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"content": "\u003cp>For many people, living on the streets of California is a death sentence.\u003c/p>\n\u003cp>That’s according to a \u003ca href=\"https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2023.01039\">recent study\u003c/a> that took the first deep look into mortality rates in unhoused communities throughout the country. It found the death rate more than tripled between 2011 and 2020. The findings make clear that as the number of unhoused Californians is soaring, it’s also becoming more dangerous to be unhoused. And it means the stakes are sky-high when it comes to state and local efforts to combat the crisis: People’s lives are on the line.\u003c/p>\n\u003cp>The study’s co-author, Matthew Fowle of the University of Pennsylvania, said the 238% increase was “astonishing.”\u003c/p>\n\u003cp>“It’s unlike any other mortality trend that we really see in demography,” he said. “It’s comparable to something like a natural disaster or war.”[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Margot Kushel, director of UCSF Benioff Homelessness and Housing Initiative\"]‘There is increasing evidence that you can prevent a lot of these deaths just by getting people housed.’[/pullquote]Overdoses played a major role in the deaths studied. But people also are dying at increased rates of things that might be avoided if they had a home or regular access to preventative medical care, such as exposure to heat and cold, traffic injuries, cardiovascular disease and diabetes.\u003c/p>\n\u003cp>“It’s just so hard to do that when you’re living on the streets or living in a shelter,” said Fowle, a postdoctoral fellow at the university’s Housing Initiative at Penn program. “Your main concern is, ‘Can I stay warm and dry for the night? Can I get enough food to eat?’ You can’t think about these other longer-term things that might be affecting your health until, in many cases, it’s too late.”\u003c/p>\n\u003cp>Some of the increase in the mortality rate may be attributable to county death records keeping better track of who is unhoused, Fowle said. Other than that, he and his team aren’t sure what else is behind the rising death rates — more research is needed, he said.\u003c/p>\n\u003cp>“Clearly, something is occurring across the country,” Fowle said.\u003c/p>\n\u003cp>The study, published this month in the health policy research journal Health Affairs, appears to be the first to look at death rates and causes of death in homeless communities nationwide. Data on this subject is spotty, as the feds and most states (including California) don’t require medical examiners to list someone’s housing status in their death records.\u003c/p>\n\u003cp>Fowle’s study looked at 22,143 deaths of unhoused residents in 22 localities across 10 states and Washington, D.C. — including eight California counties. The death rate among unhoused residents across all 22 localities increased from 814 per 100,000 in 2011 to 2,752 per 100,000 in 2020.\u003c/p>\n\u003cp>Among the general population, the nationwide mortality rate was much lower: 1,027 deaths per 100,000 people in 2020, \u003ca href=\"https://wonder.cdc.gov/controller/datarequest/D158;jsessionid=1D9C4FFB8CB6C9272489654C4B6A\">according to the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>In California, the study looked at Alameda, Los Angeles, Orange, Sacramento, San Diego, San Mateo, Santa Clara and Solano counties. In those counties, the mortality rate more than doubled between 2015 and 2020. Some of those counties didn’t start collecting data until 2015.\u003c/p>\n\u003cp>Like most information on unhoused populations, the data has limitations. For example, it uses mortality rates based on the \u003ca href=\"https://calmatters.org/housing/2024/01/california-homeless-point-in-time-count-2024/\">federally mandated point-in-time population counts\u003c/a>, which are inexact estimates of the country’s homeless communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nationwide, drug and alcohol overdoses were the leading cause of fatalities among unhoused people, accounting for nearly a third of all deaths. Overdoses caused 986 deaths per 100,000 unhoused people in 2020, a 488% increase from 2011.\u003c/p>\n\u003cp>The \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\">opioid crisis and the increased prevalence of fentanyl\u003c/a> played a huge role in those numbers, Fowle said. But deaths also may be driven by \u003ca href=\"https://calmatters.org/housing/2023/04/california-homeless-city-laws/\">new efforts throughout California and beyond to crack down on people sleeping in public places\u003c/a>, he said. When people use drugs in a homeless encampment surrounded by people they know and trust, or even alone on a busy downtown street, there’s a greater chance someone will see them and intervene if they overdose. If law enforcement breaks up their camps and pushes them out of downtown, they often go to isolated areas such as creek beds, where they’re harder to help in an emergency.\u003c/p>\n\u003cp>When someone is displaced from their camp, they also become less able to access a safe supply of drugs — putting them at greater risk for consuming something laced with fentanyl, said Dr. Margot Kushel, director of the UCSF Benioff Homelessness and Housing Initiative.\u003c/p>\n\u003cp>Another reason being homeless has become more deadly? The homeless population is getting older, Kushel said.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/02/california-homeless-seniors/\">The number of Californians 55 and older who sought homelessness services soared 84% between 2017 and 2021\u003c/a>, according to the state’s Homeless Data Integration System. That’s compared to a 43% increase across all age groups. In other words, more people older than 50 are becoming unhoused for the first time.\u003c/p>\n\u003cp>“As the homeless population continues to age, you’re just going to see death rates keep going up and up and up,” Kushel said. “You expect that, and it’s horrendous.”[aside label=\"more homelessness coverage\" tag=\"homelessness\"]The average age of death in the University of Pennsylvania study was 51 — more than 27 years younger than the average U.S. life expectancy during that period.\u003c/p>\n\u003cp>Deaths attributed to cardiovascular disease, the second-leading cause of death, increased 172% between 2011 and 2020. Other causes that saw major increases include diabetes, infection, cancer, homicide and exposure.\u003c/p>\n\u003cp>Being homeless is incredibly bad for your health, Kushel said. As soon as someone loses their housing, everything else starts to fall apart. Drug use tends to get worse, people lose the medication that treats their chronic illnesses, and they don’t go to the doctor for preventative care because they’re too busy worrying about where they’ll sleep or what they’ll eat. That means something like a small infection can turn life-threatening quickly.\u003c/p>\n\u003cp>And once someone is diagnosed with a serious illness, treatment is much harder on the street. A \u003ca href=\"https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2023.01003\">recent study of veterans with cancer, co-authored by Kushel\u003c/a>, found that those without housing were 10% to 20% more likely to die than those with housing. And among formerly unhoused veterans who had since found housing, the risk of dying plummeted, the study found.\u003c/p>\n\u003cp>“There is increasing evidence that you can prevent a lot of these deaths just by getting people housed,” Kushel said.\u003c/p>\n\u003cp>Clinicians who treat people on the street watch in real time as conditions for their patients become more deadly. Whenever outreach workers call Dr. Susan Partovi, medical director of Homeless Health Care Los Angeles and author of the memoir \u003cem>Renegade MD\u003c/em>, the first thing she asks is, “Who died?”\u003c/p>\n\u003cp>All too often, it’s someone she knew.\u003c/p>\n\u003cp>“It’s really heartbreaking when you know someone, and you know their humor, and you know their dreams, and you know their past history, and you know their ups and downs in life,” she said. “And you’re kind of in the trenches with them and their struggles. And then they die. It’s just so disheartening. It’s just so sad.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Overdoses played a major role in the deaths studied. But people also are dying at increased rates of things that might be avoided if they had a home or regular access to preventative medical care, such as exposure to heat and cold, traffic injuries, cardiovascular disease and diabetes.\u003c/p>\n\u003cp>“It’s just so hard to do that when you’re living on the streets or living in a shelter,” said Fowle, a postdoctoral fellow at the university’s Housing Initiative at Penn program. “Your main concern is, ‘Can I stay warm and dry for the night? Can I get enough food to eat?’ You can’t think about these other longer-term things that might be affecting your health until, in many cases, it’s too late.”\u003c/p>\n\u003cp>Some of the increase in the mortality rate may be attributable to county death records keeping better track of who is unhoused, Fowle said. Other than that, he and his team aren’t sure what else is behind the rising death rates — more research is needed, he said.\u003c/p>\n\u003cp>“Clearly, something is occurring across the country,” Fowle said.\u003c/p>\n\u003cp>The study, published this month in the health policy research journal Health Affairs, appears to be the first to look at death rates and causes of death in homeless communities nationwide. Data on this subject is spotty, as the feds and most states (including California) don’t require medical examiners to list someone’s housing status in their death records.\u003c/p>\n\u003cp>Fowle’s study looked at 22,143 deaths of unhoused residents in 22 localities across 10 states and Washington, D.C. — including eight California counties. The death rate among unhoused residents across all 22 localities increased from 814 per 100,000 in 2011 to 2,752 per 100,000 in 2020.\u003c/p>\n\u003cp>Among the general population, the nationwide mortality rate was much lower: 1,027 deaths per 100,000 people in 2020, \u003ca href=\"https://wonder.cdc.gov/controller/datarequest/D158;jsessionid=1D9C4FFB8CB6C9272489654C4B6A\">according to the Centers for Disease Control and Prevention\u003c/a>.\u003c/p>\n\u003cp>In California, the study looked at Alameda, Los Angeles, Orange, Sacramento, San Diego, San Mateo, Santa Clara and Solano counties. In those counties, the mortality rate more than doubled between 2015 and 2020. Some of those counties didn’t start collecting data until 2015.\u003c/p>\n\u003cp>Like most information on unhoused populations, the data has limitations. For example, it uses mortality rates based on the \u003ca href=\"https://calmatters.org/housing/2024/01/california-homeless-point-in-time-count-2024/\">federally mandated point-in-time population counts\u003c/a>, which are inexact estimates of the country’s homeless communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nationwide, drug and alcohol overdoses were the leading cause of fatalities among unhoused people, accounting for nearly a third of all deaths. Overdoses caused 986 deaths per 100,000 unhoused people in 2020, a 488% increase from 2011.\u003c/p>\n\u003cp>The \u003ca href=\"https://calmatters.org/explainers/california-opioid-crisis/\">opioid crisis and the increased prevalence of fentanyl\u003c/a> played a huge role in those numbers, Fowle said. But deaths also may be driven by \u003ca href=\"https://calmatters.org/housing/2023/04/california-homeless-city-laws/\">new efforts throughout California and beyond to crack down on people sleeping in public places\u003c/a>, he said. When people use drugs in a homeless encampment surrounded by people they know and trust, or even alone on a busy downtown street, there’s a greater chance someone will see them and intervene if they overdose. If law enforcement breaks up their camps and pushes them out of downtown, they often go to isolated areas such as creek beds, where they’re harder to help in an emergency.\u003c/p>\n\u003cp>When someone is displaced from their camp, they also become less able to access a safe supply of drugs — putting them at greater risk for consuming something laced with fentanyl, said Dr. Margot Kushel, director of the UCSF Benioff Homelessness and Housing Initiative.\u003c/p>\n\u003cp>Another reason being homeless has become more deadly? The homeless population is getting older, Kushel said.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/02/california-homeless-seniors/\">The number of Californians 55 and older who sought homelessness services soared 84% between 2017 and 2021\u003c/a>, according to the state’s Homeless Data Integration System. That’s compared to a 43% increase across all age groups. In other words, more people older than 50 are becoming unhoused for the first time.\u003c/p>\n\u003cp>“As the homeless population continues to age, you’re just going to see death rates keep going up and up and up,” Kushel said. “You expect that, and it’s horrendous.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The average age of death in the University of Pennsylvania study was 51 — more than 27 years younger than the average U.S. life expectancy during that period.\u003c/p>\n\u003cp>Deaths attributed to cardiovascular disease, the second-leading cause of death, increased 172% between 2011 and 2020. Other causes that saw major increases include diabetes, infection, cancer, homicide and exposure.\u003c/p>\n\u003cp>Being homeless is incredibly bad for your health, Kushel said. As soon as someone loses their housing, everything else starts to fall apart. Drug use tends to get worse, people lose the medication that treats their chronic illnesses, and they don’t go to the doctor for preventative care because they’re too busy worrying about where they’ll sleep or what they’ll eat. That means something like a small infection can turn life-threatening quickly.\u003c/p>\n\u003cp>And once someone is diagnosed with a serious illness, treatment is much harder on the street. A \u003ca href=\"https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2023.01003\">recent study of veterans with cancer, co-authored by Kushel\u003c/a>, found that those without housing were 10% to 20% more likely to die than those with housing. And among formerly unhoused veterans who had since found housing, the risk of dying plummeted, the study found.\u003c/p>\n\u003cp>“There is increasing evidence that you can prevent a lot of these deaths just by getting people housed,” Kushel said.\u003c/p>\n\u003cp>Clinicians who treat people on the street watch in real time as conditions for their patients become more deadly. Whenever outreach workers call Dr. Susan Partovi, medical director of Homeless Health Care Los Angeles and author of the memoir \u003cem>Renegade MD\u003c/em>, the first thing she asks is, “Who died?”\u003c/p>\n\u003cp>All too often, it’s someone she knew.\u003c/p>\n\u003cp>“It’s really heartbreaking when you know someone, and you know their humor, and you know their dreams, and you know their past history, and you know their ups and downs in life,” she said. “And you’re kind of in the trenches with them and their struggles. And then they die. It’s just so disheartening. It’s just so sad.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Mateo County is launching an unarmed mobile response team program to address an array of mental health crises without involving law enforcement.\u003c/p>\n\u003cp>County supervisors on Tuesday unanimously approved a $4.9 million contract with Alameda-based Telecare Corporation to provide the service through June 2025.\u003c/p>\n\u003cp>“There are many people in the community that are afraid or more agitated when they interact with law enforcement, and this response model addresses that and provides another path,” District 2 Supervisor Noelia Corzo told KQED, noting that county residents have requested this service for years.\u003c/p>\n\u003cp>The program is set to launch in May, initially with one team active on weekday nights. By August, it’s expected to scale up to five teams working 24/7, with two additional teams on call.\u003c/p>\n\u003cp>Teams are expected to include one behavioral health clinician and one “peer support specialist” trained in de-escalation and crisis intervention.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Working independently of law enforcement, teams will be tasked with responding to mental health-related calls anywhere in the county and connecting people to appropriate services.\u003c/p>\n\u003cp>Each team will also carry and be trained to administer the opioid overdose-reversal drug naloxone.\u003c/p>\n\u003cp>Corzo said she thinks the program could have prevented \u003ca href=\"https://www.kqed.org/news/11696828/san-mateo-d-a-says-man-who-died-after-deputy-tased-him-was-unarmed\">the death of Chinedu Okobi\u003c/a>, a 36-year-old unarmed man from Redwood City with a history of mental health issues who was killed during an interaction with law enforcement in 2018.\u003c/p>\n\u003cp>“Had this service been available, I think the outcome would have been different,” she said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-crisis\"]Sheriff’s deputies used a Taser on Okobi multiple times during a struggle that began when they saw him jaywalking on a busy street in Millbrae. He became unresponsive after deputies restrained him.\u003c/p>\n\u003cp>An autopsy revealed he had died of cardiac arrest, partially attributed to the Taser shocks — the \u003ca href=\"https://www.mercurynews.com/2019/02/12/redwood-city-axon-defends-taser-safety-at-supes-meeting-after-3-deaths-last-year/\">third person in the county that year to die after being Tased by law enforcement.\u003c/a>\u003c/p>\n\u003cp>Okobi’s family eventually \u003ca href=\"https://sfstandard.com/2023/02/06/bay-area-taser-death-leads-to-massive-payout-as-nation-mourns-police-killings/\">settled a lawsuit with the county for $4.5 million\u003c/a>.\u003c/p>\n\u003cp>The crisis response program will build on \u003ca href=\"https://sanmateocrisis.org/transparency\">existing services\u003c/a> available in different parts of the county, in which behavioral health professionals go along with law enforcement officers on certain calls. Additionally, a countywide mobile crisis team for youth currently responds to certain mental health-related calls involving people who are 25 and under.\u003c/p>\n\u003cp>Coordinating the various services and dispatching the appropriate response will be key to making this program effective, according to Jei Africa, the county’s director of Behavioral Health and Recovery Services.\u003c/p>\n\u003cp>“The coordination piece is really the challenge right now we’re trying to face,” Africa said during Tuesday’s meeting. “When we get the call, which is the most appropriate response? Which is the quickest response?”\u003c/p>\n\u003cp>Calls to the program will be routed through local nonprofit StarVista’s crisis call center, which operates a 24/7 hotline and fields an average of more than 1,000 calls a month. A new phone number will also be launched for the mobile crisis response team, with the goal of eventually re-routing all relevant 911 and 988 (national suicide prevention hotline) calls back to the team.\u003c/p>\n\u003cp>The new program comes on the heels of \u003ca href=\"https://www.dhcs.ca.gov/Documents/Mobile-Crisis-FAQ.pdf\">a state policy\u003c/a> enacted last June requiring counties that deliver Medi-Cal services to provide mobile crisis response teams to address behavioral health concerns — with some of those costs expected to be reimbursed through Medi-Cal.\u003c/p>\n\u003cp>The state policy mandates that teams have specific training and be able to respond to calls in urban areas within an hour and in rural areas within 90 minutes. It also requires teams to conduct follow-up visits within three days and to follow certain data collection and assessment guidelines.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The program will create a resource for “anyone who’s ever hesitated to call the police,” Corzo said. “It really is the support that our most vulnerable community members need.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Mateo County is launching an unarmed mobile response team program to address an array of mental health crises without involving law enforcement.\u003c/p>\n\u003cp>County supervisors on Tuesday unanimously approved a $4.9 million contract with Alameda-based Telecare Corporation to provide the service through June 2025.\u003c/p>\n\u003cp>“There are many people in the community that are afraid or more agitated when they interact with law enforcement, and this response model addresses that and provides another path,” District 2 Supervisor Noelia Corzo told KQED, noting that county residents have requested this service for years.\u003c/p>\n\u003cp>The program is set to launch in May, initially with one team active on weekday nights. By August, it’s expected to scale up to five teams working 24/7, with two additional teams on call.\u003c/p>\n\u003cp>Teams are expected to include one behavioral health clinician and one “peer support specialist” trained in de-escalation and crisis intervention.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Working independently of law enforcement, teams will be tasked with responding to mental health-related calls anywhere in the county and connecting people to appropriate services.\u003c/p>\n\u003cp>Each team will also carry and be trained to administer the opioid overdose-reversal drug naloxone.\u003c/p>\n\u003cp>Corzo said she thinks the program could have prevented \u003ca href=\"https://www.kqed.org/news/11696828/san-mateo-d-a-says-man-who-died-after-deputy-tased-him-was-unarmed\">the death of Chinedu Okobi\u003c/a>, a 36-year-old unarmed man from Redwood City with a history of mental health issues who was killed during an interaction with law enforcement in 2018.\u003c/p>\n\u003cp>“Had this service been available, I think the outcome would have been different,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sheriff’s deputies used a Taser on Okobi multiple times during a struggle that began when they saw him jaywalking on a busy street in Millbrae. He became unresponsive after deputies restrained him.\u003c/p>\n\u003cp>An autopsy revealed he had died of cardiac arrest, partially attributed to the Taser shocks — the \u003ca href=\"https://www.mercurynews.com/2019/02/12/redwood-city-axon-defends-taser-safety-at-supes-meeting-after-3-deaths-last-year/\">third person in the county that year to die after being Tased by law enforcement.\u003c/a>\u003c/p>\n\u003cp>Okobi’s family eventually \u003ca href=\"https://sfstandard.com/2023/02/06/bay-area-taser-death-leads-to-massive-payout-as-nation-mourns-police-killings/\">settled a lawsuit with the county for $4.5 million\u003c/a>.\u003c/p>\n\u003cp>The crisis response program will build on \u003ca href=\"https://sanmateocrisis.org/transparency\">existing services\u003c/a> available in different parts of the county, in which behavioral health professionals go along with law enforcement officers on certain calls. Additionally, a countywide mobile crisis team for youth currently responds to certain mental health-related calls involving people who are 25 and under.\u003c/p>\n\u003cp>Coordinating the various services and dispatching the appropriate response will be key to making this program effective, according to Jei Africa, the county’s director of Behavioral Health and Recovery Services.\u003c/p>\n\u003cp>“The coordination piece is really the challenge right now we’re trying to face,” Africa said during Tuesday’s meeting. “When we get the call, which is the most appropriate response? Which is the quickest response?”\u003c/p>\n\u003cp>Calls to the program will be routed through local nonprofit StarVista’s crisis call center, which operates a 24/7 hotline and fields an average of more than 1,000 calls a month. A new phone number will also be launched for the mobile crisis response team, with the goal of eventually re-routing all relevant 911 and 988 (national suicide prevention hotline) calls back to the team.\u003c/p>\n\u003cp>The new program comes on the heels of \u003ca href=\"https://www.dhcs.ca.gov/Documents/Mobile-Crisis-FAQ.pdf\">a state policy\u003c/a> enacted last June requiring counties that deliver Medi-Cal services to provide mobile crisis response teams to address behavioral health concerns — with some of those costs expected to be reimbursed through Medi-Cal.\u003c/p>\n\u003cp>The state policy mandates that teams have specific training and be able to respond to calls in urban areas within an hour and in rural areas within 90 minutes. It also requires teams to conduct follow-up visits within three days and to follow certain data collection and assessment guidelines.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The program will create a resource for “anyone who’s ever hesitated to call the police,” Corzo said. “It really is the support that our most vulnerable community members need.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "'Everybody Is Just Scrambling': Nationwide Cyber Attack Delays Bay Area Pharmacy Orders",
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"content": "\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. [pullquote size=\"medium\" align=\"right\" citation=\"Alison Hightower, East Bay resident\"]‘I stopped at the pharmacy, and they said they are totally shut down and can’t do anything. This will have a huge snowballing effect. …’[/pullquote]“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” [aside label='More on Public Health' tag='health'] “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” [pullquote size=\"medium\" align=\"right\" citation=\"Ruzly Mantara, pharmacist, San Francisco\"]‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’[/pullquote]As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 8 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>People across the Bay Area are clamoring to fill essential medications after a\u003ca href=\"https://www.reuters.com/business/healthcare-pharmaceuticals/change-healthcare-network-hit-by-cybersecurity-attack-2024-02-22/\"> cyber attack last Wednesday\u003c/a> disrupted data transmission lines between health care providers, insurance companies and pharmacies.\u003c/p>\n\u003cp>East Bay resident Alison Hightower is among them.\u003c/p>\n\u003cp>For two days, she has been trying to refill a medication her husband takes for nerve damage. When she tried to pick it up, the pharmacist at her local Safeway on College Avenue in Oakland said they had been unable to fill most prescriptions since the hack against UnitedHealth Group Inc. last week. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I stopped at the pharmacy, and they said they are totally shut down and can’t do anything,” Hightower told KQED. “This will have a huge snowballing effect. My husband is scrambling to get his medication refilled.”\u003c/p>\n\u003cp>Since the cyber attack, \u003ca href=\"https://www.latimes.com/business/story/2024-02-23/unitedhealth-blames-nation-state-threat-in-hack-disrupting-pharmacy-orders\">pharmacies across the country\u003c/a> — including those at Safeway, Walgreens and CVS — have been unable to fill some prescription orders because the computer system that forwards prescriptions from doctors and processes insurance was disconnected after the hack at UnitedHealth’s technology unit, called Change Healthcare.\u003c/p>\n\u003cp>A spokesperson for Safeway confirmed that people filling online prescriptions may experience a delay due to the nationwide outage with Optum, a third-party healthcare technology vendor owned by UnitedHealth. Other insurance providers including Medicare were also affected.\u003c/p>\n\u003cp>UnitedHealth is Alameda County’s largest health insurer. It’s not clear when the service will be restored. As of noon on Monday \u003ca href=\"https://status.changehealthcare.com/incidents/hqpjz25fn3n7\">Optum reported that the disruption is expected to continue\u003c/a> through at least the end of the day.\u003c/p>\n\u003cfigure id=\"attachment_11977122\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11977122\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/240226-PHARMACY-HACK-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A Safeway store in Oakland on Feb. 26, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Change Healthcare is experiencing a cybersecurity issue, and our experts are working to address the matter,” the company said in a statement on its website. “Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect our systems to prevent further impact.”\u003c/p>\n\u003cp>Hindering access to medication can be life-threatening.\u003c/p>\n\u003cp>“Our pharmacy operations and the vast majority of prescriptions are not being impacted by this third-party issue,” a spokesperson for Walgreens said in an email. “For the small percentage that may be affected, we have procedures in place so that we can continue to process and fill these prescriptions with minimal delay or interruption.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “Safeway would like to reassure customers and the public that our pharmacy locations are open for business and serving customers,” a spokesperson for Safeway said in an email. “We are working quickly to address this matter and apologize for any inconvenience this may cause.”\u003c/p>\n\u003cp>CVS, which also relies on UnitedHealth technology, said earlier in a prepared statement that the company is still filling prescriptions, but “in certain cases, we are not able to process insurance claims, which our business continuity plan is addressing to ensure patients continue to have access to their prescriptions.” KQED has reached out to CVS for further comment but as of Monday evening has not received a response.\u003c/p>\n\u003cp>The issue is impacting different medications and particularly controlled substances like pain medications and ADHD medication, which are more heavily regulated by the federal government, Ruzly Mantara, a pharmacist in San Francisco, told KQED on Monday.\u003c/p>\n\u003cp>Pharmacists like Mantara need help to convey the news and to provide patients with their medications.\u003c/p>\n\u003cp>“This has never happened before. We are taking this one step at a time,” Mantara told KQED. “The best thing we can do is ask for their patience at this time.” \u003c/p>\u003c/div>",
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"content": "‘We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue. It creates a big problem.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As of Sunday afternoon, Mantara said that the computer system could process most insurance plans again but that the pharmacy was still not able to receive prescriptions from doctors.\u003c/p>\n\u003cp>So far, options remain limited for customers who can’t pay out of pocket or don’t have a written prescription.\u003c/p>\n\u003cp>“We are able to get faxes and phone calls, but there are some prescriptions that can’t be faxed or called in, so that’s an issue,” Mantara said. “It creates a big problem.”\u003c/p>\n\u003cp>Hightower’s husband’s medication is expensive and tightly regulated, she said, so paying out of pocket or sending over a written prescription are both unfeasible. She and her husband are continuing to assess their options.\u003c/p>\n\u003cp>“His drug is under more severe regulation, so they don’t keep it in stock, and they have to special order it,” Hightower said. “Everybody is just scrambling.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain",
"title": "SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain",
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"content": "\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-treatment\"]But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "57-million-in-california-aid-helps-reopen-shuttered-madera-county-hospital",
"title": "$57 Million in California Aid Helps Reopen Shuttered Madera County Hospital",
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"content": "\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Matthew Beehler, chief strategy officer, American Advanced Management\"]‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’[/pullquote]The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11959175,news_11958245,news_11968579\"]That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A community of 160,000 without critical emergency care for 13 months will have a hospital again, but not everyone’s happy with the deal and challenges remain.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A California hospital that left a county of 160,000 people without \u003ca href=\"https://calmatters.org/category/health/\">critical emergency care\u003c/a> when it shut down 13 months ago took a significant step toward reopening last week, and it could begin accepting patients as early as this summer.\u003c/p>\n\u003cp>That’s good news for the residents of Madera County, but the court-approved deal to revive the hospital elicited mixed reactions among some San Joaquin Valley leaders who wanted a different option.\u003c/p>\n\u003cp>A bankruptcy court last week approved a bid from a Modesto-based hospital management company, \u003ca href=\"https://americanam.org/\">American Advanced Management, Inc\u003c/a>., to take over and reopen Madera Community Hospital.\u003c/p>\n\u003cp>That decision effectively shot down a last-minute proposal from industry powerhouses \u003ca href=\"https://calmatters.org/health/2024/02/madera-community-hospital-ucsf/\">UCSF Health and Adventist Health\u003c/a>. Several lawmakers from the region had endorsed the UCSF-Adventist plan and said in written statements after the bankruptcy hearing that they were still pulling for that proposal.\u003c/p>\n\u003cp>The hospital’s reopening is close but not quite a done deal. Madera County and other parties have another week to appeal the decision. The California Department of Public Health also must approve the hospital’s change-of-management application.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Madera hospital’s closure alarmed the Legislature last year, leading it to create a $300 million bailout fund for \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">financially distressed hospitals\u003c/a>. The Madera hospital is eligible for $57 million from that fund.\u003c/p>\n\u003cp>American Advanced Management has submitted its management plan to the California Department of Health Care Access and Information to unlock that money. The department said it is still reviewing the application.\u003c/p>\n\u003cp>Matthew Beehler, chief strategy officer at American Advanced Management, said that pending these approvals, the hospital will be on track to reopen within 4 to 6 months. The company has committed $30 million on top of what the state will chip in to reopen the hospital.\u003c/p>\n\u003cp>“Our focus has always been on reopening this hospital as quickly as possible to improve the health and lives of community members,” he said in a written statement after the bankruptcy hearing.\u003c/p>\n\u003ch2>11th-hour bid for Madera hospital\u003c/h2>\n\u003cp>After months of scrambling to find suitors, \u003ca href=\"https://www.fresnobee.com/news/local/article283253198.html\">Madera Community Hospital entered negotiations\u003c/a> with the American Advanced Management last fall. Then, earlier this month, UCSF Health and Adventist Health announced that they, too, were interested in taking over the hospital and that they’d team up to enter a bid.\u003c/p>\n\u003cp>For months, lawmakers representing the Madera area \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">pushed for the UC Health system\u003c/a> to take over the hospital with the idea that it could bring much-needed resources to the valley. In a press conference earlier this month, they called the proposed UCSF and Adventist partnership “a dream come true.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the UCSF and Adventist bid came too late. Judge René Lastreto of the U.S. Bankruptcy Court for the Eastern District of California said during last week’s hearing that it didn’t “behoove the creditors or the estate to continue to delay this any further” by entertaining the new proposal.\u003c/p>\n\u003cp>Democratic lawmakers Sen. Anna Caballero, Assemblymember Esmeralda Soria and Assemblymember Joaquin Arambula said they were disappointed the court didn’t give UCSF and Adventist more of a hearing.\u003c/p>\n\u003cp>“We hoped that the court would have granted UCSF, Adventist Health, and Madera County the opportunity to move forward and provide a full presentation of their joint venture to purchase and reopen Madera Community Hospital — to show what it could mean immediately for the residents and the long-term viability of this hospital for the region,” they said in a written statement.\u003c/p>\n\u003ch2>Reopening in sight, but no maternity ward\u003c/h2>\n\u003cp>American Advanced Management plans to reopen the hospital with an emergency room, an intensive care unit, medical imaging and a laboratory, but it will not immediately reopen labor and delivery, \u003ca href=\"https://fresnoland.org/2024/02/12/madera-hospital-reopening-plan-2/\">Fresnoland first reported\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That means pregnant patients will continue to travel to Fresno or Merced counties to give birth. \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">Maternity wards in California are closing\u003c/a> at an accelerated pace. Last year, in addition to Madera Community’s total closure, 11 other hospitals terminated their maternity services.\u003c/p>\n\u003cp>Beehler at American Advanced Management said the company decided not to reinstate a maternity ward because obstetrics is a resource-intensive department that is poorly reimbursed. Other hospitals have released similar statements when announcing the elimination of labor and delivery.\u003c/p>\n\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Beehler said.\u003c/p>\n\u003cp>Madera Community Hospital delivered 735 babies in 2022 and another 720 in 2021. The county has a slightly higher birth rate than the state’s \u003ca>at 57.9 births per 1,000 women\u003c/a>.\u003c/p>\n\u003cp>Beehler said the company plans to provide prenatal services through the hospital’s clinics.\u003c/p>\n\u003ch2>Quick hiring key to reopening\u003c/h2>\n\u003cp>Sara Bosse, Madera County’s public health director, told the court last week that a critical element to the hospital’s reopening is how soon a new operator will be able to hire the necessary staff. She said that UCSF and Adventist could more easily attract providers to work in Madera.\u003c/p>\n\u003cp>“A physician that is looking for a position and is actively being recruited they probably would consider a position with UCSF before they would look at a position with an entity they may have not heard of before,” Bosse later told CalMatters.\u003c/p>\n\u003cp>Lawyers for American Advanced Management argued there was no evidence that the smaller hospital operator would have any trouble hiring staff. American Advanced Management is known for buying and managing distressed facilities in largely rural parts of the state. It operates hospitals in Colusa, Glenn and Coalinga.\u003c/p>\n\u003cp>Securing a strong workforce is critical, especially in an area that has long struggled with a shortage of\u003ca href=\"https://chhs.fresnostate.edu/ccphc/documents/SJVPHC%20RHEA%20Report%20Final%203.22.2022%20.pdf\"> primary care providers and specialists (PDF)\u003c/a> compared to wealthier parts of California.\u003c/p>\n\u003cp>“All of those things have to happen pretty quickly in order for any organization to open up a hospital and get it to a place that’s solvent,” Bosse said. “Both bringing on workforce and attracting patients.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "state-governments-look-to-protect-health-related-data-as-its-used-in-abortion-battle",
"title": "State Governments Look to Protect Health-Related Data as It's Used in Abortion Battle",
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"content": "\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Andrea Frey, lawyer for health care providers and digital health systems, Hooper Lundy Bookman\"]‘We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person. Conversely, these privacy concerns come into play.’[/pullquote]“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11973441,news_11962088,news_11953205,forum_2010101904752\"]She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Virginia state Sen. Barbara Favola\"]‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’[/pullquote]Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some state governments and federal regulators were already moving to keep individuals’ reproductive health information private when a U.S. senator’s report last week offered a new jolt, describing how cellphone location data was used to send millions of anti-abortion ads to people who visited Planned Parenthood offices.\u003c/p>\n\u003cp>Federal law bars medical providers from sharing health data without a patient’s consent but doesn’t prevent digital tech companies from tracking menstrual cycles or an individual’s location and selling it to data brokers. Legislation for federal bans have never gained momentum, largely because of opposition from the tech industry.\u003c/p>\n\u003cp>Whether that should change has become another political fault line in a nation where most Republican-controlled states have restricted abortion — including 14 with bans in place at every stage of pregnancy — and most Democratic ones have sought to protect access since the U.S. Supreme Court in 2022 overturned Roe v. Wade.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Abortion rights advocates fear that that if such data is not kept private, it could be used not only in targeted ads but also in law enforcement investigations or by abortion opponents looking to harm those who seek to end pregnancies.\u003c/p>\n\u003cp>“It isn’t just sort of creepy,” said Washington state Rep. Vandana Slatter, the sponsor of a law her state adopted last year to rein in unauthorized use of health information. “It’s actually harmful.”\u003c/p>\n\u003cp>But so far, there’s no evidence of widespread use of this kind of data in law enforcement investigations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We’re generally talking about a future risk, not something that’s happening on the ground yet,” said Albert Fox Cahn, executive director of the Surveillance Technology Oversight Project and an advocate of protections.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.wyden.senate.gov/imo/media/doc/signed_near_letter_to_ftc_and_sec.pdf\">report last week from Sen. Ron Wyden\u003c/a>, an Oregon Democrat, showed the biggest known anti-abortion ad campaign directed to people who had been identified as having visited abortion providers.\u003c/p>\n\u003cp>Wyden’s investigation found that the information gathered by a now-defunct data broker called Near Intelligence was used by ads from The Veritas Society, a nonprofit founded by Wisconsin Right to Life. The ads targeted people who visited 600 locations in 48 states from 2019 through 2022. There were more than 14 million ads in Wisconsin alone.\u003c/p>\n\u003cp>Wyden called on the Federal Trade Commission to intervene in the bankruptcy case for Near to make sure the location information collected on Americans is destroyed and not sold to another data broker. He’s also asking the Securities Exchange Commission to investigate whether the company committed securities fraud by making misleading statements to investors about the senator’s investigation.\u003c/p>\n\u003cp>It’s not the first time the issue has come up.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/general-news-33f18b834c104df9b2901ef1bf38ae08\">Massachusetts reached a settlement\u003c/a> in 2017 with an ad agency that ran a similar campaign nearly a decade ago.\u003c/p>\n\u003cp>The \u003ca href=\"https://apnews.com/article/technology-health-idaho-federal-trade-commission-government-and-politics-a9aabfc0d25828bc4951c736aaab617a\">FTC sued one data broker\u003c/a>, Kochava, over similar claims in 2022 in an ongoing case, and settled last month with another, X-Mode Social, and its successor, Outlogic, which the government said sold location data of even users who opted out of such sharing. X-Mode was also found to have sold location data to the U.S. military.\u003c/p>\n\u003cp>In both cases, the FTC relied on a law against unfair or deceptive practices.\u003c/p>\n\u003cp>States are also passing or considering their own laws aimed specifically at protecting sensitive health information.\u003c/p>\n\u003cp>Washington’s Slatter, a Democrat, has worked on digital privacy issues for years, but wasn’t able to get a bill with comprehensive protections adopted in her state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>She said things changed when Roe was overturned. She went to a rally in 2022 and heard women talking about deleting period-tracking apps out of fear of how their data could be exploited.\u003c/p>\n\u003cp>When she introduced a health-specific data privacy bill last year, it wasn’t just lawyers and lobbyists testifying; women of all ages and from many walks of life showed up to support it, too.\u003c/p>\n\u003cp>The measure, which bars selling personal health data without a consumer’s consent and prohibits tracking who visits reproductive or sexual health facilities, was adopted with the support of nearly all the state’s Democratic lawmakers and opposition from all the Republicans.\u003c/p>\n\u003cp>Connecticut and Nevada adopted similar laws last year. New York enacted one that bars using tracking around health care facilities.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=56.10.&lawCode=CIV\">California\u003c/a> and Maryland took another approach, enacting laws that prevent computerized health networks from sharing information about sensitive health care with other providers without consent.\u003c/p>\n\u003cp>“We’re really pushing forward with the free-flowing and seamless exchange of health care data with the intent of having information accessible so that providers can treat the whole person,” said Andrea Frey, a lawyer who represents health care providers and digital health systems. “Conversely, these privacy concerns come into play.”\u003c/p>\n\u003cp>Illinois, which already had a law limiting how health tracking data — measuring heart rates, steps and others — can be shared, adopted a new one last year that took effect Jan. 1 and that bans providing government license plate reading data to law enforcement in states with abortion bans.\u003c/p>\n\u003cp>Bills addressing the issue in some form have been introduced in several states this year, including Hawaii, Illinois, Maine, Maryland, Massachusetts, Missouri, South Carolina and Vermont.\u003c/p>\n\u003cp>In Virginia, legislation that would prohibit the issuance of search warrants, subpoenas or court orders for electronic or digital menstrual health data recently cleared both chambers of the Democratic-controlled General Assembly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Democratic Sen. Barbara Favola said she saw the bill as a necessary precaution when Republican politicians, including Virginia Gov. Glenn Youngkin, have sought restrictions on abortion.\u003c/p>\n\u003cp>“The next step to enforcing an abortion ban could be accessing menstrual health data, which is why I’m trying to protect that data,” Favola said in a committee hearing.\u003c/p>\n\u003cp>Opponents asked whether such data had ever been sought by law enforcement, and Favola responded that she wasn’t aware of a particular example.\u003c/p>\n\u003cp>“It’s just in search of a problem that does not exist,” said Republican Sen. Mark Peake.\u003c/p>\n\u003cp>Youngkin’s administration made it clear he opposed similar legislation last year, but his press office didn’t respond to a request for comment on where he stands on the current version.\u003c/p>\n\u003cp>Sean O’Brien, founder of the Yale Privacy Lab, says there is a problem with the way health information is being used, but he’s not sure laws will be the answer because companies could choose to ignore the potential consequences and continue scooping up and selling sensitive information.\u003c/p>\n\u003cp>“The software supply chain is extremely polluted with location tracking of individuals,” he said.\u003c/p>\n\u003cp>\u003cem>Mulvihill reported from Cherry Hill, New Jersey. Associated Press reporters Frank Bajak in Boston and Sarah Rankin in Richmond, Virginia, contributed to this article.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Certain opioid-treatment medications that help fight addiction and prevent overdoses may now be easier to access after \u003ca href=\"https://www.axios.com/2024/02/02/opioid-treatment-restrictionshttps://www.axios.com/2024/02/02/opioid-treatment-restrictions\">the federal government this month\u003c/a> loosened restrictions on obtaining them.\u003c/p>\n\u003cp>The updated rules essentially make permanent the pandemic-era changes that relaxed barriers to treatment, such as no longer requiring some patients to show up in person every day to take methadone and other medications — a change that cities like San Francisco found effective in increasing participation in such programs.\u003c/p>\n\u003cp>The relaxed rules come as San Francisco reported 806 overdose deaths in 2023 — more than any other year on record, according to \u003ca href=\"https://www.sf.gov/sites/default/files/2024-02/2024%2002_OCME%20Overdose%20Report.pdf\">updated figures (PDF)\u003c/a> from the city’s Office of the Chief Medical Examiner. In January 2024 alone, San Francisco reported 66 overdose deaths, mostly driven by fentanyl, a synthetic opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Federal public health officials are watching the West Coast closely as the overdose crisis in this part of the country intensifies. The Biden administration has so far allocated $83 billion toward treatment programs, an increase of more than 40% over the previous administration’s investment, according to the White House.\u003c/p>\n\u003cp>On the same day, the Biden administration announced it was loosening restrictions, Dr. Rahul Gupta, director of the Office of National Drug Control Policy (aka “Biden’s drug czar”), spoke to KQED about addressing the opioid epidemic in San Francisco and elsewhere across the country.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ci>The following interview has been modified for clarity and length.\u003c/i>\u003c/p>\n\u003cp>\u003cb>KQED: What could San Francisco do \u003c/b>\u003cb>\u003ci>more of \u003c/i>\u003c/b>\u003cb>to try and stem its current tide of drug overdoses?\u003c/b>\u003c/p>\n\u003cp>\u003cstrong>Gupta\u003c/strong>: When we look at these types of epidemics across the country, where we find successful examples is where there’s a really good balance of both expanding treatment, accessing life-saving drugs, like Narcan, which actually are an opioid antagonist and connecting people to treatment. And one of the things that needs to be done is to ensure that naloxone (the generic name for Narcan) is available in more public spaces — malls and schools and restaurants and other offices. But at the same time, also going after the sort of the financial networks of drug trafficking.\u003c/p>\n\u003cp>Today’s announcement is really about expanding treatment access, removing barriers to treatment, providing more resources in terms of test strips for not just fentanyl but also xylazine, the animal tranquilizer that is now being found more and more mixed with fentanyl, and making the response so much more complicated. The goal here is really to prioritize saving lives, prioritize, getting people the assistance that they need in a not stigmatizing way. And that happens when we treat addiction as a disease.\u003c/p>\n\u003cp>\u003cb>Where does the administration stand right now on supervised consumption sites, where people can consume illegal drugs in a sterile, supervised environment? If Biden gets four more years, do you think we’ll see real change on that front?\u003c/b>\u003c/p>\n\u003cp>Let me first talk about the harm-reduction approach that this administration is taking — the first in history to do so. We’ve taken an approach to focus on three specific policies that include getting naloxone into the hands of people. Having opioid overdose reversal medication is really the best way to save lives immediately.\u003c/p>\n\u003cp>[aside label=\"more on the overdose crisis\" tag=\"fentanyl\"]Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Second is syringe-service programs. The third is drug checking. All three approaches are evidence-based and really supported by decades of data to demonstrate their efficacy. But also, result in cost savings, life savings.\u003c/p>\n\u003cp>There is federal litigation ongoing at this point (regarding supervised consumption sites), so I’ll stay away from commenting specifically on particular avenues beyond those that we have federal policy behind.\u003c/p>\n\u003cp>What is important in today’s announcement is to make permanent some of these COVID-era flexibilities, like take-home medications and telehealth provisions. These allow expansion of treatment access to people not only in urban areas but also in rural and marginalized communities because oftentimes, we know that there’s a disparate access to who gets treatment and who doesn’t get treatment.\u003c/p>\n\u003cp>For example, people behind bars. We know today there are about 2 million Americans behind bars, and two-thirds are there for something related to drugs. And yet, the treatment in incarceration or in custody is very uneven across the country.\u003c/p>\n\u003cp>Today’s announcement allows treatment programs within jails and prisons to not (have to) be designated as opioid-treatment providers. They can be a clinic and still be able to provide those lifesaving treatments.\u003c/p>\n\u003cp>\u003cb>I’ve spoken to incarcerated people who have told me about smuggling life-saving medications like buprenorphine into prisons. So, is this change aimed at addressing that? \u003c/b>\u003c/p>\n\u003cp>Yes. It is a top priority for the president to make sure we are doing something about these tens of thousands of people that are dying right after reentry each year. The Centers for Medicare & Medicaid Services is now allowing Medicaid waivers for states to apply to be able to allow treatment in custody 90 days before release. The whole idea here is to get people treatment when they are reentering society, so then they’re able to again get those vocational opportunities, educational opportunities, economic opportunities.\u003c/p>\n\u003cp>\u003cb>Has California applied for that waiver?\u003c/b>\u003c/p>\n\u003cp>Yes. California was the first one to apply and has already received that waiver. We’re working closely with the state on implementation.\u003c/p>\n\u003cp>\u003cb>Given the abundance of the illicit drug supply right now, when can we expect to see the current crisis to change? What are your projections?\u003c/b>\u003c/p>\n\u003cp>Last November, President Biden met with President Xi Jinping from the People’s Republic of China at the APEC summit in San Francisco, and Xi made a commitment to address the fentanyl supply chain.\u003c/p>\n\u003cp>Our team just returned from Beijing this week. We are confident that if (cooperation) continues forward, the supply of those chemicals that ultimately end up being turned into fentanyl in Mexico will be disrupted. So it’s going to be important for us to continue to hold those individual governments accountable.\u003c/p>\n\u003cp>As we address this, we still have to focus on the public health side of this at the same time. So, it’s important to view these as two sides of the same coin. And this is not like an overnight thing. It takes a while for these actions and policy changes to have effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At the same time, we’re seeing people overdosing and dying. So, we have to continue with the public health efforts while addressing the supply side.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A new state office charged with controlling the rising cost of health care in California is moving toward one of the most aggressive goals in the nation, aiming to cap cost increases to 3% a year.\u003c/p>\n\u003cp>You might not notice immediately if the Office of Health Care Affordability commits to the tentative goal it released last month and takes steps to enforce it. But, over time, experts say the cap on price increases could make a difference in how much Californians pay for health care.\u003c/p>\n\u003cp>“A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all,” the office wrote in its recommendation.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Office of Health Care Affordability\"]‘A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all.’[/pullquote]The agency’s announcement immediately drew criticism from health care industry representatives who called it “unrealistic” and “arbitrary.” They contend it could harm patients by reducing access to care if health providers are watching their spending reduce services.\u003c/p>\n\u003cp>Meanwhile, consumer advocates and health economists characterized it as a good first step in the state’s effort to control costs.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">Gov. Gavin Newsom established the office\u003c/a> through a provision in the 2022 state budget. Its job is to collect health expenditure data from providers and insurers, analyze it and set limits on spending for the industry.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\">Eight other states\u003c/a> have cost benchmarks. At 3%, California’s would be one of the more stringent caps — third only to Connecticut and Nevada.\u003c/p>\n\u003cp>California’s proposed target would allow health care prices and spending to increase but slower than in recent years. Between 2015 and 2020, per capita health spending grew each year by an average of 5.2%, outpacing wages, according to the Office of Health Care Affordability.\u003c/p>\n\u003cp>Health spending in California reached $405 billion in 2020 — that’s $10,299 per person, according to federal data. This includes what private insurers, public programs and individuals pay for direct services and goods, such as hospital and physician care, prescription drugs and medical devices. It does not include the administrative costs of insurance or public health funding.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The office plans to roll out one statewide cap but may eventually create regional and sector-specific targets. Officials said they came up with the 3% figure because that is how much the annual median household income has changed over the last 20 years.\u003c/p>\n\u003cp>“Most importantly, tying to historical median household income growth signals that health care spending should not grow faster than the income of California families,” Vishaal Pegany, deputy director of the Office of Health Care Affordability, said during the most recent board meeting.\u003c/p>\n\u003cp>Providers and entities that fail to meet the proposed benchmark could have to make improvements or face financial penalties. They would not be punished in the program’s first year.\u003c/p>\n\u003cp>The \u003ca href=\"https://hcai.ca.gov/public-meetings/february-health-care-affordability-board-meeting/\">state’s health care affordability board\u003c/a> is scheduled to continue discussions this month and has until June 1 to approve a cost target that would go into effect in 2025 and last through 2029.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d62c39a9-a90d-491d-a17f-680523ba32ad?parent_url=https%3A%2F%2Fcalmatters.org%2Fhealth%2F2024%2F02%2Fhealth-care-costs-cap%2F&src=embed#async_embed\" width=\"800\" height=\"730\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>No instant savings on health care costs\u003c/h2>\n\u003cp>Many Californians are struggling with health care costs. \u003ca href=\"https://www.chcf.org/blog/top-takeaways-california-health-policy-poll/#:~:text=Meanwhile%2C%20close%20to%204%20in,racial%20equity%20in%20health%20care.\">Four in 10 Californians have medical debt\u003c/a>, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Data show that people are spending more of their income on health care. A recently published \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2024/01/Measuring-Consumer-Affordability-final.pdf\">study by the UC Berkeley Labor Center (PDF)\u003c/a> found that costs like deductibles are becoming more common. In 2002, 33% of private sector workers enrolled in coverage through their jobs had a deductible. By 2022, 77% of workers did.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11974310,news_11970414,news_11949192\"]The size of those deductibles has grown exponentially. Between 2002 and 2022, deductibles for a single-person plan grew 380% or an average of 8.7% every year, researchers found. Deductibles for family plans grew 332% or 7.8% annually.\u003c/p>\n\u003cp>Consumers will probably not feel a difference immediately because the state’s plan is to slow the growth of health spending and not necessarily reduce it.\u003c/p>\n\u003cp>But over time, it could make a difference. Glenn Melnick, a health economist at the University of Southern California, gives this example: “If I have to pay 25% of my (health insurance) premium, let’s say I get it from work, if my premium goes up more slowly, my contribution will be less.”\u003c/p>\n\u003cp>“What if this target had been in place for the last 10 years?” he said.\u003c/p>\n\u003ch2>California providers criticize cap\u003c/h2>\n\u003cp>Representatives for hospitals and doctors caution that basing the spending cap solely on household income rather than taking into account what it costs them to provide care could result in less access and poorer quality of care for patients.\u003c/p>\n\u003cp>They argue the proposed cap doesn’t take into account things providers have no control over, such as general inflation, rising pharmaceutical costs and natural increases in spending driven by the state’s aging population.\u003c/p>\n\u003cp>“[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties,” wrote Ben Johnson, vice president of policy at the California Hospital Association, in a letter to the board.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Ben Johnson, vice president of policy, California Hospital Association\"]‘[The office’s] proposed target entirely ignores the drivers of health care spending. In doing so, it would force health care providers to significantly cut back on the care they provide or face penalties.’[/pullquote]Some industry representatives noted specific access issues, such as narrow provider networks and long wait times, are already a top concern for the public. “A 3% target put in place for five years seems likely to result in wait times increasing,” Janice Rocco, chief of staff at the California Medical Association, said during the board’s recent meeting.\u003c/p>\n\u003cp>Dr. Richard Pan, a Sacramento pediatrician and former state senator who sits on the health care affordability board, said that for the state’s plan to truly work, the office and board would have to nail down the methodology behind the spending target so that the industry groups have confidence in it.\u003c/p>\n\u003cp>“We still have some time; these things need to be thought out,” Pan said. “Not everyone has to agree, but it has to be credible to the people that have to implement it.”\u003c/p>\n\u003cp>Melnick of USC said the industry’s argument that a cost-growth target would harm health access and quality is already an issue with today’s spending levels.\u003c/p>\n\u003cp>“A lot of people put off care because they can’t afford it,” he said. “That’s an access and quality impact.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new state office charged with controlling the rising cost of health care in California is moving toward one of the most aggressive goals in the nation, aiming to cap cost increases to 3% a year.\u003c/p>\n\u003cp>You might not notice immediately if the Office of Health Care Affordability commits to the tentative goal it released last month and takes steps to enforce it. But, over time, experts say the cap on price increases could make a difference in how much Californians pay for health care.\u003c/p>\n\u003cp>“A 3.0% target places California on the path of a more sustainable, affordable and equitable health care system, slowing the trajectory of growth and improving affordability for all,” the office wrote in its recommendation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The agency’s announcement immediately drew criticism from health care industry representatives who called it “unrealistic” and “arbitrary.” They contend it could harm patients by reducing access to care if health providers are watching their spending reduce services.\u003c/p>\n\u003cp>Meanwhile, consumer advocates and health economists characterized it as a good first step in the state’s effort to control costs.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/07/rising-health-care-costs/\">Gov. Gavin Newsom established the office\u003c/a> through a provision in the 2022 state budget. Its job is to collect health expenditure data from providers and insurers, analyze it and set limits on spending for the industry.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\">Eight other states\u003c/a> have cost benchmarks. At 3%, California’s would be one of the more stringent caps — third only to Connecticut and Nevada.\u003c/p>\n\u003cp>California’s proposed target would allow health care prices and spending to increase but slower than in recent years. Between 2015 and 2020, per capita health spending grew each year by an average of 5.2%, outpacing wages, according to the Office of Health Care Affordability.\u003c/p>\n\u003cp>Health spending in California reached $405 billion in 2020 — that’s $10,299 per person, according to federal data. This includes what private insurers, public programs and individuals pay for direct services and goods, such as hospital and physician care, prescription drugs and medical devices. It does not include the administrative costs of insurance or public health funding.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The office plans to roll out one statewide cap but may eventually create regional and sector-specific targets. Officials said they came up with the 3% figure because that is how much the annual median household income has changed over the last 20 years.\u003c/p>\n\u003cp>“Most importantly, tying to historical median household income growth signals that health care spending should not grow faster than the income of California families,” Vishaal Pegany, deputy director of the Office of Health Care Affordability, said during the most recent board meeting.\u003c/p>\n\u003cp>Providers and entities that fail to meet the proposed benchmark could have to make improvements or face financial penalties. They would not be punished in the program’s first year.\u003c/p>\n\u003cp>The \u003ca href=\"https://hcai.ca.gov/public-meetings/february-health-care-affordability-board-meeting/\">state’s health care affordability board\u003c/a> is scheduled to continue discussions this month and has until June 1 to approve a cost target that would go into effect in 2025 and last through 2029.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/d62c39a9-a90d-491d-a17f-680523ba32ad?parent_url=https%3A%2F%2Fcalmatters.org%2Fhealth%2F2024%2F02%2Fhealth-care-costs-cap%2F&src=embed#async_embed\" width=\"800\" height=\"730\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003ch2>No instant savings on health care costs\u003c/h2>\n\u003cp>Many Californians are struggling with health care costs. \u003ca href=\"https://www.chcf.org/blog/top-takeaways-california-health-policy-poll/#:~:text=Meanwhile%2C%20close%20to%204%20in,racial%20equity%20in%20health%20care.\">Four in 10 Californians have medical debt\u003c/a>, according to the California Health Care Foundation.\u003c/p>\n\u003cp>Data show that people are spending more of their income on health care. A recently published \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2024/01/Measuring-Consumer-Affordability-final.pdf\">study by the UC Berkeley Labor Center (PDF)\u003c/a> found that costs like deductibles are becoming more common. In 2002, 33% of private sector workers enrolled in coverage through their jobs had a deductible. By 2022, 77% of workers did.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some industry representatives noted specific access issues, such as narrow provider networks and long wait times, are already a top concern for the public. “A 3% target put in place for five years seems likely to result in wait times increasing,” Janice Rocco, chief of staff at the California Medical Association, said during the board’s recent meeting.\u003c/p>\n\u003cp>Dr. Richard Pan, a Sacramento pediatrician and former state senator who sits on the health care affordability board, said that for the state’s plan to truly work, the office and board would have to nail down the methodology behind the spending target so that the industry groups have confidence in it.\u003c/p>\n\u003cp>“We still have some time; these things need to be thought out,” Pan said. “Not everyone has to agree, but it has to be credible to the people that have to implement it.”\u003c/p>\n\u003cp>Melnick of USC said the industry’s argument that a cost-growth target would harm health access and quality is already an issue with today’s spending levels.\u003c/p>\n\u003cp>“A lot of people put off care because they can’t afford it,” he said. “That’s an access and quality impact.”\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that\u003c/em> \u003cem>people have access to the care they need, when they need it, at a price they can afford. Visit \u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem>www.chcf.org\u003c/em>\u003c/a>\u003cem> to learn more.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"#episode-transcript\">View the full episode transcript.\u003c/a>\u003c/p>\n\u003cp>California’s primary is just around the corner, on March 5, 2024. This year, there’s a statewide Proposition on your primary ballot, but don’t worry we’ve got you covered. Prop. 1 asks voters two big questions: Should mental health funding be used for housing? And should the state borrow money to build more housing and treatment facilities? There’s tons of interesting stuff to dig into on this one.\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003cem>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> California. Primary day is just around the corner on March 5th, and this year Californians have a lot to consider. We’ve got the presidential primary. Of course, there’s a contentious Senate race and lots happening on the local level. And then we’ve got proposition one all about funding for mental health care and housing for the state’s most vulnerable residents. Here’s how prop one will read on your ballot.\u003c/p>\n\u003cp>\u003cstrong>Voice Over:\u003c/strong> Authorizes $6.38 billion in bonds to build mental health treatment facilities for those with mental health and substance use challenges. It provides housing for the homeless.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Now, there are two big questions being asked in this prop should mental health funding be used for housing? And should the state borrow money to build more housing and treatment facilities? There is lots of interesting stuff to discuss here. We’ll dig in just ahead on be curious. I’m Olivia Allen Price. It is always a pleasure when prop voting time rolls around, because it means I get to talk to KQED politics correspondent guy Maserati. Hey, Guy.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Hey, Olivia.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> It’s been a minute, but here we are in a big election year. One of the first decisions that California voters are going to make is which way to go on prop one.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> That’s right. Proposition one is actually two pretty big ideas that are rolled up into one proposition. So it’s a bond measure. It’s also a reallocation of existing funds. So this was placed on the ballot by the state legislature because they need to go to the voters to get approval if they want to issue a bond. They also need to go to the voters to make a change to a ballot measure that voters previously approved back in 2004. So here we are.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> We’ll go step by step through all the moving parts of this one. But first, guy, can you walk us through the problems that proposition one is aiming to solve?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah. The big idea behind the proposition is focusing state dollars on people who are experiencing homelessness and who have severe behavioral health issues. So we know Californians who are experiencing homelessness. It’s not a monolith. You have people who maybe, you know, fell behind on rent, maybe people who are just looking for an affordable place to live. Prop one is not focused on those folks. But, there are a lot of people who are experiencing homelessness in California who have added challenges on top of that. UCSF did their massive study of the state’s homeless population. They found 27% of people living without shelter have been hospitalized for a mental health issue. They also found 65% of those people who are living without shelter have reported heavy substance abuse. These are the kinds of people who are prop one is aimed at helping.\u003c/p>\n\u003cp>So the idea is that of all the people in the state who are facing mental health challenges, these Californians, the ones who are living on the streets or at risk of living on the streets, are the ones who need to be prioritized. And so that’s where you get to kind of the political piece of all of this, which is that homelessness is a top priority for voters, especially kind of the visible suffering of people that you see on the streets. That’s become such a huge political issue, and it’s become a big issue for the man who is backing prop one. Governor Gavin Newsom, this is part of his kind of big swing to try to fix this issue.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Okay. And broadly, what are we considering in proposition one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So voters are being asked if the state should borrow money to build treatment facilities, build supportive housing, and if it should also change how existing mental health money gets spent, mainly by using more of that mental health money to build housing.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Let’s dig into the details a bit more now. Like we said a minute ago, this prop has sort of two arms. And I want to start with that first arm the bond. Now a quick bond refresher. A bond is essentially a loan the government takes out to fund certain projects. In this case, it’s a loan the state will pay back with interest over the next 30 years.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Right. So prop one would allow the state to borrow money by issuing $6.38 billion in bonds. Most of that money, about $4.4 billion, is going to go towards building treatment facilities. Now, this is for, like we mentioned, the thousands of Californians who have mental health needs, who have substance abuse issues, who are at risk or are actually living on the street. So that could be kind of a short term crisis care facility or longer term, you know, residential facilities, rehab communities and even, you know, some outpatient services. So that’s about 4.4 billion.\u003c/p>\n\u003cp>Then the rest of the measure, roughly 2 billion, that’s going to go towards building affordable apartments that come with kind of onsite behavioral health services. Of that 2 billion. Now we’re breaking this down further. Of that 2 billion. About 1 billion would be specifically for veterans who have behavioral health challenges. So again, we’re talking about helping people who are most visibly suffering, people who are having, you know, psychotic episodes on the street, people who are living in tents.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> So what is all this investment actually going to do?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Supporters of prop one say by spending this bond money, they’re going to be able to create 4350 housing units, another 6800 treatment slots. Obviously, this is all a drop in the bucket for the overall homeless population in California, which is estimated to be more than 180,000 people. But again, the idea of prop one is a focus less focus on a subgroup of people who are experiencing homelessness. Newsom says prop one is the solution to the decades of unintended consequences that kicked off when California closed its state mental hospitals, but didn’t create alternative places for people to live and get care. Here’s Newsom.\u003c/p>\n\u003cp>\u003cstrong>Gavin Newsom:\u003c/strong> The reforms that took place in the late 50s, in the 60s and the 70s, that bipartisan endeavor around deinstitutionalization. We had a peak 37,000, beds in the state of California in the 60s, 37,000 beds. Today, it’s about 5500.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> We actually do have a \u003ca href=\"https://www.kqed.org/news/11209729/did-the-emptying-of-mental-hospitals-contribute-to-homelessness-here\">Bay Curious episode about the closing of state mental hospitals and its impact on homelessness\u003c/a>. We’ll put a link in the show notes and transcript for this episode if you want to check that out. Guy, is there more detail on how this money will be allocated, like specific projects or even how much would go to, say, Alameda County versus Los Angeles County or anything like that? Right.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> That all hasn’t been laid out yet. I will say Newsom’s chief of staff, toxic KQED last summer about this prop. She said the administration, even though this had just started to move towards the ballot, they’re already looking at locations to build or refurbish, potential places with this bond money. I think really acknowledging that the process of building anything in California just takes a really long time.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> [00:06:50] Another discussion for another time. I think it’s always worth remembering that bond money isn’t free if voters approve it. How will this bond impact Californians over time?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Right. So California would have to repay the bonds back over 30 years out of the state’s general fund. That’s where all our tax money ends up. And that works out to about $310 million a year, which because we’re talking about a really massive state budget, it’s actually only about one half of 1% of the general fund. Now, the state would have to pay interest on top of all of that. So over the course of three decades, we’d pay about $9 billion, not adjusted for inflation, to pay back what is a $6.38 billion bond on the ballot?\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Okay, now on to the second arm of proposition one. So this measure would change how money collected for mental health services under Prop 63, which passed in 2004, is distributed. Okay. Start by taking us back 20 years to when voters approved the Mental Health Services Act.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, this was really wild for me. Going back and looking at the coverage of that campaign back in 2004, because the issues that the supporters of Prop 63 were trying to address are so similar to what supporters of prop one are talking about right now. It’s basically a feeling that since those state hospitals closed, California really stopped providing the necessary care for people who have these severe mental health challenges. And the result has been those same people end up on the streets, in tents in our county jails. So what the Mental Health Services Act did back in 2004 was create this 1% tax on income over $1 million. It’s since been kind of colloquially known as the millionaires tax. And that created this new bucket of money that the state could use for mental health services.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> So voters passed the Mental Health Services Act, which generates between two and a half and $3 billion per year. And that money now funds about a third of mental health services budgets for counties around the state. What counties especially like about this money is they have a lot of say in how it gets used. There aren’t a lot of strings attached.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Darrell Steinberg, who is currently the mayor of Sacramento back then in 2004, he was in the legislature and actually helped write the original Mental Health Services Act. He says the measure has been successful. It’s paid for a lot of services all across the state, from counseling to drop in centers to early intervention, having people come in to schools and classrooms and help teachers identify kids who might have mental health challenges. But he says the reason that all these years later, he’s now one of the leading supporters of changing it is because there hasn’t been enough focus on housing.\u003c/p>\n\u003cp>\u003cstrong>Darrell Steinberg:\u003c/strong> I think the counties have actually spent the money well, but what they haven’t done is spent it in a way that was focused on the most critical issues affecting our state.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So the trade off that supporters of prop one are pitching to voters is basically, let’s give up the flexibility in how this money is spent in exchange for adding greater focus, specifically focus on housing.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Tell me more about how they would limit flexibility that the counties have.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So under prop one, if it passes, counties would be required to spend 30% of that millionaire tax money they get from the state, specifically on housing. So that could mean providing rental subsidies, building new housing, converting things like motels into housing with supportive services. So this would leave counties then with less money to spend on some of the other programs and services they’ve been providing in the mental health space. So they need to find the money elsewhere. Or in the case a lot of opponents are concerned about, they would need to scale back or cut some of these programs. Paul Simmons is one of the leaders of the No on prop one campaign. He recently led Depression and Bipolar Support Alliance California, which provides peer support for people with depression bipolar disorder. He says service providers in similar positions are really worried.\u003c/p>\n\u003cp>\u003cstrong>Paul Simmons:\u003c/strong> Adult respite centers and wellness centers are very, very much at risk. All peer support programs are just scared to death right now that they’re going to lose any funding they got from from the MSA funding.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And you also have county governments who are really concerned about prop one, because right now they’re the ones that are getting this millionaires tax money. They are concerned that more of this money would go to the state. The state wants more say on how the millionaires tax money is spent. So you have many county supervisors who have come out against prop one. They’re concerned that if it passes, they’re going to have to cancel contracts with community based organizations or even perhaps reduce county staff.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Right now, 95% of that million in our tax money goes to counties. What would that look like under prop one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Under prop one, it would be more like 90% with the state using its cut for things like increasing just the number of mental health care workers. And one other change I should note here is that counties under prop one would be able to spend some of this money on housing for folks who just have drug and alcohol addiction challenges, you know, substance abuse issues. They may not have a dual diagnosis, mental health issue. And right now, all the Mental Health Services Act funding under Prop 63, the millionaires tax, all of that has to be used for people with mental health conditions. This would actually change the name of the entire thing to the Behavioral Health Services Act.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> I see, so by calling it the behavioral rather than the Mental Health Services Act, it really broadens out the group of people who could be served by the money guy. Would this increase taxes for anybody?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> No. And this is actually what makes this kind of controversial. It doesn’t increase the millionaires tax that funds the current Mental Health Services Act. So opponents of prop one say you have the same pot of money. You’re just stretching it in all these new directions by trying to focus on housing. Now, supporters like Newsom will say, that’s not the whole picture. There are all these other initiatives happening, you know, like Cal Aim, which try to get, for example, health plans to pay for some of these mental health services that prop 63, the Mental Health Services Act, has been doing for the last two. Years.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> What else do opponents have to say about this one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So I think just like we broke down the measure into a couple parts, it might be helpful to break down where opponents are coming from on this pretty, pretty complex measure. So let’s start with the bonds. You have the state borrowing a lot of money to build these treatment facilities, supportive apartments. So you have conservatives, anti-tax groups like the Howard Jarvis Taxpayers Association. They oppose taking on that debt. And then there’s other conservatives who kind of jump on and say, we also don’t agree with the Housing First policy here, which is when someone with, say, a substance abuse problem is given housing before going through treatment.\u003c/p>\n\u003cp>And then there’s another piece of this, which is about what kind of housing can be built with this bond money, because prop one actually allows the money to be spent on locked facilities. These are, you know, places where people might get placed as a result of a conservatorship, where treatment is not voluntary. And this is pretty controversial. You get opposition not from conservatives on this, but you get opposition from groups like Disability Rights California, for example, who say these kind of lock facilities violate civil liberties and don’t have proven outcomes. Now, supporters of prop one say this is not going to be a huge piece of all the new facilities that get built, but that’s really an open question going forward.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> And what about the changes to how the existing prop 63 millionaires tax money is spent? Who is opposed to that?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, that piece of prop one is opposed by some service providers, folks like Paul Simmons, who say if you’re focusing on helping people who are the most visible have the most acute needs, that’s a poor investment. If you’re taking that money from programs that try to provide help with mental health, substance abuse, when people are in school or when they’re in counseling.\u003c/p>\n\u003cp>\u003cstrong>Paul Simmons:\u003c/strong> But really, what they’re doing, from my perspective, is to take the money from the early intervention, take it from the upstream part and throw it all into downstream. You know, where people are having more trouble and in fact, forcing more people downstream.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And so folks like Simmons are worried that if California puts less funding toward preventative upstream programs that support people you know, before their problems are most severe, we’re actually going to worsen some of the state’s problems.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> And who is in support of proposition one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, the biggest name in support is Governor Gavin Newsom. You know, for all the attention he’s gotten on political stunts, campaigning across the country, debating Florida Governor Ron DeSantis, the biggest policy focus he’s had in Sacramento has been at this intersection of behavioral health and homelessness. So just in the last few years, the governor signed bills to create care courts. So this kind of compels treatment, housing for people with severe mental illness. He also signed bills making it easier to place people in a conservative ship. Prop one is the latest step in that direction.\u003c/p>\n\u003cp>\u003cstrong>Gavin Newsom:\u003c/strong> This is, I think, the last big piece. We’ve got we’ve just we’ve radically changed the way we’re doing business. We created more flexibility, more tools, more accountability, more resources. Now we just we need more beds.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And I think what’s notable about prop one is just the size of the coalition supporting it. So both these ideas, the bond measure and then these changes to mental health spending. They both passed with huge majorities in the legislature last year. Support from Democrats, support from Republicans. Now, you might say like, oh, when the governor comes out and says, this is my top priority, everyone’s going to get in line. But I also think it’s a fact that the broken status quo, we see people just visibly suffering on the street. That touches a lot of different parts of society. So you have, you know, leaders of California hospitals supporting this. They see many of these residents end up in their emergency rooms. You have groups representing firefighters, law enforcement behind this. They often get called to respond when someone is having a mental health episode. And then you have what might be the biggest group of backers, which are mayors. You know, they feel directly, you know, accountable to voters for what residents see on the street. And it’s why you have mayors like London Breed in San Francisco so vocally in support of prop one.\u003c/p>\n\u003cp>\u003cstrong>London Breed:\u003c/strong> I was just out in the Tenderloin and San Francisco, and it is clear that we need people to get the support that they need, especially those suffering from mental health and substance use disorder. Let’s get into campaign spending. What does it look like on this?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Prop spending is very lopsided for this prop. You have supporters having raised more than $11 million to help push this measure through. Opponents, on the other hand, just about $1,000.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Wow. So really kind of David and Goliath on the on spending.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> On the spending front for sure. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> All right. Well, KQED political correspondent Guy Maserati, always a pleasure. Thank you.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Thanks, Olivia.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> In a nutshell, a vote yes on proposition one means you’d like to see funds from an existing tax on millionaires used not just for mental health care, but also people facing drug or alcohol challenges. You’d also like those funds to be used for housing people needing mental health or substance abuse care. Finally, you’d like California to borrow $6.4 billion to pay for more mental health and substance abuse treatment facilities and housing.\u003c/p>\n\u003cp>A vote no on proposition one means you’d like to keep the Mental Health Services Act in its current form, and or you do not want California to issue that $6.4 billion bond.\u003c/p>\n\u003cp>All right. We really hope that helped you make sense of what you’ll be voting on. Again, Election Day is March 5th, but ballots should be in your mailbox soon if they haven’t arrived yet. If you found this episode helpful, do us a favor and tell your friends all about it or share it out on your social media accounts. Thanks.\u003c/p>\n\u003cp>We’re already gearing up for our full sized Prop Fest series during the upcoming general election. If you’ve got questions about a prop, another race, or any other voting issue in California, head over to Bay curious.org and use the form at the top of the page to send that question our way.\u003c/p>\n\u003cp>Bay curious is made in San Francisco at member supported KQED. Our show is produced by Katrina Schwartz, Christopher Bill and me Olivia Allen Price. Additional support from Jen Chen, Katie Springer, Cesar Saldana, Maha Sanford, Hollie Kernan and the whole KQED family. I’m Olivia Ellen Price. Best of luck in your decision.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#episode-transcript\">View the full episode transcript.\u003c/a>\u003c/p>\n\u003cp>California’s primary is just around the corner, on March 5, 2024. This year, there’s a statewide Proposition on your primary ballot, but don’t worry we’ve got you covered. Prop. 1 asks voters two big questions: Should mental health funding be used for housing? And should the state borrow money to build more housing and treatment facilities? There’s tons of interesting stuff to dig into on this one.\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003cem>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> California. Primary day is just around the corner on March 5th, and this year Californians have a lot to consider. We’ve got the presidential primary. Of course, there’s a contentious Senate race and lots happening on the local level. And then we’ve got proposition one all about funding for mental health care and housing for the state’s most vulnerable residents. Here’s how prop one will read on your ballot.\u003c/p>\n\u003cp>\u003cstrong>Voice Over:\u003c/strong> Authorizes $6.38 billion in bonds to build mental health treatment facilities for those with mental health and substance use challenges. It provides housing for the homeless.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Now, there are two big questions being asked in this prop should mental health funding be used for housing? And should the state borrow money to build more housing and treatment facilities? There is lots of interesting stuff to discuss here. We’ll dig in just ahead on be curious. I’m Olivia Allen Price. It is always a pleasure when prop voting time rolls around, because it means I get to talk to KQED politics correspondent guy Maserati. Hey, Guy.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Hey, Olivia.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> It’s been a minute, but here we are in a big election year. One of the first decisions that California voters are going to make is which way to go on prop one.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> That’s right. Proposition one is actually two pretty big ideas that are rolled up into one proposition. So it’s a bond measure. It’s also a reallocation of existing funds. So this was placed on the ballot by the state legislature because they need to go to the voters to get approval if they want to issue a bond. They also need to go to the voters to make a change to a ballot measure that voters previously approved back in 2004. So here we are.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> We’ll go step by step through all the moving parts of this one. But first, guy, can you walk us through the problems that proposition one is aiming to solve?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah. The big idea behind the proposition is focusing state dollars on people who are experiencing homelessness and who have severe behavioral health issues. So we know Californians who are experiencing homelessness. It’s not a monolith. You have people who maybe, you know, fell behind on rent, maybe people who are just looking for an affordable place to live. Prop one is not focused on those folks. But, there are a lot of people who are experiencing homelessness in California who have added challenges on top of that. UCSF did their massive study of the state’s homeless population. They found 27% of people living without shelter have been hospitalized for a mental health issue. They also found 65% of those people who are living without shelter have reported heavy substance abuse. These are the kinds of people who are prop one is aimed at helping.\u003c/p>\n\u003cp>So the idea is that of all the people in the state who are facing mental health challenges, these Californians, the ones who are living on the streets or at risk of living on the streets, are the ones who need to be prioritized. And so that’s where you get to kind of the political piece of all of this, which is that homelessness is a top priority for voters, especially kind of the visible suffering of people that you see on the streets. That’s become such a huge political issue, and it’s become a big issue for the man who is backing prop one. Governor Gavin Newsom, this is part of his kind of big swing to try to fix this issue.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Okay. And broadly, what are we considering in proposition one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So voters are being asked if the state should borrow money to build treatment facilities, build supportive housing, and if it should also change how existing mental health money gets spent, mainly by using more of that mental health money to build housing.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Let’s dig into the details a bit more now. Like we said a minute ago, this prop has sort of two arms. And I want to start with that first arm the bond. Now a quick bond refresher. A bond is essentially a loan the government takes out to fund certain projects. In this case, it’s a loan the state will pay back with interest over the next 30 years.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Right. So prop one would allow the state to borrow money by issuing $6.38 billion in bonds. Most of that money, about $4.4 billion, is going to go towards building treatment facilities. Now, this is for, like we mentioned, the thousands of Californians who have mental health needs, who have substance abuse issues, who are at risk or are actually living on the street. So that could be kind of a short term crisis care facility or longer term, you know, residential facilities, rehab communities and even, you know, some outpatient services. So that’s about 4.4 billion.\u003c/p>\n\u003cp>Then the rest of the measure, roughly 2 billion, that’s going to go towards building affordable apartments that come with kind of onsite behavioral health services. Of that 2 billion. Now we’re breaking this down further. Of that 2 billion. About 1 billion would be specifically for veterans who have behavioral health challenges. So again, we’re talking about helping people who are most visibly suffering, people who are having, you know, psychotic episodes on the street, people who are living in tents.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> So what is all this investment actually going to do?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Supporters of prop one say by spending this bond money, they’re going to be able to create 4350 housing units, another 6800 treatment slots. Obviously, this is all a drop in the bucket for the overall homeless population in California, which is estimated to be more than 180,000 people. But again, the idea of prop one is a focus less focus on a subgroup of people who are experiencing homelessness. Newsom says prop one is the solution to the decades of unintended consequences that kicked off when California closed its state mental hospitals, but didn’t create alternative places for people to live and get care. Here’s Newsom.\u003c/p>\n\u003cp>\u003cstrong>Gavin Newsom:\u003c/strong> The reforms that took place in the late 50s, in the 60s and the 70s, that bipartisan endeavor around deinstitutionalization. We had a peak 37,000, beds in the state of California in the 60s, 37,000 beds. Today, it’s about 5500.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> We actually do have a \u003ca href=\"https://www.kqed.org/news/11209729/did-the-emptying-of-mental-hospitals-contribute-to-homelessness-here\">Bay Curious episode about the closing of state mental hospitals and its impact on homelessness\u003c/a>. We’ll put a link in the show notes and transcript for this episode if you want to check that out. Guy, is there more detail on how this money will be allocated, like specific projects or even how much would go to, say, Alameda County versus Los Angeles County or anything like that? Right.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> That all hasn’t been laid out yet. I will say Newsom’s chief of staff, toxic KQED last summer about this prop. She said the administration, even though this had just started to move towards the ballot, they’re already looking at locations to build or refurbish, potential places with this bond money. I think really acknowledging that the process of building anything in California just takes a really long time.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> [00:06:50] Another discussion for another time. I think it’s always worth remembering that bond money isn’t free if voters approve it. How will this bond impact Californians over time?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Right. So California would have to repay the bonds back over 30 years out of the state’s general fund. That’s where all our tax money ends up. And that works out to about $310 million a year, which because we’re talking about a really massive state budget, it’s actually only about one half of 1% of the general fund. Now, the state would have to pay interest on top of all of that. So over the course of three decades, we’d pay about $9 billion, not adjusted for inflation, to pay back what is a $6.38 billion bond on the ballot?\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Okay, now on to the second arm of proposition one. So this measure would change how money collected for mental health services under Prop 63, which passed in 2004, is distributed. Okay. Start by taking us back 20 years to when voters approved the Mental Health Services Act.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, this was really wild for me. Going back and looking at the coverage of that campaign back in 2004, because the issues that the supporters of Prop 63 were trying to address are so similar to what supporters of prop one are talking about right now. It’s basically a feeling that since those state hospitals closed, California really stopped providing the necessary care for people who have these severe mental health challenges. And the result has been those same people end up on the streets, in tents in our county jails. So what the Mental Health Services Act did back in 2004 was create this 1% tax on income over $1 million. It’s since been kind of colloquially known as the millionaires tax. And that created this new bucket of money that the state could use for mental health services.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> So voters passed the Mental Health Services Act, which generates between two and a half and $3 billion per year. And that money now funds about a third of mental health services budgets for counties around the state. What counties especially like about this money is they have a lot of say in how it gets used. There aren’t a lot of strings attached.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Darrell Steinberg, who is currently the mayor of Sacramento back then in 2004, he was in the legislature and actually helped write the original Mental Health Services Act. He says the measure has been successful. It’s paid for a lot of services all across the state, from counseling to drop in centers to early intervention, having people come in to schools and classrooms and help teachers identify kids who might have mental health challenges. But he says the reason that all these years later, he’s now one of the leading supporters of changing it is because there hasn’t been enough focus on housing.\u003c/p>\n\u003cp>\u003cstrong>Darrell Steinberg:\u003c/strong> I think the counties have actually spent the money well, but what they haven’t done is spent it in a way that was focused on the most critical issues affecting our state.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So the trade off that supporters of prop one are pitching to voters is basically, let’s give up the flexibility in how this money is spent in exchange for adding greater focus, specifically focus on housing.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Tell me more about how they would limit flexibility that the counties have.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So under prop one, if it passes, counties would be required to spend 30% of that millionaire tax money they get from the state, specifically on housing. So that could mean providing rental subsidies, building new housing, converting things like motels into housing with supportive services. So this would leave counties then with less money to spend on some of the other programs and services they’ve been providing in the mental health space. So they need to find the money elsewhere. Or in the case a lot of opponents are concerned about, they would need to scale back or cut some of these programs. Paul Simmons is one of the leaders of the No on prop one campaign. He recently led Depression and Bipolar Support Alliance California, which provides peer support for people with depression bipolar disorder. He says service providers in similar positions are really worried.\u003c/p>\n\u003cp>\u003cstrong>Paul Simmons:\u003c/strong> Adult respite centers and wellness centers are very, very much at risk. All peer support programs are just scared to death right now that they’re going to lose any funding they got from from the MSA funding.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And you also have county governments who are really concerned about prop one, because right now they’re the ones that are getting this millionaires tax money. They are concerned that more of this money would go to the state. The state wants more say on how the millionaires tax money is spent. So you have many county supervisors who have come out against prop one. They’re concerned that if it passes, they’re going to have to cancel contracts with community based organizations or even perhaps reduce county staff.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Right now, 95% of that million in our tax money goes to counties. What would that look like under prop one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Under prop one, it would be more like 90% with the state using its cut for things like increasing just the number of mental health care workers. And one other change I should note here is that counties under prop one would be able to spend some of this money on housing for folks who just have drug and alcohol addiction challenges, you know, substance abuse issues. They may not have a dual diagnosis, mental health issue. And right now, all the Mental Health Services Act funding under Prop 63, the millionaires tax, all of that has to be used for people with mental health conditions. This would actually change the name of the entire thing to the Behavioral Health Services Act.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> I see, so by calling it the behavioral rather than the Mental Health Services Act, it really broadens out the group of people who could be served by the money guy. Would this increase taxes for anybody?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> No. And this is actually what makes this kind of controversial. It doesn’t increase the millionaires tax that funds the current Mental Health Services Act. So opponents of prop one say you have the same pot of money. You’re just stretching it in all these new directions by trying to focus on housing. Now, supporters like Newsom will say, that’s not the whole picture. There are all these other initiatives happening, you know, like Cal Aim, which try to get, for example, health plans to pay for some of these mental health services that prop 63, the Mental Health Services Act, has been doing for the last two. Years.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> What else do opponents have to say about this one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> So I think just like we broke down the measure into a couple parts, it might be helpful to break down where opponents are coming from on this pretty, pretty complex measure. So let’s start with the bonds. You have the state borrowing a lot of money to build these treatment facilities, supportive apartments. So you have conservatives, anti-tax groups like the Howard Jarvis Taxpayers Association. They oppose taking on that debt. And then there’s other conservatives who kind of jump on and say, we also don’t agree with the Housing First policy here, which is when someone with, say, a substance abuse problem is given housing before going through treatment.\u003c/p>\n\u003cp>And then there’s another piece of this, which is about what kind of housing can be built with this bond money, because prop one actually allows the money to be spent on locked facilities. These are, you know, places where people might get placed as a result of a conservatorship, where treatment is not voluntary. And this is pretty controversial. You get opposition not from conservatives on this, but you get opposition from groups like Disability Rights California, for example, who say these kind of lock facilities violate civil liberties and don’t have proven outcomes. Now, supporters of prop one say this is not going to be a huge piece of all the new facilities that get built, but that’s really an open question going forward.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> And what about the changes to how the existing prop 63 millionaires tax money is spent? Who is opposed to that?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, that piece of prop one is opposed by some service providers, folks like Paul Simmons, who say if you’re focusing on helping people who are the most visible have the most acute needs, that’s a poor investment. If you’re taking that money from programs that try to provide help with mental health, substance abuse, when people are in school or when they’re in counseling.\u003c/p>\n\u003cp>\u003cstrong>Paul Simmons:\u003c/strong> But really, what they’re doing, from my perspective, is to take the money from the early intervention, take it from the upstream part and throw it all into downstream. You know, where people are having more trouble and in fact, forcing more people downstream.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And so folks like Simmons are worried that if California puts less funding toward preventative upstream programs that support people you know, before their problems are most severe, we’re actually going to worsen some of the state’s problems.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> And who is in support of proposition one?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Yeah, the biggest name in support is Governor Gavin Newsom. You know, for all the attention he’s gotten on political stunts, campaigning across the country, debating Florida Governor Ron DeSantis, the biggest policy focus he’s had in Sacramento has been at this intersection of behavioral health and homelessness. So just in the last few years, the governor signed bills to create care courts. So this kind of compels treatment, housing for people with severe mental illness. He also signed bills making it easier to place people in a conservative ship. Prop one is the latest step in that direction.\u003c/p>\n\u003cp>\u003cstrong>Gavin Newsom:\u003c/strong> This is, I think, the last big piece. We’ve got we’ve just we’ve radically changed the way we’re doing business. We created more flexibility, more tools, more accountability, more resources. Now we just we need more beds.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> And I think what’s notable about prop one is just the size of the coalition supporting it. So both these ideas, the bond measure and then these changes to mental health spending. They both passed with huge majorities in the legislature last year. Support from Democrats, support from Republicans. Now, you might say like, oh, when the governor comes out and says, this is my top priority, everyone’s going to get in line. But I also think it’s a fact that the broken status quo, we see people just visibly suffering on the street. That touches a lot of different parts of society. So you have, you know, leaders of California hospitals supporting this. They see many of these residents end up in their emergency rooms. You have groups representing firefighters, law enforcement behind this. They often get called to respond when someone is having a mental health episode. And then you have what might be the biggest group of backers, which are mayors. You know, they feel directly, you know, accountable to voters for what residents see on the street. And it’s why you have mayors like London Breed in San Francisco so vocally in support of prop one.\u003c/p>\n\u003cp>\u003cstrong>London Breed:\u003c/strong> I was just out in the Tenderloin and San Francisco, and it is clear that we need people to get the support that they need, especially those suffering from mental health and substance use disorder. Let’s get into campaign spending. What does it look like on this?\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Prop spending is very lopsided for this prop. You have supporters having raised more than $11 million to help push this measure through. Opponents, on the other hand, just about $1,000.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> Wow. So really kind of David and Goliath on the on spending.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> On the spending front for sure. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> All right. Well, KQED political correspondent Guy Maserati, always a pleasure. Thank you.\u003c/p>\n\u003cp>\u003cstrong>Guy Marzorati:\u003c/strong> Thanks, Olivia.\u003c/p>\n\u003cp>\u003cstrong>Olivia Allen-Price:\u003c/strong> In a nutshell, a vote yes on proposition one means you’d like to see funds from an existing tax on millionaires used not just for mental health care, but also people facing drug or alcohol challenges. You’d also like those funds to be used for housing people needing mental health or substance abuse care. Finally, you’d like California to borrow $6.4 billion to pay for more mental health and substance abuse treatment facilities and housing.\u003c/p>\n\u003cp>A vote no on proposition one means you’d like to keep the Mental Health Services Act in its current form, and or you do not want California to issue that $6.4 billion bond.\u003c/p>\n\u003cp>All right. We really hope that helped you make sense of what you’ll be voting on. Again, Election Day is March 5th, but ballots should be in your mailbox soon if they haven’t arrived yet. If you found this episode helpful, do us a favor and tell your friends all about it or share it out on your social media accounts. Thanks.\u003c/p>\n\u003cp>We’re already gearing up for our full sized Prop Fest series during the upcoming general election. If you’ve got questions about a prop, another race, or any other voting issue in California, head over to Bay curious.org and use the form at the top of the page to send that question our way.\u003c/p>\n\u003cp>Bay curious is made in San Francisco at member supported KQED. Our show is produced by Katrina Schwartz, Christopher Bill and me Olivia Allen Price. Additional support from Jen Chen, Katie Springer, Cesar Saldana, Maha Sanford, Hollie Kernan and the whole KQED family. I’m Olivia Ellen Price. Best of luck in your decision.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\n\u003c/div>\u003c/div>"
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"content": "\u003cp>Optometrists at University of California campuses started a two-day strike on Tuesday over what they call labor law violations by their employer during negotiations for salaries and benefits. Hundreds of patients with appointments this week may have to reschedule.\u003c/p>\n\u003cp>The \u003ca href=\"https://drive.google.com/file/d/1HhlJjh9pipFhzWpXzBHW3VEY4vUUporQ/view\">work stoppage\u003c/a> comes as UC and the University Professional and Technical Employees, Communication Workers of America Local 9119, have failed over a year to agree on the terms of employment for more than 80 optometrists who joined the union in 2022. Both parties have recently filed unfair labor practice charges against each other with state regulators.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Nicole Mercho, optometrist, UCSF Health\"]‘We love our patients. But it just feels like this strike is the only option that we have left.’[/pullquote]\u003c/p>\n\u003cp>Union representatives said noncompetitive compensation and lack of career growth opportunities contribute to the recruitment of new talent and retention problems.\u003c/p>\n\u003cp>As a result, at UCSF Health, one of the nation’s top-ranked ophthalmology hospitals, some patients wait six to eight months for an appointment, said Dr. Nicole Mercho, 29, who works at the hospital’s Glaucoma Clinic.\u003c/p>\n\u003cp>UCSF optometrists, who see about 12 to 14 patients daily on a regular schedule, manage a variety of ocular diseases and eye infections in patients often referred to the hospital from as far away as Eureka, Modesto and Stockton.\u003c/p>\n\u003cp>“We love our patients. But it just feels like this strike is the only option that we have left,” Mercho said. “It’s very frustrating that UC has not really bargained in good faith. They’re kind of dragging their feet. They are not taking it seriously.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A spokesperson for UC told KQED that each location would handle notifications for impacted patients by the work stoppage.\u003c/p>\n\u003cp>Since January 2023, the union and UC representatives have met nearly a dozen times to work through issues to integrate the newly represented optometrists into an existing contract agreement that covers 6,500 \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor/bargaining-units/hx/index.html\">health care professional unit members\u003c/a>. But that process has come to a standstill, according to union representatives.\u003c/p>\n\u003cp>Last month, the union took its case to the California Public Employment Relations Board, \u003ca href=\"https://drive.google.com/file/d/1L11KqGzxt-O3EyMGns9lsuOCYjhqiPB5/view\">accusing\u003c/a> the university of violations that include refusing to disclose “essential” data for bargaining on wages and withholding contact information for new unit members for months.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health, one of the nation’s top-ranked ophthalmology hospitals. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, executive vice president at UPTE CWA Local 9119, said UC’s conduct undermines collective bargaining.\u003c/p>\n\u003cp>“We all have an interest in making sure that large public employers like the University of California are conducting themselves in an appropriate manner under labor law,” Campos told KQED. “And if a public institution like the university, that is subject to oversight, [and a] recipient of a tremendous amount of public resources, thinks that they can get away with committing unfair labor practices at the bargaining table, that should be alarming to every worker in California and every taxpayer in California.”[aside tag=\"uc-strike,union\" label=\"More Related Coverage\"]\u003c/p>\n\u003cp>UC responded by filing its own unfair labor practice \u003ca href=\"https://s3.documentcloud.org/documents/24409156/2024-02-02-uc-v-upte-perb.pdf\">charges\u003c/a> against UPTE CWA Local 9119 last week, rejecting the union’s accusations.\u003c/p>\n\u003cp>The university argued that it is simply insisting that the terms of a collective bargaining agreement that already applies to healthcare professionals in the unit also apply to optometrists and that this week’s work stoppage represented an “unlawful pre-impasse strike.”\u003c/p>\n\u003cp>“The University of California respects the rights of employees to organize and is committed to good-faith bargaining across our system with unions, including the University Professional and Technical Employees Union (UPTE),” said a UC spokesperson in a statement. “The University believes the planned UPTE action related to this limited group of employees is an unlawful exercise by the union.”\u003c/p>\n\u003cp>The spokesperson added that the two parties had reached tentative agreements on incentive compensation and other issues during the bargaining process.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors is scheduled to vote Tuesday on \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6503388&GUID=DC407C91-30E9-4BAA-A937-277B932BD49A\">a resolution\u003c/a>, sponsored by six members, supporting UPTE-CWA Local 9119 optometrists and urging UC’s administration to swiftly reach an agreement that recognizes the issues raised by the employees.\u003c/p>\n\u003cp>Optometrists plan to hold a picket line outside UC medical centers in San Francisco, Los Angeles, San Diego and Davis. San Francisco Supervisors Dean Preston and Hillary Ronen are expected to speak at a strike rally on Wednesday at UCSF.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Optometrists at University of California campuses started a two-day strike on Tuesday over what they call labor law violations by their employer during negotiations for salaries and benefits. Hundreds of patients with appointments this week may have to reschedule.\u003c/p>\n\u003cp>The \u003ca href=\"https://drive.google.com/file/d/1HhlJjh9pipFhzWpXzBHW3VEY4vUUporQ/view\">work stoppage\u003c/a> comes as UC and the University Professional and Technical Employees, Communication Workers of America Local 9119, have failed over a year to agree on the terms of employment for more than 80 optometrists who joined the union in 2022. Both parties have recently filed unfair labor practice charges against each other with state regulators.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Union representatives said noncompetitive compensation and lack of career growth opportunities contribute to the recruitment of new talent and retention problems.\u003c/p>\n\u003cp>As a result, at UCSF Health, one of the nation’s top-ranked ophthalmology hospitals, some patients wait six to eight months for an appointment, said Dr. Nicole Mercho, 29, who works at the hospital’s Glaucoma Clinic.\u003c/p>\n\u003cp>UCSF optometrists, who see about 12 to 14 patients daily on a regular schedule, manage a variety of ocular diseases and eye infections in patients often referred to the hospital from as far away as Eureka, Modesto and Stockton.\u003c/p>\n\u003cp>“We love our patients. But it just feels like this strike is the only option that we have left,” Mercho said. “It’s very frustrating that UC has not really bargained in good faith. They’re kind of dragging their feet. They are not taking it seriously.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A spokesperson for UC told KQED that each location would handle notifications for impacted patients by the work stoppage.\u003c/p>\n\u003cp>Since January 2023, the union and UC representatives have met nearly a dozen times to work through issues to integrate the newly represented optometrists into an existing contract agreement that covers 6,500 \u003ca href=\"https://ucnet.universityofcalifornia.edu/labor/bargaining-units/hx/index.html\">health care professional unit members\u003c/a>. But that process has come to a standstill, according to union representatives.\u003c/p>\n\u003cp>Last month, the union took its case to the California Public Employment Relations Board, \u003ca href=\"https://drive.google.com/file/d/1L11KqGzxt-O3EyMGns9lsuOCYjhqiPB5/view\">accusing\u003c/a> the university of violations that include refusing to disclose “essential” data for bargaining on wages and withholding contact information for new unit members for months.\u003c/p>\n\u003cfigure id=\"attachment_11974804\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974804\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg\" alt=\"The exterior shot of the UCSF Health building in San Francisco.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/UCSFHealth-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The outside of UCSF Health, one of the nation’s top-ranked ophthalmology hospitals. \u003ccite>(Smith Collection/Gado/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Matias Campos, executive vice president at UPTE CWA Local 9119, said UC’s conduct undermines collective bargaining.\u003c/p>\n\u003cp>“We all have an interest in making sure that large public employers like the University of California are conducting themselves in an appropriate manner under labor law,” Campos told KQED. “And if a public institution like the university, that is subject to oversight, [and a] recipient of a tremendous amount of public resources, thinks that they can get away with committing unfair labor practices at the bargaining table, that should be alarming to every worker in California and every taxpayer in California.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UC responded by filing its own unfair labor practice \u003ca href=\"https://s3.documentcloud.org/documents/24409156/2024-02-02-uc-v-upte-perb.pdf\">charges\u003c/a> against UPTE CWA Local 9119 last week, rejecting the union’s accusations.\u003c/p>\n\u003cp>The university argued that it is simply insisting that the terms of a collective bargaining agreement that already applies to healthcare professionals in the unit also apply to optometrists and that this week’s work stoppage represented an “unlawful pre-impasse strike.”\u003c/p>\n\u003cp>“The University of California respects the rights of employees to organize and is committed to good-faith bargaining across our system with unions, including the University Professional and Technical Employees Union (UPTE),” said a UC spokesperson in a statement. “The University believes the planned UPTE action related to this limited group of employees is an unlawful exercise by the union.”\u003c/p>\n\u003cp>The spokesperson added that the two parties had reached tentative agreements on incentive compensation and other issues during the bargaining process.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors is scheduled to vote Tuesday on \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6503388&GUID=DC407C91-30E9-4BAA-A937-277B932BD49A\">a resolution\u003c/a>, sponsored by six members, supporting UPTE-CWA Local 9119 optometrists and urging UC’s administration to swiftly reach an agreement that recognizes the issues raised by the employees.\u003c/p>\n\u003cp>Optometrists plan to hold a picket line outside UC medical centers in San Francisco, Los Angeles, San Diego and Davis. San Francisco Supervisors Dean Preston and Hillary Ronen are expected to speak at a strike rally on Wednesday at UCSF.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "San Francisco Considers a Measure to Screen Welfare Recipients for Addiction",
"headTitle": "San Francisco Considers a Measure to Screen Welfare Recipients for Addiction | KQED",
"content": "\u003cp>The Democratic mayor of San Francisco is pushing a pair of controversial public safety proposals on the March 5 ballot, including one that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/domestic-general-news-3b2cac01584f4479b7b1da0bde1c8a88\">Mayor London Breed\u003c/a> also supports a ballot measure that would grant police more crime-fighting powers, such as using drones and surveillance cameras. In November, she’ll face cranky voters in a competitive reelection bid.\u003c/p>\n\u003cp>San Francisco is in a struggle to redefine itself after the pandemic left it in economic tatters and highlighted its \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/coronavirus-pandemic-sports-business-health-lifestyle-538efc664e9da0d2f0831f3f3ed9a4d7\">longstanding problems\u003c/a> with homelessness, drugs and property crime. Opponents say both ballot measures are wildly out of step with San Francisco’s support for privacy and civil liberties and will only hurt the marginalized communities the city prides itself on helping. [pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive.’[/pullquote]But Breed, the first Black woman to lead San Francisco, said at a January campaign stop that residents from poorer, Black and immigrant neighborhoods are pleading for more police, and recovery advocates are demanding change as more than 800 people died of accidental overdose last year — a record fueled by the abundance of cheap and potent fentanyl.\u003c/p>\n\u003cp>“They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive,” Breed said at Footprint, an athletic apparel and shoe store that has been repeatedly burglarized.\u003c/p>\n\u003cp>While Breed’s name isn’t on the presidential primary ballots going out now — San Francisco uses a method where residents rank mayoral candidates by preference a single time in November — the two measures she’s pushing are. They serve as an opening salvo for her reelection campaign as she faces off against fellow moderates who say her approach to the city’s problems has been weak.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Violent crimes are low in San Francisco, but the city has long struggled with quality-of-life crimes.\u003c/p>\n\u003cp>Breed said rates of retail theft and auto smash-ins have declined recently, thanks in large part to strategic operations by city police. Similarly, police have stepped up enforcement of drug laws, including by issuing citations to people using drugs in public as a way to disrupt the behavior and an opportunity to persuade the person cited to seek help.\u003c/p>\n\u003cp>But she said San Francisco needs to do more.\u003c/p>\n\u003cp>If approved by voters, Proposition F would offer another way to compel treatment by allowing the city to screen single adults on local welfare for substance abuse. People found to be abusing illegal drugs would be required to enroll in treatment if they want to receive cash assistance from the city, which maxes out at just over $700 a month. [aside label='More Stories on Public Health' tag='public-health']Opponents say coercion doesn’t work and homelessness may increase if the measure passes. Drug addicts are not criminals, they say, and there are not enough treatment beds and counseling services as it is.\u003c/p>\n\u003cp>A crackdown on drugs is reminiscent of the failed war on drugs that disproportionately harmed Black families, said Chris Ballard, co-executive director of Coleman Advocates, which pushes for improvements for Black and Latino youth in San Francisco.\u003c/p>\n\u003cp>“There are more ethical ways to address the issue aside from punitive measures, and that’s the proper way to take care of a community, to show true support,” he said.\u003c/p>\n\u003cp>Yet Trent Rhorer, executive director of the San Francisco Human Services Agency, which provides cash assistance and employment services to low-income residents without dependent children, said the current situation conflicts with the agency’s mission: to improve lives.\u003c/p>\n\u003cp>“To give someone who’s addicted to fentanyl $700 a month, I don’t think it helps improve their lives,” he said. “In fact, I think it does the opposite.”\u003c/p>\n\u003cp>Compelling treatment has become more acceptable in Democratic California, despite angst over the potential loss of civil liberties, as visible signs of homelessness and mental illness, fentanyl addiction, and unsafe street behavior surge.\u003c/p>\n\u003cp>Last year, several counties rolled out an alternative mental health court created by Democratic Gov. Gavin Newsom, former mayor of San Francisco, to fast-track people with untreated schizophrenia and related disorders into care, and in March, voters will take up a statewide mental health proposition, that some say will increase involuntary treatment.\u003c/p>\n\u003cp>Rhorer said the welfare program for single adults — which serves about 9,000 people per year — already asks applicants about substance abuse, with about 20% self-reporting an issue. A data check with the Department of Public Health revealed that almost one-third of recipients have been diagnosed with a substance use disorder, he said.\u003c/p>\n\u003cp>The ballot measure would replace that question with a more rigorous screening test that an addiction specialist would verify. If substance abuse is found, Rhorer said, the specialist and applicant would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication. [pullquote size=\"medium\" align=\"right\" citation=\"Michael Hsu, store owner, Footprint USA\"]‘You’re sending the wrong message to these criminals.’[/pullquote]There is no requirement that the person be sober, only that they make good-faith efforts to attend their program, with the hope that “at one point a light bulb will go off,” Rhorer said.\u003c/p>\n\u003cp>The measure calls for the city to pay the rent of those accepted into the program for 30 days or longer to avoid eviction. About 30% of the people who fatally overdosed in 2023 were homeless, and more were living in subsidized city housing.\u003c/p>\n\u003cp>Besides authorizing drones, cameras and other modern technologies, Proposition E would reduce paperwork so police have more time to patrol. It would also allow police to pursue more suspects by vehicle, not just in cases of a violent felony or immediate threat to public safety — a policy store owner Michael Hsu learned of the hard way.\u003c/p>\n\u003cp>Hsu has had his Footprint store broken into multiple times since he took over in 2020, most recently on Jan. 1. Police arrived as the suspects were leaving but could not pursue them because no lives were at risk. Hsu, who lost about $20,000 in merchandise and damage, called that discouraging.\u003c/p>\n\u003cp>“You’re sending the wrong message to these criminals,” he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Democratic mayor of San Francisco is pushing a pair of controversial public safety proposals on the March 5 ballot, including one that would require single adults on welfare to be screened and treated for illegal drug addiction or else lose cash assistance.\u003c/p>\n\u003cp>\u003ca href=\"https://apnews.com/domestic-general-news-3b2cac01584f4479b7b1da0bde1c8a88\">Mayor London Breed\u003c/a> also supports a ballot measure that would grant police more crime-fighting powers, such as using drones and surveillance cameras. In November, she’ll face cranky voters in a competitive reelection bid.\u003c/p>\n\u003cp>San Francisco is in a struggle to redefine itself after the pandemic left it in economic tatters and highlighted its \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/coronavirus-pandemic-sports-business-health-lifestyle-538efc664e9da0d2f0831f3f3ed9a4d7\">longstanding problems\u003c/a> with homelessness, drugs and property crime. Opponents say both ballot measures are wildly out of step with San Francisco’s support for privacy and civil liberties and will only hurt the marginalized communities the city prides itself on helping. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But Breed, the first Black woman to lead San Francisco, said at a January campaign stop that residents from poorer, Black and immigrant neighborhoods are pleading for more police, and recovery advocates are demanding change as more than 800 people died of accidental overdose last year — a record fueled by the abundance of cheap and potent fentanyl.\u003c/p>\n\u003cp>“They said San Francisco makes it too easy for people to access and to use drugs on the streets of the city, and we need to do something a lot more aggressive,” Breed said at Footprint, an athletic apparel and shoe store that has been repeatedly burglarized.\u003c/p>\n\u003cp>While Breed’s name isn’t on the presidential primary ballots going out now — San Francisco uses a method where residents rank mayoral candidates by preference a single time in November — the two measures she’s pushing are. They serve as an opening salvo for her reelection campaign as she faces off against fellow moderates who say her approach to the city’s problems has been weak.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Violent crimes are low in San Francisco, but the city has long struggled with quality-of-life crimes.\u003c/p>\n\u003cp>Breed said rates of retail theft and auto smash-ins have declined recently, thanks in large part to strategic operations by city police. Similarly, police have stepped up enforcement of drug laws, including by issuing citations to people using drugs in public as a way to disrupt the behavior and an opportunity to persuade the person cited to seek help.\u003c/p>\n\u003cp>But she said San Francisco needs to do more.\u003c/p>\n\u003cp>If approved by voters, Proposition F would offer another way to compel treatment by allowing the city to screen single adults on local welfare for substance abuse. People found to be abusing illegal drugs would be required to enroll in treatment if they want to receive cash assistance from the city, which maxes out at just over $700 a month. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Opponents say coercion doesn’t work and homelessness may increase if the measure passes. Drug addicts are not criminals, they say, and there are not enough treatment beds and counseling services as it is.\u003c/p>\n\u003cp>A crackdown on drugs is reminiscent of the failed war on drugs that disproportionately harmed Black families, said Chris Ballard, co-executive director of Coleman Advocates, which pushes for improvements for Black and Latino youth in San Francisco.\u003c/p>\n\u003cp>“There are more ethical ways to address the issue aside from punitive measures, and that’s the proper way to take care of a community, to show true support,” he said.\u003c/p>\n\u003cp>Yet Trent Rhorer, executive director of the San Francisco Human Services Agency, which provides cash assistance and employment services to low-income residents without dependent children, said the current situation conflicts with the agency’s mission: to improve lives.\u003c/p>\n\u003cp>“To give someone who’s addicted to fentanyl $700 a month, I don’t think it helps improve their lives,” he said. “In fact, I think it does the opposite.”\u003c/p>\n\u003cp>Compelling treatment has become more acceptable in Democratic California, despite angst over the potential loss of civil liberties, as visible signs of homelessness and mental illness, fentanyl addiction, and unsafe street behavior surge.\u003c/p>\n\u003cp>Last year, several counties rolled out an alternative mental health court created by Democratic Gov. Gavin Newsom, former mayor of San Francisco, to fast-track people with untreated schizophrenia and related disorders into care, and in March, voters will take up a statewide mental health proposition, that some say will increase involuntary treatment.\u003c/p>\n\u003cp>Rhorer said the welfare program for single adults — which serves about 9,000 people per year — already asks applicants about substance abuse, with about 20% self-reporting an issue. A data check with the Department of Public Health revealed that almost one-third of recipients have been diagnosed with a substance use disorder, he said.\u003c/p>\n\u003cp>The ballot measure would replace that question with a more rigorous screening test that an addiction specialist would verify. If substance abuse is found, Rhorer said, the specialist and applicant would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>There is no requirement that the person be sober, only that they make good-faith efforts to attend their program, with the hope that “at one point a light bulb will go off,” Rhorer said.\u003c/p>\n\u003cp>The measure calls for the city to pay the rent of those accepted into the program for 30 days or longer to avoid eviction. About 30% of the people who fatally overdosed in 2023 were homeless, and more were living in subsidized city housing.\u003c/p>\n\u003cp>Besides authorizing drones, cameras and other modern technologies, Proposition E would reduce paperwork so police have more time to patrol. It would also allow police to pursue more suspects by vehicle, not just in cases of a violent felony or immediate threat to public safety — a policy store owner Michael Hsu learned of the hard way.\u003c/p>\n\u003cp>Hsu has had his Footprint store broken into multiple times since he took over in 2020, most recently on Jan. 1. Police arrived as the suspects were leaving but could not pursue them because no lives were at risk. Hsu, who lost about $20,000 in merchandise and damage, called that discouraging.\u003c/p>\n\u003cp>“You’re sending the wrong message to these criminals,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The deadline to enroll in a health care plan through Covered California — \u003ca href=\"https://www.coveredca.com/\">the state’s health insurance marketplace that offers hundreds of low-cost coverage plans\u003c/a> — has been extended until Friday, Feb. 9.\u003c/p>\n\u003cp>Previously, the deadline to sign up for a plan was Wednesday, Jan. 31.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jessica Altman, executive director, Covered California\"]‘We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need.’[/pullquote]State officials made the announcement \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/31/\">through a press release on Wednesday\u003c/a>, explaining that Covered California’s service center was recently taken offline in response to a cybersecurity incident that affected the third-party vendor that supports its phone lines. Many residents who tried to sign up for a health care plan by calling the service center experienced long wait times, the release said, which also noted that “at this time,” there was no indication that any members’ personal information was compromised.\u003c/p>\n\u003cp>“We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need,” Covered California Executive Director Jessica Altman said.\u003c/p>\n\u003ch2>Ways to sign up\u003c/h2>\n\u003cp>Consumers have several ways to find a health care plan — not just over the phone. One option is visiting Covered California’s website at \u003ca href=\"https://www.coveredca.com/\">coveredca.com\u003c/a>.\u003c/p>\n\u003cp>If your job doesn’t provide health insurance and you don’t qualify for Medi-Cal, you may be eligible for a Covered California plan. Thanks to a mix of federal and state subsidies, many plans offer monthly premiums under $30.\u003c/p>\n\u003cp>If you are undocumented, you can also look for an insurance plan through Covered California — but you’ll have to meet the income requirements for Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California is one of two states \u003ca href=\"https://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/\">that requires residents to pay a penalty if uninsured\u003c/a>. The penalty for not having coverage the entire year would be at least $900 per adult when you file taxes this year. If you have a child under 18 that is dependent on you, that’s an additional $450 per kid.\u003c/p>\n\u003ch2>An increase in enrollment\u003c/h2>\n\u003cp>More than 243,000 people have already signed up this enrollment period, state officials said — \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/25/end-of-oe/\">a 13% increase from last year\u003c/a>. California already boasts one of the lowest uninsured rates in the country, with only 6.2% of non-elderly Californians lacking health insurance, \u003ca href=\"https://www.chcf.org/publication/california-achieves-lowest-uninsured-rate-ever-2022/\">according to a 2023 report from the California Health Care Foundation\u003c/a>. When the state launched its insurance marketplace in 2013, \u003ca href=\"https://calbudgetcenter.org/resources/continuing-the-path-towards-universal-health-coverage-in-california/#:~:text=The%20percentage%20of%20Californians%20without,uninsured%20rate%20was%20over%2017%25.\">the uninsured rate was around 17%\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11949192,news_11956545,news_11961980\"]The nation’s top health official, United States Health and Human Services Secretary Xavier Becerra, visited San Francisco on Tuesday to mark these new figures, and offered uninsured Californians a last push of encouragement to apply to Covered California (before the deadline extension was then announced on Wednesday).\u003c/p>\n\u003cp>“My mother would always say, \u003cem>mejor prevenir que remediar\u003c/em> — better to prevent than to remediate an illness,” Becerra said. “Health care insurance helps you prevent your children from becoming ill. If you don’t have insurance, you wait till they’re so ill they have to go to the hospital.”\u003c/p>\n\u003cp>At the national level, 21.3 million people nationwide enrolled in a health care plan this year through the Affordable Care Act (ACA) marketplaces. Many are receiving subsidies for their plans owing to the Inflation Reduction Act that Congress passed in 2022, and Becerra said he hoped Congress would vote to keep those subsidies in place.\u003c/p>\n\u003cp>Despite multiple attempts by Congressional Republicans each year to repeal ACA — also known as Obamacare — marketplaces have only grown since the health care law passed in 2010. “There was talk that when the Affordable Care Act launched, insurers would not buy in because it wouldn’t be a profitable enterprise for them,” Becerra said.\u003c/p>\n\u003cp>“Well, they’re in. Now what’s happening is they’re offering a panoply of plans; it’s tough to figure out which one is good for you,” he added.\u003c/p>\n\u003cp>“So we’re going to move more towards requiring the plans [to] provide some standardization, so people can make some good guesses about what might be good for them,” Becerra said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The deadline to enroll in a health care plan through Covered California — \u003ca href=\"https://www.coveredca.com/\">the state’s health insurance marketplace that offers hundreds of low-cost coverage plans\u003c/a> — has been extended until Friday, Feb. 9.\u003c/p>\n\u003cp>Previously, the deadline to sign up for a plan was Wednesday, Jan. 31.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>State officials made the announcement \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/31/\">through a press release on Wednesday\u003c/a>, explaining that Covered California’s service center was recently taken offline in response to a cybersecurity incident that affected the third-party vendor that supports its phone lines. Many residents who tried to sign up for a health care plan by calling the service center experienced long wait times, the release said, which also noted that “at this time,” there was no indication that any members’ personal information was compromised.\u003c/p>\n\u003cp>“We want any Californian who needs health insurance to have the opportunity to get covered for the rest of 2024, and extending the open-enrollment period will ensure they have the time they need,” Covered California Executive Director Jessica Altman said.\u003c/p>\n\u003ch2>Ways to sign up\u003c/h2>\n\u003cp>Consumers have several ways to find a health care plan — not just over the phone. One option is visiting Covered California’s website at \u003ca href=\"https://www.coveredca.com/\">coveredca.com\u003c/a>.\u003c/p>\n\u003cp>If your job doesn’t provide health insurance and you don’t qualify for Medi-Cal, you may be eligible for a Covered California plan. Thanks to a mix of federal and state subsidies, many plans offer monthly premiums under $30.\u003c/p>\n\u003cp>If you are undocumented, you can also look for an insurance plan through Covered California — but you’ll have to meet the income requirements for Medi-Cal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is one of two states \u003ca href=\"https://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/\">that requires residents to pay a penalty if uninsured\u003c/a>. The penalty for not having coverage the entire year would be at least $900 per adult when you file taxes this year. If you have a child under 18 that is dependent on you, that’s an additional $450 per kid.\u003c/p>\n\u003ch2>An increase in enrollment\u003c/h2>\n\u003cp>More than 243,000 people have already signed up this enrollment period, state officials said — \u003ca href=\"https://www.coveredca.com/newsroom/news-releases/2024/01/25/end-of-oe/\">a 13% increase from last year\u003c/a>. California already boasts one of the lowest uninsured rates in the country, with only 6.2% of non-elderly Californians lacking health insurance, \u003ca href=\"https://www.chcf.org/publication/california-achieves-lowest-uninsured-rate-ever-2022/\">according to a 2023 report from the California Health Care Foundation\u003c/a>. When the state launched its insurance marketplace in 2013, \u003ca href=\"https://calbudgetcenter.org/resources/continuing-the-path-towards-universal-health-coverage-in-california/#:~:text=The%20percentage%20of%20Californians%20without,uninsured%20rate%20was%20over%2017%25.\">the uninsured rate was around 17%\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The nation’s top health official, United States Health and Human Services Secretary Xavier Becerra, visited San Francisco on Tuesday to mark these new figures, and offered uninsured Californians a last push of encouragement to apply to Covered California (before the deadline extension was then announced on Wednesday).\u003c/p>\n\u003cp>“My mother would always say, \u003cem>mejor prevenir que remediar\u003c/em> — better to prevent than to remediate an illness,” Becerra said. “Health care insurance helps you prevent your children from becoming ill. If you don’t have insurance, you wait till they’re so ill they have to go to the hospital.”\u003c/p>\n\u003cp>At the national level, 21.3 million people nationwide enrolled in a health care plan this year through the Affordable Care Act (ACA) marketplaces. Many are receiving subsidies for their plans owing to the Inflation Reduction Act that Congress passed in 2022, and Becerra said he hoped Congress would vote to keep those subsidies in place.\u003c/p>\n\u003cp>Despite multiple attempts by Congressional Republicans each year to repeal ACA — also known as Obamacare — marketplaces have only grown since the health care law passed in 2010. “There was talk that when the Affordable Care Act launched, insurers would not buy in because it wouldn’t be a profitable enterprise for them,” Becerra said.\u003c/p>\n\u003cp>“Well, they’re in. Now what’s happening is they’re offering a panoply of plans; it’s tough to figure out which one is good for you,” he added.\u003c/p>\n\u003cp>“So we’re going to move more towards requiring the plans [to] provide some standardization, so people can make some good guesses about what might be good for them,” Becerra said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"here-and-now": {
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
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"order": 18
},
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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