most people,” the statement reads. “However, people over 60 years of age and those with certain medical conditions have a higher chance of getting sick and are more likely to develop complications.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There is no known connection between the two individuals, and the department said it is undetermined if the infections were contracted in the county.\u003c/p>\n\u003cp>The last West Nile virus death in Santa Clara County was in 2022, a county spokesperson told KQED.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_12000161 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/021_SanFrancisco_StFrancisER_08262021_qed-1020x680.jpg']\u003c/span>\u003c/p>\n\u003cp>Mosquitoes testing positive for West Nile were reported in parts of San José and unincorporated Santa Clara County on July 19. Since then, the county has found positive mosquitos in 13 zip codes, including in Milpitas.\u003c/p>\n\u003cp>Santa Clara has completed five treatments to reduce mosquito populations in these areas — most recently on Tuesday night, just hours before the announcement of the human cases. Its next treatment is scheduled for Thursday near the Plato Arroyo neighborhood in northeast San José.\u003c/p>\n\u003cp>In the East Bay, Contra Costa County reported its first case and death from the virus this year on July 16.\u003c/p>\n\u003cp>The mosquito-borne disease causes flu-like symptoms in about one in five people it infects. Most people who contract the virus have mild or no symptoms, including fever, headache and body aches, but severe cases can result in neurological effects and death.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Santa Clara County reported its first \u003ca href=\"https://www.kqed.org/news/tag/west-nile-virus\">West Nile virus\u003c/a> death of the year on Wednesday, coming after mosquitos with the disease were found last month.\u003c/p>\n\u003cp>Two human cases of West Nile virus have been reported in the county so far in August, including one immunocompromised person who died at a hospital after experiencing symptoms. The other person is recovering at home after being hospitalized, according to a statement from the Department of Public Health.\u003c/p>\n\u003cp>“The risk of serious illness from West Nile virus is low for most people,” the statement reads. “However, people over 60 years of age and those with certain medical conditions have a higher chance of getting sick and are more likely to develop complications.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There is no known connection between the two individuals, and the department said it is undetermined if the infections were contracted in the county.\u003c/p>\n\u003cp>The last West Nile virus death in Santa Clara County was in 2022, a county spokesperson told KQED.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Mosquitoes testing positive for West Nile were reported in parts of San José and unincorporated Santa Clara County on July 19. Since then, the county has found positive mosquitos in 13 zip codes, including in Milpitas.\u003c/p>\n\u003cp>Santa Clara has completed five treatments to reduce mosquito populations in these areas — most recently on Tuesday night, just hours before the announcement of the human cases. Its next treatment is scheduled for Thursday near the Plato Arroyo neighborhood in northeast San José.\u003c/p>\n\u003cp>In the East Bay, Contra Costa County reported its first case and death from the virus this year on July 16.\u003c/p>\n\u003cp>The mosquito-borne disease causes flu-like symptoms in about one in five people it infects. Most people who contract the virus have mild or no symptoms, including fever, headache and body aches, but severe cases can result in neurological effects and death.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11997957 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230831-SAFE-USE-POP-UP-MD-04-KQED-1020x680.jpg']\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco’s \u003ca href=\"https://www.kqed.org/news/tag/overdose-deaths\">overdose deaths\u003c/a> last month reached a four-year low, falling to a level not seen since before the COVID-19 pandemic, according to preliminary data released Wednesday by the medical examiner’s office.\u003c/p>\n\u003cp>The city reported 39 deaths from accidental overdose in July, the first time the figure has dipped below 40 since January 2020. That represents a 50% year-over-year reduction from last July, when 79 overdoses were reported.\u003c/p>\n\u003cp>The decline continues a trend seen in the first half of the year, offering some hope after 2023 marked the \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">deadliest year on record for overdoses in San Francisco\u003c/a>, with 810. Through June, the city was still on track to get close to last year’s total, but after July, the annual figure is on pace to be 706 — lower than in 2023 and 2020, the year with the second-highest total.\u003c/p>\n\u003cp>July was the fourth consecutive month with a year-over-year decline in overdose deaths after June’s total marked the lowest monthly figure since 2022.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This year to date, overdose deaths are 15% lower than they were during the same period last year.\u003c/p>\n\u003cp>Policy expert Keith Humphreys told KQED last month that the trend was\u003ca href=\"https://www.kqed.org/news/11995842/san-francisco-overdose-deaths-are-at-nearly-2-year-low-whats-behind-the-decline\"> likely due to factors reflected in the national decline\u003c/a> of overdose deaths — like fading heroin use and the waning COVID-19 pandemic, which he said likely accelerated some overdose deaths that otherwise could have occurred years later.\u003c/p>\n\u003cp>While health officials called the drop in deaths a “hopeful sign,” they said wider access to overdose-preventing medications is still needed.\u003c/p>\n\u003cfigure id=\"attachment_12000177\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000177\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/230831-SAFE-USE-POP-UP-MD-05_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Boxes of Narcan, the overdose prevention drug, at a safe drug use pop-up site created by volunteers with Concerned Public Response in San Francisco on Aug. 31, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“California needs to make more regulatory changes around methadone access in order to make a greater impact locally,” Dr. Grant Colfax, the director of the San Francisco Department of Public Health, said during a press conference on Wednesday. “We must continue to break down the outdated and cumbersome and, frankly, sometimes ridiculous bureaucratic barriers that make treatment hard to access and to maintain.”\u003c/p>\n\u003cp>He said that methadone and buprenorphine, synthetic opioids used to treat opioid use disorder, reduce the risk of death by up to 50% in some cases and reduce cravings and withdrawal symptoms. Currently, more than 2,500 people are in methadone treatment through the Department of Public Health.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Dr. Hillary Kunins, the city’s director of behavioral health, said that methadone is the most regulated medication in the country.\u003c/p>\n\u003cp>“The stigma and barriers caused by this overregulation prevent people from entering and staying in treatment,” she said. “Can you imagine requiring a person who has heart disease to be physically present at a special cardiac clinic every day to take their medication? That’s what new methadone patients need to do to get their daily medication.”\u003c/p>\n\u003cp>In California, methadone can only be dispensed from a licensed opioid treatment program or methadone clinic.\u003c/p>\n\u003cp>New federal policy changes make the treatments more accessible. Patients can initiate methadone treatment via telehealth and receive up to three days’ worth of methadone from a hospital at a time. They can also be prescribed methadone by a nurse practitioner or physician’s assistant and get the treatments from a hospital or other health clinic.\u003c/p>\n\u003cp>Assembly Bill 2115, written by Assemblymember Matt Haney (D-San Francisco), would align California with the federal regulations.\u003c/p>\n\u003cp>“The state must adopt the federal rules before people wanting to start methadone treatment can benefit,” Kunins said. “We implore our California state legislators to pass AB 2115. Making methadone more accessible in California will save lives.”\u003c/p>\n\u003cp>\u003cem>KQED’s Gilare Zada contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A bill pending in California’s Legislature to ratchet up oversight of private equity investments in health care is receiving enthusiastic backing from consumer advocates, labor unions, and the California Medical Association but drawing heavy fire from hospitals concerned about losing a potential funding source.\u003c/p>\n\u003cp>The legislation, sponsored by Attorney General Rob Bonta, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202320240AB3129\">would require\u003c/a> private equity groups and hedge funds to notify his office of planned purchases of many types of health care businesses and obtain its consent. It also reinforces state laws that bar nonphysicians from directly employing doctors or directing their activities, which is a primary reason for the doctor association’s support.\u003c/p>\n\u003cp>Private equity firms raise money from institutional investors such as pension funds and typically acquire companies they believe can be run more profitably. Then, they look to boost earnings and sell the assets for multiples of what they paid for them.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That can be good for future retirees and sometimes for mismanaged companies that need a capital infusion and a new direction. But critics say the profit-first approach isn’t good for health care. Private equity deals in the sector are coming under increased scrutiny around the country amid mounting evidence that they often lead to higher prices, lower-quality care, and reduced access to core health services.\u003c/p>\n\u003cp>Opponents of the bill, led by the state’s hospital association, the California Chamber of Commerce, and a national private equity advocacy group, say it would discourage much-needed investment. The hospital industry has already persuaded lawmakers to exempt sales of for-profit hospitals from the proposed law.\u003c/p>\n\u003cp>“We preferred not to make that amendment,” Bonta said in an interview. “But we still have a strong bill that provides very important protections.”\u003c/p>\n\u003cp>The legislation would still apply to a broad swath of medical businesses, including clinics, physician groups, nursing homes, testing labs, and outpatient facilities, among others. Nonprofit hospital deals are already subject to the attorney general’s review.\u003c/p>\n\u003cp>A final vote on the bill could come this month if a state Senate committee moves it forward.\u003c/p>\n\u003cp>Nationally, private equity investors \u003ca href=\"https://www.commonwealthfund.org/publications/explainer/2023/nov/private-equity-role-health-care\">have spent $1 trillion\u003c/a> on health care acquisitions in the past decade, according to a report by The Commonwealth Fund. Physician practices have been especially attractive to them, with transactions \u003ca href=\"https://www.antitrustinstitute.org/wp-content/uploads/2023/07/AAI-UCB-EG_Private-Equity-I-Physician-Practice-Report_FINAL.pdf\">growing sixfold (PDF)\u003c/a> in a decade and often leading to significant price increases. Other types of outpatient services, as well as clinics, have also been targets.\u003c/p>\n\u003cp>In California, the value of private equity health care deals \u003ca href=\"https://www.chcf.org/wp-content/uploads/2024/05/PrivateEquityPrevalenceImpactPolicy.pdf#page=9\">grew more than twentyfold (PDF)\u003c/a> from 2005 to 2021, from less than $1 billion to $20 billion, according to the California Health Care Foundation. Private equity firms are tracking the pending legislation closely but so far haven’t slowed investment in California, according to a \u003ca href=\"https://files.pitchbook.com/website/files/pdf/Q2_2024_Healthcare_Services_Report.pdf\">new report (PDF)\u003c/a> from the research firm PitchBook.\u003c/p>\n\u003cp>Multiple studies, as well as a \u003ca href=\"https://kffhealthnews.org/private-equity/\">series of reports by KFF Health News\u003c/a>, have documented some of the difficulties created by private equity in health care.\u003c/p>\n\u003cp>\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2813379\">Research published last December\u003c/a> in the Journal of the American Medical Association showed a larger likelihood of adverse events such as patient infections and falls at private equity hospitals compared with others. Analysts say more research is needed on how patient care is being affected but that the impact on cost is clear.\u003c/p>\n\u003cp>“We can be almost certain that after a private equity acquisition, we’re going to be paying more for the same thing or for something that’s gotten worse,” said Kristof Stremikis, the director of Market Analysis and Insight at the California Health Care Foundation.\u003c/p>\n\u003cp>Most private equity deals in health care are below the $119.5 million threshold that triggers a \u003ca href=\"https://www.ftc.gov/enforcement/competition-matters/2024/02/new-hsr-thresholds-filing-fees-2024\">requirement to notify\u003c/a> federal regulators, so they often slide under the government radar. The Federal Trade Commission is stepping up scrutiny, and \u003ca href=\"https://www.ftc.gov/news-events/news/press-releases/2023/09/ftc-challenges-private-equity-firms-scheme-suppress-competition-anesthesiology-practices-across\">last year, it sued\u003c/a> a private equity-backed anesthesia group for anti-competitive practices in Texas.\u003c/p>\n\u003cp>Lawmakers in several other states, including Connecticut, Minnesota, and Massachusetts, have proposed legislation that would subject private equity deals to greater transparency.\u003c/p>\n\u003cp>Not all private equity firms are bad operators, said Assemblymember Jim Wood, a Democrat from Healdsburg, but the review is essential: “If you are a good entity, you shouldn’t fear this.”\u003c/p>\n\u003cp>The bill would require the attorney general to examine proposed transactions to determine their impact on the quality and accessibility of care, as well as on regional competition and prices.\u003c/p>\n\u003cp>Critics note that private equity deals are often financed with debt that is then owed by the acquired company. In many cases, private equity groups \u003ca href=\"https://prospect.org/health/2023-05-23-quackonomics-medical-properties-trust/\">sell off real estate\u003c/a> to generate immediate returns for investors, and the new owners of the property then charge the acquired company rent.\u003c/p>\n\u003cp>[aside label=\"more health care stories\" postID=\"news_11990215,news_11986998,news_11986075\"]\u003c/p>\n\u003cp>That was a factor in the financial collapse of Steward Health Care, a multistate hospital system that was owned by the private equity firm Cerberus Capital Management from 2010 to 2020, \u003ca href=\"https://pestakeholder.org/reports/the-pillaging-of-steward-health-care/\">according to a report\u003c/a> by the Private Equity Stakeholder Project, a nonprofit that supports the California bill. Steward filed for Chapter 11 bankruptcy in May. “Almost all of the most distressed US healthcare companies are owned by private equity firms,” \u003ca href=\"https://pestakeholder.org/private-equity-healthcare-bankruptcies-are-on-the-rise/\">according to another study\u003c/a> by the group.\u003c/p>\n\u003cp>Opponents of the legislation argue it would dampen much-needed investment in an industry with soaring operating costs. “Our concern is that it will cut off funding that can improve health care,” said Ned Wigglesworth, a spokesperson for \u003ca href=\"https://protectcommunityhealthcare.org/\">Californians to Protect Community Health Care\u003c/a>, a coalition of groups fighting the legislation. The prospect of having to submit to a lengthy review by the attorney general, he said, would create “a chilling effect on private funders.”\u003c/p>\n\u003cp>Proponents of private equity investment point to what they say are notable successes in California health care.\u003c/p>\n\u003cp>Children’s Choice Dental Care, for example, said \u003ca href=\"https://kffhealthnews.org/wp-content/uploads/sites/2/2024/08/Childrens-Choice-Oppose-6.10.24.pdf\">in a letter (PDF)\u003c/a> to state senators that it logs over 227,000 dental visits annually, mostly with children on Medi-Cal, the health insurance program for low-income Californians. “We have been able to expand to 25 locations because we have been able to access capital from a private equity firm,” the group wrote.\u003c/p>\n\u003cp>Ivy Fertility, with clinics in California and eight other states, said \u003ca href=\"https://kffhealthnews.org/wp-content/uploads/sites/2/2024/08/Ivy-Fertility-Oppose.pdf\">in a letter (PDF)\u003c/a> to state senators that private investment has expanded its ability to provide fertility treatments at a time when demand for them is increasing.\u003c/p>\n\u003cp>Researchers note that private equity investors are hardly alone when it comes to health care profiteering, which extends even to nonprofits. \u003ca href=\"https://californiahealthline.org/news/surprise-settlement-in-sutter-health-antitrust-case/\">Sutter Health\u003c/a>, a major nonprofit hospital chain, for example, \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-announces-final-approval-575-million-settlement-sutter\">settled for $575 million\u003c/a> in a \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-becerra-sues-sutter-health-anti-competitive-practices-increase\">lawsuit brought\u003c/a> by then-Attorney General Xavier Becerra for unfair contracting and pricing.\u003c/p>\n\u003cp>“It’s helpful to look at ownership classes like private equity, but at the end of the day, we should look at behavior, and anyone can do the things that private equity firms do,” said Christopher Cai, a physician and health policy researcher at Harvard Medical School. He added, though, that private equity investors are “more likely to engage in financially risky or purely profit-driven behavior.”\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A bill pending in California’s Legislature to ratchet up oversight of private equity investments in health care is receiving enthusiastic backing from consumer advocates, labor unions, and the California Medical Association but drawing heavy fire from hospitals concerned about losing a potential funding source.\u003c/p>\n\u003cp>The legislation, sponsored by Attorney General Rob Bonta, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202320240AB3129\">would require\u003c/a> private equity groups and hedge funds to notify his office of planned purchases of many types of health care businesses and obtain its consent. It also reinforces state laws that bar nonphysicians from directly employing doctors or directing their activities, which is a primary reason for the doctor association’s support.\u003c/p>\n\u003cp>Private equity firms raise money from institutional investors such as pension funds and typically acquire companies they believe can be run more profitably. Then, they look to boost earnings and sell the assets for multiples of what they paid for them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That can be good for future retirees and sometimes for mismanaged companies that need a capital infusion and a new direction. But critics say the profit-first approach isn’t good for health care. Private equity deals in the sector are coming under increased scrutiny around the country amid mounting evidence that they often lead to higher prices, lower-quality care, and reduced access to core health services.\u003c/p>\n\u003cp>Opponents of the bill, led by the state’s hospital association, the California Chamber of Commerce, and a national private equity advocacy group, say it would discourage much-needed investment. The hospital industry has already persuaded lawmakers to exempt sales of for-profit hospitals from the proposed law.\u003c/p>\n\u003cp>“We preferred not to make that amendment,” Bonta said in an interview. “But we still have a strong bill that provides very important protections.”\u003c/p>\n\u003cp>The legislation would still apply to a broad swath of medical businesses, including clinics, physician groups, nursing homes, testing labs, and outpatient facilities, among others. Nonprofit hospital deals are already subject to the attorney general’s review.\u003c/p>\n\u003cp>A final vote on the bill could come this month if a state Senate committee moves it forward.\u003c/p>\n\u003cp>Nationally, private equity investors \u003ca href=\"https://www.commonwealthfund.org/publications/explainer/2023/nov/private-equity-role-health-care\">have spent $1 trillion\u003c/a> on health care acquisitions in the past decade, according to a report by The Commonwealth Fund. Physician practices have been especially attractive to them, with transactions \u003ca href=\"https://www.antitrustinstitute.org/wp-content/uploads/2023/07/AAI-UCB-EG_Private-Equity-I-Physician-Practice-Report_FINAL.pdf\">growing sixfold (PDF)\u003c/a> in a decade and often leading to significant price increases. Other types of outpatient services, as well as clinics, have also been targets.\u003c/p>\n\u003cp>In California, the value of private equity health care deals \u003ca href=\"https://www.chcf.org/wp-content/uploads/2024/05/PrivateEquityPrevalenceImpactPolicy.pdf#page=9\">grew more than twentyfold (PDF)\u003c/a> from 2005 to 2021, from less than $1 billion to $20 billion, according to the California Health Care Foundation. Private equity firms are tracking the pending legislation closely but so far haven’t slowed investment in California, according to a \u003ca href=\"https://files.pitchbook.com/website/files/pdf/Q2_2024_Healthcare_Services_Report.pdf\">new report (PDF)\u003c/a> from the research firm PitchBook.\u003c/p>\n\u003cp>Multiple studies, as well as a \u003ca href=\"https://kffhealthnews.org/private-equity/\">series of reports by KFF Health News\u003c/a>, have documented some of the difficulties created by private equity in health care.\u003c/p>\n\u003cp>\u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2813379\">Research published last December\u003c/a> in the Journal of the American Medical Association showed a larger likelihood of adverse events such as patient infections and falls at private equity hospitals compared with others. Analysts say more research is needed on how patient care is being affected but that the impact on cost is clear.\u003c/p>\n\u003cp>“We can be almost certain that after a private equity acquisition, we’re going to be paying more for the same thing or for something that’s gotten worse,” said Kristof Stremikis, the director of Market Analysis and Insight at the California Health Care Foundation.\u003c/p>\n\u003cp>Most private equity deals in health care are below the $119.5 million threshold that triggers a \u003ca href=\"https://www.ftc.gov/enforcement/competition-matters/2024/02/new-hsr-thresholds-filing-fees-2024\">requirement to notify\u003c/a> federal regulators, so they often slide under the government radar. The Federal Trade Commission is stepping up scrutiny, and \u003ca href=\"https://www.ftc.gov/news-events/news/press-releases/2023/09/ftc-challenges-private-equity-firms-scheme-suppress-competition-anesthesiology-practices-across\">last year, it sued\u003c/a> a private equity-backed anesthesia group for anti-competitive practices in Texas.\u003c/p>\n\u003cp>Lawmakers in several other states, including Connecticut, Minnesota, and Massachusetts, have proposed legislation that would subject private equity deals to greater transparency.\u003c/p>\n\u003cp>Not all private equity firms are bad operators, said Assemblymember Jim Wood, a Democrat from Healdsburg, but the review is essential: “If you are a good entity, you shouldn’t fear this.”\u003c/p>\n\u003cp>The bill would require the attorney general to examine proposed transactions to determine their impact on the quality and accessibility of care, as well as on regional competition and prices.\u003c/p>\n\u003cp>Critics note that private equity deals are often financed with debt that is then owed by the acquired company. In many cases, private equity groups \u003ca href=\"https://prospect.org/health/2023-05-23-quackonomics-medical-properties-trust/\">sell off real estate\u003c/a> to generate immediate returns for investors, and the new owners of the property then charge the acquired company rent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That was a factor in the financial collapse of Steward Health Care, a multistate hospital system that was owned by the private equity firm Cerberus Capital Management from 2010 to 2020, \u003ca href=\"https://pestakeholder.org/reports/the-pillaging-of-steward-health-care/\">according to a report\u003c/a> by the Private Equity Stakeholder Project, a nonprofit that supports the California bill. Steward filed for Chapter 11 bankruptcy in May. “Almost all of the most distressed US healthcare companies are owned by private equity firms,” \u003ca href=\"https://pestakeholder.org/private-equity-healthcare-bankruptcies-are-on-the-rise/\">according to another study\u003c/a> by the group.\u003c/p>\n\u003cp>Opponents of the legislation argue it would dampen much-needed investment in an industry with soaring operating costs. “Our concern is that it will cut off funding that can improve health care,” said Ned Wigglesworth, a spokesperson for \u003ca href=\"https://protectcommunityhealthcare.org/\">Californians to Protect Community Health Care\u003c/a>, a coalition of groups fighting the legislation. The prospect of having to submit to a lengthy review by the attorney general, he said, would create “a chilling effect on private funders.”\u003c/p>\n\u003cp>Proponents of private equity investment point to what they say are notable successes in California health care.\u003c/p>\n\u003cp>Children’s Choice Dental Care, for example, said \u003ca href=\"https://kffhealthnews.org/wp-content/uploads/sites/2/2024/08/Childrens-Choice-Oppose-6.10.24.pdf\">in a letter (PDF)\u003c/a> to state senators that it logs over 227,000 dental visits annually, mostly with children on Medi-Cal, the health insurance program for low-income Californians. “We have been able to expand to 25 locations because we have been able to access capital from a private equity firm,” the group wrote.\u003c/p>\n\u003cp>Ivy Fertility, with clinics in California and eight other states, said \u003ca href=\"https://kffhealthnews.org/wp-content/uploads/sites/2/2024/08/Ivy-Fertility-Oppose.pdf\">in a letter (PDF)\u003c/a> to state senators that private investment has expanded its ability to provide fertility treatments at a time when demand for them is increasing.\u003c/p>\n\u003cp>Researchers note that private equity investors are hardly alone when it comes to health care profiteering, which extends even to nonprofits. \u003ca href=\"https://californiahealthline.org/news/surprise-settlement-in-sutter-health-antitrust-case/\">Sutter Health\u003c/a>, a major nonprofit hospital chain, for example, \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-announces-final-approval-575-million-settlement-sutter\">settled for $575 million\u003c/a> in a \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-becerra-sues-sutter-health-anti-competitive-practices-increase\">lawsuit brought\u003c/a> by then-Attorney General Xavier Becerra for unfair contracting and pricing.\u003c/p>\n\u003cp>“It’s helpful to look at ownership classes like private equity, but at the end of the day, we should look at behavior, and anyone can do the things that private equity firms do,” said Christopher Cai, a physician and health policy researcher at Harvard Medical School. He added, though, that private equity investors are “more likely to engage in financially risky or purely profit-driven behavior.”\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-farmworkers-call-for-more-employers-to-comply-with-heat-illness-prevention",
"title": "California Farmworkers Call For More Employers to Comply with Heat-Illness Prevention",
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"headTitle": "California Farmworkers Call For More Employers to Comply with Heat-Illness Prevention | KQED",
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"content": "\u003cp>California \u003ca href=\"https://www.kqed.org/news/tag/farmworkers\">farmworkers\u003c/a> who say they’ve faced dangerously hot worksites spoke Monday in support of a bill that seeks to protect them from extreme heat.\u003c/p>\n\u003cp>The proposed legislation, SB 1299, would make it easier for agricultural laborers to win workers’ compensation claims for heat-related illnesses or deaths. Opponents of the bill, which faces a legislative deadline this week, said it could lead to unfair costs for employers even if they comply with existing worker protections. But supporters hope it will save lives by boosting compliance.\u003c/p>\n\u003cp>Many farmworkers are low-wage immigrants who are reluctant to complain to state authorities about problems at their worksites because they fear losing their jobs. Erika Barros, who experienced heat stroke symptoms in June while picking tomatoes on a day when the temperature surpassed triple digits, didn’t know she had the right to rest breaks in the shade.\u003c/p>\n\u003cp>She said her employer, Ruiz Farm Labor, did not provide any training on heat illness prevention as required by state state law.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Workers have rights when it’s hot, but those rights aren’t good for much if bosses don’t respect them,” Barros, 32, said in Spanish at a press conference in Sacramento. “That’s why I’m here today because I want things to actually change. We don’t want to risk our lives when we go to work.”\u003c/p>\n\u003cp>On Monday, workers in agriculture, fast food, airports and other industries across the U.S. kicked off “Heat Week,” a campaign led by the Service Employees International Union. The union is calling on the Biden Administration to implement recently proposed nationwide protections for both indoor and outdoor workers and on employers to voluntarily do more to keep staffers safe.\u003c/p>\n\u003cp>Nearly 500 workers in the U.S. died from heat-related causes from 2011 to 2022, and almost 34,000 injuries and illnesses resulted in days away from work, according to the U.S. Bureau of Labor Statistics. Workers in agriculture are much \u003ca href=\"https://www.lung.org/blog/climate-change-impacts-farmworkers#:~:text=As%20outdoor%20workers%2C%20they%20are,harmful%20exposures%20to%20wildfire%20smoke.\">more likely\u003c/a> to die from heat-related stress than in other industries, according to research, partly because of the strenuous physical work they often do in direct sun.\u003c/p>\n\u003cfigure id=\"attachment_12000022\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000022\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lindsay, California, is a town of about 12,000 in the heart of the state’s citrus farming belt in Tulare County. \u003ccite>(Kerry Klein/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After four workers died from heat illnesses in 2005, California became the first state to require employers to offer drinking water, shade and rest breaks at outdoor worksites when the temperature exceeds 80 degrees. However, agricultural laborers \u003ca href=\"https://insideclimatenews.org/news/31122023/california-farmworkers-dying-in-the-heat/#:~:text=According%20to%20the%202022%20annual,exposure%20between%202018%20and%202022.\">still died\u003c/a> or got sick from excessive heat, though how many exactly is hard to pinpoint.\u003c/p>\n\u003cp>About 15% of farmworkers reported employers never provided enough breaks or shade when it was 80 degrees or warmer, according to a \u003ca href=\"https://clc.ucmerced.edu/sites/clc.ucmerced.edu/files/page/documents/fwhs_report_2.2.2383.pdf\">survey\u003c/a> of 1,200 agricultural workers published by UC Merced researchers in 2022.\u003c/p>\n\u003cp>The state agency tasked with enforcing workplace safety rules, the California Division of Occupational Safety and Health, known as Cal/OSHA, has struggled for years with severe understaffing. More than \u003ca href=\"https://www.dir.ca.gov/dosh/DOSH-Recruitment-Hiring.html\">one in three\u003c/a> of the agency’s enforcement positions remained vacant in June.\u003c/p>\n\u003cp>“The enforcement-only approach is not enough, and we have seen it,” said Teresa Romero, president of the United Farm Workers, which is sponsoring SB 1299. “Every year, the UFW receives complaints from workers who are experiencing dangerous, out-of-compliance workplaces during extreme heat. The question has been what to do about it. And we believe that SB 1299 is the best path forward.”\u003c/p>\n\u003cp>The state Senate passed SB 1299 in May, and the state Assembly’s Appropriations Committee is expected to decide on Thursday whether to advance the measure to a full floor vote.\u003c/p>\n\u003cp>It can often be difficult for workers to prove that a heat illness was developed at their job. According to the proposed legislation, authored by state Sen. Dave Cortese (D- San Jose), a farmworkers’ heat-related illness or death would be presumed to have occurred on the job if a worker or a surviving relative proves the employer was not following heat safety regulations. Employers would have an opportunity to rebut claims.\u003c/p>\n\u003cp>[aside postID=news_11999237 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/farmlabor20120427_qed-1020x558.jpg']\u003c/p>\n\u003cp>A long list of agricultural and business groups, as well as some insurance carriers, oppose the bill. Bryan Little, who directs employment policy at the California Farm Bureau, worries that the Workers Compensation Appeals Board, rather than experienced inspectors at Cal/OSHA, would decide whether an employer violated heat regulations if SB 1299 becomes law.\u003c/p>\n\u003cp>“People by and large are in compliance and doing the things that the heat prevention standard requires them to do,” said Little, who has led dozens of employer trainings on the state’s heat rules. “A lot of our employers are not always perfect in their compliance, but they’re working very hard at it and training their employees and training the supervisors, and making sure that everyone understands how we protect ourselves.”\u003c/p>\n\u003cp>Heat illness can develop gradually over days, and workers may get sick due to other activities or pre-existing conditions, he added.\u003c/p>\n\u003cp>“It’s a terrible thing when someone suffers from a heart attack in the months between April and September, but that doesn’t mean that every heart attack that someone suffers from is heat-related,” Little said.\u003c/p>\n\u003cp>Barros, a mother of three, said she shivered and felt nauseous — both symptoms of the body overheating — while working in a tomato field in Yolo County on June 6. The temperature reached 105 degrees. She and five co-workers ended up leaving the worksite near Winters after checking in with a supervisor. When they returned to work the next day, Barros said they were fired.\u003c/p>\n\u003cp>Cal/OSHA is \u003ca href=\"https://www.osha.gov/ords/imis/establishment.inspection_detail?id=1755569.015\">investigating\u003c/a> Ruiz Farm Labor over workplace safety. The California Labor Commissioner is also investigating the business for potential retaliation.\u003c/p>\n\u003cp>A Cal/OSHA spokesperson told KQED in a statement that the agency is working to increase hiring and create a new, first-ever agricultural unit to significantly expand enforcement, with new offices planned in Salinas, Bakersfield, Fresno and other communities to better protect workers.\u003c/p>\n\u003cp>Heat inspections by the agency increased last year, as compared to 2021, according to the spokesperson.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "SB 1299 would make it easier to win workers’ compensation claims for heat-related illnesses or deaths in the agricultural industry. Opponents say it could lead to unfair costs for employers.",
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"title": "California Farmworkers Call For More Employers to Comply with Heat-Illness Prevention | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California \u003ca href=\"https://www.kqed.org/news/tag/farmworkers\">farmworkers\u003c/a> who say they’ve faced dangerously hot worksites spoke Monday in support of a bill that seeks to protect them from extreme heat.\u003c/p>\n\u003cp>The proposed legislation, SB 1299, would make it easier for agricultural laborers to win workers’ compensation claims for heat-related illnesses or deaths. Opponents of the bill, which faces a legislative deadline this week, said it could lead to unfair costs for employers even if they comply with existing worker protections. But supporters hope it will save lives by boosting compliance.\u003c/p>\n\u003cp>Many farmworkers are low-wage immigrants who are reluctant to complain to state authorities about problems at their worksites because they fear losing their jobs. Erika Barros, who experienced heat stroke symptoms in June while picking tomatoes on a day when the temperature surpassed triple digits, didn’t know she had the right to rest breaks in the shade.\u003c/p>\n\u003cp>She said her employer, Ruiz Farm Labor, did not provide any training on heat illness prevention as required by state state law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Workers have rights when it’s hot, but those rights aren’t good for much if bosses don’t respect them,” Barros, 32, said in Spanish at a press conference in Sacramento. “That’s why I’m here today because I want things to actually change. We don’t want to risk our lives when we go to work.”\u003c/p>\n\u003cp>On Monday, workers in agriculture, fast food, airports and other industries across the U.S. kicked off “Heat Week,” a campaign led by the Service Employees International Union. The union is calling on the Biden Administration to implement recently proposed nationwide protections for both indoor and outdoor workers and on employers to voluntarily do more to keep staffers safe.\u003c/p>\n\u003cp>Nearly 500 workers in the U.S. died from heat-related causes from 2011 to 2022, and almost 34,000 injuries and illnesses resulted in days away from work, according to the U.S. Bureau of Labor Statistics. Workers in agriculture are much \u003ca href=\"https://www.lung.org/blog/climate-change-impacts-farmworkers#:~:text=As%20outdoor%20workers%2C%20they%20are,harmful%20exposures%20to%20wildfire%20smoke.\">more likely\u003c/a> to die from heat-related stress than in other industries, according to research, partly because of the strenuous physical work they often do in direct sun.\u003c/p>\n\u003cfigure id=\"attachment_12000022\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12000022\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/oranges-lining-road-2_qed-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Lindsay, California, is a town of about 12,000 in the heart of the state’s citrus farming belt in Tulare County. \u003ccite>(Kerry Klein/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After four workers died from heat illnesses in 2005, California became the first state to require employers to offer drinking water, shade and rest breaks at outdoor worksites when the temperature exceeds 80 degrees. However, agricultural laborers \u003ca href=\"https://insideclimatenews.org/news/31122023/california-farmworkers-dying-in-the-heat/#:~:text=According%20to%20the%202022%20annual,exposure%20between%202018%20and%202022.\">still died\u003c/a> or got sick from excessive heat, though how many exactly is hard to pinpoint.\u003c/p>\n\u003cp>About 15% of farmworkers reported employers never provided enough breaks or shade when it was 80 degrees or warmer, according to a \u003ca href=\"https://clc.ucmerced.edu/sites/clc.ucmerced.edu/files/page/documents/fwhs_report_2.2.2383.pdf\">survey\u003c/a> of 1,200 agricultural workers published by UC Merced researchers in 2022.\u003c/p>\n\u003cp>The state agency tasked with enforcing workplace safety rules, the California Division of Occupational Safety and Health, known as Cal/OSHA, has struggled for years with severe understaffing. More than \u003ca href=\"https://www.dir.ca.gov/dosh/DOSH-Recruitment-Hiring.html\">one in three\u003c/a> of the agency’s enforcement positions remained vacant in June.\u003c/p>\n\u003cp>“The enforcement-only approach is not enough, and we have seen it,” said Teresa Romero, president of the United Farm Workers, which is sponsoring SB 1299. “Every year, the UFW receives complaints from workers who are experiencing dangerous, out-of-compliance workplaces during extreme heat. The question has been what to do about it. And we believe that SB 1299 is the best path forward.”\u003c/p>\n\u003cp>The state Senate passed SB 1299 in May, and the state Assembly’s Appropriations Committee is expected to decide on Thursday whether to advance the measure to a full floor vote.\u003c/p>\n\u003cp>It can often be difficult for workers to prove that a heat illness was developed at their job. According to the proposed legislation, authored by state Sen. Dave Cortese (D- San Jose), a farmworkers’ heat-related illness or death would be presumed to have occurred on the job if a worker or a surviving relative proves the employer was not following heat safety regulations. Employers would have an opportunity to rebut claims.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A long list of agricultural and business groups, as well as some insurance carriers, oppose the bill. Bryan Little, who directs employment policy at the California Farm Bureau, worries that the Workers Compensation Appeals Board, rather than experienced inspectors at Cal/OSHA, would decide whether an employer violated heat regulations if SB 1299 becomes law.\u003c/p>\n\u003cp>“People by and large are in compliance and doing the things that the heat prevention standard requires them to do,” said Little, who has led dozens of employer trainings on the state’s heat rules. “A lot of our employers are not always perfect in their compliance, but they’re working very hard at it and training their employees and training the supervisors, and making sure that everyone understands how we protect ourselves.”\u003c/p>\n\u003cp>Heat illness can develop gradually over days, and workers may get sick due to other activities or pre-existing conditions, he added.\u003c/p>\n\u003cp>“It’s a terrible thing when someone suffers from a heart attack in the months between April and September, but that doesn’t mean that every heart attack that someone suffers from is heat-related,” Little said.\u003c/p>\n\u003cp>Barros, a mother of three, said she shivered and felt nauseous — both symptoms of the body overheating — while working in a tomato field in Yolo County on June 6. The temperature reached 105 degrees. She and five co-workers ended up leaving the worksite near Winters after checking in with a supervisor. When they returned to work the next day, Barros said they were fired.\u003c/p>\n\u003cp>Cal/OSHA is \u003ca href=\"https://www.osha.gov/ords/imis/establishment.inspection_detail?id=1755569.015\">investigating\u003c/a> Ruiz Farm Labor over workplace safety. The California Labor Commissioner is also investigating the business for potential retaliation.\u003c/p>\n\u003cp>A Cal/OSHA spokesperson told KQED in a statement that the agency is working to increase hiring and create a new, first-ever agricultural unit to significantly expand enforcement, with new offices planned in Salinas, Bakersfield, Fresno and other communities to better protect workers.\u003c/p>\n\u003cp>Heat inspections by the agency increased last year, as compared to 2021, according to the spokesperson.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "cuts-at-east-san-jose-hospital-will-harm-vulnerable-residents-advocates-say",
"title": "Cuts at East San José Hospital Will Harm Vulnerable Residents, Advocates Say",
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"headTitle": "Cuts at East San José Hospital Will Harm Vulnerable Residents, Advocates Say | KQED",
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"content": "\u003cp>Late Monday afternoon — on the same day \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">Regional Medical Center in East San José planned to downgrade its trauma center\u003c/a> and cut back other critical health care services — residents and advocates held a vigil to mourn what they called an irresponsible divestment from a largely working-class community.\u003c/p>\n\u003cp>The action was the latest in a \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">series of rallies and protests\u003c/a> since May by a coalition of medical workers, community members and patient advocates who were angered by cutbacks enacted by HCA Healthcare — the parent company of Regional Medical Center.\u003c/p>\n\u003cp>“We’re here mourning their disregard for our lives,” said Darcie Green, the executive director of health nonprofit Latinas Contra Cancer, who joined about a dozen other members of the coalition at the vigil.\u003c/p>\n\u003cp>They held their vigil outside Good Samaritan Hospital in the more affluent West San José area, another facility owned by HCA Healthcare — where the company is pursuing a major expansion.\u003c/p>\n\u003cp>The group shared stories of their experiences with Regional Medical Center and their concerns, marched and chanted in front of Good Samaritan, and lit candles, leaving them on the edge of the facility’s east entrance driveway.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“As these candles are lit, they are a reminder that this fire is still burning. We’re not stopping today,” Green said. “We’re going to continue on this fight because all communities deserve to have full access to health care.”\u003c/p>\n\u003cp>In February, HCA announced it planned to close the Regional Medical Center’s trauma center, eliminate its severe heart attack services and reduce stroke services on Aug. 12.\u003c/p>\n\u003cp>However, following months of protests by the coalition, the company \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">backed off the closures in mid-July\u003c/a>.\u003c/p>\n\u003cp>Instead, hospital officials said the company plans to downgrade its trauma center from a Level II to a Level III, which offers lower levels of care, doesn’t require specialists to be on-site around the clock, and leans more on transferring patients with serious needs to other facilities after stabilizing them.\u003c/p>\n\u003cp>The company said that instead of eliminating its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks, it will reduce services. For example, the hospital’s around-the-clock catheterization laboratory, where cardiologists insert catheters to help diagnose heart issues, will now only be staffed in the daytime.\u003c/p>\n\u003cp>Stroke services will also be reduced from “comprehensive” to just above “primary” levels, which the company said will still be able to serve 97% of patients.\u003c/p>\n\u003cfigure id=\"attachment_11999961\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11999961\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Darcie Green, executive director of the health nonprofit Latinas Contra Cancer, speaks during a vigil held outside of Good Samaritan Hospital in West San José on Monday. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until the changes, Regional Medical Center was the only comprehensive stroke center on the entire eastern side of Santa Clara County — a \u003ca href=\"https://files.santaclaracounty.gov/2024-05/impact-assessment-final.pdf?VersionId=76kKMmMNBS.DDrTkkIa.TB08YZkvCUqI\">previous report\u003c/a> released in April said 20% of the county’s stroke patients arrive there.\u003c/p>\n\u003cp>Coalition members said they plan to continue pushing back against the changes.\u003c/p>\n\u003cp>“So HCA would have you believe that the move from downgrading to a Level II to a Level III is a big win for us because at least our trauma center is still open,” Green said at the vigil. “But in reality, there is a very, very, very large gap between a Level II and a Level III trauma center, and in that gap will fall the lives of patients.”\u003c/p>\n\u003cp>Advocates said the cuts will disproportionately affect people who already face challenges accessing health care, including people of color, older people, and those who are uninsured or underinsured.\u003c/p>\n\u003cp>The group is trying to bring attention to what they call an inequitable investment strategy by HCA, which is the largest for-profit hospital operator in the nation.\u003c/p>\n\u003cp>As cutbacks are being made at Regional Medical Center in the city’s East Side, the company is in the midst of a multi-year effort to get major expansion plans approved for Good Samaritan, which includes two new hospital wings and a medical office building.\u003c/p>\n\u003cp>While the primary reason for the new construction at Good Samaritan is due to state seismic safety requirements, the hospital company is also adding more beds and more space to upgrade technology and add private rooms, as well as keep up with accessibility requirements.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside postID=news_11996422 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/SanJoseRegionalMedCenter-1020x679.jpg']\u003c/span>\u003c/p>\n\u003cp>A spokesperson for HCA said claims of inequity are false, noting that HCA invested hundreds of millions of dollars in seismically upgrading Regional Medical Center facilities and buildings in 2014 and nearly $200 million since in ongoing equipment and facilities upgrades.\u003c/p>\n\u003cp>The company also plans to expand the Regional Medical Center emergency department from 43 beds to 63 beds in the coming year, costing about $10 million.\u003c/p>\n\u003cp>The spokesperson said the company is making decisions based on the long-term financial viability of the hospital, balanced with the health care needs of the community.\u003c/p>\n\u003cp>Some of the company’s critics have questioned the decision to pull back on services on the East Side when the Nashville-based conglomerate is earning significant profits, with its stock price around an all-time high.\u003c/p>\n\u003cp>In its second-quarter \u003ca href=\"https://investor.hcahealthcare.com/news/news-details/2024/HCA-Healthcare-Reports-Second-Quarter-2024-Results/default.aspx#:~:text=Revenues%20in%20the%20second%20quarter,the%20second%20quarter%20of%202023.\">earnings report\u003c/a> for 2024, HCA said its net income totaled $1.461 billion, and it expects to earn nearly $6 billion over the course of the year.\u003c/p>\n\u003cp>“In terms of the care, we’re trying to provide that but also do that in a sustainable way so that the institution itself doesn’t start going down a slippery slope because we haven’t managed the finances required to provide that care,” the spokesperson said.\u003c/p>\n\u003cp>“For the most part, not much will change in terms of what the public will experience,” the spokesperson said.\u003c/p>\n\u003cfigure id=\"attachment_11987728\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11987728\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks during a rally outside of Regional Medical Center in East San José on May 24. Chavez and others called on Attorney General Rob Bonta to halt service cuts planned by the hospital’s ownership. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Santa Clara County Supervisor Cindy Chavez said it’s “ridiculous” and “dishonest” to suggest that cuts won’t be impactful.\u003c/p>\n\u003cp>“They’re not looking out for patient care. They’re looking out for their business interests,” Chavez said.\u003c/p>\n\u003cp>“What they’re saying is they’re looking out for their bottom line. And our obligation is to look out for the people who live, work, play, learn and worship here,” Chavez said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“My expectation is that corporations that care deeply about the community try to share in that responsibility. I’m not seeing HCA do that,” she said.\u003c/p>\n\n",
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"excerpt": "East San José residents and advocates held a vigil on Monday evening to mourn Regional Medical Center's reduction in services — something they called an irresponsible divestment from a largely working-class community.",
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"title": "Cuts at East San José Hospital Will Harm Vulnerable Residents, Advocates Say | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Late Monday afternoon — on the same day \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">Regional Medical Center in East San José planned to downgrade its trauma center\u003c/a> and cut back other critical health care services — residents and advocates held a vigil to mourn what they called an irresponsible divestment from a largely working-class community.\u003c/p>\n\u003cp>The action was the latest in a \u003ca href=\"https://www.kqed.org/news/11990284/doctors-community-leaders-ramp-up-efforts-to-halt-closure-of-east-san-jose-trauma-center\">series of rallies and protests\u003c/a> since May by a coalition of medical workers, community members and patient advocates who were angered by cutbacks enacted by HCA Healthcare — the parent company of Regional Medical Center.\u003c/p>\n\u003cp>“We’re here mourning their disregard for our lives,” said Darcie Green, the executive director of health nonprofit Latinas Contra Cancer, who joined about a dozen other members of the coalition at the vigil.\u003c/p>\n\u003cp>They held their vigil outside Good Samaritan Hospital in the more affluent West San José area, another facility owned by HCA Healthcare — where the company is pursuing a major expansion.\u003c/p>\n\u003cp>The group shared stories of their experiences with Regional Medical Center and their concerns, marched and chanted in front of Good Samaritan, and lit candles, leaving them on the edge of the facility’s east entrance driveway.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“As these candles are lit, they are a reminder that this fire is still burning. We’re not stopping today,” Green said. “We’re going to continue on this fight because all communities deserve to have full access to health care.”\u003c/p>\n\u003cp>In February, HCA announced it planned to close the Regional Medical Center’s trauma center, eliminate its severe heart attack services and reduce stroke services on Aug. 12.\u003c/p>\n\u003cp>However, following months of protests by the coalition, the company \u003ca href=\"https://www.kqed.org/news/11996422/hospital-operator-backs-off-closure-of-east-san-jose-trauma-center-after-public-outcry\">backed off the closures in mid-July\u003c/a>.\u003c/p>\n\u003cp>Instead, hospital officials said the company plans to downgrade its trauma center from a Level II to a Level III, which offers lower levels of care, doesn’t require specialists to be on-site around the clock, and leans more on transferring patients with serious needs to other facilities after stabilizing them.\u003c/p>\n\u003cp>The company said that instead of eliminating its ST-elevation myocardial infarction (STEMI) program, which handles severe heart attacks, it will reduce services. For example, the hospital’s around-the-clock catheterization laboratory, where cardiologists insert catheters to help diagnose heart issues, will now only be staffed in the daytime.\u003c/p>\n\u003cp>Stroke services will also be reduced from “comprehensive” to just above “primary” levels, which the company said will still be able to serve 97% of patients.\u003c/p>\n\u003cfigure id=\"attachment_11999961\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11999961\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/240812-HCAVIGIL-JG-7-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Darcie Green, executive director of the health nonprofit Latinas Contra Cancer, speaks during a vigil held outside of Good Samaritan Hospital in West San José on Monday. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until the changes, Regional Medical Center was the only comprehensive stroke center on the entire eastern side of Santa Clara County — a \u003ca href=\"https://files.santaclaracounty.gov/2024-05/impact-assessment-final.pdf?VersionId=76kKMmMNBS.DDrTkkIa.TB08YZkvCUqI\">previous report\u003c/a> released in April said 20% of the county’s stroke patients arrive there.\u003c/p>\n\u003cp>Coalition members said they plan to continue pushing back against the changes.\u003c/p>\n\u003cp>“So HCA would have you believe that the move from downgrading to a Level II to a Level III is a big win for us because at least our trauma center is still open,” Green said at the vigil. “But in reality, there is a very, very, very large gap between a Level II and a Level III trauma center, and in that gap will fall the lives of patients.”\u003c/p>\n\u003cp>Advocates said the cuts will disproportionately affect people who already face challenges accessing health care, including people of color, older people, and those who are uninsured or underinsured.\u003c/p>\n\u003cp>The group is trying to bring attention to what they call an inequitable investment strategy by HCA, which is the largest for-profit hospital operator in the nation.\u003c/p>\n\u003cp>As cutbacks are being made at Regional Medical Center in the city’s East Side, the company is in the midst of a multi-year effort to get major expansion plans approved for Good Samaritan, which includes two new hospital wings and a medical office building.\u003c/p>\n\u003cp>While the primary reason for the new construction at Good Samaritan is due to state seismic safety requirements, the hospital company is also adding more beds and more space to upgrade technology and add private rooms, as well as keep up with accessibility requirements.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>A spokesperson for HCA said claims of inequity are false, noting that HCA invested hundreds of millions of dollars in seismically upgrading Regional Medical Center facilities and buildings in 2014 and nearly $200 million since in ongoing equipment and facilities upgrades.\u003c/p>\n\u003cp>The company also plans to expand the Regional Medical Center emergency department from 43 beds to 63 beds in the coming year, costing about $10 million.\u003c/p>\n\u003cp>The spokesperson said the company is making decisions based on the long-term financial viability of the hospital, balanced with the health care needs of the community.\u003c/p>\n\u003cp>Some of the company’s critics have questioned the decision to pull back on services on the East Side when the Nashville-based conglomerate is earning significant profits, with its stock price around an all-time high.\u003c/p>\n\u003cp>In its second-quarter \u003ca href=\"https://investor.hcahealthcare.com/news/news-details/2024/HCA-Healthcare-Reports-Second-Quarter-2024-Results/default.aspx#:~:text=Revenues%20in%20the%20second%20quarter,the%20second%20quarter%20of%202023.\">earnings report\u003c/a> for 2024, HCA said its net income totaled $1.461 billion, and it expects to earn nearly $6 billion over the course of the year.\u003c/p>\n\u003cp>“In terms of the care, we’re trying to provide that but also do that in a sustainable way so that the institution itself doesn’t start going down a slippery slope because we haven’t managed the finances required to provide that care,” the spokesperson said.\u003c/p>\n\u003cp>“For the most part, not much will change in terms of what the public will experience,” the spokesperson said.\u003c/p>\n\u003cfigure id=\"attachment_11987728\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11987728\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/240524-REGIONALMEDICAL-JG-6_qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Santa Clara County Supervisor Cindy Chavez speaks during a rally outside of Regional Medical Center in East San José on May 24. Chavez and others called on Attorney General Rob Bonta to halt service cuts planned by the hospital’s ownership. \u003ccite>(Joseph Geha/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Santa Clara County Supervisor Cindy Chavez said it’s “ridiculous” and “dishonest” to suggest that cuts won’t be impactful.\u003c/p>\n\u003cp>“They’re not looking out for patient care. They’re looking out for their business interests,” Chavez said.\u003c/p>\n\u003cp>“What they’re saying is they’re looking out for their bottom line. And our obligation is to look out for the people who live, work, play, learn and worship here,” Chavez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“My expectation is that corporations that care deeply about the community try to share in that responsibility. I’m not seeing HCA do that,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "us-abortion-rates-have-gone-up-slightly-since-roe-was-overturned-new-study-finds",
"title": "US Abortion Rates Have Gone Up Slightly Since Roe Was Overturned, New Study Finds",
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"headTitle": "US Abortion Rates Have Gone Up Slightly Since Roe Was Overturned, New Study Finds | KQED",
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"content": "\u003cp>The number of women getting \u003ca href=\"https://apnews.com/hub/abortion\">abortions\u003c/a> in the U.S. each month actually went up in the first three months of 2024 compared with the months before the Supreme Court overturned Roe v. Wade, \u003ca href=\"https://societyfp.org/wp-content/uploads/2024/07/WeCount-Report-7-Mar-2024-data.pdf\">a report released Wednesday found\u003c/a>, reflecting the lengths that Democratic-controlled states went to expand access.\u003c/p>\n\u003cp>A major reason for the increase is that some Democratic-controlled states enacted laws to protect doctors who use telemedicine to see patients in places that have abortion bans, according to the quarterly #WeCount report for the Society of Family Planning, which supports abortion access.\u003c/p>\n\u003cp>The data comes ahead of the \u003ca href=\"https://apnews.com/hub/election-2024\">November elections\u003c/a> in which abortion-rights supporters hope the issue will drive voters to the polls. In some places, voters will have a chance to enshrine or reject state-level abortion protections.\u003c/p>\n\u003cp>Fallout from the Supreme Court’s \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">June 2022 ruling\u003c/a> in Dobbs v. Jackson Women’s Health Organization has remade the way abortion works across the country. The #WeCount data, which has been collected in a monthly survey since April 2022, shows how those providing and seeking abortion have adapted to changing laws.\u003c/p>\n\u003cp>The survey found that the number of abortions fell to nearly zero in states that banned abortion in all stages of pregnancy and declined by about half in places that banned it after six weeks of pregnancy, before many women know they are pregnant. Fourteen states are enforcing bans on abortion at all stages of pregnancy, with some exceptions, and four others bar it after about six weeks of pregnancy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Numbers went up in places where abortion remains legal until further into pregnancy — and especially in states such as Illinois, Kansas and New Mexico, which border states with bans.\u003c/p>\n\u003cp>The report estimates that if not for the post-Dobbs bans, there would have been about 9,900 more abortions per month — and 208,000 total since — in those states. The numbers were up by more than 2,600 per month in Illinois, about 1,300 in Virginia, 1,200 in Kansas and more than 500 in New Mexico.\u003c/p>\n\u003cp>In the first three months of 2024, California provided the largest average number of abortions per month (16,217), followed by New York (9,660), Illinois (8,243), Florida (7,470), and New Jersey (4,983), the study found.\u003c/p>\n\u003cp>Comparing the first quarter of 2024 with the first quarter of 2023, New York had the largest increases in the average number of abortions per month (1,357), followed by California (957), Virginia (597), Kansas (503), and Pennsylvania (430).\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://interactives.ap.org/embeds/kxHC1/12/\" width=\"1000\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Abortion pills and telemedicine play a key role. In March, doctors in states with laws to protect medical providers used telemedicine to prescribe abortion pills to nearly 10,000 patients in states with bans or restrictions on abortion by telehealth — accounting for about 1 in 10 abortions in the U.S.\u003c/p>\n\u003cp>Laws to protect medical providers who use telemedicine to prescribe abortion pills started taking effect in some Democratic-led states last year.\u003c/p>\n\u003cp>“It eases the burden on clinics,” said Ushma Upadhyay, a UCSF School of Medicine professor who co-leads #WeCount. “So it creates more space for the people who are coming to clinics.”\u003c/p>\n\u003cp>Comparing the same three-month time periods, the study also found that virtual-only telehealth abortions increased dramatically in states like Kansas (59%) and Virginia (53%) but declined by 2% in both California and New York.\u003c/p>\n\u003cp>Abortion opponents say the fight over the \u003ca href=\"https://apnews.com/article/mifepristone-abortion-pill-supreme-court-2814cfe39174580c8cd4eb63a8e8b3cd\">abortion drug mifepristone\u003c/a> isn’t over after \u003ca href=\"https://apnews.com/article/supreme-court-abortion-mifepristone-8b6ac57709fa72e9ce433852582f5fde\">a narrow Supreme Court ruling\u003c/a> that preserved access to it for now. But so far, there have not been legal challenges to shield laws.\u003c/p>\n\u003cp>The latest edition of the survey, covering the first three months of this year, counted an average of just under 99,000 abortions per month, compared with 84,000 in the two months before Dobbs. January was the first time since the survey began that it has counted more than 100,000 abortions across the country in a single month.\u003c/p>\n\u003cp>The tracking effort collects monthly data from providers across the country, creating a snapshot of abortion trends. In some states, a portion of the data is estimated. The effort makes data public with less than a six-month lag, giving a picture of trends far faster than annual reports from the Centers for Disease Control and Prevention, where the most recent report covers abortion in 2021.\u003c/p>\n\u003cp>[aside label=\"more abortion coverage\" tag=\"abortion\"]\u003c/p>\n\u003cp>Before the shield laws began kicking in and #WeCount started tallying them, people were still getting some pills in places with bans.\u003c/p>\n\u003cp>One of the states where abortions increased was Florida. \u003ca href=\"https://apnews.com/article/florida-abortion-ban-9509a806453e1eab50d118aaecffa2f1#:~:text=(AP)%20%E2%80%94%20Florida's%20ban%20on,access%20to%20needed%20health%20care.\">That changed in April\u003c/a> when a ban after six weeks’ gestation took effect. The data doesn’t yet reflect that change.\u003c/p>\n\u003cp>That state’s policy could change again through a November ballot measure that would make abortion legal until viability, generally considered to be around 23 or 24 weeks into pregnancy. It needs at least 60% approval to be added to the state constitution.\u003c/p>\n\u003cp>One vote against it will come from Mia Adkins, a 20-year-old senior at Florida International University.\u003c/p>\n\u003cp>“Instead of pushing for more legal abortion later in pregnancy, we should be pushing for laws that protect these pregnant parents and students and provide them with the support that they need,” said Akins, a senior at Florida International University.\u003c/p>\n\u003cp>Florida is one of six states where abortion-related measures are already on the ballot. Determinations from elections officials about adding similar questions are pending in four more states. In one, Nebraska, there are dueling amendments: One to allow access until viability and one to keep the current ban on most abortions after 12 weeks of pregnancy.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821654\">separate study published last week\u003c/a> by Advancing New Standards in Reproductive Health, a research group also based at UCSF, found that the percentage of people who say they’ve tried to end a pregnancy without medical assistance increased after Roe was overturned.\u003c/p>\n\u003cp>Abortion rights supporters have prevailed in all seven state abortion ballot questions in the U.S. since 2022. That tracks with public opinion polling that has shown growing support for abortion rights, including a recent \u003ca href=\"https://apnews.com/article/abortion-trump-biden-election-2024-dobbs-498d14f6e2bbfe1f313f006ad089de4e\">Associated Press-NORC poll\u003c/a> that found 6 in 10 Americans think their state should allow someone to obtain a legal abortion if they don’t want to be pregnant for any reason.\u003c/p>\n\u003cp>An \u003ca href=\"https://apnews.com/article/arizona-abortion-ballot-petitions-83cb053919be342d7bbb60217129fe49\">amendment to protect access\u003c/a> could be on the ballot in Arizona, a political battleground state where court cases have swung abortion policy — and access — since the Dobbs ruling.\u003c/p>\n\u003cp>The state Supreme Court ruled in April that Arizona should enforce a 1864 ban on abortions at all stages of pregnancy, only for lawmakers to \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-24578e546b69ca087e01034bcaf4aa01\">repeal that law shortly after the ruling\u003c/a>. The state’s ban on abortion after 15 weeks of pregnancy remains. The ballot measure would expand it to 24 weeks.\u003c/p>\n\u003cp>Natalie Harper, a 23-year-old independent who usually doesn’t vote, said the potential of bringing back the Civil War-era ban “absolutely” impacts her decision to vote for the ballot measure this November.\u003c/p>\n\u003cp>“Seeing that as a possibility really made me realize that everyone’s pro-choice voices need to be heard in hopes it never goes in that direction again,” she said.\u003c/p>\n\u003cp>In Missouri, which has \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-missouri-government-and-politics-7bb5798bae32c3f15abad3a10941dfb5\">outlawed almost all abortions\u003c/a> and where nearly none were reported in the new data, election officials could soon certify whether a \u003ca href=\"https://apnews.com/article/abortion-missouri-constitution-amendment-ballot-voter-d6c3098ca082772954b36e03287f5b10\">proposed constitutional amendment\u003c/a> guaranteeing abortion rights received enough petition signatures to qualify for the ballot in the reliably Republican state.\u003c/p>\n\u003cp>University of Missouri political scientist Peverill Squire said that if the measure is on the ballot, it could draw out enough Democratic voters to help swing a few competitive legislative races.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“They can seize on the personal freedom arguments the Republicans have generally owned over the recent elections,” he said.\u003c/p>\n\n",
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"excerpt": "A new report shows the number of monthly abortions in the U.S. went up slightly in the first three months of 2024, as compared to the months before the Supreme Court overturned Roe v. Wade — a likely result of patients using telemedicine to connect with doctors in Democratic-controlled states.",
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"title": "US Abortion Rates Have Gone Up Slightly Since Roe Was Overturned, New Study Finds | KQED",
"description": "A new report shows the number of monthly abortions in the U.S. went up slightly in the first three months of 2024, as compared to the months before the Supreme Court overturned Roe v. Wade — a likely result of patients using telemedicine to connect with doctors in Democratic-controlled states.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The number of women getting \u003ca href=\"https://apnews.com/hub/abortion\">abortions\u003c/a> in the U.S. each month actually went up in the first three months of 2024 compared with the months before the Supreme Court overturned Roe v. Wade, \u003ca href=\"https://societyfp.org/wp-content/uploads/2024/07/WeCount-Report-7-Mar-2024-data.pdf\">a report released Wednesday found\u003c/a>, reflecting the lengths that Democratic-controlled states went to expand access.\u003c/p>\n\u003cp>A major reason for the increase is that some Democratic-controlled states enacted laws to protect doctors who use telemedicine to see patients in places that have abortion bans, according to the quarterly #WeCount report for the Society of Family Planning, which supports abortion access.\u003c/p>\n\u003cp>The data comes ahead of the \u003ca href=\"https://apnews.com/hub/election-2024\">November elections\u003c/a> in which abortion-rights supporters hope the issue will drive voters to the polls. In some places, voters will have a chance to enshrine or reject state-level abortion protections.\u003c/p>\n\u003cp>Fallout from the Supreme Court’s \u003ca href=\"https://apnews.com/article/abortion-supreme-court-decision-854f60302f21c2c35129e58cf8d8a7b0\">June 2022 ruling\u003c/a> in Dobbs v. Jackson Women’s Health Organization has remade the way abortion works across the country. The #WeCount data, which has been collected in a monthly survey since April 2022, shows how those providing and seeking abortion have adapted to changing laws.\u003c/p>\n\u003cp>The survey found that the number of abortions fell to nearly zero in states that banned abortion in all stages of pregnancy and declined by about half in places that banned it after six weeks of pregnancy, before many women know they are pregnant. Fourteen states are enforcing bans on abortion at all stages of pregnancy, with some exceptions, and four others bar it after about six weeks of pregnancy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Numbers went up in places where abortion remains legal until further into pregnancy — and especially in states such as Illinois, Kansas and New Mexico, which border states with bans.\u003c/p>\n\u003cp>The report estimates that if not for the post-Dobbs bans, there would have been about 9,900 more abortions per month — and 208,000 total since — in those states. The numbers were up by more than 2,600 per month in Illinois, about 1,300 in Virginia, 1,200 in Kansas and more than 500 in New Mexico.\u003c/p>\n\u003cp>In the first three months of 2024, California provided the largest average number of abortions per month (16,217), followed by New York (9,660), Illinois (8,243), Florida (7,470), and New Jersey (4,983), the study found.\u003c/p>\n\u003cp>Comparing the first quarter of 2024 with the first quarter of 2023, New York had the largest increases in the average number of abortions per month (1,357), followed by California (957), Virginia (597), Kansas (503), and Pennsylvania (430).\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://interactives.ap.org/embeds/kxHC1/12/\" width=\"1000\" height=\"700\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>Abortion pills and telemedicine play a key role. In March, doctors in states with laws to protect medical providers used telemedicine to prescribe abortion pills to nearly 10,000 patients in states with bans or restrictions on abortion by telehealth — accounting for about 1 in 10 abortions in the U.S.\u003c/p>\n\u003cp>Laws to protect medical providers who use telemedicine to prescribe abortion pills started taking effect in some Democratic-led states last year.\u003c/p>\n\u003cp>“It eases the burden on clinics,” said Ushma Upadhyay, a UCSF School of Medicine professor who co-leads #WeCount. “So it creates more space for the people who are coming to clinics.”\u003c/p>\n\u003cp>Comparing the same three-month time periods, the study also found that virtual-only telehealth abortions increased dramatically in states like Kansas (59%) and Virginia (53%) but declined by 2% in both California and New York.\u003c/p>\n\u003cp>Abortion opponents say the fight over the \u003ca href=\"https://apnews.com/article/mifepristone-abortion-pill-supreme-court-2814cfe39174580c8cd4eb63a8e8b3cd\">abortion drug mifepristone\u003c/a> isn’t over after \u003ca href=\"https://apnews.com/article/supreme-court-abortion-mifepristone-8b6ac57709fa72e9ce433852582f5fde\">a narrow Supreme Court ruling\u003c/a> that preserved access to it for now. But so far, there have not been legal challenges to shield laws.\u003c/p>\n\u003cp>The latest edition of the survey, covering the first three months of this year, counted an average of just under 99,000 abortions per month, compared with 84,000 in the two months before Dobbs. January was the first time since the survey began that it has counted more than 100,000 abortions across the country in a single month.\u003c/p>\n\u003cp>The tracking effort collects monthly data from providers across the country, creating a snapshot of abortion trends. In some states, a portion of the data is estimated. The effort makes data public with less than a six-month lag, giving a picture of trends far faster than annual reports from the Centers for Disease Control and Prevention, where the most recent report covers abortion in 2021.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Before the shield laws began kicking in and #WeCount started tallying them, people were still getting some pills in places with bans.\u003c/p>\n\u003cp>One of the states where abortions increased was Florida. \u003ca href=\"https://apnews.com/article/florida-abortion-ban-9509a806453e1eab50d118aaecffa2f1#:~:text=(AP)%20%E2%80%94%20Florida's%20ban%20on,access%20to%20needed%20health%20care.\">That changed in April\u003c/a> when a ban after six weeks’ gestation took effect. The data doesn’t yet reflect that change.\u003c/p>\n\u003cp>That state’s policy could change again through a November ballot measure that would make abortion legal until viability, generally considered to be around 23 or 24 weeks into pregnancy. It needs at least 60% approval to be added to the state constitution.\u003c/p>\n\u003cp>One vote against it will come from Mia Adkins, a 20-year-old senior at Florida International University.\u003c/p>\n\u003cp>“Instead of pushing for more legal abortion later in pregnancy, we should be pushing for laws that protect these pregnant parents and students and provide them with the support that they need,” said Akins, a senior at Florida International University.\u003c/p>\n\u003cp>Florida is one of six states where abortion-related measures are already on the ballot. Determinations from elections officials about adding similar questions are pending in four more states. In one, Nebraska, there are dueling amendments: One to allow access until viability and one to keep the current ban on most abortions after 12 weeks of pregnancy.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821654\">separate study published last week\u003c/a> by Advancing New Standards in Reproductive Health, a research group also based at UCSF, found that the percentage of people who say they’ve tried to end a pregnancy without medical assistance increased after Roe was overturned.\u003c/p>\n\u003cp>Abortion rights supporters have prevailed in all seven state abortion ballot questions in the U.S. since 2022. That tracks with public opinion polling that has shown growing support for abortion rights, including a recent \u003ca href=\"https://apnews.com/article/abortion-trump-biden-election-2024-dobbs-498d14f6e2bbfe1f313f006ad089de4e\">Associated Press-NORC poll\u003c/a> that found 6 in 10 Americans think their state should allow someone to obtain a legal abortion if they don’t want to be pregnant for any reason.\u003c/p>\n\u003cp>An \u003ca href=\"https://apnews.com/article/arizona-abortion-ballot-petitions-83cb053919be342d7bbb60217129fe49\">amendment to protect access\u003c/a> could be on the ballot in Arizona, a political battleground state where court cases have swung abortion policy — and access — since the Dobbs ruling.\u003c/p>\n\u003cp>The state Supreme Court ruled in April that Arizona should enforce a 1864 ban on abortions at all stages of pregnancy, only for lawmakers to \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-24578e546b69ca087e01034bcaf4aa01\">repeal that law shortly after the ruling\u003c/a>. The state’s ban on abortion after 15 weeks of pregnancy remains. The ballot measure would expand it to 24 weeks.\u003c/p>\n\u003cp>Natalie Harper, a 23-year-old independent who usually doesn’t vote, said the potential of bringing back the Civil War-era ban “absolutely” impacts her decision to vote for the ballot measure this November.\u003c/p>\n\u003cp>“Seeing that as a possibility really made me realize that everyone’s pro-choice voices need to be heard in hopes it never goes in that direction again,” she said.\u003c/p>\n\u003cp>In Missouri, which has \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-missouri-government-and-politics-7bb5798bae32c3f15abad3a10941dfb5\">outlawed almost all abortions\u003c/a> and where nearly none were reported in the new data, election officials could soon certify whether a \u003ca href=\"https://apnews.com/article/abortion-missouri-constitution-amendment-ballot-voter-d6c3098ca082772954b36e03287f5b10\">proposed constitutional amendment\u003c/a> guaranteeing abortion rights received enough petition signatures to qualify for the ballot in the reliably Republican state.\u003c/p>\n\u003cp>University of Missouri political scientist Peverill Squire said that if the measure is on the ballot, it could draw out enough Democratic voters to help swing a few competitive legislative races.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“They can seize on the personal freedom arguments the Republicans have generally owned over the recent elections,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "valley-fever-cases-are-on-the-rise-in-california-what-to-know-about-the-fungal-disease",
"title": "Valley Fever Cases Are on the Rise in California: What to Know About the Fungal Disease",
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"headTitle": "Valley Fever Cases Are on the Rise in California: What to Know About the Fungal Disease | KQED",
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"content": "\u003cp>It’s shaping up to be a bad year — possibly the worst yet — when it comes to Valley fever, a fungal disease marked by cough and fevers. More than 5,300 cases have been reported in California through June, that’s 63% more infections than the same period last year.\u003c/p>\n\u003cp>Valley fever is caused when people inhale microscopic spores of a fungus found in soil. This fungus typically affects the lungs. Many cases are mild and resolve on their own, but the infections, which are not contagious, can become serious enough to require hospitalization. About 80 Californians die every year from it. Moderate cases may last months and require antifungal medication.\u003c/p>\n\u003cp>Earlier this week the California Department of Public Health announced that at least a handful of people became sick with Valley fever after traveling to Kern County for an outdoor music festival at Buena Vista Lake in May. Three attendees were hospitalized, the department said. Health officials are encouraging people who attended the Lightning in a Bottle festival to contact their medical provider if they have been feeling sick and not improving.\u003c/p>\n\u003cp>Historically, the majority of Valley fever cases have been reported in Kern County, but a significant number have also been identified in Los Angeles, Fresno and in Central Coast counties.\u003c/p>\n\u003cp>As cases rise across the state, here are four things to know about Valley fever.[ad fullwidth]\u003c/p>\n\u003ch2>Valley fever fungus can travel long distances\u003c/h2>\n\u003cp>A fungus known as Coccidioides is responsible for Valley fever. Fungus spores can be rustled from the soil and into the air by activities such as farming and construction, but winds also stir them. In rare cases, infection can spread from the lungs to other parts of the body, including the heart and brain.\u003c/p>\n\u003cp>Valley fever is most common in the dry, hot southwestern U.S. and northern Mexico. In California, the majority of cases have been concentrated in the San Joaquin Valley — in fact, the region is the disease’s namesake. However, cases have been reported throughout the state.\u003c/p>\n\u003cp>The fungus can travel quite far in the air. “So even if you don’t live in the region, you still might be exposed,” said Katrina Hoyer, an immunologist and professor at UC Merced.\u003c/p>\n\u003cp>Avoiding dust is the best protection, said Kimberly Hernandez, an epidemiologist and division director of health services with the Kern County Public Health Department. That means avoiding going outside on especially windy days, if possible. People who have to be outdoors on a dusty day could benefit from wearing an N95 facemask.\u003c/p>\n\u003ch2>Valley fever cases in California tripled over the last 10 years\u003c/h2>\n\u003cp>[aside label=\"More Health Stories\" tag=\"valley-fever\"]Just over 2,300 people were diagnosed with Valley fever in 2014, according to the state’s data. By 2023, annual cases had more than tripled to more than 9,000. And in just the first six months of this year, 5,370 people were reported to have contracted Valley fever. About a third of this year’s cases have been reported in Kern County.\u003c/p>\n\u003cp>This growing number of reported infections could be attributed to a few different factors, experts say.\u003c/p>\n\u003cp>“There’s a lot more construction happening up and down the San Joaquin Valley, as we continue to grow in this region. More roads, more solar panels, more homes, all of that is disturbing the soil,” Hoyer said.\u003c/p>\n\u003cp>Also, more providers and patients are becoming aware of the disease and testing for it.\u003c/p>\n\u003cp>“We are hopeful in Kern County, given our history of having lots of Valley fever, that our health care providers are really good at looking for it,” Hernandez said. “That’s sort of the bright spot, even though we do have a lot of cases. We want people with Valley fever to get diagnosed, because if they need medication, we want them to be on that medication and to be monitored by their healthcare provider.”\u003c/p>\n\u003ch2>Symptoms may resemble COVID-19\u003c/h2>\n\u003cp>Some people may never develop symptoms, but those who do may experience a cough, fever, chest pain, headaches and fatigue. A rash and night sweats also may develop.\u003c/p>\n\u003cp>Valley fever symptoms typically show up one to three weeks after exposure and may last for a month or more.\u003c/p>\n\u003cp>Because it shares many of the same signs as COVID-19, health officials recommend that people first test for COVID-19. If COVID is ruled out, a blood test can check for antibodies to the fungus that causes Valley fever. Unlike COVID-19, Valley fever is not contagious.\u003c/p>\n\u003cp>In Kern County, the disease has hit close to home for public officials. Last week, the county’s own public health director, Brynn Carrigan, shared her own struggles with Valley fever. \u003ca href=\"https://www.bakersfield.com/news/public-health-director-shares-harrowing-experience-with-valley-fever-as-infection-numbers-rise/article_77919b98-4ac3-11ef-a572-d734cc2ec1b2.html\">The Bakersfield Californian reported\u003c/a> that Carrigan’s case developed into meningitis, a swelling of the tissue surrounding the spinal cord and brain, that can be fatal if left untreated.\u003c/p>\n\u003cp>“I knew I was sick, but I was shocked to hear how sick I really was,” Carrigan told the newspaper.\u003c/p>\n\u003ch2>Climate change plays a role\u003c/h2>\n\u003cp>Research has shown that cases of Valley fever tend to go up during dry seasons following a rainy period. “They call this the grow-and-blow hypothesis,” Hernandez said. “As a fungus, it likes moisture, and when it’s dark and it’s moist, that’s when it grows.\u003c/p>\n\u003cp>“And then when we get the next summer months, when it’s dry, there is more Valley fever fungus that can go into the air.”\u003c/p>\n\u003cp>Hernandez said Coccidioides is a hardy fungus that can survive even in severe droughts.\u003c/p>\n\u003cp>\u003ca href=\"https://agupubs.onlinelibrary.wiley.com/doi/pdf/10.1002/2017GL073524\">Some research has linked\u003c/a> the increasing number of cases to the growing incidence of dust storms in the southwest. As the Earth warms, the region is becoming drier and that means more dust storms blowing fungal spores into the air.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "About 80 Californians die every year after contracting Valley fever, a fungal disease that typically affects the lungs. A recent outbreak was traced to a music festival in Kern County.",
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"title": "Valley Fever Cases Are on the Rise in California: What to Know About the Fungal Disease | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s shaping up to be a bad year — possibly the worst yet — when it comes to Valley fever, a fungal disease marked by cough and fevers. More than 5,300 cases have been reported in California through June, that’s 63% more infections than the same period last year.\u003c/p>\n\u003cp>Valley fever is caused when people inhale microscopic spores of a fungus found in soil. This fungus typically affects the lungs. Many cases are mild and resolve on their own, but the infections, which are not contagious, can become serious enough to require hospitalization. About 80 Californians die every year from it. Moderate cases may last months and require antifungal medication.\u003c/p>\n\u003cp>Earlier this week the California Department of Public Health announced that at least a handful of people became sick with Valley fever after traveling to Kern County for an outdoor music festival at Buena Vista Lake in May. Three attendees were hospitalized, the department said. Health officials are encouraging people who attended the Lightning in a Bottle festival to contact their medical provider if they have been feeling sick and not improving.\u003c/p>\n\u003cp>Historically, the majority of Valley fever cases have been reported in Kern County, but a significant number have also been identified in Los Angeles, Fresno and in Central Coast counties.\u003c/p>\n\u003cp>As cases rise across the state, here are four things to know about Valley fever.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Valley fever fungus can travel long distances\u003c/h2>\n\u003cp>A fungus known as Coccidioides is responsible for Valley fever. Fungus spores can be rustled from the soil and into the air by activities such as farming and construction, but winds also stir them. In rare cases, infection can spread from the lungs to other parts of the body, including the heart and brain.\u003c/p>\n\u003cp>Valley fever is most common in the dry, hot southwestern U.S. and northern Mexico. In California, the majority of cases have been concentrated in the San Joaquin Valley — in fact, the region is the disease’s namesake. However, cases have been reported throughout the state.\u003c/p>\n\u003cp>The fungus can travel quite far in the air. “So even if you don’t live in the region, you still might be exposed,” said Katrina Hoyer, an immunologist and professor at UC Merced.\u003c/p>\n\u003cp>Avoiding dust is the best protection, said Kimberly Hernandez, an epidemiologist and division director of health services with the Kern County Public Health Department. That means avoiding going outside on especially windy days, if possible. People who have to be outdoors on a dusty day could benefit from wearing an N95 facemask.\u003c/p>\n\u003ch2>Valley fever cases in California tripled over the last 10 years\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Just over 2,300 people were diagnosed with Valley fever in 2014, according to the state’s data. By 2023, annual cases had more than tripled to more than 9,000. And in just the first six months of this year, 5,370 people were reported to have contracted Valley fever. About a third of this year’s cases have been reported in Kern County.\u003c/p>\n\u003cp>This growing number of reported infections could be attributed to a few different factors, experts say.\u003c/p>\n\u003cp>“There’s a lot more construction happening up and down the San Joaquin Valley, as we continue to grow in this region. More roads, more solar panels, more homes, all of that is disturbing the soil,” Hoyer said.\u003c/p>\n\u003cp>Also, more providers and patients are becoming aware of the disease and testing for it.\u003c/p>\n\u003cp>“We are hopeful in Kern County, given our history of having lots of Valley fever, that our health care providers are really good at looking for it,” Hernandez said. “That’s sort of the bright spot, even though we do have a lot of cases. We want people with Valley fever to get diagnosed, because if they need medication, we want them to be on that medication and to be monitored by their healthcare provider.”\u003c/p>\n\u003ch2>Symptoms may resemble COVID-19\u003c/h2>\n\u003cp>Some people may never develop symptoms, but those who do may experience a cough, fever, chest pain, headaches and fatigue. A rash and night sweats also may develop.\u003c/p>\n\u003cp>Valley fever symptoms typically show up one to three weeks after exposure and may last for a month or more.\u003c/p>\n\u003cp>Because it shares many of the same signs as COVID-19, health officials recommend that people first test for COVID-19. If COVID is ruled out, a blood test can check for antibodies to the fungus that causes Valley fever. Unlike COVID-19, Valley fever is not contagious.\u003c/p>\n\u003cp>In Kern County, the disease has hit close to home for public officials. Last week, the county’s own public health director, Brynn Carrigan, shared her own struggles with Valley fever. \u003ca href=\"https://www.bakersfield.com/news/public-health-director-shares-harrowing-experience-with-valley-fever-as-infection-numbers-rise/article_77919b98-4ac3-11ef-a572-d734cc2ec1b2.html\">The Bakersfield Californian reported\u003c/a> that Carrigan’s case developed into meningitis, a swelling of the tissue surrounding the spinal cord and brain, that can be fatal if left untreated.\u003c/p>\n\u003cp>“I knew I was sick, but I was shocked to hear how sick I really was,” Carrigan told the newspaper.\u003c/p>\n\u003ch2>Climate change plays a role\u003c/h2>\n\u003cp>Research has shown that cases of Valley fever tend to go up during dry seasons following a rainy period. “They call this the grow-and-blow hypothesis,” Hernandez said. “As a fungus, it likes moisture, and when it’s dark and it’s moist, that’s when it grows.\u003c/p>\n\u003cp>“And then when we get the next summer months, when it’s dry, there is more Valley fever fungus that can go into the air.”\u003c/p>\n\u003cp>Hernandez said Coccidioides is a hardy fungus that can survive even in severe droughts.\u003c/p>\n\u003cp>\u003ca href=\"https://agupubs.onlinelibrary.wiley.com/doi/pdf/10.1002/2017GL073524\">Some research has linked\u003c/a> the increasing number of cases to the growing incidence of dust storms in the southwest. As the Earth warms, the region is becoming drier and that means more dust storms blowing fungal spores into the air.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Local Health Inspectors Can’t Access Immigration Detention Centers. California May Change That",
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"content": "\u003cp>COVID-19, mumps and chickenpox outbreaks. Contaminated water, moldy food, and air ducts spewing black dust.\u003c/p>\n\u003cp>These health threats have been documented inside privately run immigration detention facilities in California through lawsuits, federal and state audits, and complaints lodged by detainees themselves.\u003c/p>\n\u003cp>However, local public health officers who routinely inspect county jails and state prisons say they don’t have the authority under state law to inspect detention centers operated by private companies, including all six federal immigration centers in California.\u003c/p>\n\u003cp>State \u003ca href=\"https://sd26.senate.ca.gov/\">Sen. María Elena Durazo\u003c/a> (D-Los Angeles) wants to close that loophole with legislation that would allow county health officers to conduct inspections at the facilities if health officers deem them necessary.\u003c/p>\n\u003cp>Durazo said that many detainees live in substandard conditions and that communicable diseases sweeping through these facilities could pose a risk to surrounding communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Unfortunately, our detainees are treated as if they’re not human beings,” she said. “We don’t want any excuses. We want state and public health officials to go in whenever it’s needed.”\u003c/p>\n\u003cp>It’s not clear how much authority local health officers would have to implement changes, but public health experts say they could act as independent observers who document violations that would otherwise remain unknown to the public.\u003c/p>\n\u003cp>The state Senate passed the bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1132\">SB 1132\u003c/a>, unanimously in late May. It is now under consideration in the state Assembly.\u003c/p>\n\u003cp>The federal government regulates immigration. GEO Group, the country’s largest private prison contractor, runs California’s federal centers, located in four counties. Together, they can house up to 6,500 people awaiting deportation or immigration hearings. [aside label=\"Related Stories\" tag=\"geo-group\"]\u003c/p>\n\u003cp>While campaigning in 2020, President Joe Biden pledged to end for-profit immigration detention. However, more than 90% of the roughly 30,000 people held by the U.S. Immigration and Customs Enforcement agency on any given day remain in private facilities, according to a \u003ca href=\"https://www.aclu.org/news/immigrants-rights/unchecked-growth-private-prison-corporations-and-immigration-detention-three-years-into-the-biden-administration\">2023 analysis\u003c/a> by the American Civil Liberties Union. Congress members in both chambers have introduced legislation to \u003ca href=\"https://jayapal.house.gov/2023/04/20/jayapal-booker-and-smith-introduce-dignity-for-detained-immigrants-act/#:~:text=%E2%80%9CThe%20Dignity%20for%20Detained%20Immigrants%20Act%20is%20a%20critical%20bill,long%20history%20of%20cruel%20conditions\">phase out private detention centers\u003c/a>, while other lawmakers, including at least two this month, have called for investigations into substandard \u003ca href=\"https://www.judiciary.senate.gov/press/dem/releases/durbin-launches-inquiry-into-medical-and-mental-health-care-in-ice-detention-facilities\">medical and mental health care\u003c/a> and \u003ca href=\"https://www.spokesman.com/stories/2024/jul/12/murray-requests-federal-audit-on-ice-health-care-s/\">deaths\u003c/a>.\u003c/p>\n\u003cp>Lawmakers in Washington state passed a law in 2023 to impose state oversight of private detention facilities, but the GEO Group sued and the measure is \u003ca href=\"https://www.reuters.com/legal/judge-blocks-tighter-washington-state-oversight-immigration-detention-center-2024-03-10/\">tied up in court\u003c/a>. California lawmakers have repeatedly attempted to regulate such facilities, with mixed results.\u003c/p>\n\u003cp>In 2019, California Gov. Gavin Newsom, a Democrat, signed a measure banning private prisons and detention facilities from operating in California. However, a federal court later declared the law unconstitutional as it related to immigration detention centers, saying it interfered with federal functions.\u003c/p>\n\u003cp>In 2021, state lawmakers passed a bill requiring private detention centers to comply with state and local public health orders and worker safety and health regulations. That measure was adopted at the height of the COVID-19 pandemic, as the virus tore through detention facilities where people were packed into dorms with little or no protection from airborne viruses.\u003c/p>\n\u003cp>For instance, at the Otay Mesa Detention Center in San Diego, one outbreak at the start of the pandemic infected more than 300 staff members and detainees.\u003c/p>\n\u003cp>The Health Officers Association of California, which represents the public health officers for the state’s 61 local health departments, supports Durazo’s legislation.\u003c/p>\n\u003cp>“These investigations play a pivotal role in identifying and addressing health and sanitary concerns within these facilities, thereby mitigating risks to detainees, staff, and the surrounding communities,” according to \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/07/240531-SB-1132-Durazo-Support-Letter.pdf\">a letter\u003c/a> from the association’s executive director, Kat DeBurgh.\u003c/p>\n\u003cp>Under the measure, public health officers \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/07/202320240SB1132_Assembly-Public-Safety.pdf\">would determine\u003c/a> whether the facilities are complying with environmental rules, such as ensuring proper ventilation, and offering basic mental and health care, emergency treatment, and safely prepared food.\u003c/p>\n\u003cp>Unlike public correctional facilities, which local health officers inspect every year, private detention centers would be inspected as needed, to be determined by the health officer.[aside label=\"More Immigration Coverage\" tag=\"immigration\"]\u003c/p>\n\u003cp>GEO Group spokesperson Christopher Ferreira and ICE spokesperson Richard Beam declined to comment on the measure.\u003c/p>\n\u003cp>American Public Health Association Executive Director Georges Benjamin said public health officers are well positioned to inspect these facilities because they understand how to make confined spaces safer for large populations.\u003c/p>\n\u003cp>Even though they likely can’t force the detention centers to comply with their recommendations, their reports could provide valuable information for public officials, attorneys, and others who want to pursue options such as litigation, he said. “When the system isn’t working, the courts can play a very profound role,” Benjamin said.\u003c/p>\n\u003cp>The federal system that monitors health care and the transmission of communicable diseases inside immigration detention centers is broken, said Annette Dekker, an assistant clinical professor of emergency medicine at UCLA, who studies health care in these facilities.\u003c/p>\n\u003cp>Inspections of detention centers are typically conducted by ICE employees and, up until 2022, by a private auditor. In a paper \u003ca href=\"https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(24)00152-2/fulltext#secsectitle0045\">published in June\u003c/a>, Dekker and other researchers showed that immigration officials and the auditor conducted inspections infrequently — at least once every three years — and provided limited public information about deficiencies and how they were addressed.\u003c/p>\n\u003cp>“There’s a lot of harm that is happening in detention centers that we are not able to document,” Dekker said.\u003c/p>\n\u003cp>ICE and the GEO Group have been the subjects of lawsuits and hundreds of complaints alleging poor conditions inside the California facilities since the pandemic began. Some of these lawsuits are pending, but a significant share of complaints have been dismissed, according to \u003ca href=\"https://www.aclunc.org/CA_database\">a database\u003c/a> maintained by the American Civil Liberties Union.\u003c/p>\n\u003cp>The most recent lawsuits by detainees allege crowded and \u003ca href=\"https://cdn.craft.cloud/5cd1c590-65ba-4ad2-a52c-b55e67f8f04b/assets/media/Programs/Immigrant-Rights/Form95andSupplement_ICEAdminComplaint_IR_12202023_Redacted.pdf\">unsanitary conditions\u003c/a>, denial of adequate mental and medical health care, \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/04/16/lawsuit-against-ice-detention-center-highlights-medical-neglect-complaints\">medical neglect\u003c/a>, and \u003ca href=\"https://www.ccijustice.org/laf-05-17-2022\">wrongful death\u003c/a> by suicide.\u003c/p>\n\u003cp>The California Division of Occupational Safety and Health fined the GEO Group about $100,000 in 2022 for failing to maintain written procedures to reduce exposure to COVID-19. The GEO Group has contested the fine.\u003c/p>\n\u003cp>“I have experienced really inhumane living conditions,” 28-year-old Dilmer Lovos told KFF Health News by phone from the Golden State Annex immigration detention center in McFarland, Kern County. Lovos has been held there since January while awaiting an immigration hearing.\u003c/p>\n\u003cp>Lovos, who was born in El Salvador and uses the pronouns they/them, has been a legal permanent resident for 15 years and was detained by immigration officials while on parole.\u003c/p>\n\u003cp>In early July, Lovos and 58 other detainees from Golden State Annex and the Mesa Verde ICE Processing Center in Bakersfield started a labor and hunger strike demanding the end of poor living conditions, solitary confinement, and inadequate medical and mental health services.\u003c/p>\n\u003cp>Lovos described a packed dorm room, clogged air filters, mice and cockroaches scurrying in the kitchen, water leaking from the ceiling, and detainees with flu-like symptoms who couldn’t get access to medication or a COVID-19 test when requested.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ice.gov/doclib/coronavirus/eroCOVID19PostPandemicEmergencyGuidelinesProtocol_05112023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ICE protocols\u003c/a> require testing of detainees with symptoms upon intake into facilities with no COVID-19 hospitalizations or deaths in the previous week. In facilities with two or more hospitalizations or deaths in the previous week, all detainees are tested during intake. It is up to each facility’s medical providers to decide when a test is necessary after that.\u003c/p>\n\u003cp>After Lovos filed a complaint with the GEO Group in June, alleging medical and mental health neglect, they said they were placed in solitary confinement for 20 days without a properly functioning toilet. “I was smelling my urine and feces because I was not able to flush.”\u003c/p>\n\u003cp>Ferreira declined to address Lovos’ allegations but said via email that detainees receive “around-the-clock access to medical care,” including doctors, dentists, psychologists, and referrals to off-site specialists.\u003c/p>\n\u003cp>“GEO takes exception to the unsubstantiated allegations that have been made regarding access to health care services at GEO-contracted ICE Processing Centers,” he said.\u003c/p>\n\u003cp>An \u003ca href=\"https://www.oig.dhs.gov/sites/default/files/assets/2024-04/OIG-24-23-Apr24.pdf\">unannounced inspection\u003c/a> by federal immigration officials in April 2023 found Golden State Annex employees did not respond within 24 hours to medical complaints, which the report said could negatively affect detainees’ health and did not properly store detainees’ medical records.\u003c/p>\n\u003cp>Lovos said that no one has addressed their concerns and that conditions have only worsened.\u003c/p>\n\u003cp>“Please come check these places out,” Lovos said in a plea to local health officials.\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\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Unfortunately, our detainees are treated as if they’re not human beings,” she said. “We don’t want any excuses. We want state and public health officials to go in whenever it’s needed.”\u003c/p>\n\u003cp>It’s not clear how much authority local health officers would have to implement changes, but public health experts say they could act as independent observers who document violations that would otherwise remain unknown to the public.\u003c/p>\n\u003cp>The state Senate passed the bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB1132\">SB 1132\u003c/a>, unanimously in late May. It is now under consideration in the state Assembly.\u003c/p>\n\u003cp>The federal government regulates immigration. GEO Group, the country’s largest private prison contractor, runs California’s federal centers, located in four counties. Together, they can house up to 6,500 people awaiting deportation or immigration hearings. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While campaigning in 2020, President Joe Biden pledged to end for-profit immigration detention. However, more than 90% of the roughly 30,000 people held by the U.S. Immigration and Customs Enforcement agency on any given day remain in private facilities, according to a \u003ca href=\"https://www.aclu.org/news/immigrants-rights/unchecked-growth-private-prison-corporations-and-immigration-detention-three-years-into-the-biden-administration\">2023 analysis\u003c/a> by the American Civil Liberties Union. Congress members in both chambers have introduced legislation to \u003ca href=\"https://jayapal.house.gov/2023/04/20/jayapal-booker-and-smith-introduce-dignity-for-detained-immigrants-act/#:~:text=%E2%80%9CThe%20Dignity%20for%20Detained%20Immigrants%20Act%20is%20a%20critical%20bill,long%20history%20of%20cruel%20conditions\">phase out private detention centers\u003c/a>, while other lawmakers, including at least two this month, have called for investigations into substandard \u003ca href=\"https://www.judiciary.senate.gov/press/dem/releases/durbin-launches-inquiry-into-medical-and-mental-health-care-in-ice-detention-facilities\">medical and mental health care\u003c/a> and \u003ca href=\"https://www.spokesman.com/stories/2024/jul/12/murray-requests-federal-audit-on-ice-health-care-s/\">deaths\u003c/a>.\u003c/p>\n\u003cp>Lawmakers in Washington state passed a law in 2023 to impose state oversight of private detention facilities, but the GEO Group sued and the measure is \u003ca href=\"https://www.reuters.com/legal/judge-blocks-tighter-washington-state-oversight-immigration-detention-center-2024-03-10/\">tied up in court\u003c/a>. California lawmakers have repeatedly attempted to regulate such facilities, with mixed results.\u003c/p>\n\u003cp>In 2019, California Gov. Gavin Newsom, a Democrat, signed a measure banning private prisons and detention facilities from operating in California. However, a federal court later declared the law unconstitutional as it related to immigration detention centers, saying it interfered with federal functions.\u003c/p>\n\u003cp>In 2021, state lawmakers passed a bill requiring private detention centers to comply with state and local public health orders and worker safety and health regulations. That measure was adopted at the height of the COVID-19 pandemic, as the virus tore through detention facilities where people were packed into dorms with little or no protection from airborne viruses.\u003c/p>\n\u003cp>For instance, at the Otay Mesa Detention Center in San Diego, one outbreak at the start of the pandemic infected more than 300 staff members and detainees.\u003c/p>\n\u003cp>The Health Officers Association of California, which represents the public health officers for the state’s 61 local health departments, supports Durazo’s legislation.\u003c/p>\n\u003cp>“These investigations play a pivotal role in identifying and addressing health and sanitary concerns within these facilities, thereby mitigating risks to detainees, staff, and the surrounding communities,” according to \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/07/240531-SB-1132-Durazo-Support-Letter.pdf\">a letter\u003c/a> from the association’s executive director, Kat DeBurgh.\u003c/p>\n\u003cp>Under the measure, public health officers \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/07/202320240SB1132_Assembly-Public-Safety.pdf\">would determine\u003c/a> whether the facilities are complying with environmental rules, such as ensuring proper ventilation, and offering basic mental and health care, emergency treatment, and safely prepared food.\u003c/p>\n\u003cp>Unlike public correctional facilities, which local health officers inspect every year, private detention centers would be inspected as needed, to be determined by the health officer.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>GEO Group spokesperson Christopher Ferreira and ICE spokesperson Richard Beam declined to comment on the measure.\u003c/p>\n\u003cp>American Public Health Association Executive Director Georges Benjamin said public health officers are well positioned to inspect these facilities because they understand how to make confined spaces safer for large populations.\u003c/p>\n\u003cp>Even though they likely can’t force the detention centers to comply with their recommendations, their reports could provide valuable information for public officials, attorneys, and others who want to pursue options such as litigation, he said. “When the system isn’t working, the courts can play a very profound role,” Benjamin said.\u003c/p>\n\u003cp>The federal system that monitors health care and the transmission of communicable diseases inside immigration detention centers is broken, said Annette Dekker, an assistant clinical professor of emergency medicine at UCLA, who studies health care in these facilities.\u003c/p>\n\u003cp>Inspections of detention centers are typically conducted by ICE employees and, up until 2022, by a private auditor. In a paper \u003ca href=\"https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(24)00152-2/fulltext#secsectitle0045\">published in June\u003c/a>, Dekker and other researchers showed that immigration officials and the auditor conducted inspections infrequently — at least once every three years — and provided limited public information about deficiencies and how they were addressed.\u003c/p>\n\u003cp>“There’s a lot of harm that is happening in detention centers that we are not able to document,” Dekker said.\u003c/p>\n\u003cp>ICE and the GEO Group have been the subjects of lawsuits and hundreds of complaints alleging poor conditions inside the California facilities since the pandemic began. Some of these lawsuits are pending, but a significant share of complaints have been dismissed, according to \u003ca href=\"https://www.aclunc.org/CA_database\">a database\u003c/a> maintained by the American Civil Liberties Union.\u003c/p>\n\u003cp>The most recent lawsuits by detainees allege crowded and \u003ca href=\"https://cdn.craft.cloud/5cd1c590-65ba-4ad2-a52c-b55e67f8f04b/assets/media/Programs/Immigrant-Rights/Form95andSupplement_ICEAdminComplaint_IR_12202023_Redacted.pdf\">unsanitary conditions\u003c/a>, denial of adequate mental and medical health care, \u003ca href=\"https://www.kpbs.org/news/border-immigration/2024/04/16/lawsuit-against-ice-detention-center-highlights-medical-neglect-complaints\">medical neglect\u003c/a>, and \u003ca href=\"https://www.ccijustice.org/laf-05-17-2022\">wrongful death\u003c/a> by suicide.\u003c/p>\n\u003cp>The California Division of Occupational Safety and Health fined the GEO Group about $100,000 in 2022 for failing to maintain written procedures to reduce exposure to COVID-19. The GEO Group has contested the fine.\u003c/p>\n\u003cp>“I have experienced really inhumane living conditions,” 28-year-old Dilmer Lovos told KFF Health News by phone from the Golden State Annex immigration detention center in McFarland, Kern County. Lovos has been held there since January while awaiting an immigration hearing.\u003c/p>\n\u003cp>Lovos, who was born in El Salvador and uses the pronouns they/them, has been a legal permanent resident for 15 years and was detained by immigration officials while on parole.\u003c/p>\n\u003cp>In early July, Lovos and 58 other detainees from Golden State Annex and the Mesa Verde ICE Processing Center in Bakersfield started a labor and hunger strike demanding the end of poor living conditions, solitary confinement, and inadequate medical and mental health services.\u003c/p>\n\u003cp>Lovos described a packed dorm room, clogged air filters, mice and cockroaches scurrying in the kitchen, water leaking from the ceiling, and detainees with flu-like symptoms who couldn’t get access to medication or a COVID-19 test when requested.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ice.gov/doclib/coronavirus/eroCOVID19PostPandemicEmergencyGuidelinesProtocol_05112023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ICE protocols\u003c/a> require testing of detainees with symptoms upon intake into facilities with no COVID-19 hospitalizations or deaths in the previous week. In facilities with two or more hospitalizations or deaths in the previous week, all detainees are tested during intake. It is up to each facility’s medical providers to decide when a test is necessary after that.\u003c/p>\n\u003cp>After Lovos filed a complaint with the GEO Group in June, alleging medical and mental health neglect, they said they were placed in solitary confinement for 20 days without a properly functioning toilet. “I was smelling my urine and feces because I was not able to flush.”\u003c/p>\n\u003cp>Ferreira declined to address Lovos’ allegations but said via email that detainees receive “around-the-clock access to medical care,” including doctors, dentists, psychologists, and referrals to off-site specialists.\u003c/p>\n\u003cp>“GEO takes exception to the unsubstantiated allegations that have been made regarding access to health care services at GEO-contracted ICE Processing Centers,” he said.\u003c/p>\n\u003cp>An \u003ca href=\"https://www.oig.dhs.gov/sites/default/files/assets/2024-04/OIG-24-23-Apr24.pdf\">unannounced inspection\u003c/a> by federal immigration officials in April 2023 found Golden State Annex employees did not respond within 24 hours to medical complaints, which the report said could negatively affect detainees’ health and did not properly store detainees’ medical records.\u003c/p>\n\u003cp>Lovos said that no one has addressed their concerns and that conditions have only worsened.\u003c/p>\n\u003cp>“Please come check these places out,” Lovos said in a plea to local health officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"onourwatch": {
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
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